I have found thru various med trials and three years of therapy - that included intensive CBT - while meds are not the only answer, they are the thing that works for me. I was med free for several months and have experienced a recent reoccurrence. While some depressive feelings went along, the primary problem was the anxiety symptoms. I restarted my med and it's helping. The main difficulty I have is trying to come to grips with facing the fear of anxiety itself - triggered by so many things - just basically fearing that awful feeling and it's impact. Fear is a difficult thing to "face" when I can't put a cause or face to it other than my own