it might be worth taking a little look at some of the problems:

thoughts about my work, dilemmas and inadequacies. 

these are a block for sure.

the frequent descent into strange dreams and dramatic scenarios which, when I refocus, I can neither remember properly or even begin to understand.

a complete block over symbols.

today there were glimmers when I became more adamant:

I will stay here.I will not be forced away.

this then is the line I will take. 

ignore all distraction, all daydream, all "attacks":

rather negative perhaps but all I can manage for the time being at least