I've been seeing a therapist for a while to help decrease my anxiety. We generally just talk, but, today, we tried something new. Well, it was new for me, anyway. He's been using eye movement desensitization and reprocessing (EMDR) therapy for a number of years with his other clients. We did a session today using EMDR, and my therapist really helped me decrease my anxiety levels.

You probably know that 12-step groups help with things like alcoholism and codependency, but did you know 12-step groups can also help anxiety disorder? Such groups are a great way to alleviate loneliness, plus they help with building self-esteem and gratitude. Over time, 12-step groups can help the pain of anxiety disorder.

We live in a time where mental health issues like anxiety disorders are being taken more seriously as the illnesses that they are. Real progress has been made in recent years in reducing the mental health stigma surrounding anxiety. We're talking about it more and learning to treat anxiety better. There's also an overall softening of social attitudes about it. Anxiety disorder is the most common form of mental illness, and people are finally starting to recognize the devastating impact it can have on parents, children, families, and friends. Except, one population with a huge increase in anxiety diagnoses is being neglected: anxiety in elderly people.

Treating anxiety you have to teach yourself not to be dismissive, learn not to auto-pilot the waves of panic. Not everything's about 'getting over it'. It's about getting up today, not making yourself sicker. Or it's convincing yourself reality is somewhere stiller, softer, kinder than the one you suspect's lurking round the corner. Just reading the newspaper can cause a blood pressure spike, and sitting down to ‘relax’ I have to trust myself to cope. That's what you do.

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.

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.

Psychiatric treatment is a relationship between you, your mental illness, your drugs, and your doctor(s). That relationship is what matters most when it comes to ensuring medications treat actual mental health issues. Taking the meds out of clinical practice and studying them in a lab is not only difficult but results in mixed outcomes. The kind we see reflected in the studies which the press pick up on. Just this week I've read that the drugs don't work, that it's all a big fraud, and that the next Big Pharma pill will cure everything. Psychiatry, like democracy, is the worst form of treatment except for all the others that have been tried