Slipped, new resolve!

So, yesterday I cut after a massive panic attack.  I had been good for so long, but the fatigue, anxiety and everything is just getting worse and I started feeling like I couldn't think for several days and finally gave in. Unfortunately, the cutting did clear my head.   I also bought alcohol for the first time in my life this week.  That doesn't clear my head.  I think I'll just drink a little before bed until it's gone and then give up on it.  It's not helping the way I hoped it would.  But the cutting - I need to find something else that will clear my head so I won't use it again!
 
Problem - I'm too tired to do anything.  Solution - I should be content doing nothing but sit on the couch if I can find something good to do on the couch.  I'm going to try camping out in the living room tomorrow.  Camping out in my bedroom I think has become too much isolation.  And maybe I should start inviting friends over if I'm too tired to leave the house. 
 
And I should probably call my docs and tell them the fatigue is getting worse.  But which one do I call first?  PCP, dermatologist (monitoring dermatomyositis) or psychiatrist?  I already tried cutting back on the anxiety med that would be causing drowsiness. 
 
I need to just stop expecting anything from myself, I think.  Whenever I try to do anything I'm too tired.