I found when I got hooked on Forza2, PGR4, Grid etc etc etc, my racing deteriorated. I also find racing different classes makes my off-road thumbs deteriorate, im okay with 2wd, 4wd and truck, but add to the mix 12th, 18th, tourers and it takes me a meeting or two with off-road to get back into it....
Don't have a break, motor down, but practice makes perfect. Also, try a negative throttle curve on your tranny at same time. But also go with PMT, (Possitive menthal attitude), don't go off ya tits in a rage - that effects the thumbs too.
Finally, eyesight is a big factor for us all. I do well when I remember to blink, you know when I have forgotten as I come off red faced and teary eyed - usually a bad run too. Outdoors its not so bad, its just hayfever makes me like that anyway.