:sorry::cry:If I'm understanding you correctly,
@cupfish, I can relate. As someone with both PTSD and ADHD, going through periods of not getting shit done and then suddenly finding the energy to plow through the mountain of crap that's piled up has been a way of life from as early as I can remember.
I constantly find myself behind in almost everything I do, at home and at work, even things I love to do, like making art. Sometimes I have good periods and I can stay in a routine for a little while and get stuff done. Often, however, I have trouble initiating and/or completing tasks, even though the consequences can be grave. I also have MDD and GAD, and that doesn't help either. I just today spent 10 hours plowing through shit at work because then stakes were so high and I was so mortified that I finally found the energy to persist.
I'm not trying to make excuses, but here are some of the "reasons" why I struggle to get stuff done:
procrastination due to laziness; procrastination due to anxiety; dissociating at work or at home due to PTSD AND/OR spacing out or being very distracted due to ADHD (it's sometimes hard to tell them apart); extreme avoidance & extreme low energy due to severe depression and anxiety; confusion and not being sure how to get stuff done, how to track what I'm doing; getting off track from my systems and strategies; overwhelming, paralyzing fear; "sleep coma" (sleeping all day). :tdown::(:sorry::cry:
I could probably go on, but that's what it's like for me. I'm actually very "high functioning" and well respected at work. No one knows how hard it is to live with this, especially dealing with PTSD symptoms at work.
I can't say I have any easy answers, but there are a few main things that have helped me over the years, especially this last, hard-as-f*ck year:
Going back to basics: therapy, prioritize sleep, exercise, grounding & self-soothing, & going back to a routine.
Telling myself: Done is Right. (Ie, no need to be perfect.)
DBT skills, especially Opposite Action
And this book: ADD-Friendly Ways to Organize Your Life, by Kathleen Nadeau, PhD. Also co-authored by a professional organizer. Great book, easy read, doesn't matter if you have ADHD or not. :tup:
So, you're not alone! Good luck and hang in there!:hug: