Hi bluebicycle. I'm sorry to read that you are still struggling with anxiety. I am sorry I'm late in supporting you in this thread.

The beauty of all of the responses here are that there are a great variety of them. I know from experience that it takes trying a number of things to see what helps best. Also, I've had different types of anxiety, at times, that sometimes respond well to different things than previous bouts of anxiety did.

I also don't think visualization techniques are quackery. I've had more than one wise psychologist recommend using them. They have often helped me combat certain types of anxiety, but sometimes require practice. A lot of anxiety fighting tactics require practice.

I may seem like a broken record suggesting this, but using a Dysfunctional Thought Record (available for free online) has been the overall most helpful anxiety fighter for me. It helps fight dysfunctional thinking. That helps combat anxious thinking, depressed thinking, other dysfunctional thinking, and even manic type thinking, to a degree. This includes anxious feelings that may not have an obvious cause. You know, like "Why am I anxious? I can't figure out why, but I am anyway." There is a very good web article about this on the International Bipolar Foundation website at Putting Your Thoughts on Trial: How to Use CBT Thought Records | International Bipolar Foundation .

You may also want to consider if the anxiety is related to some anxious hypomania, which is common. It is often an anxiety that fits into the "no obvious cause" category. The importance in knowing this is that it may affect a psychiatrist's medication prescribing strategy.