hangingon,
I wish I had some good advice for you. Unfortunately, I am approaching my 1 yr therapy benchmark and still suffering from high anxiety. I go to therapy with stuff I want to talk about, but when I get there the words just get caught in my throat, my HR elevates, and my brain just seems to go to mush. I've mentioned my anxiety to my T a few times but I don't think she gets how bad it is. I guess it doesn't show on the outside. She really hasn't offered me any helpful ways to deal with it other than tolerating me writing/emailing her after sessions. Last session she just said.."Its a learned behavior pattern that is difficult to break. That I just have to do it???"

This past week I pushed myself and I finally broke my silence with my neurologist and talked with him about my anxiety. He gave me an Rx for 20 mg Propranolol and suggested I take1-2 tablets an hour before my next appointment. He said it shouldn't make me foggy but that I experiment with my dosage and test for adverse reactions this week before using it before therapy next week. He said he could also give me Xanix or some other med if I wanted to try a more regular, longer duration relief. Now I just have to decide if I should take it before next session therapy. My only problem now is that my T never suggested the use of medication. Although I think I described my symptoms clearly, the MD really has no idea what is going on in therapy.

If I decide to take in and it helps, I'll be sure to let you know.