I’m ashamed of my past behavior at work — do I need to change fields?

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A reader writes:

I have an ongoing concern that has a lot to do with mental health but also has to do with work. I am seeing a therapist regularly to deal with the mental health aspect but I’m hoping to get insight from you on the work piece of it.

I’m about seven years into my professional career and have intense anxiety daily about my performance. I was always a high performer and have been promoted many times. About two years ago, I left my previous position for a

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