Our expert says:
OK, there are so many potential causes for feeling chronically and excessively tired, so its good that you seem to have had a good physical checkup from your doc.
It sounds as though at leat one important factor is your job dissatisfaction, which sounds literally discouraging. That you feel so much better when on leave from work convincingly supports that theory. Of course, while one waits for a better job to turn up ( and one needs to energetically search for it ) CBT style counselling can help you choose to react to even the current job in a way that is less discouraging and draining for you. It doesn't absolutely HAVE to lead to such an effect. And such counselling could also help you to ensure that you would not allow any other job to effect you in this way.
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