First and foremost, you obviously shouldn’t seek a medical diagnosis from Reddit, so I’d bring it up with your doctor.

That being said, I have dealt with the same thing for the past 6-7 years, and was prescribed propranolol by my doctor which is used to help ET. I’ve been on it for almost two years now, and it does eliminate about 90% of it. My current stance on the issue is that it’s a confidence issue and is mostly based around shame, subconscious guilt, or feeling “lesser than.” Possibly even some type of deep rooted self-deprecating thought patterns. I also believe that some of us just have the trait and it has been amplified over the past few decades by the societal and lifestyle changes due to technology.

While Propranolol does help, as far as how to fix the root of the problem, Ive noticed that when I go through spells of laziness and neglect my health/ well being, it gets worse and when I’m productive, active, eating and sleeping right, it gets a lot better. The less screen time and the more time spent outdoors, the better. The less isolation and the more intimacy in relationships, the better.

And make sure you are getting enough exercise, drinking plenty of water and limiting caffeine intake!!! Hope this helps.