Transitioning or being visibly queer with pre-existing anxiety

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I'm a tall guy (6'3") with a moderately large frame, but I want to be a femboy/transfeminine (specific label doesn't matter much.) I am pretty thin (160 lbs), but I don't think I could "pass" in the same way that a smaller male-bodied person could in the same situation. I think I'll always feel too big, but I can't change that, and this isn't a deterrent to transition on its own. My actual identity and transition goals are pretty figured out, so I don't need too much help there.

My problem is my anxiety. I've been diagnosed with GAD and put on a bunch of meds after being hospitalized for irrational anxiety and suicidal thoughts (which had nothing to do with my identity.) I have hard time even making eye contact with people sometimes if it's bad. I'm worried that I'll have people coming up to me all the time, and I don't want the interactions whether good or bad.

I don't want to explain my identity, or have to deal with these people. I don't want to hear laughter behind me and spend the whole day wondering if it had something to do with me. I honestly think the occasional harsh confrontation would be preferable to 1000 small interactions and fears. Just the minimum amount of socialization I have currently as a "cishetwhitemale" is exhausting and stressful for me.

The icing on the shit cake is that I live and work in a hyper conservative area, so I'm guaranteed to never be left alone.

Does anyone else struggle with this? How do you cope? Has anyone decided transitioning wasn't worth it on this reason alone? I would have transitioned years ago if it weren't for this. I feel like my brain is torturing me