I live with crushing anxiety. PTSD, Major Depression, Agoraphobia, Borderline Personality Disorder, Anxiety pretty much put a strong, high fence around my entire life.
I’ve been self-isolating since my discharge from the USAF in 1983.
I have managed to work (usually 3rd shift, away from people) for part of that time.
I was married twice, disastrously, and I have five children - none of whom I’m in contact with (I was very, very difficult to be around during their childhood).
I’ve been in continuous individual therapy at the VA since 2013 (after a suicide attempt that left me hospitalized for three weeks and because of which I haven’t had a solid bowel movement since).
WoW is my primary socialization activity. Toxic or not, ephemeral or not, the interactions I have with people on the forums and in-game are just about the only ones I voluntarily participate in.
I have a VA MHICM (Mental Health Intensive Case Management) nurse who visits me twice a week to a) take me on “socialization outings” to observe me dealing with people and coach me through rough patches and b) make sure I’m caring for myself.
I have an emotional support animal (a rescue cat named “Cthulhu” - I figured it would keep me humble to be the human to one of the “Old Ones” in cat form). That has actually gotten me off the “makes me really stupid” anxiety meds I was on before. I’m on Buspar now, which isn’t great for acute anxiety attacks, but keeps the low-boil anxiety that was always with me before under control just fine.
Talk therapy works pretty well, but you’ll likely need pharmaceutical support. Get advice for the specifics of that from your doctor, not the WoW forums, though.
Kaldara#11970 if you ever need to talk to someone. I can get you access to my Discord channel and at need you can ping me any time. I have it set to notify me on my phone.
Good luck.