Determination helps me overcome anxiety. White-knuckled stubbornness. Hours spent thinking to myself, "anxiety cannot win." Sometimes this is rather like yelling at the sea to stop making so many waves but in spite of that, it works for me. For a trait that's usually frowned upon, stubbornness, determination, has its uses to overcome anxiety.

Clearly, psychotherapy doesn't work for everyone. Some more than others. The bigger question, the real question, is why it works at all.

What don't you have if you're struggling with anxiety? Emotional health. Not the most earth-shattering statement but pertinent, all the same. Do you really know what's missing, though? I'm not always sure.

Anxiety likes to keep us in boxes. Little boxes, with four walls and a steady stream of same, same, similar, same. Don't stray too far now. Don't, should, must,... and after a while your mind stops using the windows, let alone the door.

As a friend of mine pointed out, there was a weird thing happening in cyberspace this week: People were rationing grief. Portioning it up like that really can be done, like any of us could put a cap on sadness, anger, denial, fear.

Fear denied, repressed, suppressed, or put out of mind is not fear extinguished. Treating anxiety: 'as if' I've been told that acting 'as if' I'm not nearly as anxious as I am is a helpful thing. It's also dangerous. As with almost any technique sometimes is fine but if you're anything like me and you'll do whatever you have to do to be able to put your anxiety aside and function, and if what you want is to go on with as much of life as you can, uninterrupted by fear, then it can become destabilizing.

"The meds don't work!" I hear it a lot. From rational people. It's shorthand, a way to tell me that psychiatry has failed them. Unfortunately it's also used as a vantage point from which to argue that psychiatric medications are universal bunkum. I find this insulting; It implies those taking medication for mental health issues are at least a little clueless, prone to hypochondria. One step barely removed from calling the lot of us hysterics. So much for a century of scientific research and advocacy.

On a scale of 1-10 how annoying is it when therapists ask questions which sound more like triage than psychotherapy? One of my commenters took me to task for not talking much (or indeed at all) about the behavioral side of  cognitive behavioral therapy (CBT) in a recent post. I shall now regale you with exciting tales of behavioral psychology in order to rectify the situation. Or not, since I expect your definition of exciting extends a touch beyond this topic. My somewhat love-hate relationship with the B part of CBT aside, the real question is what works.

One of the things that drives me crazier than usual is this notion that anxiety is in overwhelming proportion amenable to rational thought on the part of the person suffering from the anxiety disorder. It's a persistent idea. It's also wrong. Cognitive behavioral therapy: What they don't tell you, why you should find out

Feel free to question my emotional competence but I'm not insane. For that matter, most people with mental illness are not insane. This may be obvious but for many it's not. Anyway, how many times have you thought, 'oh goodness, I must be really losing it this time' during the course of mental health difficulties? It's a common concern that can dramatically increase the amount of anxiety a person experiences. It may also inhibit their ability to trust, and to ask for help.