When I got to work this morning I started feeling a strange and intense anxiety of a stripe I don't usually feel. Then my hand started to shake when I had a piece of paper in my hand. Then I went to see a patient (I work in healthcare) and my legs started to shake. That's when I realized that I had forgotten to take propranolol this morning. It's for the physical effects of anxiety (increased heart rate, shaking, etc.) and I had even begun to doubt its effectiveness I guess because I've been taking it for so long and had forgotten how bad the shaking could get. It was awful. I was taking deep breathes all the time and telling myself there was nothing to be afraid of, and it just wasn't helping at all.

I've just got to keep this anxiety in check and make sure it doesn't turn into something even nastier. And find the right balance between meds and non-med means of keeping it at bay.