@Sick6Six
Wow, we do seem to have a lot in common! I second Defenstrated's advice on journaling. Also, this post is way too long, I'm so sorry. I'll post it, but I won't blame anyone for not reading it. I sincerely apologize for being so longwinded. Geez...
Here we go...
First off, let me say: my deepest sympathies and condolences on the loss of your beloved dog, as well as for the horrible breakup with your girl. I can totally relate to both, as I've experienced each of those, and endured the hardship that came with them.
One time, my ex-wife and I had to put our dog on the truck to the pound, because we couldn't bring him with us to move back to Canada. We had just survived hurricane Ivan (2004 I believe), and decided to move back to Canada where its safer. We were in Mobile, Alabama at the time, which is right on the Gulf of Mexico, a magnet for hurricanes and tropical storms. If we had stayed, we would have gotten hit by Katrina which came soon after.
I've had to live with the sadness ever since, of never knowing what happened to our dog after that. Did someone adopt him? He was a good dog. Were his new owners nice? Or abusive? Did he just get put down because he never got adopted? Man, I still think about it. I cried after putting him on the truck. He looked at me like "What's going on? What did I do?" But I had no choice. We had to escape for our survival, and simply couldn't bring him back with us. It was an extremely difficult decision, and one I've had to live with.
I'm very sorry for the mental anguish you go through, the anxiety, the OCD, and the inner torture that comes with it. I totally understand.
Weed triggers panic attacks for me, so I can't do THC. Everybody around me smokes weed, and I'm envious (and bitter) that they can smoke it comfortably. People often tell me "Just smoke weed bro, its all you need," and then I have to explain (again and again) that weed gives me panic attacks, and is a terrible idea for me. CBD weed is good though. It can help, but is hit-or-miss. Sometimes it doesn't help much.
Unfortunately, for anxiety and panic attacks, benzodiazepines like Klonopin (Clonazepam) and Serax (Oxazepam), Xanax (Alprazolam), etc., are a miracle drug. Nothing alleviates a panic attack better than a benzo. It just brings you back to baseline, and totally relieves your Central Nervous System.
The problem with benzos is dependence and habituation. Once you're dependent on them, you're hooked and have to be very careful about not quitting them abruptly. If you only take them once in a while, that's good. But if you take them every day for months, you have to taper down. The withdrawals from benzodiazepines can be dangerous (horrible physical discomforts of various kinds, seizures, coma, death), so be careful with them. Myself, I'm hooked on them. I've already gone through benzo-withdrawal once, years ago (cir. 2012-2013). Currently though, I've been on Oxazepam since 2017. I'm trying to taper down, but it's very difficult.
For me, the drug that has worked the best so far is DXM, which is a dissociative hallucinogen derived from Codeine. I can't exactly recommend or advise that someone else use it therapeutically like I did, I can't condone it, but, it has helped me. It acts as an SNRI, so it gives you a serotonin boost. You
CANNOT use it if you're on an antidepressant, MAOI's or SSRI's, it can give you serotonin syndrome, which is very serious.
Now, I got addicted to DXM over the past year. I was using it every day, drinking a LOT of cough syrup. Eventually, since it's an SNRI, I had the same withdrawal symptoms you'd get from discontinuing an antidepressant, as well as discontinuing an opiate: brain-zaps, nausea/vomiting, sweats, etc.
I was able to taper down successfully, over a few months. Now I use it less frequently, mostly because where I live cough syrup has become scarce. I suspect it's a "manufactured" scarcity, but that's just speculation on my part.
The absolute BEST drug I've used for my problems is MXE, an analogue of Ketamine. That drug helped me change my life, it was amazing when used responsibly as a therapeutic. Unfortunately, I can't find it anywhere. It seems no one is making it anymore, which is tragic.
So, I don't know really. I'm scheduled to see a psychiatrist sometime in the near future. I'd like to try Memantine as a medication, but I have low hopes that any doctor will give me alternative treatment. They always push antidepressants, and one reason they do that is because they get money (like a comission) when they prescribe certain drugs. Anyway, I'm not even sure Memantine would work for me, but it's an NMDA-antagonist, and drugs in that classification seem to work better for me. I'd rather try those (NMDA-Antagonists) than antidepressants.
