I’m 14 years old and I’m pretty sure my doctor won’t prescribe me anti-depressants or something to help with my anxiety but I want to know if they actually work and help and any other alternatives? My anxiety kills me something

I’ve been through a lot of trauma the past few months and years and had an anxiety breakthrough where I can’t stop having panic and anxiety attacks. I used to be a horror movie addict and one night during an anxiety attack my brain went “Kill your sister” My sister is my whole world. It all went downhill from there. I can’t even be around her when were home alone anymore. Every single day since then my brain is trying to tell me a bunch of different ways to harm her. Its getting to a point where its involving others now. “Kill your sister.” “What if you finally go back to your boyfriends house and kill his family?” “What if you kill mom?” “Kill that lady walking down the aisle at work.” “What if you killed yourself?” “You’re a bad person for thinking all of this.” “You shouldn’t be allowed to sleep, eat or relax. Bad people don’t get to do those things.” “These thoughts are in your head 24/7 because you WANT to do these things!” Its causing me so much anxiety and racing thoughts and I don’t want to become anymore depressed. SSRIs dont work. My doctor wants me to go on antipsychotics but I’m afraid to and I feel like I don’t actually need them and it will cause more damage. My goal is to become the person I was before all of this. Not to change completely. I tried buspirone once and I stopped due to increased health anxiety and often found myself saying “remember when you wanted to kill your sister?” and then brushing it off. It helped in some sort of way. I was only on it for a week. My whole life has changed since then. I dont go to my boyfriends house anymore, I dont see my friends, I can’t play video games anymore. All I do is ruminate and I cant stop. I cant even hold a conversation anymore. The compulsions are horrible. I’m so scared that theres no coming back from this. Its all adding to the anxiety that I don’t want to become severe depression. I just want to be me again. I’m starting off ERP and if it doesn’t work I dont know what to do. Can someone please tell me they have been through similar and have gotten better. I just need to save my life. Its getting to a point where this is convincing me this is all real and its going to happen and that im gonna become a psychopath. Its been going on for 3 months. I used to be so bubbly and happy!! (I am not schizoaffective)

I just feel like therapy isn’t working… like I get to talk about myself and understand myself… but I’m already incredibly self aware. My therapist thought I was like 5 years older than I am… and she gives me such basic strategies that do absolutely nothing for me. And a psychiatrist prescribed me with Zoloft… but I don’t know if T want to take medication. I’m scared of side effects… and I’m scared of getting better… I’m scared of letting my guard down. I know it will make me less cautious which makes me less likely to push myself to perfection like I currently do, which I can’t have happen. Every time I talk to my mom about it, she’s always like “Let’s talk about this some other time, I’m busy with other things”, and then never remembers. But in the rare moments we do talk about it, she treats it like I’m signing up to be a drug addict. I also feel very guilty for spending so much of my parents’ money- therapy… medication… etc… and also the idea of my being unlovable is so deeply engraved in my brain… I genuinely, truly believe it. No therapy or medication can fix it. I can’t change my mind. My therapist tells me my misophonia is not a “deal-breaker” and that someone would be lucky to have me as a partner… but then why hasn’t anyone ever liked me? My own FAMILY can’t stand me. How do I believe something I know isn’t true? That’s even harder to accept than me being unlovable. I can’t see someone loving me. And it is so incredibly exhausting to seek love,e I know I cannot have. My sister says, “It will get better with age…” It has only ever gotten worse. To the point I don’t want to get better. It has reached the severity where I feel more safe and successful with anxiety. My past 3 birthdays have been me wishing for therapy. And now I have therpay- and medication, the potential key… and I refuse? Am I too deep in? I cant get out, it’s too late. How did absolutely no one notice how much I had and have been hurting? Why did no one listen to my cries or worries? I feel really depressed and hopeless right now. It takes so much effort to get up every day… I’m so tired.

I was on Zoloft for over a month , then 2 days ago my heart rate got to 140 and I made my mom take me to the hospital. everything was okay just anxiety, now I’ve been waking up with anxiety and being nauseous it goes away after a min but it just sucks. I wanna stop my Zoloft idk how to go about that either. I’m so stressed. 😞💔