Tldr: help. 

It’s getting towards the debilitating side. At work I frequently have attacks; one or two in most shifts. I usually can’t get anything done in school, about a third of the time I’m too anxious to physically be in class (and I only do one class a day). I don’t really go out much other than work or school because I’m too afraid of being anxious again or too exhausted from the attacks I’ve had already. And it’s been like this for weeks. I can be triggered by almost anything; my friends are walking on eggshells around me. I feel myself becoming more paranoid and illogical too, which is terrifying. The other day I accidentally overdosed on promethazine because I was having a really bad panic attack and took to many without thinking (I’m not suicidal atm, it’s okay). I’m also struggling to keep up basic hygiene at the moment, i sometimes go maybe three or four day stints like that, and they’re getting more frequent. 

Please, I’m really getting desperate, (but also starting to care less which is always a bad sign in me) how do I deal with this.

I’m in therapy once weekly, I take fluoxetine 80mg, quetapine for sleep and anxiety throughout the day, and lorazepam, but I dislike that and generally avoid it because the idea of taking it makes me anxious. I also use promethazine when I’m out of options, but now I’m afraid of that too.

help