I believe that an MD would say “take two tylenol and call me in the morning” because things always seem better after a good night’s sleep. Don’t beat yourself up. Maybe you are expecting too much of yourself and therefore not accomplishing as much as you expect to. Try setting some short term measurable and attainable goals. Feel good about those accomplishments then keep moving forward. Don’t compare yourself to others, just do what is right for you and go at your own pace. After all Hashem created each of us differently so don’t be running a race with others and comparing yourselves with others who have other variables than you do.
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