Arguably she's several steps ahead of me (agoraphobia related to other anxieties inc various phobias), but I am doing something about it.
It sounds like she refused to engage with mh services which isn't acceptable.
I have a cpn, I've seen paychiatrists, psychologists at various points, I'm on meds and working with my cpn primarily to get out of this rut- which is bloody miserable for me.
I'm guessing part of the reason it's ended up so bad for your wife is because everyone has accommodated her. I understand why but it didn't help her long term did it?
I think you do need to seriously consider leaving with the DC, at least temporarily.
Does she know it's reached this point? I think it's worth saying to her WITHOUT giving in to her fears that unless she agrees to properly engage with mh services you will be leaving with the DC - and mean it.
This cannot go on.
It is hard for your wife BELIEVE me I know, one of my phobias is something that I have to face several times daily, no option and it takes me a good hour or 2 to work up the nerve. Another I have to do weekly - I could potentially outsource it but that would be basically giving in completely and I'll be damned if that's going to happen.
If you can afford it, I'd consider private specialist phobia treatment.
Am I right in thinking they tried cbt, possibly with exposure response treatment? That's the standard for phobia & anxiety (and every other bloody thing!) on nhs.
But with extreme phobias it's more complex. Plus nhs don't have the resources to do the sometimes daily input needed.
I think you're dealing with a form of agoraphobia here. I'm guessing that even walking to places, there's only certain places she'll go to? At certain times?
People think agoraphobia is about fearing going outside at all, it's more nuanced than that.
Also has anyone discussed with her what a panic attack is and how to deal with it? I'll be surprised if not - but it's possible her fears on this have been dismissed rather than fully explored.
Very difficult situation for you all, but you're right it really can't continue.
I don't know what else to suggest other than she HAS to address it.