I've had it under control for ages. Then this evening - boom - like a ton of bricks on my head, and a weight on my chest. It's OK again now, I did the stuff the counsellor taught me and it eased. It's never been strong enough to actually give me physical pain like that before though.
I just worry that I am a terrible friend, wife, mother and that this is something I deserve because I'm lazy and disorganised.