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I agree. You have so much going on. It's hard enough having a sick mother, put all your special needs children, and not much support on top and your bound to end up depressed.
I know it will feel aweful for you to re-place a few of the children, but you'll feel better afterwards. Give yourself some breathing room. Take it from another burned out, "wanna-be super mom" you CAN'T do it all!
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