 [ Symptoms ] hemorrhiods at 18 so i have had hemorrhoids for a few years now diagnosed by a doctor when i was 18 yo & pretty positive they are hereditary i like to believe i have a decent diet i exercise probably 5 days a week at least and drink plenty of fluids also i am not overweight i started taking a stool softener and i will not lie i was not consistent on taking it every night but i did take it at least 3 times a week for about 6 months however i have had no change in my hemorrhoids external whats the next step [ Disease ] since you are in treatment with both a psychiatrist and a psychologist and you have tried as you said many medications without sufficient help you also indicated that you have serious agoraphobia which keeps you in your home what is the treatment plan to handle your agoraphobia i think this needs to be discussed especially with your psychologist who would seem the one with special expertise in this area you might also consider getting a second opinion from another psychologist who might have more of a behavioral orientation which would help you take small steps toward leaving your home i understand that this could be difficult to do but you really need someone who can offer you a treatment plan to properly address your primary symptom which appears to be the agoraphobia