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Is it burnout? Have you felt changes during vacations 3 weeks+? If you can afford it, maybe ask your employer for two or three months off unpaid, if you sell it as burnout prevention, it should also be in his interest.
Then get some sleep medication and do what your body tells you to.
I've told my manager that I'm having issues. I don't actually want to take time off because work is a pretty decent way to pass the time. But I'm not in a mental space to focus at my usual level. So I think I've got that covered