I am a public school teacher for one of the most competitive and challenging public school districts in America. I have been working for them for about 5 years now. I recently switched to a new school that is high needs. I have the several students with extreme behaviors and I receive very little support from the admin. With my mother's decline in her health and my unhappiness with my job, I went into a partial hospitalization program where I am out on medical leave. I have been on leave for a month and now that my mother passed the psychiatrist wants me to do another 3 weeks! My admin is not very understanding. I feel so guilty for not being there because I know someone has to make my subplans but the doctor won't sign off that I can return. If she doesn't think I am capable, I can't return. I am so anxious because I just don't know if I can keep up with the requirements of being a teacher anymore, especially a high needs school. There are so many things that are demanded and the list grows each day. The thing is, I don't know what to do if I am not a teacher. I have a master's degree in curriculum and instruction. I was diagnosed as Bipolar 1 with depression. I am always feeling exhausted. I lack a desire to do anything. I enjoy nothing except doing things for my daughter. I know the doctor is right but I feel that my principal won't understand and it will be a black mark against me. The accommodations person doesn't have any accommodations that will really support me in my return so I have to go in as is and endure. I wish I could do part time but I have so much debt because of my mother and almost becoming homeless when she had her stroke. I am only 30 years old. How can I function as a teacher when there is so much pressure each day and it is so hard to switch to a lower stress teaching job because of the high competition in this county? I can do normal things throughout the day it is just that I get super anxious, worried, I don't sleep well when stressed, and I lack energy but I can't sit still. I have a hard time remembering things or processing things well. I easily misunderstand others and take things deeply personally. I strive to be a perfectionist to reach what I feel others want and often sacrifice my own personal care. If it wasn't for my daughter, I would just lounge around. I have a heavy feeling of exhaustion and fatigue. I am on seroquel, cymbalta, and adderall for adhd (focus and concentration) but only for about 3 weeks. Can someone please give me some ideas of where to go from here? Are desk jobs more realistic? Is it possible to be a teacher and deal with these symptoms? How can I manage in a high needs school? The other option is to move back to my old school but it is also high needs. Most often, you have no time during the day to complete their demands because of meetings, so you take work home. This is where I struggle because I don't have time. I have a little one and she demands the rest of my day after work. We have no family to help and we are desperately tight financially. Is filing bankruptcy for me an option or is that counterproductive? If we weren't so tight we would live comfortably because I make pretty good money. Please help!