This year has been a nightmare.  I experienced  a marriage crisis, which set off a manic episode after 10 years of relatively stable moods. During those 16 years I earned three college degrees including a masters degree in special education and eventually professional certification in a specialized field. I've enjoyed a well paying job and respect in my field until may last spring. As anybody with bipolar knows. What goes up must come down. I experienced months of crippling depression.  I took FMLA for four weeks  (extended medical leave in the US) and used up all my medical leave days and almost all my vacation time and my work has suffered. After my FMLA my supervisor and her supervisor had a meeting with me to "catch up" on my clients.  Instead it was a surprise mid year evaluation and a performance improvement plan. I was traumatized and experienced a massive anxiety attack. Ever since then every time I met with my boss I had an anxiety attack. I was truly ready to walk away and told my boss I was going on long term disability but have had doubts since that decision. I dont want to lose my paycheck or insurance. My mood is stable now, however the anxiety attacks have remained. I was written up for unprofessional behavior which wrecked me as I've never had a bad evaluation or corrective action..  It's embarrassing to go back and so humbling.  I've been so erratic.  Here I go to grovel at the feet of my administration and repent. My supervisor knows about my bipolar and I'm in the process of applying for accommodations.  My boss is a psychologist by the way and that truth makes it worse somehow.  I'm scared but hopeful.