Sorry to hear about the past two days. As you know I've been taking my antidepressant, Setraline, for a while, at the highest, recommended dose. Yet I still get bouts of uncontrollable anxiety, however when this occurs for me, it's usually related to how some encounter triggered my anxious thinking. For example, I'll catch myself thinking about things I lack, when I encounter an alpha male who is a CEO of a company and has a beautiful wife and kids, so I shrink in my mind, because I may temporarily feel less than in comparison to his accomplishments.
When the anxiety spell happens:
1) I review where I've been thinking for the last two days.
2) Take an Ativan to help control the physical reaction. I have a prescription of Ativan, where I pack the medication in a small box, and carry it wherever I go. For me a 60 quantity medication lasts me a year, however I normally don't take the full amount of meds. Yet when the anxiety takes over, despite my use of Setraline, then I take the Ativan. I also don't exceed three days of Ativan during a seven day week.
Once the Ativa settles in, I try to ignore the issue that is bothering me, where I just don't think about it. If this is too difficult, I then work on my cognitive therapy exercises to shift my focus, so I don't over react to the situation. I basically try to rethink the situation on how I direct my focus.
How's your CBT going? Have you been able to implement cognitive exercises when your mind gets trapped in an anxiety spiral?