During my worst time, I had a number of different strategies. At work, I would try different ways to get some privacy so no one would see me crying. I would pretend to go photocopy, but really I would go outside and walk around the building and try to get some fresh air and cry. Or at lunch, I would go eat in my car and rest and cry. Or I would go for a walk at lunch. Walking seemed to help me. When I just wasn't functional enough to make it into work in the morning, I would call in sick and take a day off. My attendance and productivity at work were horrible. My boss never reprimanded me and I felt very guilty for my terrible performance, but I was doing the best I could. As for family, I wasn't that great about meeting their needs either, but I tried. Having private time to cry was really important to me. So yeah, I just did a lot of little things to get by. I think getting enough sleep is really, really important. My sleep at night was miserable, but during the day there were times when I could steal a little sleep here and there (like at lunchtime at work). Or when I took the kids to soccer, I would sleep in the car while they played. Bad, I know, but we do what we gotta do. And I would force myself to go to therapy once a week, even though it seemed pointless. Tired12, try to find little ways to give yourself what you need. Every little bit helps. If you have people who can help with your family and you are close to them, maybe you could confide in them that you need some extra help right now. Ask friends, family, husband, etc. to be there for you at this time.