Well... I can't say as I have the struggle you're having anymore. But there was a time, many years ago when I did. I do still have instances where I feel the urge to throw everything away. But, in my case, it tends to be more focused on simply walking off into the night never to be seen or heard from again, along with some other stuff I won't get into here.

You referenced having done a lot of work in therapy. I don't know if your still see a therapist. But if not perhaps that might be a way of working through what you're experiencing? I know, in my own case, I don't see a therapist nor do I have anyone irl I can talk to. And the isolation just makes the struggle all that much more difficult.