I had SPD, it was awful. DH was studying full time and working full time so most of the time he'd leave the house at 7am and be home at 10pm. I didn't work, but I was running after a toddler, cooking, cleaning, basically looking after DD1's needs alone, as well as maintaining a house, shopping etc. I had no other choice, but I did end up needing to see the osteo 2 times a week by the end.