Is this likely permanent?

I went through real bad anxiety in middle school so I’m not unfamiliar with it. I believe it was worsened by not sleeping but anyway I beat it for the most part through highschool. I graduated a bit ago and got into some drugs my main ones that I think have been causing this are Xanax, high dose Adderall, and a lot of ketamine at night time. I also have been lacking sleep(roughly 5 hours a night) due to my job that makes me work 12 hour shifts 5 days a week and also just quit 7oh which I used for a couple weeks. So after putting down Xanax which I didn’t use for long probably about 3 weeks I was popping a bar or two everyday just to get fucked up. I stopped and went into this kind of weird panicky/ confused state. Any social situation I would make extremely uncomfortable and awkward. It has lessened since then but it’s still really bad. I’m so nervous that I can’t even pay attention to coverage. It’s like I’m just saying yea to everything trying to escape the convo while darts ngl my eyes everywhere trying to awkwardly avoid contact. I’ll sometimes get like crazy facial twitching and shi cause I’m so scared. Idk wtf is going on but it’s making my life hell. Like I just went to Starbucks and I felt chill until I had to speak to order. Instead of picking what I wanted I just said give me something sugar free and when he asked what size I just said any idc. Idk if this is just from the drugs or what but please help me I am making an absolute fool of myself and making myself look like a tweaker which is escalating my drug use. I feel like the physical being of embarrassment.