Hi All,  


I'm a 29 year old guy from the UK who has been somewhat silently suffering with major anxiety for 15+ years with it getting worse and worse over time. I've always had very low confidence and am very much introverted, so with the anxiety I've not been able to get or force myself to get any help.  


I don't feel anxious in general day to day life, but if I am having to travel, go somewhere or interact with other people then my anxiety spikes and it makes me feel incredibly nauseous which then I get anxious about potentially throwing up which then makes me even more anxious and it becomes a vicious circle.  


I end up feeling hot, sweaty, faint, nauseous and feel upset because I hate how I feel and hate being this way but I can't stop it which makes me frustrated and angry at myself/my situation.  


A few years ago I managed to speak to a doctor who prescribed me some citalopram which actually  made me feel really really nauseous for several days and I couldn't sleep, eat, drink and my body was trying to be sick. Eventually I fell asleep and I woke up not feeling sick, I then slowly started eating and drinking and I stopped using citalopram.  


I've had some dental issues for 2 years and have been trying to register at local dentists as an NHS patient because I can't afford to go private however the local dentists aren't taking on NHS patients at the moment. The reason I've been looking to get registered at a local dentist is because of travelling, I don't want to travel far because I want to try and control my anxiety a bit and know that once I've been to the dentist I can get home fairly quick to a place where I can relax. I've tried contacting NHS England, Dentaline &amp; the NHS Dental Helpdesk for help with my situation but they have all been useless, I can't get registered so they just tell me to keep trying and if I can't register then I should call the NHS Dental Helpdesk but that's where my anxiety is getting in my way again... I can't get myself to call, I'm anxious about visiting the dentist, I'm anxious about the dental work that I will need, I'm anxious about being anxious, I'm anxious about feeling nauseous.  


I've had pains on and off in my upper left wisdom tooth, my lower left rear molar (which has a fractured cusp) and my lower right rear molar which needed a RCT over a year ago, they did a pulpectomy and put a temporary filling in but this tooth again still hurts now and again and I'm sure it's got worse and probably can't even have RCT anymore.  


Twice this year I've tried to get help from my GP Surgery, both times from different doctors I've essentially got the same result. Neither doctor felt it was worth me trying another medication because in general my anxiety doesn't exist like if I am at home then I don't feel anxious at all, it's only when I'm going out somewhere or interacting with people that my anxiety goes crazy. They couldn't help with my dental issues, their only suggestion was to keep trying to get registered at local dentists or call the NHS Dental Helpdesk / Dentaline.  


They both did suggest counselling but again I can't afford to pay for it online and I won't be able to bring myself to visiting a councillor.  


Right now, I have a somewhat dull but constant pain in the upper left wisdom tooth and a sharp pain that pulses every 30 seconds or so or when I swallow or eat something. I also feel extremely anxious because I've been thinking about going to the dentist, thinking about calling and writing this which is making my brain think...  
My anxiety and my dental work has in the past caused me to have some depressive, suicidal thoughts including recently but I but I know it's not the answer so I won't do anything but this  might explain how bad it makes me feel.  


I'm lost, don't know what to do and need help :(