I had friends I tried to kill off so I could go out into the "real" world. It didn't work as it upset me too much and I realized if I couldn't get rid of what I'd created when I wanted to, I had a problem. I was 20. I'm 56 now and just finished therapy last year. I was never on meds. Find a therapist, someone to talk to, rather than a doctor, and see where it takes you. It sounds like your friends and you are clever and imaginative enough to figure out how to make it work (find a therapist that's the same :-) Good luck!