I feel you here man, anxiety is a fucking asshole. For me the inclusion of a beta blocker to help with sympathetic nervous system dysfunction significantly helped (and it wasn’t my intended use for the beta blocker), since anxiety has both physiologic and psychological responses, they can both feed into each other like a vicious cycle/ feedback loop. So blunting the physiologic responses of anxiety (and sympathetic nervous system dysfunction) has almost eliminated my anxiety, it’s great, that and spending time with friends in America helped a lot.
It took me a while to get my sex drive back, I had no sex drive for nearly 2 years, now my sex drive is unbelievably high again, I feel like I did when I was 12-13! It’s insane. But if you have neuro problems then it’s gonna be almost impossible to correct a lack of sex drive without getting that fixed first.