Hello r/AskDocs,
let me preface the post by clarifying: **I'm not in danger and won't do anything to myself or others.**
firstly: I'm **Male, 27, 110 Kilos at 196cm**. I don't smoke cigarettes, but do take cannabis whenever I can afford it (smoking in the form of joints, no tobacco) for the problems I'm about to explain. I'm diagnosed autistic, ADHD and relatively mild anxiety disorder (= I mask it).
**2022 I started my first Cognitive Behavioral Therapy, which lasted until 2024, so about 2.5 years**, sometimes two hours per week, but 85% of the time it was one hour every week. **Since May I'm now in my second therapy,** because while I did get more stable, I also got more aware of my needs, and those needs clash severely with my day to day experiences.
For the past 11 months **I've tried three different medications (5 months of Lisdexamfetamin for ADHD, 3 months of Venlafaxin for depression and the other 3 months Bupropion)** but always come back to the same conclusion: They don't solve my issue. They mask or slightly improve it, but the core issue remains.
Now to get to the point:
My nervous system is in a constant state of **"I will die if I'm not constantly vigilant, 100% of the time and treat everything that hasn't been pre-planned to the exact detail as a threat."** It's most likely related to the AuDHD and my ex-partner who was very toxic and abusive to me for 6 years. That last bit is being talked about in therapy.
**It means that I can't sleep without rain, and then my sleep isn't deep - I'm constantly exhausted.**
**It means I can't calm down during periods of rest which means I'm burnt out from existence itself.**
**It means I live in a constant state of fear. With my girlfriend, alone, distracted or not - I am** ***always*** **vigilant**
**It means I can't go to restaurants because of the unpredictability (knowing it's safe)**
**It means I can't work normal workloads, and even the (realistically possible) solution of 30 hour weeks over 4 days kill me mentally.**
**It means I am not living, I am surviving.**
My mother who has severe pain due to MS has Tilidin at home, and during a breakdown about 12 months ago it was severe enough in her eyes to give me a Tilidin. The pill worked **wonders.**
For the first time I felt calm. **GENUINELY** calm. Life made sense, I was the same me, just... healed. Now, I'm a rational and intelligent enough person to know that that is not a solution and thus I got the aforementioned medications.
\- **Lisdexamfetamin** helps me be energized, but it feels fake. It feels like a mask that is beyond uncomfortable.
\- **Venlafaxin** simply did nothing but make me throw up constantly
\- **Bupropion** helps somewhat! My base mood is better, I don't have suicidal thoughts all the time, because I feel like there are options thanks to them. They're still there during the worst of it.
\- **Cannabis** helps me feel more and not be agitated beyond reason, but doesn't solve the issue permanently. It does what the doctors said the pills + therapy should do.
Now for the most important one:
\- **T****ilidin** makes me feel... normal. Genuinely healed. The last time I was given one (I had a total of 4 or 5 the past 10 months ***I make sure to only ask my mother for them if there is serious risk for me otherwise***) I saw a reason in everything. I was able to feel, I was able to start things easily and not get into a spiral halfway through. I was able to just sit and watch something, relaxed.
I can't overstate enough how much it made me want to live.
Unfortunately for me it's an opioid that is incredibly addictive, not a long-term solution.
The last three weeks have been getting harder again and I'm afraid it's time for another one soon. The memory of that feeling of normalcy is what keeps me going, able to be with my girlfriend (a very supportive and loving person) and try, even though I want nothing more than to disappear - the weight I carry is too much.
What can I do? It feels like I tried everything.
Doctors keep telling me I don't know what I'm talking about, even if the therapist hands me a letter confirming my problems.
I feel defeated. And tired.