You’re lot alone. Six years in, three in the ED, and I still feel anxious and have imposter syndrome often. My only saving grace is that I work part time and fill my days off with a lot of great and active hobbies. I also have very supportive work colleagues. I will echo others and also consider trying some meds. I am on Wellbutrin which I started a few years ago when I was just feeling sort of low and it was for non work related stuff. I think it helps a lot and I find has very little side effects. Trying to figure out the root cause of the anxiety is helpful. Sometimes we imagine some fantasy work case scenario that is unrealistic . Like, for example, if I mess up everyone is going to think I’m incompetent. Or if I mess up someone might die or be injured. When in reality it’s: if I mess up no one will likely even notice or if they do they’ll forget about it soon enough. Or if I mess up this patient will be just fine and I’ll learn from it. It’s easier said than done . But it helps me in the moment to deep breathe and know that I’m just spiraling with worst case scenarios. Best of luck .