Haven't been with anyone in years! What r do?

So I'm a mental wreck when it comes to dealing with women. I get nervous and avoid them. What is wrong with me? Is it an issue I can get help with from like a psychiatrist? I never go out of my way to talk to new girls, I often have women hit me up. With obvious intentions and I can never follow through. What would you do if you were in my situation?

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