Please don't take any advice from anyone on HN, including me. This community often attracts armchair anecdoctors. Go and speak to a doctor.
Good luck.
This has been like 15 years ago. The more I learn, the more it seems I was the textbook case doctors never expect to meet. People are not generally aware that dysphoric mania is a thing. A good diagnosis can change your life.
Everyone in my family has some sort of anxiety issue. Citalopram (with the help of therapy and lifestyle changes) helped me overcome severe anxiety, helped my brother stop throwing up whenever he got in a too-high-pressure situation, and gave my sister the willpower to move out of my parents' house and get a job.
They're good drugs with frustrating downsides. That's life. I'd still recommend them.
But please consider alternatives as CBD or a healthier routine.
Situation 1. Interview next day.
They can't sleep, can't focus. Like they are rolling on their bed all the time but no real sleep.
Then on the next day when they have the interview their cognition is exhausted and tired. Solution: CBD helped them sleep better like in 40 min.
Situation 2. Meeting or having a situation that they will be anxious. (meeting, new job,etc).
CBD before makes the "negative voices" stop.
I talking CBD only.
You will not feel high or anything.
Indeed you will forgot that you use it but then you will not be anxious. Meaning -> it does not give a "kick" that you feel. suddenly you are relaxed and "forgot" about being anxious.
I was a person that thought the medicinal effects were "exagerated" so the ""hipppies"" could use it. But then once I saw it working I changed my prejudice.