A little background is that I have severe anxiety disorder and have been dealing with dp/dr on and off for a few years. Recently I have become insanely depressed and dissociated about existential what ifs to the point where it's making me suicidal. What if I'm a Brain in a vat and the only conscious one and thinking what if this is all one big dream or coma and at any minute all my loved ones can be gone. I tried to go on philosophy arguments and the ones that frightened me the most was that "you can never know" which send me into a spiral of even more what ifs. I don't know what to do I just want to KNOW my family and friends are all real. I feel as if I've probably past a point of going crazy and I have an appointment with a physiatrist today so I pray I find some relief. Any reassurance is greatly appreciated but please don't tell me "who cares if it's all fake" cause I can't handle reading any more of that.