Recognizing that you may need more than talk therapy is a step. I took an ssri for a couple of years and it certainly came to me during a highly transformative time in my life, when I lost my mom and formalized divorce and plus went from employed to unemployed and into a position with my current employer. After some time after all these heavy hitting changes, I came off the ssri. Then I tried the ssri again, shortly after an ms flare of optic neuritis, but the ssri didn't agree with me. About a year later, I had a health scare that led to just an anti anxiety, a benzo. My anxiety comes on strong when it happens, regardless of all the techniques. Quite frankly I've an illness that affects my nervous system. My last T suggested that sometimes for some people it's physiological-a physical cause.

I can only control my part, which is rational thinking. The years of CBT styled therapy plus the elbow grease that I've added helps.

I've also learned how to have better relationships through better communication and to not bottle things up and assert myself without being confrontational nor combative. It's a journey, to say the least.

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