I'm not sure where else to post this, because it has to do with all my diagnoses.

I have PTSD, severe, chronic, treatment resistant Major Depressive Disorder, pre-menstrual dysphoric disorder (it's like a mood disorder except tied to your menstrual cycle and hormones rather than brain chemistry), panic disorder and mild agoraphobia.

I'm at a time in the cycling of my PMDD where the stress really presses down on me. I missed my anti-depressants for two days this weekend, went through some withdrawal and I'm recovering from that. Plus I've been having a lot of PTSD triggers lately - from flashbacks and panic attacks to a full on dissociative episode.

I have a huge event at work that I've been spearheading that happens tomorrow (thank goodness it will be over). I have no idea how I'm going to make it through the event or the day.

My sleep patterns are erratic at best. I'm averaging 3.5 hours a night for forever, no matter what I do. And I've been trying to exercise more to get my weight down and hoping that will help with sleep, and then improve my overall mood, but no matter how much exercise I get during the day, I still only sleep a few hours and now I'm MORE tired.

I don't know if this is something like an extinction burst where I have to push the tiredness over the edge and just keep at it for a while longer, or what.

I'm just trying to take care of myself and really be aware that it's going to be a rough week for myself emotionally and to keep an eye on my behaviors and mood. Try not to allow my mood to get misdirected at anyone that I work with. I'm usually pretty good about that, but I'm worried this week because I do feel it all rather keenly.

Does anyone do anything in particular when they know they are facing a hard week to help cope with it?

Thanks,
Seesaw