It simply sucks. It really does make you feel even more isolated and lonely. I have severe anxiety and depression, although I tend to think the depression is just a natural and reasonable reaction to how the anxiety is and will continue to ruin my life. I've also been dealing with akathisia for five months now, which is the most torturous feeling I've ever experienced. No one really seems to get it, and it makes me feel even more trapped. Honestly, if people truly understood what I was feeling, I don't think I'd be as suicidal. Even people who do deal with it often don't understand that it can all manifest itself in different ways and that there are levels of severity and the reason they are able to still function fairly well is because just maybe, theirs simply isn't as bad. Just because we are both using the same word for a similar experience, doesn't mean it's the same. If you can still function and aren't even close to trying to kill yourself (I've tried hanging myself four times now), then we are NOT dealing with the same thing. I do have real physical ailments too (migraines, partial seizures, RA, doctor thinks endometriosis but not yet confirmed) and honestly, I don't feel like people fully sympathize with that either although definitely more than the mental stuff. It could be in my head, but I feel like people think I'm exaggerating the physical stuff too. Just can't win. I'm exhausted, that's all I know. You are not alone. I'm here if you need someone to talk/vent to.