Medication and therapy were life changers for me. You may not find the right med or the right therapist on your first (second, third, etc) attempts, but I’m glad I kept pursuing both. Medication doesn’t have to be permanent, but if you’re like me and your baseline is incredibly anxious and has been since you were small then you might just need it.
If you’re LGBTQ+, definitely consider therapy with someone through an LGBT health center if you can. If there isn’t one near you, teletherapy has made it way easier to find competent LGBTQ+ positive therapists.