I have some things that fall into the category of #4 though I have been getting more stressed and losing time and motivation for them which makes your #2 advice seem extremely attractive to me. And of course vacation, as I replied to tmaly, is in the back of my mind also.

I don't know why, but at first read counseling just put a negative thought into my head, but on further thinking it sounds like a really good idea and would compliment delegation of tasks to reduce stress or at least help me deal with it.

Thanks for the reply, this helps!