Hi there,
A detailed medical and psychiatric history is always needed for every patient.In addition to that, a detailed mental status examination is also recommended for every patient to make a diagnosis and management of the case accordingly.
There is need for taking your history in detailed.You have written about your going into drugs dependency for many years.
Next Steps
There is a need for ruling out some of the medical illnesses.In addition it appears that you are going into depression.
Health Tips
You need to consult a mental health professional ASAP.
Be positive in your thoughts.
Getting out of your problems is possible. You appear to be motivated, which is a good factor for drug detox.
Do take the consult either face to face or online if possible.