I would love nothing more than CBT to work for me but my issue appears to be hormones/menopause. My doctor prescribed a low dose of 100mg gabapentin and it's working for me.
This. When I began my menopausal journey I suddenly had all kinds of problems with Meniere's (violent vertigo attacks, hearing loss, and malaise), insomnia and anxiety.
All the specialists I saw said, yes we usually see women present with these symptoms when they reach your age. Then they proceeded to suggest all kinds of medication, diet, CBT, exercise - everything but addressing my changing hormones.
Fortunately my only remaining problem is insomnia and melatonin and a half of CBN/THC gummy helps quite a bit.