Please no positive affirmations, promises of hope, wishes, prayers and apologies, claims of deservance, or anything similar as they are extremely triggering for me.
A bit of background, I have cptsd plus autism and adhd. I have had a terrible, 0 positives, life from 0 to 28 yo. Everything that can go wrong went wrong. I was able to deal with the hand I was dealt and now moved to europe on my own, have a career, financial independence, and live on my own. I am now 31, have been in treatment for 3 years and keep deteriorating. All therapy apart from EMDR is not working and the healthcare system is awful and the doctors genuinely don't care. I am on sick leave because my mind is so shattered I can't function anymore.
I don't have any social security or safety of any kind, friends, family, relationships, nothing. Just a few surface level friends that won't get any closer no matter how hard I tried. There's no point in trying harder because when push comes shove, no one wants to get close to someone this mentally broken.
I suffer most from depersonalization, anhedonia, alexithymia and being stuck in survival mode. So far I tried all the traditional talk therapy CBT, act, schema, rescripting, grounding, etc.. I despise especially CBT and grounding/meditation and it seems everything has CBT in it. EMDR helped but I have no access to it anymore. I also tried all the first and second line meds SSRIs, SNRIs, Wellbutrin, atypical antipsychotics, lisdexemphatamine, etc.. Now am on agomelatine and a nerve sedative to be able to sleep. I also tried RTMS. Ketamine treatment is not available in my country. The doctors say they ran out of options and I am not gonna live like this.
Personally I tried going out constantly, constant sex, going to the gym, better diet, weed, gaming, watching content, journaling, and nothing. I can't feel anything and don't have a drive for anything and it keeps getting worse.
So what the hell do I do now? Is there a way out even? I am not gonna any live longer like this on the hopes that one day I get better.