Every one as a trigger that Can spark a fire in your head, server anxierty is one big trigger, me at one time could not whach any tv or read a newspaper. CBT to me was rubbish but its group theropy in england not 1-2-I ,antidepressants an benzos let my brain slow down so i could think for myself instead of the insain whirling spin dryer of bad thoughts in my brain 24-7