For me, Sertraline. I started on a low dose and had to keep increasing until I was on the full dose. It made the world of difference to my anxiety and enabled me to function. I was on it for a good few years before deciding I wanted to try coming off it, which I did, VERY slowly (over about 12-18 months). Ironically, I finished it completely just before COVID. When that turned up I thought a return of the anxiety was inevitable but to my surprise, I really didn’t get anxious about COVID at all. (in terms of fear of catching it).
In the last year or so, the HA has resurfaced again somewhat but nothing like to the degree it was previously. I’m able to rationalise it most of the time, but I wouldn’t hesitate to go back on Sertraline if I felt I needed to.
I also found some NHS CBT-style online resources which were quite useful. I’ll see if I can find them and share a link.
An important tool in my MH toolkit is exercise and especially yoga (the flowing type set to music). I know a lot of people think it’s trite to suggest yoga/meditation for mental illness, but I say this as someone who has had episodes of poor MH on and off for much of my life. I don’t think my anxiety will ever really go away and I know it’s a cliche but I really do believe it’s a case of finding ways to cope and function. For me, when I’m lost in music and moving through yoga poses, my mind has to shut up. It forces me to just ‘be in my body’. Cheesy but absolutely true for me. So don’t stop doing the good things that you’re already trying: the self-care of exercise, moving your body in whatever way feels good to you; eating well as much as possible, getting rest and decent sleep. It might not cure you but you might feel even worse if you weren’t doing those things.
I think my anxiety is actually more general but ‘latches on’ to certain things. So for a long time it was health (which was triggered by specific health-related events in two of my loved ones). Lately it’s more around the climate, my kids, social media, politics… My anxiety isn’t fussy and will attach itself to anything 😂
Good luck OP, HA is so awful and relentless. I wish you well with any treatments you embark on. I’ll have a look for the CBT stuff. 💐