Work anxiety: what changed?

Hi

I am hoping to get some insight into my work anxiety and how other people have coped. I am afraid what this will do to my career.

I work in a company that provides services to clients. I am now in a managerial role. It is a high performance work place with a sink or swim culture. I've been successful in my career thus far.

Last year we had a baby and I took time off work for her birth and to support my wife after. This was the longest I've been away (6 weeks). Coming back to work, I found an apprehension to being there. I had panic attacks and bad nausea in the mornings. Once I got put onto a client project (a week into my coming back to work) I got overwhelmed and went to see my GP as I was spiraling into negativity about work. I got diagnosed with anxiety.

Since then I took some more time off, had ad-hoc therapy and was on medications. I stopped my medication after a few months but continued with therapy. I was able to get through work, though there were some bad days. I then took two weeks off over Christmas and after my first day back I got overwhelmed again. NB: I also moved house over Christmas and had to take the time off even though work continued over the holidays.

My GP and therapist have suggested changing jobs. I am not sure if this will help if I cannot identify what about my current job is the culprit. I could find myself in the same situation with a different organisation.

Any advice is appreciated.