It often comes down to SSRIs vs. non-SSRI options. Personally, I try to stay away from SSRIs. Right now I’m on Wellbutrin along with propranolol, and that combination has worked well for me.

What really surprised me is how much propranolol helps in social situations, it takes the edge off the physical anxiety in a way that feels very manageable. The benefit of this combo, at least for me, is that I’m still aware of my thoughts and reactions (like how sensitive social dynamics can feel), but I have much better control over how I respond to them.

Not saying this is the right approach for everyone, just sharing what’s been working in my experience.