Managing anxiety: "Sitting with emotion"? Totally useless chapter in The Psychiatrists' Guide to WTF is Up with My Brain (AKA DSM-IV), or are people greater than the sum of their parts? Sometimes I get so anxious I don't know what to do, so I won't do anything. Just in case I make things worse, or my fears are true. How do you deal with the very real issues that keep you stuck in old patterns, between a rock and a wall of ever more intolerable panic? Psychologists talk about learning to be with anxiety. But it's an idea, a theory, and I can't always do it.

How does psychotherapy work? Isn't it just self-indulgent rubbish? What could talking ever accomplish? Talk therapy is basically permission to bitch about anxiety, in a heavily supervised and hopefully well-structured manner. Seriously, even if it's only with one person in your life, and you happen to pay them: whine, vent, cry, squeal, delight and dream. Then do it all again next week. It's good for you! About anxiety

People who experience anxiety often get stuck in the cycle of avoidance, leaving them feeling trapped, like they can't do anything about their anxiety. For want of better options, they hide - from it, and in many cases, from the world. Having an anxiety disorder is like having a hateful, hyperactive internal alarm system; It only detects the judge, not the jury. The verdict is practically irrelevant: you already know it's guilty. Like predictive text for panic disorders. That alarm doesn't care about the guy flirting with you, or the reassuring smile the waitress gives. What sensations, ideas, emotions, experiences make up anxiety?

It may seem obvious: that one should recognize any progress made in terms of mental health recovery but if I don't stop and look, it's all too easy to (dis)miss; The things that have changed in terms of treating anxiety and PTSD recovery are never the things I would've expected when I started all this. I also have the baggage that usually goes along with anxiety disorders: great expectations. I'll bend over backwards trying to achieve the very things I think will help me, simultaneously imagining that they're impossible for me.

I'm somewhat reluctant to blog about suicide, but I have decided to put a few thoughts down. They're rushed, unfinished thoughts because that's the nature of the situation: a friend attempted suicide a few days ago. As I sat at the computer, contemplating what to say this week, I couldn't think about much else.

Trauma and anxiety change lives. Profoundly, and at their most fundamental levels. It seems obvious, once said. One of those things: it is what it is, right? Anxiety: Sh## happens, then you... Then you pick up the pieces. Then you realize life isn't something you can wear emblazoned on your chest. It isn't a war wound, or a slogan. And you don't get a medal for making it out alive. Not when the fight is a 'normal', every day thing.

Dealing with trauma anniversaries, triggers and the general anxiety that goes along with them is one of the toughest parts of having an anxiety disorder. So today I've got some tips to help you cope with anxiety cues, and heal post traumatic stress.

Don't just manage anxiety: Be there We don't have to break the bank to cope with anxiety but we do have to be there. For ourselves. For each other. That's half the job done. But isn't a job, it's life: A messy, complicated, nerve-wracking love affair with breathing. I really can't tell you how important support is in coping with that, and with mental health conditions. There are rare moments, between the devil and the deep blue sea, in which we will all experience it: Genuine validation.

Why is anxiety viewed as the relatively benign step-child of mental health conditions? Because if you think it's benign, I assure you it's not. There's a tendency for people to look down on anxiety because maybe it's not the worst case scenario, or there's a bit more of a silver lining to be found - tatty though it may be. What disturbs me the most is that with depression, they think you're weak - with anxiety, they think you're hysterical but that it's mostly harmless.

Sometimes anxiety just sucks. Worst of all when it affects more than just me. Of course I try to limit that - how much of it leaks out, how much it affects the people I care about most. But there's really no preventing it affecting them.