Dont know what to do anymore

My anxiety comes and goes and when it comes it makes sure it's a bitch. I always feel like I'm going to die, like I feel completely helpless over my own body. Throwing up, dispersonalization the whole 9. I refuse to take medications Ativan made me feel never myself and my dad is addicted to pills. I just don't know what to do. I don't know if it's the holiday season or if I'm just fucked up. It makes me feel so tired, I get so exhausted after like I need to just sleep. Does anyone have the same issues I do? I feel like I'm the only person in the world with no one to relate to.