OK, your opinion is as good as anyone's, if not better, given that you know yourself best. I still disagree, however, about what you feel would be an accurate diagnosis.
I'd be happy to describe in detail one schizophrenic friend, who got an MBA, pilot's license, good job, wife and 2 smart kids, but fell apart in his 20s, and has spent the next 50 years having a tough time coping.
That's good to know about your anxiety. So you are saying that you believe it's physiological rather than situational (the world around you, past and present)? That could get into an area of endocrinology that might or might not be available to you at a large teaching medical center, where they have the grants to spend on studying you.
Does it feel like fear? Anxiety IS adrenaline, plain and simple. Anxiety is fear with no object of fear. I compare it to that moment when I wake up in the dark to a sudden weird scary noise. A little sickening for a moment, then just plain old heart thumping fear while I go investigate. When the adrenaline rush goes down, I feel weak.
If you have it all the time, and it really doesn't relate to anything in your life, then that can be related to how your brain and endocrine system all fail to work together. A super complicated problem, for sure.
There's also a whole bunch of medical conditions related to endocrine (hormone) disorders of the adrenals, the pituitary, the thyroid, that could have you being tested til the cows come home. Symptoms CAN include anxiety, inability to sleep, and even psych ones. I almost wish you had one really obvious symptom. Is there anything physical you haven't mentioned that is unusual?