How I improved my condition (derealization, anxiety, panic attacks)
I will speak to the point and only the fact that helped me. Over the past 4 days I have become much better and the turning point happened literally in a few hours (I think you can do the same). If it is difficult or scary for you to leave the house, you must understand that your condition is the same both on the street and at home, you do not have a safe zone that you could mentally create for yourself, but you will not understand this until you force yourself to go outside and be there. I tried many times to just walk or sit on a bench, but the condition did not change because my attention was focused only on my condition (eternal analysis and checking of myself and perception of the world). One night when I felt bad again, I just ran outside and started doing sports. Yes, this may sound stupid and funny, but believe me, it really switches your attention. You can also go out at night because there are fewer people at night and in general the situation is calmer. In short, 20 minutes of working on the horizontal bar was enough for me to feel much better and I started walking around the neighborhood. You can, like me, talk to a friend on the phone or just scroll through reels, but the main thing is not to stop and just walk. At one point, you will notice that even if you feel bad, you are on the street and you can live with it and that if you go home, it is not a fact that you will get better there and it may even get worse. That is, you retrain your brain to be afraid of this state, no matter how much it covers you, tell yourself that it is just anxiety and you will feel equally bad everywhere, this state does not depend on home, just walk down the street, distract yourself and live with it. After these 3 hours of overcoming myself, I realized that this state is bearable and I felt better. I went out for 2 more days at night and noticed how the moments where I do not think about it become more and more frequent, and anxious thoughts cling less. Today I was able to go out to see my friends, and even the anxiety couldn't stop me. I just knew that I wouldn't feel better at home, and that it would be more beneficial to suffer outside than at home. Now I feel much better, and I rarely think about my condition during the day, but if an episode suddenly starts, it's much weaker and shorter in duration than before. You can try to do what I did, but the main thing in this state is to accept it as a part of life, and it will begin to subside on its own. This acceptance comes in different ways, but I knew from past experience that I just needed to overcome myself, and one such outing gave me a kick in the pants (the main thing is to distract yourself and don't run home; be face to face with your anxiety).
I'll also add that you create and continue your own torment, you need to accept and come to terms with it. Just think, what if this is for life? This thought scared me and I decided no matter how bad I felt, I would go out and be with this, I was just tired of hiding from this anxiety and feelings, I wanted to meet my fears and this unpleasant feeling of derealization head on. Like a fool, I ran out into the street and started doing pull-ups on the bar like a crazy person, but it really helped me, the exercises themselves simply redirect your attention for the rest of the walk, but during the walk itself, the main thing is not to run away if a panic attack or something else starts, accept all these sensations and let them be. You won't die or faint. Keep walking and you'll understand that this is only a scary feeling inside your head, not physically. After all, even if you feel really sick, will you just stay outside? No, you'll be able to walk home, which means you can continue your walk. Your brain will simply understand that it's not scary, and you'll be shocked at how much it helped you.
Note: I'm not forcing anyone to do the same as me. Look at your own condition and feel when you should sit down and continue walking or if the condition turns into physical problems (loss of consciousness or something else). Don't make a war out of it with yourself. If you feel too bad, don't scold yourself and go home. But if you understand that the fear is only inside your head, then you can safely continue walking and endure it. Just feel the moment and be with it. I don't want someone to pass out on the street because of me. Be careful, I believe in you.