Managing mental health in the corporate environment as a programmer, particularly in the context of layoffs and constant change

Hi

I'm right now about to be laid off and have been really frustrated with my career in IT, or corporate in general, so far. I didn't want this life, but somehow I ended up getting here. Now I don't know anything other than programming from which I can make money. I've tried all ways to get a remote job but failed. I'm seeking help here, with my symptoms. I feel I'm misdiagnosed too.

My symptoms

Sleep:

With medication, sleep is okay, but I feel very sleepy during the day as well.

Without medication — I feel awake at night, and have mandreams.

Food/Weight:

In the last 6 months, I have gained about 10 kg.

I eat more when stressed, sometimes I skip meals.

I had thyroid issues, but it’s under control with homeopathy.

Stomach:

Often constipated, I take triphala.

In stressful situations, I frequently need to use the bathroom.

BP/Heart:

Previously, I was taking Startpress XL and Telma, the doctor stopped them and transferred me to psychiatry.

I’m not on any BP medication now, yesterday it was 139/95.

My heart often beats fast.

I feel dizzy while washing clothes, it gets better after sitting for a while.

I feel an internal shiver, like I'm losing control.

Mood:

Sometimes I'm very active (walked 22k steps in a day), sometimes I feel completely paralyzed.

When I'm low, I don't get out of bed, and I stop talking to my family.

These shifts happen suddenly, not always linked to situations.

Anxiety:

I sweat and my heart races during interviews, presentations, and going out.

Thinking about uncertainties causes me a lot of anxiety.

I'm very afraid of people's judgment — comparing myself to family and society.

Concentration:

Sometimes I spend an entire day on one task due to perfectionism.

Other times, I don’t feel like doing anything, I procrastinate.

Thoughts:

“Why does this happen to me?”

“All my sacrifices are in vain.”

Sometimes I feel like a failure.

Current medications (3 years, last review 6 months ago):

Escitalopram 15mg

Desvenlafaxine 50mg

Libotryp ½ tablet (only when I can’t sleep)

Previously taken medications (now stopped):

Risdone

Depran Forte

Startpress XL

Telma (for BP)

Sexual health:

Due to the medications, I have sexual problems — issues with arousal.

I have aggressive urges when stressed.

I have a habit of prone m'bation that I’ve had for many years which may be affecting my sensations.

Questions:

Is F32 the correct diagnosis?

Do I also have social anxiety disorder?

What should I do about BP and dizziness?

Are the medications the right combination?

After a genuine evaluation, is a disability certificate possible?

What should I really do?