I've been given medication a few times over the years, but I always think "I don't need them..." Lol
Passing as male has helped quite a bit, as a lot of my anxiety was "they see a girl, that's because I'm in a girl's body, I look like a girl, because I was born in the wrong body, I'll never be a man...." But now, as I am seen as a teenager, I have all those teenage insecurities. I live a few blocks away from TWO Junior High schools, so there's teenagers everywhere to be seen. And I know which kid I'd have been if I was in high school like this. The fat, awkward, nerdy boy. LOL. Truthfully, my fear is to get beaten up by some kids who think I go to their school, or to get "tittie twisters" like my brother did when he was in school. I've got a lot of tit to twist.

Something that really helped me was talking to a counsellor last year. I remember mentioning the anxiety and she said "Why?" I said "I'm scared that people will see me as scared and awkward and take advantage of me for that. I feel sort of marked." She sort of sat back and said "Why didn't you mention this to me? I had no idea you had social anxiety. You make appropriate eye contact, you're so well-spoken, you're always smiling. I know that doesn't negate that you feel social anxiety, but you don't appear scared or awkward at all, and I'm really surprised to hear that you believe you see yourself that way. Have you ever considered that the way you perceive yourself may not be how others perceive you?"
That was a breakthrough for me, in more ways than just social anxiety. It brought it to my attention that I had a lot of blind spots when it came to myself. That perhaps, I did not know myself as well as I thought, that I judged myself without knowing the full picture.