Without knowing more, and without really broaching the therapy angle, have you considered tackling it from a long-term axis view? Learn no-gi jiu jitsu and tam

Without knowing more, and without really broaching the therapy angle, have you considered tackling it from a long-term axis view? Learn no-gi jiu jitsu and tame that fear down; there’s some research that both journaling and (less so) efficacy can have physiological effects such as reductions in blood pressure, lowering of skin temp/sweat/conductivity and improvements in immune resistance. Obviously getting the lowest jiu jitsu belt will take you one to two years so not ideal...but....maybe on top of counseling it is positive ROI based on how severe your symptoms are.