When is it a good idea to medicate anxiety? I've always

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When is it a good idea to medicate anxiety?

I've always been on the shy/quiet side because of it and overthink think things till my head hurts so that's nothing new. As of lately though I've been waking up from dreams that leave me with a tight feeling in my chest and and then this feeling will come and go throughout the day . It's starting to drive me crazy because I can't focus on anything when I get like that , it puts me in a shitty mood, amd my mind starts racing about everything wrong in my life.

I'm not sure if I should just deal with it or see a doc, because honestly I'm just sick of living like this. I know one option is to deal with the things giving me anxiety, but at this point in my life I feel like it's stopped me from actually facing them. I've tried self medicating with booze and weed and various substances but it's only a temporary relief that leaves you worse off in the long run

Is it time to see a doc?