help needed

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Anons, I need help.
I'm M 25 and gay. I live in a big, cool city full of gays and am told that I'm handsome and get hit on. I get told that I'm smart and great for deep conversations and have good grades. But for years now I am miserable, even though I am in therapy. I have never had a boyfriend and my sex life is so bad that I started doing escort sutff. Including BDSM in groups and it went up to 13 young guys orgies. But still, I am never capable of coming. Only when I masturbate. I am blocked, maybe it is internalized homophobia, self hate. As a teen I cut myself and still sometimes do it. I take meds, duloxetine antidepressants. I have sexual drive, they don't block it. It's in my head. I have problems trusting people and my best friends are the ones from high school I rarely see. I haven't finished my degree in years, only now it's slowly happening. I feel ridiculous, like a baby. I often spend the day sleeping, whenever I can. I have semester break and haven't left the house for 4 days after traveling and seeing my old friends and barely eat anything. I don't know what to do. I have anxieties and self-hate and meds and therapy don't help.
How does this sound? What would you do? Any feedback?