Dear Sesha:

You are taking a vacation semester this year because last year, your anxiety shot up significantly and overwhelmed you. From what you shared, reads to me that you need psychotherapy this year so to address your racing thoughts, self-blame, self-doubt and shame. You are suffering and you need professional help. Is such available to you?

You mentioned that you neglected your health last year, I wonder what you mean by it and if you have medical issues that need to be treated?

anita