I'm really sorry to hear this and very much can relate. I despair with CAMSH because people who truly need help are usually not the ones who are super eager and able to engage, at the drop of a hat, and CAMSH should have a duty to persevere and expect initial resistance and avoidance as par of the course. Could you find a private therapist? Ideally someone who can come to your home? It should be someone who works face to face and includes you and your daughter's father, if you are on speaking terms. 20 hours would be an investment of about 1.5k. I know that's an awful lot, but with the right therapist it could help a lot and make you feel less alone - a good therapist should help you as much as your daughter. Do you receive DLA, if so, could you use part of the money for therapy? If not, you should apply for DLA asap. One observation I'd make is that if she says 'I can only be myself with you'. What does this mean? It sounds to us parents like something we need to protect and cherish, doesn't it? Despite it being terribly exhausting, it pulls at our heart strings and makes us want to keep protecting our children. But we also need to think whether this is actually a true statement. Because when your daughter is home with you because she is afraid of everything else, is she then her 'true self?" With my daughter, I visualise it as her true self having been highjacked and controlled by anxiety. It's the anxiety talking, almost like a demon possessing her, as the anxiety doesn't want to get challenged by me or anyone else. It's the anxiety trying to make me its ally. My hunch is that if you want your old daughter back, you can't allow her to be 'her current self', as her current self, who is afraid to see her friends, unable to enjoy things and unable to grow, is not her true self. A therapist will be able to guide you, as in how to support and accomodate her true needs, and at the same time challenge her and so give her opportunities to learn to manage and limit her crippling anxiety. It's so hard as they do need to engage, but a way to get there is by understanding the difference between her true needs and the demands of the anxiety disorder. The anxiety disorder grows stronger if you accommodate the demands of the disorder. At the same time, if you accommodate and support true needs, (which might be different from 'normal' girls due to neurodiversity, so I would want to pursue an assessment to get a better picture of her genuine needs and how they can be met, and an EHCP to ensure that these needs are met - if home is a good place for her to study, an EHCP could include online schooling or tutors, but would also e.g. state support needed for GCSEs in exam centres etc, therapeutical help or clubs etc), your daughter will get stronger to manage anxiety, but it's often not easy to see what is what, and true needs and anxiety's demands can be intervined, and you'll also need support to weather the wrath of the threatened anxiety demon, so you'll need to team up with a therapist, and ideally her father or any other relative or partner if there is, as staying calm, relaxed, optimistic and firm throughout can be the greatest challenge. It's horrible and there is no easy fix, but I do see a positive, slow and steady, developmentment with my children and also with our my own capacity as a parent to deal with it. Managing anxiety and conflict is something I and my husband still have to learn and get better at. It's a vicious cycle, our children soak up and internalise our anxiety and conflict, and we then absorb and get triggered by their anxiety and distress. At the same time, there is the genetic element, so anxious children with difficulties to regulate emotions and high sensitivity will almost certainly have parents with the same genes, so it's super hard for the whole family. Genes are strong, so there is no easy fix, and noone is to blame for having done anything to cause it or being to weak. Noone would blame someone born blind. It's factually a huge challenge to learn new skills to compensate for the difficulties one has, and at the same time to discover the special strength that come with each condition. I'm sure your daughter has great strengths and interests. Tapping into them usually works best. If e.g. she likes animals, spending time with animals would be good. You don't need to call it therapy. You could maybe offer to look after a friend's dog over the weekend and first get her to spend time with the dog and bond with him and you could then persuade her to come and walk the dog with you. You properly have to be a bit firm and pull at her heartstrings to get her to do it, maybe say something like: 'The dog needs us. I know you too well as to believe you would like to see the dog suffer. You are in control of where we are going, and for how far - to the x or the y, where it's quiet or where there is z you like, but look at Fluffy, how eager he is for his walk. Can you say No to Fluffy?'