Well, I'm on my way back to my catastrophe of a life and I'm convinced that a two week full mental break was a great thing for my physical and mental health. At home, I would have been under a tremendous amount of stress; instead, I've had two gentle weeks with nary an incident of swelling or spots. My head feels clear and I feel confident that I can get back into work without an immediate relapse, and if I'm smart about choosing a lower stress job, I should be well fir the long term. Given the stress disaster I walked away from, I might have had a relapse if I'd stayed; but I'm feeling so much more myself now that I think I've finally broken this thing - only one year and three wrecked friendships later. Updates will follow.