I am a GPST1 and recently I have been finding it harder and harder to get up in the morning. Due to this I have called in sick at the last minute a few times over the last couple of months but end up feeling guilty by midday and am embarrassed to go in the next day for everyone to ask me if I'm "feeling better" as I often just say I am generally unwell.

I recently took some annual leave to go on holiday. This did not go to plan and I ended up having a horrible time for most of the trip due to personal relationship issues.

I am on a GP placement currently and my CS has said at the beginning of the placement that I can choose to do 10-6 instead of 9-5 if I wish but I worry this will just delay the issue and will feel like I am working an hour longer in the day. I feel like people will say this is burnout but I have just come from an F3 year where I only worked 3 days a week and my practice does not push me too hard with only 20 minute appointments as well as two afternoons a week of tutorial time followed by a couple of patients and I have my self study time on my teaching day, giving me the morning off.

Overall it feels like I may need some time off but I hesitate because I have no reason to need this and worry it will only make things harder when I have to go back and also lengthen my training. Also if I can't make it through my GP placement, which I prefer, how am I ever going to get through my hospital placements, or even work as a GP at the end?

TL;DR - Struggling getting up for work in the morning but unsure if it justifies time off or I should just push through