Hi, Gwydion, welcome to PsychCentral (PC).

Wow, sounds like you have stressors on top of stressors there!

Any chance, since work is 50% of your current stressors that you can take a sabbatical or medical leave of absence? Do you have a psych doc outside of the hospital that you "normally" see that might be able to help you with that?

If your particular job is so stressful, I might be tempted to fall back and regroup and change jobs when I was ready to start working again. Can you tell us more about your situation. What did the doctor's note guy say when you protested you weren't ready? I don't know what you can do if your particular insurance isn't on your side/is used up.