Open Question: how to manage my unhappy life?

Work (self employed) 2 small kids and my business has me going nuts. Im losing my mind and cant focus, cant get caught up- no motivation or energy. Cant get things done at home- not enough time or energy to help my wife at all or even get the basiic stuff done around the house. I feel like im not able to do anything, too much on my plate (work and personal life)
Ive been in business for 20 yrs and never had a year like this that made me wanna sell out. I dont know if thats the answer ( i may regret it if i do that) but my health(physically and mentally is suffering ) and i dont want my wife to have added stress which our two kids already give us.
Plus she is a full time carrer woman and does alot to help me get through this chaos with work.
I cant focus anymore i have no drive or motivation for anything.
I just wanna get back to how i was 5 months ago= before all the chaos with work started. This year is so far the worst ever since being in business. I have lost work, employees, breakdowns of equip and so much goin on that i am just way behind and cant get caught up. and i have a bad back(and my job is physically demanding)

I hate the way my life is goin right now and need to do something to change it or its gonna kill me.
I worry about everything and really just want to get organized and back on track so i can do the stufff i need to at work and home. I wanna be with my kids and not worry about work all the time and being so stressed out that i cant even think.
I want my wife to be happy, but i feel that if i sell my business i may regret it in the future…
I just can make decisions lately and am not happy.Wish there was an easy way to explain my situation but there is not.
basically- my business has changed- adding stress worry and making me go crazy
and im not able to do anything productive because i just cant seem to focus with so much goin on at once. Its not healthy- i eat like crap, sleep like crap, stress out and worry and smoke too much.
I dont wanna die over a job. But i cant make up my mind.
What to do….i feel like im lost lately.
My doc said i need better coping skills with stress, but he put me on zoloft and that is doning nothing at all.

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