I am having trouble accessing healthcare, so I have no meds and I need them, for sure.
If you are in med school, you should have access to student health services. You needn't worry about breach of confidentiality - if they do, you'd own the medical school. You could also go speak to one of the psychiatry docs - see whose credentials list PTSD as an area of interest, and ask for help.
New research into insomnia (with which many of us with PTSD suffer) shows that medical students with insomnia issues go on to develop major depression. So perhaps your hyper-aroused chronic mental state has you also experiencing insomnia: synergy of the two births a whopping depression. I know: went through medical school, surgery residency and anesthesia residency without sleeping. PTSD since childhood, multiple attempts at suicide, and years of antidepressants.
And I am still not "happy" with a capital H. But I will tell you this: trying to die isn't easy and when you
muck it up, it's miserable.
If sleep isn't an issue - that is all you do is sleep - then you need an SSRI/SNRI in the AM to help you get back into the groove of life. You will also eventually need to deal with your trauma(s), but it really doesn't have to be now.
When I turned 49 and really, truly wanted to die, got help, and now, nearly 52 I am full-fledged dealing with my traumas, I am better equipped to deal with them directly than I was at any other time of my life. Do you have a suicide plan? Then develop a NOT SUICIDE plan. Write to me if you want. You have achieved something incredibly significant living inside a PTSD body: you've triumphed in an optimistic way. Yeah - triumph. Yeah - optimistic. Those are the right words.
PTSD is like any other chronic disease of a serious but treatable nature. If you had juvenile rheumatoid arthritis you'd be more doomed to die - and people could tell you all the things you needed to do to help fight the disease; but you'd have to fight.
From personal experience: exercise. Study while you exercise. Put your notes on something that you can carry while you walk or run or bike. Record lectures and play them while you work out on your MP3. Don't eat crap - eat veggies, whole grains, salad, fish, lean meat. (Don't cook? Go to a deli or a place that sells steamed veggies or buy LeanCuisine - but don't do Burger King or Taco Bell.) Don't drink alcohol. DON"T DRINK ALCOHOL. Alcohol is depression in liquid form. It isn't medicine, it's poison. Don't do any drugs for any reason, unless someone prescribes it legally AND it makes sense.
Can you succeed as a doctor - absolutely. You think you are the only doctor to be who has PTSD? There's a bunch of us. I just happen to be one that admits to both.
Have a third option. The world is not black or white. The answer isn't life or death. Everyone else on the planet isn't much happier than you believe yourself to be. Happy is an understanding that if you are alive, there is a chance you might be happy in the next day or two, or month or two, or not. And if you are dead, the only thing that will happen is that you will be isothermic to your surroundings and begin to smell bad pretty soon thereafter.
I'm rooting for you. I'll hold you in my caring thoughts. Be well. Be weak and lean on those who are stronger until you are ready to be strong on your own. If you believe, you will understand you are only given a life that you can -CAN - live. :ninja::watching: