It is an irony of medical history that even as Freud's later work would make him the progenitor of modern psychodynamic psychotherapy, which is generally premised on the idea that mental illness arises from unconscious psychological conflicts, his papers on cocaine make him one of the fathers of biological psychiatry, which is governed by the notion that mental distress is partly caused by a physical or chemical malfunction that can be treated with drugs.

Anxiety has afflicted me all my life.

To say that my anxiety is reducible to the ions in my amygdala is as limiting as saying that my personality or my soul is reducible to the molecules that make up my brain cells or to the genes that underwrote them.

There is an element in which anxiety co-represents with aspects of my personality I wouldnt want to give up. It allows you to have foresight. I may not be as empathetic. Its hard to figure out the difference between pathology and personality.

To some people, I may seem calm. But if you could peer beneath the surface, you would see that I'm like a duck--paddling, paddling, paddling.

Generally speaking, the anxiety will pass, which is easy for me to say when I'm not in the middle of an anxiety attack. When you're in the throes of one, it's hard to feel anything other than utter misery and terror.

It is an irony of medical history that even as Freud's later work would make him the progenitor of modern psychodynamic psychotherapy, which is generally premised on the idea that mental illness arises from unconscious psychological conflicts, his papers on cocaine make him one of the fathers of biological psychiatry, which is governed by the notion that mental distress is partly caused by a physical or chemical malfunction that can be treated with drugs.