100% this.
The anxiety isn't some alien presence that resides separately within you. It IS you. It's a part of you and it exists alongside you and you'll never be able to change that. But you can learn to disenfranchise it. To take away it's ability to gut you of all other emotional compromise for fear of it's return. It sounds really 'dime store shrink' to say it, but it's true. You need to take away it's platform as the torchbearer of your day to day life and give it to something else. Anything else. Curbing your existence around your disorder is precisely what feeds it. It rewards the triggers and gratifies the outcome which as Andy said is ALWAYS anxiety about anxiety.
It's a truly horrible thing to have to accept at the time, especially when those attacks come everyday and you can't remember the last time you had a 'clean day'. I've been there and it's crappy beyond belief. But it WILL get better. It takes time and immeasurable effort, but if you can learn to sit with the attacks as they're happening and better yet do things IN SPITE of them, you'll get there. I can't remember the last time I had a panic attack now. Sure I have off days where I can feel them waiting but I don't run from them anymore. If one happens then it happens. I won't reset some silly mental clock, I'll just let it happen and remember that it will pass.
Exactly, well said. It's really the only sustainable way through and out of anxiety. The pain of anxiety is all in the struggle with it, and when you let go of the struggle with anxiety you free yourself up for everything else.
Acceptance is a hard thing to grasp. It's not a "thing you do", it's more of a philosophical approach, more of an absence of struggle than anything else. It's not something you "get" and then that's it. You don't reach the holy grail of acceptance and that's you done, it's something you practice every time anxiety comes. You can either choose to be accepting or not. You can choose to be willing to feel the manky feelings of anxiety and all that comes with it, or not. If you have a bad day or week, or month, then like you said, there is no clock reset or falling off a wagon.
This last year I had a number of Skype sessions with a psych in the UK (a proper psych not a "counsellor") and we worked out I'd probably spent 20,000+ hours in the last 15 years struggling with anxiety/OCD rather than focusing on life. I'm high functioning with it, I have a good job, family etc. but I've wasted a lot of painful time in my head, focusing inward on anxiety rather than outward on my life. The whole acceptance thing has really helped. Yeah I don't like anxiety when it comes, I don;t have to like it, nobody does, but I can let it pass through me much more easily. The episodes come less frequently, and I find I'm watching out for them less, and being less vigilant.
Other things that have helped are mindfulness meditation (not regimented, but 10mins every so often), I drink less than I did (probably have a glass of wine most nights, but no massive sessions), I try to sleep better than I did, and the acceptance approach has also has helped me manage my work stress better.
The one thing that really takes the power away from anxiety is letting it happen and focusing on life outside your head. Doing something that you really value, like playing with the kids, or practicing a musical instrument. And even better, not in SPITE of the anxiety, but making the choice to do it WITH the anxiety.
It sounds absolutely bonkers, but it works, and is research based. It's basically just a values-based in-vivo exposure and response prevention.
I am not "healed", as anxiety is part of me, as it is part of everyone, but I'm struggling with it less than I did. I had a few hours of it yesterday in fact. I'll probably have many lapses in my life, but fighting it and struggling has never helped and can never help.