Posted 9/8/2013 5:01 AM (GMT 0)
I'm a 31 year old man. I have agoraphobia and social phobia that have both been getting steadily worse for years. The underlying problem is PTSD from child abuse, and it's being made worse by a generally stressful living situation.
I'm really, really tired of not being to do normal stuff (have friends, date, go to the grocery store, etc.) For instance: Today I was supposed to play in a rugby match. I drove to the pitch, got dressed, warmed up, then had a panic attack I couldn't get under control, so I had to go home. Today was actually a really, really GOOD day- I was able to leave my apartment, get all the way to the pitch, and be there for like an hour before I freaked.
I'm also having trouble working. I've had to quit one job and turn down another because they involve hour long commutes. Right now I'm lucky that I have a gig where I work from home, but that's ending in May, and I'm terrified of what's going to happen after.
I can't do therapy. Talking about my problems triggers extreme anxiety, and usually leads to an instance of self-harm (threatened or actual.) This isn't just a problem for me, but for my therapists (I've gone through four.) Once I have one instance of self-harm, they're effectively neutered- they don't push me at all for fear of triggering a bad reaction. I suspect that at some level I'm doing this on purpose, because I really, really don't want to talk about my problems.
I've been on several SSRIs, without any real reaction- they tend to just make me feel wired, like I've had one too many cups of coffee. I currently have a prescription for Clonipin, which I'm supposed to take before events that tend to make me anxious. However, I've found that Clonipin makes me dangerously sleepy, so that I can't drive, which makes it useless.
My world keeps getting smaller. Ten years ago I had a normalish life- I wasn't the most social person, but I had friends, a girlfriend, etc. I no longer have any friends, I haven't had a girlfriend in eight years and haven't even attempted to go on a date in three. All I do is work and (when I can manage it) play rugby. This simply can't go on.
So, I guess I'm wondering, what am I supposed to do?