How to get my dr to actually hear what I am saying? UK (NOT LOOKING FOR MEDICAL ADVICE)

Hi,

I am a male

Age - 35 years old

6ft 4in in height and weight 14.5 stone.

Medication - only Espranor (UK branded buprenorphine)

Smoking status - none smoker for over 8 years.

Current ongoing medical issue - General Anxiety Disorder, Agoraphobia, Tourette's Syndrome.

I do not drink alcohol or do illicit drugs.

So I have been diagnosed with General Anxiety Disorder (I think it is more than general, its severe) and I have Tourette's Disorder (though none verbal Tourette's). This anxiety had developed into Agoraphobia imo but the doctor doesn't agree. I never, ever leave my house and haven't for nearly 3 years, the only way I am able to leave my house is to have four or five strong alcoholic drinks. This comes into something else, I am an ex addict - I've been clean now completely for 17 months but I am on a heroin maintenance programme (Espranor). All my CGL appointment are via video with my camera off after they've confirmed its me on the call.

I cannot socialise, I've severe anxiety around being in the company of others, including family. I live with my parents and I spend almost my entire time in my bedroom.

I feel extremely lonely, isolated, paranoid and just fed up completely with my life.

Now my dr has over the years prescribed me a variety of SSRIs, SNRIs, Lorazepam (when I was 19, now 36). I am engaged in therapy and have been for over a year.

I just want to get my life back - I want to go back to uni and finish, I want to get back into work, I want to reconnect to my friends who I haven't seen in years, I want to be able to be there for my family. I just want to be able to leave my bloody room, let alone my house!

So I am here to ask - what can I do? My Dr only ever offers more SSRI and even though I've told him I hate them: they make me worse for weeks and months, they make me depressed as hell, they make me have suicidal thoughts (I never have them when off these meds) and once I intentionally walked out into traffic and got hit by a car while on these meds.

How do I get him to see that I need something else, is there even anything else?

I just am so done and fed up with this shitty life, worrying every second of the day, never sleeping properly or at all. Not being just an existing bag of blood and organs never leaving my bed.

Thanks in advance and sorry it is so long.