I've been on medication for about a year now and although

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I've been on medication for about a year now and although it helped tremendously with my intrusive thoughts, I still feel apathetic and "supressed".
As if as soon as I stop taking it everything will come rushing back or I'll fall into depression again. The reason I think this is because despite the therapy I've been through with my psychologist, I'm not getting any closer to accepting myself and being able to trust other people.
I constantly worry that I'm not good enough for any situation or that anything positive that happens in my life isn't deserved. I also believe that there are things I'm simply not destined for because of how horrendously bad I am at them or how alien them seem to me. Intimacy or basic relationships seem like an insurmountable task due to how reliant they are on things like blind trust or sacrificing aspects of yourself to be with someone else and being successful at any job or task that requires responsibility seems impossible. Even something basic like working at McDonald's is daunting to me due to the million ways I could fuck it up.
Anyways I feel like despite somewhat understanding these issues and where they stem from, I can't overcome them and be happy or accept myself. What do I do?