I have suffered with the same issue since I was in high school. Until you get a mastery over your mind through mindfulness I wouldn’t discount completely medication. Anti-anxiety meds helped me get my baseline anxiety levels down which allowed me to get over the high swings and panics and mental paralyzation from stress\anxiety and the resultant emotional rollercoasters anxiety can take us on. Only after I was able to get a better understanding of my mind, what it was reacting to and how I could work with it better did I slowly stop relying on medication as my primary tool combating this issue.