@AngelHealing please bear with me, I am not good with words, anxiety is the worst for me but I've had it back far as 5 yrs old as I can remember, likely my whole life. Definitely pre-ptsd.
I find there are several animals, likely of the same species:
-fear, related to ptsd, past history
-anxiety, re: managing symptoms
-anxiety, re: Rejection Sensitive Dysphoria (may be related to adhd but no one knows for sure)
-(neuro)biological basis (likely)
-self esteem; learned helplessness; fear of the future and present (partly related to ptsd)
-they think there's a gut connection
-being too conscientious; unrealistice expectations of myself
-feeling powerless (huge for me, and both incapable and not resilient)
-being too soft-hearted
-(I'm sure there's more)
Cognitive attempts only get me so far, though being reminded of context helps immensely; feeling I have help/ supportive words helps most of all; super-focused (usually required) focus defers a bit; super-strenuous exercise helps a little; I would try drugs for it for myself if possible- blood pressure lowering ones were what works sometimes for RSD (alpha-antagonists, but they didn't work great for lowering blood pressure which is what they were originally designed), also pre-surgery relaxant worked great as a kid (Sodium Pentathol- sp?, more so to slow me down, I think. But I would be addicted quickly to Valium if prescribed, I fear, though Diazepam worked wonders) ; oddly, sticking my nose in a rose and smelling it when needed/ every few minutes plus walking helps (I know it sounds bizarre, but the combination of the softness and smell I think. Even if I'm walking in the rain).
I learned the Vagal nerve begins in the brain and 'plugs in' in the gut, it's respnsible for much anxiety (other than cognitive distortion, but certainly the physiological parts irregardless); you can do exercise to tone it, just like a muscle. Such as cold water exposure, etc. It's said that anxiety arises from lack of resilience to shock (maybe the link to ptsd), so exposing ourselves to shock like cold water (slowly), feeling the discomfort, and slowly building resistence is supposed to help. As does diet, maybe in ways we don't realize. I'm thinking it's possibly related to requiring a higher fat/ protein/ dairy diet than most people, but that's just me. Evidence seems to suggest that's possible, and I've craved it post-ptsd symptoms for sure, maybe longer (I can't remember).
I think mine is also worse with little sleep of course, pain, and also when ill . Mostly too it's a response to others' actions , my own following thoughts, and fear/ hypervigilance. I need others' input for different words to challenge my thoughts. Also I try to learn to breathe properly, take pain meds a bit in advance, focus on gratitude, have faith, and reach out if brave, and safe.
Please be kind to yourself. :hug: