It’s not that people don’t try to work their way through this. They dream of living without fear or that horrible sense that they're somehow getting it all wrong. They dream of having direction and clarity, and feeling that in their bones.
Like any situation in which panic is tempting, it is important to remember that a lot of people are in your shoes. You are not alone, and there are ways forward. See this as normal and do the things that work.
In fact such a crisis can be a painful but an important part of your life. The heat of fear can become a smelter for forging something better. Perhaps you needed this? It is like a call, albeit a harsh one, that important decisions need to be made, and actions taken. And that it all needs to be done wisely. While you fear getting stuck on a bad trajectory, remember that this is the opportunity to create something wonderful. This is the time to determine a more profound direction for your life.
The way forward requires clarifying what really matters in your life, and how you are at your best. Strengths and values - a phrase you will hear me repeat often because it is so important. It is only then that you can focus on action, after you have clarified them and turned them into a plan of life. In hindsight you will discover that the angst drops away as you build a deeper sense of purpose. Treat this crisis as a welcome opportunity. As the forge for creating something substantial out of your life.