Anxiety Ampflication and No Propranolol

I have always been really self conscious about my tremors because i am a psychian and i have to do injections and do some precise work. My tremor is killing my confidence and as i am taking an SSRI for my anxiety i feel like my tremor is getting kinda worse because of the ssri

Now the problem is because i have a tendency to Psoriasis i am not allowed to take Propranolol ( ẞeta Blockers) as they might exacarbate or cause flares. Am i doomed? I want to focus on the procedure but instead my tremor is causing me more anxiety and kill my confidence, i feel like my career is doomed, is there anything else i could take? Any experiences?