Opiates worked for a while (lol), until the side-effects manifested. I started getting random panic attacks at night because of them. It would happen while I was asleep. I'd wake up in the middle of the night, heart racing, drenched in total fear, thinking I was going to die. So, I had to quit opiates. I'm now in a program which treats me with Suboxone, and I'll eventually taper down from that.
I feel you man, whether on your anxiety, or your medical phobias. Myself, I've had to do a lot of blood-tests over the past 5yrs or so. I used to have medical phobias too, but how I got over it was like this: back in 2007-2008 I was in a
deep depression, considering suicide, and very unstable emotionally. While feeling like this, I had to get a blood-test. I've had a fear of needles since I was a kid, but I was so depressed and suicidal that I didn't care what happened to me. I decided to just
experience it. I watched the nurse put the needle in, and I watched the blood flow out. I forced myself to just experience it. I had just discovered Xasthur around that time, was listening to
"Subliminal Genocide" a lot, self-mutilating frequently, and obsessed with the essence of trauma.
Strange and horrible as it sounds, somehow it helped me not be afraid of medical things anymore. I cannot, in good faith, recommend that anybody do what I did. There has to be a better way, and I have often gone into disturbing methods in order to cope with whatever I'm going through at the time.
My advice would be to keep speaking with medical professionals, and be open to spirituality. Honestly, my religion helps me a lot. For one thing, there are guidelines to follow, and a path of discipline which helps to keep one in line. Medical professionals are good to talk to, and consider whatever they say. Myself though, I consider what they say, but I take everything they tell me with a grain of salt. I don't blindly take their advice without question. If I think their advice is wrong for me, or am afraid that it may harm me, I do not take their advice. At that time, I tell them to bring an alternative method other than what they suggested.
For example, if they push an SSRI on me, I tell them "no," I'm not going to take it. At that time, I'll suggest another drug that I've researched, and ask them about it. It's okay to not follow a doctors advice all the time, but it's important to consider what they say.
My panic-disroder actually came back because my former doctor raised my thyroid medication too high. I told her I didn't want her to raise it. She said "I just want to see what happens." She raised my Levothyroxin from 150mcg to 175mcg. Within 3 days, my panic-disorder re-manifested after it had been completely gone for 3 or 4 years. I've been trying to deal with it ever since.
For that reason, I always take what doctors say with a grain of salt. It's my life, and I know myself better than they do. I consider what they tell me, but I won't shy away from insisting they think of something else if I don't like what they suggest as treatment.
I dunno, maybe most people think they should follow whatever an "expert" says. I'm skeptical of them, as a general rule. I'm not saying people should do what I do, but I have a problem with blindly accepting their advice, and I won't just take whatener medication they want to give me. I research it thoroughly online, and I see what people say about it.
Example: one doctor wanted to give me Lamictal. I researched it online and found that like 90% of people had horrible reactions to it, blisters on the face. I realized right away that he suggested that drug because he gets a comission on it. I refused to take it, screw that. "What else ya got?"
Ah, this post is long enough, and I think I've rambled again way too much. I'm on Lyrica right now, so maybe, my thoughts are disconnected or don't make sense. Sorry.
In closing, I sincerely hope that you'll be okay, that things will get better, and that your problems will become manageable.
I don't know about "loving yourself first," I don't go that route. I've learned how to be alone, and sometimes it's necessary. But I understand the need to be with someone. Humans are social people, we need human contact. We also need to be alone sometimes. Realize that it's okay to be alone. You'll be alright. When you're alone, perhaps think about spiritual things, or consider meditation and contemplation. When one is alone, it's a good time to think about higher things. When one
doesn't think of higher things though, being alone can be problematic. Maybe it's just my experience, I don't know, but.... that's how I dealt with it.
Be well, friend. These hardships will eventually pass, as everything does. Remember that bad things happen, but some good things happen too. Cherish the good moments when they come. You'll be okay, with time. You'll eventually meet someone else. Until then, just work on yourself. Try to get better, and use the time alone to think of higher things. It may help.