Its a no win situation trying to hide it, it only aggravates it more. I held a high position with a company also, tried my best to hide it, made matters worse. Finally on advice of my doctor, I took a short term medical leave (no different than a woman taking off for maternity leave), until my medicine was adjusted, I was put on something in the line of klonopin, and yes at first it impairs you, as in drowsiness, perhaps you need to take some time off, to get adjusted to the medicine at a manageable level, then return to work. That is what I did.