Hi, hoping someone can offer some advice. My mental health has been declining for a while, I feel permanently stressed out. I work long days mostly from home, meaning that often I sit at a computer for 8 hours and then when the workday is finished I am too tired to do anything. I am struggling with the most basic of tasks/decisions ie what to cook for dinner. I don't have many friends and I don't want to leave the house apart from when I absolutely have to. I can't drive any more as it makes me too anxious/trying to remove stress from my life. I feel incredibly lonely. I don't know how to get out of this rut I am in. I have a gym membership but haven't been in weeks. I have a GP appointment on Friday. I have been using HRT for 12 months which helped initially but after feeling fine for a while I am now worse than ever. I have dreadful social anxiety. I am a shell of my former self who was sociable, exercised regularly, saw plenty of people etc. I don't talk about how I feel because the people I do have in my life have their own things going on and I do not want to be a burden. I thought this may be perimenopause related but now I don't know. I have little appetite and don't sleep very well, so this usually means I doze off early evening then can't get to sleep at night. I have absolutely no libido. Sometimes I feel so stressed I can't breathe. I have OCD and intrusive thoughts which is why I can't leave the house because I have a continual fear of the house burning down if I go out. I know none of this is normal. I am just wondering why I have reached this point when I was previously full of energy and life. It's awful. Does anyone have any suggestions of what I could do? I am still working as my other phobia is losing my job so I feel like I can't go off and I am actually quite embarrassed about my mental state at the moment so I don't feel like I could tell work anyway.