What I do is try to start with the tiniest goal possible and work from there depending on how I feel. I also will try to problem storm as many backup plans for 'worse-case scenarios.'
An example of the tiniest goal is that I would get ready to get on cam and then login the site I am using without streaming at all. I would then give myself time to figure out how my anxiety is feeling before trying to move on to the next step. There will be days where you will be unable to do more then sit in front of your computer and not stream.....and that is okay. The important thing is to figure out how you are feeling emotionally and how hard to push.
An example of a 'worst case scenario' plan is that if you are afraid your panic attack will get on top of you there are many things that you can do to try and make the situation easier for you. Some examples off the top of my head are: (1) Figure out something you can quickly cover your camera with if things go bad. (2) Have your computer plugged into a nearby extension cord so you can just yank it apart to shut it down. I am not saying that these are great ideas as everyone's panic attacks are different but if you can accept the fact that you will have a panic attack and come up with ways to make it easier to live around them when it happens then it makes it much easier to get on your cam.
I've had a severe anxiety disorder for the majority of my life so my heart goes out to you on this. Living with anxiety isn't easy, for sure.

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