Exit, and devastate those I care about. Somehow overcome the fear of death. Face the possibility of some worse punishment beyond.
Or try to find some way to stick around for another 20+ years, as my body continues to deteriorate, and the pain grows. Find some way to survive in a world I don’t want to be in. Endure the constant anxiety and exhaustion, as contentment becomes an ever more distant memory.
This is a recipe for depression. There is no hope. Things are bad, and they will get worse.
All you can hope to do is limit the suffering along the way. But your suffering, or the suffering of those you care about? And suffering in this life, or some unknown beyond?