How can I get a short, well-needed sick leave before I snap?

[Nadesque]

Hi, I work full-time in a high-pressure environment, and right now my body and mind are giving me signs indicating that I need a break. In my work, I have several procedures to follow, which are constantly being updated. I'm having a hard time keeping up... As my time is charged to clients, I fill in timesheets, and I'm constantly under pressure to have a minimum of non-billable time, which is exhausting! Moreover, I have to deal with short deadlines, often several simultaneously. This is made even heavier by the fact that the instructions I get aren't always clear and the people I work for don't seem to grasp the concept of "help me help you". All this leaves me mentally exhausted today, as I am demotivated, tired, have difficulty concentrating and am feeling like my life is pointless. I know I only need a 2-week or so break to recharge my batteries, but I don't have any vacations left and cannot afford a leave without pay. I'm afraid seeing a doctor would only get me a prescription for antidepressants, and should I get a prescription for time off, I wouldn't want words like "burn-out" or "depression" on it... Any advice? What's a girl gotta do to get well-needed rest without jeopardizing her job or reputation when she doesn't even appear sick on the outside???

[YardBull]

You need some changes in your work environment.  Your personal health is feeling the effects of the pressure, but also your situation will also affect your employer in time if your quality of work goes downhill or you have to quit.  Try to talk over these issues with your supervisor for any possible changes and consider moving on to another job of less stress.