For me (as in me as a person, my body, blah blah) I’m against ad, so refuse to take them. I have ocd and anxiety, have had cbt which was fantastic and my life is a lot better now. The anxiety still flairs up, I acknowledge it, the thoughts, feelings and physical symptoms, and try to see it for what it is, then talk myself through it, basically forcing myself to do x y and z but in little baby steps. I also got out for walks and walked a lot of my constant mind racing away, and listened to anxiety hypnotherapy on YouTube to help me sleep.
With the benefit of hindsight, I should’ve taken the bloody pills, I put myself through hell for very little reason a couple of times, but I was scared and didn’t want to.
Just wanted to add, I think ADs are brilliant, that they’re a massive help, and in no way shape or form do I judge anyone who takes them (or needs them and doesn’t), I just didn’t want to and can’t even really explain why not.