Girlygirl, i like option 1 that you posted. Start with a cut back in hours and see how you manage. Talk to a therapist and get it documented the job related stress and anxiety. This way here if you are let go you can get compensation for it being medical. Always cover your butt! LOL... you seem more concerned about what others think and letting others down. This is not about others, this is about you. We often feel that once we are loaded with work we have to bear the burden of it. That is not true nor healthy when we sacrifice our quality of life. If your life is this stressed out, no job is worth ruining it for, no job. Try cutting back in increments to start with and go from there. None of us can plan our life out, we live it in days and weeks. So live within the day and the moment. Learn to say no. If you have not read the book by Melody Beattie CODEPENDENT NO MORE, i suggest you read it. Your life patterns are similiar to those she talks about. Blessings and tc