Hello, sorry to hear about the increase in distress. It’s a viscous cycle I’ve noticed- the more I call into work the worse my stress gets as mine tends to be avoidance from fear of performing at work. Then the compulsions get worse so avoidance tends to reinforce the behaviors- for me anyway. The compulsions also reinforce the cycle. Stress management, limiting compulsions and easing back into work if possible has been helpful. Exposure response prevention is a treatment modality that people find effective if you haven’t done it before.