Sorry, somehow I missed that. I have not been sitting at my mac, and seeing the posts on my iPhone is not very practical for my old eyes.
Now I can have a better look at the report, and there are quite a few things that stand out.
More than one antivirus app - including the infamous "cleanmymac".
This is utter garbage (often dubbed "brickmymac" around here); and you also have avg.
Uninstall them both completely.
See Effective defenses against malware and other threats
The OS on this mac has been upgraded in place ever since you got in, and probably already with stuff migrated from a previous mac.
This is extremely convenient, but over time a lot of old stuff accumulates, and may cause problems.
For example, you still have flip4mac, many years after it ceased to work.
You have Soundflower, which does not work in Ventura.
You have very old Paragon software for NTFS.
There is a lot of stuff in there.
I think that your mac would definitely benefit from a clean install.
You could also try installing a clean OS on a new external SSD. They are not that expensive nowadays, and it would probably give you a more responsive mac than the internal.
In any case, start by making sure to have an up to date backup.