Meds helped me with this a lot. Not the first or even the second medication I tried, maybe the third or fourth? Really good therapy, too. That took maybe another four tries with different therapists for me.
The worst part is being incredibly overwhelmed with anxiety makes it really, really hard to deal with shitty experiences with any of the above. It’s demoralizing when it doesn’t work out and it’s not perfect when it does work out. Still miles better than I was before.