Let me know what the doctor says Paul....
I see that more anxiety now around the home life, (Prog.Moon conjuncts your natal North Node in the 4th)...is no doubt affecting you emotionally.
Then of course that Saturn return.

Not to mention Pluto over your 7th hs. with BML over it Transiting over your natal Netpune.
The dream state might be affected with BML over Neptune too.
Best to see the doctor asap.