Feeling stuck

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Lately I've been feeling like I've hit a ceiling and feeling stuck. Medication wise things have not been very good. I am on a low dose of an antidepressant and am unable to go higher due to side effect toleration. I honestly don't even know if i'm getting any benefits out of my medication. I've developed a bit of agoraphobia and rarely go out. My anxiety has gotten bad lately. I am not sure what to do.

I am fearful that I may have peaked in my development 6 years ago and things are just going downhill. I am not able to commute long distances over 30 minutes anymore without experiencing alot of anxiety. I am probably going to be getting out of the accounting field as most accounting jobs are an hour away and have had trouble finding accounting jobs close by. I haven't been able to keep any of the new jobs I have gotten so far because of them being long distance.

I am 38 and just feel so far behind. I know dwelling on it won't make things easier. I often try to find escape as I find life too overwhelming at times. I've had some recent setbacks with sexual addiction as I just desperately wanted to feel good at least for a short time. I am grateful for my parents. If I didn't have them I don't know what would happen. I fear what will happen when they are no longer around.

I don't know if I'll ever be able to be fully independent and on my own. I hope and pray it can happen and hope I can take the mental challenges that come with it. I don't know if it's possible to climb out of the pit I feel like I'm stuck in. I know it's going to take alot to climb out and only God can give me the strength to show me what to do or where to go next.