Hi, VeteranInPain.
Sometimes the world is just too overwhelming. I get by that feeling by focussing on what I have in life that has nothing to do with TN. I am currently running out of treatment options, so I really do know what you mean. However, I am 35, and cannot afford to let this thing take over my life!
I have found my strategies for now, and I am sure you will too, now that you know what you are dealing with. It takes a while, but once you get to know your triggers, you can work on reducing them. For me, the feeling that I can DO something helps. I therefore also try to find things that provide relief for me. This forum is great for tips. Maybe keep a pain journal to monitor pain levels in relation to time of day, activity, surroundings…?
Coping is really a matter of how you see it and what you choose to focus on. For me, keeping in touch with things I love is key. I still go out, go hiking, keep in touch with friends, travel, and work, because I don’t want to give these things up. It forces me to see life in perspective, and makes me ashamed to think “poor me” as there are a lot of people who cannot do those things. However, it is about adjusting those things so that triggers are avoided as much as possible. For instance, I go out earlier in the evening, when it’s less noisy, and to places with little or no music. I go hiking in the woods instead of windy mountaintops, and often invite friends over instead of sitting through pain at someone else’s. I can work because my job allows me an enormous degree of flexibility.
So maybe you should try asking yourself these questions: what means something to you, and do you have to give those up entirely? Or as in cognitive behavioural therapy: why do you react the way you do? What are you afraid will happen? A life in pain - well, you already know what that is like, and can cope with that, no? I am a complete atheist, and so only rely on my own ability to comfort myself. I find that these techniques help. Otherwise, there is also professional counselling.
In the end, for me it is now time to embrace that I have a disability, and that I may have to reduce my workload eventually. But I have had this for 15 years, most of the time not in successful treatment, so I do not despair yet. It is pretty bad, and that makes me calm because I know I am able to face that. There are so many other things that mean more to me, and I try to focus on those joys instead.