Your degree is almost complete - you start reviewing where you wish to work or perhaps look to start a private practice. All your credentials are top of the class/perfect/without failure but you lack the confidence to 'get out there'. What is more critical in any working environment; skills or confidence?
Can you do one without the other?
Discussing with your counsellor, a change of narrative can almost certainly alter negative thought processes, which have found themselves locking you down in a mindset that may not necessarily be real.