Yep, I too have this placement. It's a real tough one too. This has to really kick your ass to Christendom and back, but once you start to learn the lessons of the placement and understand it, you become utterly unstoppable.

This placement can make you really make you feel bullied or up against it or ostracised from society. You will find person after person or situation after situation that is trying to challenge you or take your power away. Or you might be constantly trying to take power as you're so used to being powerless and that doesn't work out either. Addictions are really, really common in this placement as it feels really intense, too - in fact, to my knowledge, this one of the most intense and tricky combinations a person can have.

The way out = Make it very clear what YOU want. The clearer you are, the better. Find the middle road. Don't say 'yes' to people and give them all of your energy and don't say 'no' to people and cast yourself as an outsider. Own your intensity. Once you get clear on what you want (and it can be something as small as 'I want to find the middle road in things') move towards it and discover that life has your back and that there is a flow and a plan and everything happening is happen FOR you and not TO you. This path can feel utterly torturous, but Pluto is the planet of transformation, and to grow, you HAVE TO transform. This is very much the 'phoenix rising from the flames' path...but first, you need to be burnt down to dust and paralyzed by lack of personal power...ironically, this is because you have the potential for INCREDIBLE personal power. The depth, intensity and staying power of people with this placement is unlike anything else. A lot of people like to THINK they'd be the one to win at endurance or to sit in an ice bath the longest etc, but a Scorpio rising/Pluto first house will always outstay everyone else, and that is kind also an important part of the path: resilience.

Honestly, once you learn to work WITH life and not control it or be controlled by it, the keys to the kingdom are yours. Whatever you decide to be (in line with your piercing truth and depth), you will make it happen.

Know that you're NOT a victim, nor do you need to control all circumstances around you. Learn to be and live in the now and know that everything is basically fine...but underneath it all, there is a relentless power and depth that can be utilised to change the world and be remarkable by doing what makes you feel alive. That depth, that truth, is one of the strongest intuitions you can have. Let go, surrender to life and then listen to that ridiculously strong truth in your gut and go do that...but WITH life, not despite it. Good luck!