[ggm]

Be your own harsh critic. I do find hostile PR stressful and I have both had to give them and got them. I stopped in management when I realised how unpleasant I found negative feedback processes. Trying to rectify a significant performance or behaviour issue is really hard.

Maybe you need to get to set expectations for delivery to a level you can achieve reliably, to get positive feedback for over achieving. If the company is obsessed with stretch goals push back a bit and rebalance the agenda.

Being willing to move roles or employer is out there. It's peak intensity for stress but may be worth it.

Best of luck. Keep talking to the therapist. Believe in yourself and remember some people thrive on hostility and some use it to mask their own fears and insecurities.