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Life in general is easier said then done. You say you "overcome approach anxiety" yet I feel you still have it, it just is delayed and kicks in later. Do you feel you are going to sound stupid when you talk? If you think that, then you will - choose a more dominate frame, stick to that frame. BELIEVE every word you speak is like a God speaking down to his subjects, trust me.
Also think about it like this, you are already far past what you should be; aka you've hooked up with girls, you have talked to them before - so why the fear? You obviously have said the right stuff prior! Realize you aren't going to fuck up all the time and like said before, do not think about it. Remember the 3 second rule, you have 3 seconds to do it, or you already thinking too much and fucked up already.
I agree with you completely. It's almost just delayed approach anxiety.