yes triggers cause anxiety. antianxiety meds work on the anxiety symptoms of panic but it doesn't control the triggers only the person with the trigger can find that trigger that is in the present and take care of it. for example a medication cannot fix the fact that someone sees a person on the street that reminds them of the abuser. It is that act of seeing the person that looks like one of the abusers that makes the person panic. Having meds on board just makes the symptom of being anxious and panicy so that the person does not experience the panic attaks but because the brain has already taken in from the sense of sight that person who looks like one of the abusers and the person is not using grounding techniques and is not trying to imagine themselves out of that situation the brain matches that sight sense with the unconsciously stored piece of memory of the sight of the abuser and automatically switches that person into acting out that memory content. In order to stop the automatic switch the person has to remain physically and mentally connected while that memory replays so that they can recognize it as a memory and what happened which will restore that memory as a conscious memory so that the person is no longer acting out that memory (switching) The switching still happened regardless of the medication because this is a memory storage problem not a chemical imbalance of the brain problem.

Its ok I know you were not implying it wasn't a cure all that was my statement of thinking about this one professionals reaction to physicians trying to cure mental disorders with medication.

Finding humor in situations helps in many situations and physicians have jokes about the "looney bin" just like there are blond jokes, and democratic/ republican jokes and so on. Sometime my dear Zoey joking about things in the oposite professions is acceptable. I have a great one about DID and I even make fun about my DID for example I sometimes at night while in a memory piece eat. and I wake up the next day and not knowing I had made a sanwhich the night before step out of bed and unto a parcially eaten sandwhick. Now I could get all upset over the fact that this happens and that still woun't change the fact that I still have a sandwhich stuck to my foot complete with mayo or peanutbutter. So instead of getting upset I say pedicure anyone? and take care of cleaning up the mess.

No matter what the circumstances and profession and or carreer there is a joke to match it. It just takes looking for them that will make life easier.

I use humor and my professional friend also uses humor so that is how he will react when I forwards that info to him. Its not that he wont take it seriously and check it out for more info for me its just that the humor will come along for the ride. Having DID myself I do want to know more about this side of topomax which is why I am going to forwards the info - I want the professional point of view on it.