Suggestions Meds/Therapy for Emotional DisRegulation & what some call "Rejection Sensitive Dysphoria"

Things like - Meditation - Guanfacine - Exercise - Atomaxatine - Something else?

I'm currently in Adderall but have gross avoidance patterns and find myself avoiding tacking important tasks especially delaying calling customers over some irrational fear of rejection. It's sometimes even physical like I think i feel my blood pressure rise or heart rate.

Any feedback on guanfacine would be appreciated too esp paired with Adderall or even Ritalin.

I read a study that found Ritalin did a better job with emotional regulation than Amps