I need some insight here. I think I might be slipping but I feel like I'm too functional to need more help. I'm holding a job, talking to friends, doing my schoolwork, and I don't think anybody would suspect there's much wrong with me aside from some attention span and eye contact issues. I thought I was just getting unwell again because I've been feeling "off" more often than not, but then it occurred to me that my roommate situation might also be a part of this. Context:

I don't speak in my house, haven't set foot in the kitchen, conduct all business as quietly as possible. I hide my face on my way to the bathroom, avoid leaving any traces of my presence. I don't even know what most of them look like. I don't know how many there are. Don't leave my room until there is nobody in the hall to see me. I only eat foods I can keep in my closet or prepare with a kettle, but the kettle is so loud that I avoid using it when I can. I wash my dishes in the shower with me so I don't have to go into the kitchen or be heard washing them in the bathroom sink. Mostly I just eat out of them dirty, though. I know it sounds bad, but it's just an arbitrary set of rules that keeps the paranoia at bay. It's a way of life at this point. Controlled chaos.

My friends have told me I'm starting to get bad, but my parents and doctor think I'm more or less alright. I think everybody is right, though. I don't know what to make of it. I guess what I'd like to know if this sounds like a serious issue or not. I feel okay but I know my fears and behaviours aren't normal and I just want to get a sense of whether it's worth asking for more intensive help or not. Been wondering about day hospital programs or maybe even inpatient, but I'm not suicidal and that may be overkill for the level of problem I have. It fluctuates in severity so often that I just don't know how to approach it.

I'd really appreciate it if anyone could throw their two cents in. Thanks in advance.