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I recommend psychoanalysis. It’s the only thing I tried that helped, and it helped a ton.

AMA if you have questions.

Talk to a licensed therapist with a PhD or PsyD that specializes in cognitive behavioral therapy (CBT). There are masters level therapist, however most of them don't have as much training as people with PhD's or PsyD's (it can be hit or miss with masters level clinicians). But really it's about finding someone that you can connect with.

CBT focuses on challenging behavior that goes against your goals and building an arsenal of cognitive tools to maintain behavior that helps you achieve your goals.

It's what most people with these kinds of problems need.

Lift weights, run, get more sunlight/vitamin D, and go on walks in nature.