How do I cope with increased general anxiety, hyperawareness and paranoia?

I have built a strong mentality in the last few years, I'm disciplined with work and with physical exercise and I receive good feedback from my therapist in terms of how well I manage my emotions. Sometimes I am so confident that I think I can conquer the world and people believe I am some sort of genius and overcompetent guy. However, I am still constantly anxious, constantly hyperaware of my emotions and of other people's reactions. Sometimes I have panic attacks when I'm driving and I have to stop the car or sometimes in the bathroom at work. People are surprised by my inconsistent mental state. In those moments, the whole winning mentality and ambition I'm constantly cultivating turn to dust and I feel I'm like the way I used to be as a child, when I was the sensitive emotional kid who was bullied by his classmates. My family has a history of neurological and mental health issues. Some of them received medical treatment with Alprazolam, some were hospitalised in mental health units, some suffered from alcoholism. Despite my willingness to resist my mental health issues, I find myself unable to cope once in a while.

How do I cope with increased general anxiety, hyperawareness and paranoia?
Post Opinion