I had to see a counselor for several years to work out my triggers. Most of them I couldn't even see until the hit. Now a use a lot of tools for anxiety to deal with them when they come up. Things like take a walk, read a book, listen to relaxation CDs, etc. The usual stuff.
Sorry you are hurting so bad.
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Bipolar I, Depression, GAD Meds: Zoloft, Zyprexa, Ritalin
"Each morning we are born again. What we do today is what matters most." -Buddha