How to come out of anxiety, stress, and forgetfulness?

Hi,

Welcome to icliniq.com.

From the available description, it is almost clear that you are having depression along with claustrophobia (fear of confined spaces). It is obvious that you are not enjoying anything, fallen down to social ladder, feel distressed, loss of pleasure in almost all activities and guilt feelings along with fear of closed spaces. If I need to assess the severity of your symptoms it will fall somewhere between moderate to severe depression along with functional impairment. Having said this there is definite need of treatment as moderate to severe depression almost never remits without medication. For a 45 year old woman, I feel Desvenlafaxine (Pristiq) will be the right choice followed by SSRI (selective serotonin reuptake inhibitor) group of medications. I understand your concern about the brittle bones and other side effects of these antidepressants. But, we need to consider both harms and benefits of medication as well as depression. If you consider both of them there are definite benefits with medications which outweigh the potential side effects. I like to assure you that antidepressants are not the harmful or dangerous medications as described over some online platforms. I think you understand better that how they helped you in past, what they can deliver when we are one of saddest person in the world (depression). Small dosage of Zolpidem can help you for sleep to some extent, but they do not help in depression which is our primary concern. I request you to see a psychiatrist for detailed evaluation and to discuss the right choice for your treatment. Thank you.