Yes, the anxiety for many of us is having someone discover our wearing diapers for enjoyment, or need. Both for me now.
As I've shared before, I had a lot of guilt about not sharing my ABDL desires when we got married in 1982, but I thought I was the only one in the world like this. When I finally told her, after learning I wasn't the only one by far, my life was flipped upside down and devastated for years.
The few times I have dated since 2000, after a few dates I do my best to explain my diaper wearing for incontinence, but also how I wore before to help deal with my early childhood trauma of early surgeries and bullying. It's only been three women, two remained just friends but the relationship didn't go beyond that. A lady I'm dating now knows about both aspects of why I wear diapers. If we start seriously discussing marriage again we will do a Zoom session with a sex therapist named Kimberly Resnick Anderson, whom I heard on a two-part podcast dealing with ABDL. In December I had two sessions with her on my own to help me sort some things out, and it was very beneficial. I think it would be very helpful to do this with my girlfriend if we get close to marriage so she has a full understanding of what this means to me.
So yes, trying to mitigate the anxiety we have around all this can be a difficult thing to do.