Hi Jude. I'm a first-year medical student about to finish second semester and I´ve been struggling with it. I´ve felt this way for a few months now but it's reached a really bad point and my grades are starting to falter. I was doing fine at the beginning of the semester but recently I've been so overwhelmed with all the exams and the work and can't seem to get started. I've delivered all of my assignments on time but I procrastinate really badly, even when I have weeks to do the work I wait till the last minute to actually do the assignment, and it´s been affecting my sleeping schedule. I get so overwhelmed to the point I get paralyzed and can't seem to get started. I'm trying to stay organized, I have a weekly planner, made a schedule, set reminders on my phone, I try to do everything right to plan appropriately and avoid getting overwhelmed, but when I actually sit down I just can't get started. I stare at the assignments unable to do any work and just get so frustrated I almost start crying. I've missed a bunch of classes and might even fail an elective class because I missed an exam (which makes me so angry because it's a really easy elective and I actually enjoy taking it). My life seems to revolve around school at this point. I'm afraid I might be burnt out or going through a depressive episode, I'm tired all the time, I'm irritable, I'm sad or angry most of the time and I don't feel joy for things that I used to enjoy. I can't afford burnout or depression right now and it also makes me worry about the future, since I've heard this semester is easy compared to what's to come and I can't seem to keep up with the pace. I'd appreciate any advice you might have.