Unfortunately in many cases only resetting the TCC.db will help. This is a relatively complicated process that involves disabling SIP for a moment.
In a first step try this terminal command (quit BTT before running it):
sudo tccutil reset All
This will try to reset the whole TCC database - if it works you might get prompted for quite some permissions afterwards.
If not I'll look up the instructions on how to do the manual reset, I have them somewhere here on the forum.