I'm so sorry to hear you've been having such a rough year. Hugs!

My strain is almost all mental. I suffer from anxiety, but last year I started taking medication to help control it as I found I couldn't manage it on my own anymore. I started excercising again, becasue A) excercise helps greatly with anxiety and depression, and B) my poor back. I went through five months of crippling back and shoulder pain last year. After being assessed by the doctor it was determined that my lower back was actually the issue, and core strengthening excercises were needed. Plus the anxiety does a number on your physically. I've been on the medication for nine months now and it helps so much. Plus, the excercise helps keep me feeling healthy and I take more time for myself. My husband is really good about giving me time to myself when I need it <3

I really hope things look up for you and you start to feel better soon. The first thing to look at is how you see yourself. Rather than getting down on your self worth, look at all the great things you do. All the support and love that you provide. You make a difference in children's lives! That is an amazing thing.