nothing is effective SEVERE Anxiety & Depression guidelines, real effective therapies, etc

It sounds like you have had it really tough! I can promise you this, the worst thing you can do is alienate yourself from friends and family that love you most! In society today anxiety and depression and such a common and openly talked about issue that I’m sure sure you friends would like to help and just be there for you, yes I understand your logic if they have kids, but I don’t think my friends would ever forgive me if I didn’t value their friendship enough to be open and honest with them even if you explained that right now you arnt feeling social and you are really struggling I’m sure they would understand, but if you go down that route of shutting everything and every one out to protect them and yourself you will be in a hole and you won’t know how to get out, and a support network even to try and keep your mind busy is so important! I can’t feel you pain because I can’t relate as I have servere health anxiety and anxiety disorder, but in regards to new approaches, ask your doctor about CBT or reading self help books or if not I have found many articles and stories on how anxiety works and what it does to you mentally and physically like in depth how the brain works and how your brain thinks it’s trying to help you so you need to retrain your thought processes, I also have a meditation App the doctor recommended called headspace, I just do the free one but there is 10 small sessions for free and then I just do them again every night. I also find sandbox colouring quite a help, I tried normal colouring and that didn’t work it’s like a paint by numbers, but don’t immediately dismiss it someone mentioned it to me And I wasn’t interested paint by numbers is for kids until I thought I would try it and acctually it’s very therapeutic! 

I hope you can manage to go to therapy and be on meds. I went inpatient when I became suicidal and it did me a world of good. Followed by 10 weeks of outpatient group therapy. 

You need professional help. Check in here if you need too. We've all been there or still there. You are not alone. 

hi  i suffer social anxiety so bad even visiting my family with my wife is really hard each week. some of the time i sit in her kitchen on my own as i can't go in the other room and socialise with them, but they understand. the thing that help me for many years was to go to a local mental health charity  most days. first your in a safe place you know you are not being judged you can talk about anything you want or just general  chit chat or just sit quite, it up to you. all the normal social pressure and expectations are off. so your anxiety just goes, this is really worth checking out in your local area Mind usually have groups  each week and can put you in touch with local  organization that can help. the first thing you may say to this idea is that i'm not doing that! or  that you can not face doing it, but keep it in mind if not now but maybe in the future. the really hard part of this is making the first move toward going wherever it may be. but the benefit it can bring  is well worth it

Work wise I have quit a few jobs due to debilitating anxiety and now I work around my daughter and I have my own cleaning business which is perfect, I do struggle a lot, those days where anxiety takes over and I don’t want to get out of bed because I feel so awful physically and mentally, but you have to remember anxiety can’t hurt you and you have to keep busy and carry on! Or just give yourself targets like if you gets anxious or feeling awful just tell yourself you arnt around to worry until a certain time and then you can sit down and worry or be anxious then and like aiming yourself to only let yourself think about at a certain time and if it effects you in the day you just have to talk yourself down and try and get on! It’s hard and I know it is, from the other end of a phone it’s so easy to advise and give people advise, and he pers N suffering also thinks no one understands or no one could have it as bad as me but trust me we all know and we need to stop letting it consume our lives and let it rule us. Xx