24f, over a decade of poor dental hygeine due to severe depression along with difficulty maintaining routines due to adhd. im not in pain, i've had a habit my whole life of breaking and chewing on bones after eating meat and haven't had difficulty doing so even now, though i definitely shouldn't be doing it.
my gums are obviously messed up. it's progressed to this point slowly over the years, and despite constantly being afraid all my teeth will fall out i have largely brushed it off as a minor issue since i don't have pain. now though the papilla between the bottom centre teeth is very explicitly coming off, like its a flap of gum there instead of being stuck to the teeth like it should be. i havent included a photo of the extent to which it has come off, as I don't wish to let it peel further.
i'm terrified right now, particularly i am afraid that I won't be able to bring myself to do anything about this in time. one, because i still struggle constantly to care for myself, two because i have no insurance and have no idea how much it will cost to fix this and if i can afford it. i have already been putting off seeing my therapist again since she moved to a private clinic and will require significant payment.
i know i need someone to tell me straight out that i can't keep procrastinating on this, and that it's going in a terrible direction. even if i'm aware of it myself, i think being told by a professional that i need to take action might help. I don't know. i'm scared and im tired of myself. any advice is appreciated.
edit: mod reply said to include medications being taken, sertraline and vyvanse. vyvanse can cause dry mouth so probably important. often vape cannabis at night, short infrequent hits accompanied by drinking water cuz i cough otherwise.