Great story with plenty of excellent insight and advice. My first question is was it curated/distributed ?

Someone recently told me that Medium currently frowns on questions as titles so maybe that is at play. I don't know.

I think you need a sharper opening. There is plenty of emotion in your story and I'd start with that . Your first sentence is highly relatable but we are also so tired of this many readers are skipping covid exhaustion type stories. Which isn't all that your story is about so you need to make that clear.

You want something that quickly establishes, I was drowning and I never thought to ask for help.

Another thing you could consider is throwing some more we language in there. There is a lot of "I" in your story which is understandable but some of your "I" s could be we or even occasionally you.