I'm untreated at the moment, it hits me hard but I've somehow managed to get really good at compartmentalizing it and separating the physical feeling from the mental spiral. I still feel it just as much as I always have and I'm not able to change that, but I can give my brain a little kick to make it stop the whole "this person hates you now and you were stupid for doing this" thought train, look at the situation objectively, and realize just how far from reality those thoughts are.

I do this for anxiety too, I can't make myself less anxious but I can look at a situation that makes me anxious, realize that there's no actual reason for it, and then go and do the thing. My heart still pounds and my hands still shake but I can have a good time anyway.

I wouldn't call this just ignoring it, but I know I'm gonna feel like ass anyway and if I avoided every situation that makes me feel like ass I wouldn't do anything at all. It sucks HARD though, I may be able to power through it but it's fucking exhausting being in fight or flight for 99% of my day all while feeling like a ghost pokemon used curse on me every time someone uses a slightly harsh tone. I can logic it out to get things done but it doesn't lessen the feeling at all.