My anxiety manifests in an extremely physical form. I shake and become overcome with horrible nausea or the urge to throw up, I can’t even control it.

This is ruining a lot of intimate moments in my relationship, as well as my self-esteem and physical wellness. I don’t know how to make it stop. It just comes up. The feeling is just there. I have no appetite.

Has anyone had any luck helping this? What can my first step be?