Wow Nick you have a lot on your plate. I am 50 and do not think I could do what you are trying to do. My struggle with PCS is not nearly as difficult as yours and I am humbled by what you are trying to do. Does your girlfriend understand the affects of PCS and how it relates to you? Is your mother your only familial support? Do you attend any support groups? I know my three year old grand daughter gives me overload and I have to take frequent breaks or get help from my wife and or daughter. It sounds like you may need some daily quiet me time.

You may be what is called a rescuer archetype. Always trying to be there for others and constantly putting yourself last. I know this type as I am one. The problem I faced was when I needed rescuing I did not know how to let anyone else help me. I was still to focused on helping everyone else. Please be careful here as you may very well be sacrificing your own health trying to help everyone else who is special in your life. I get the mental picture of Atlas holding up the world when I think of what your responsibilities are. Please take care of yourself and be sure to let others help you when they can.