On a regular basis I do not sleep due to work worries/anxiety . Tonight is one of them. (I suspect being perimenopausal doesn't help either) . A big part of me wants to ring in sick tomorrow (desk based wfh role, I'm a relatively senior manager) I know I'll be exhausted and tetchy, I more than likely won't because I never have (I've only.ever had 1 days sick.in 4 yrs) and work worries are usually not as bad in day light. That said I'm so fed up with work the culture is awful at the moment and it used to be so lovely we are going through change and there is a lot of blame and land grabbing. Can you give me some rationale advice as to how.to.manage work anxiety, do you ever take a day off due to no sleep?