Hello . . . .
Well, yeah, you do have an issue with meds and I am not able to address that except to say, I think that you need some immediate intervention to straighten out what you should be taking . . . .not sure that beer qualifies as a "med" and the alcohol might be having an intensifying effect . . .
I might though be able to give you some support on how you would face teachers and students . . . you do so with self-value and pride. You are suffering from a mental health issue that, because of a reaction or interaction to meds, has created physical symptoms, especially insomnia, that you need to work through. If you feel that you are on the verge of a nervous breakdown, then you need to seek immediate medical intervention . . . be it through a doctor or ER . . . .you need to get some place with professional help . . . .your feelings may be due to coming off the meds or the combination of meds, etc., but you need to have someone there to help you through the experience.
Right now anxiety brain is creating unreal thoughts for you . . . rather than thinking of all the events you have missed and didn't do, start making a written (yes, written) list of all things that you have done, are doing, and will do as you recover your health . . . you need to work to reframe your thoughts from anxiety brain into what is reality brain's area. If you want my recommendation, then you do need to take the week off, but do something with that week . . . get help, don't stay at home figuring you can beat anxiety brain . . . you need to get your meds straightened out, you need to get some management strategies in place, and more than anything you need to accept that you have a journey to take and you need to commit which means not self-prescribing your drugs . . . .
You are in a bit of an ugly place right now, Dermot, but it is not where you have to be . . . . you need to manage those folks who are telling you stories about other people with nervous breakdowns because you are assuming those symptoms as yours . . . right now, you need to focus on you . . . .check out your health plan, if there is one, where you teach and any employment assistance plans but if you can teach math, you can solve this issue by taking proactive steps . . . .
Please let us know how you are doing and take the first step to taking back your life . . . take care, kc