Honestly I think she gets off to being rude to her followers. She’s never grasped that since she’s selling products to them, they are her customers and should be treated with a modicum of decency. Queen Zoe just wants everybody to kiss her feet tho.
She may well have anxiety, but she’s also a horrible person. The two things aren’t mutually exclusive: having mental health issues doesn’t excuse bad behaviour nor does it make it ok to be a jerk to random people who are just commenting on a photo.