Hi Sam,

I am very sorry that you are feeling this way and I understand how difficult it must be for you at the moment.

– Can you try to think about anything happening over the past few weeks that might have triggered this? I suffer from anxiety too, though usually it is quite low-key, and I have noticed the trigger is sometimes simply forgotten and I just develop this sense of doom without remembering how it started. Only when I stop to really think about it do I sometimes remember what started it and it can be helpful to pinpoint that.

– Are you drinking enough water? Are you getting some exercise each day or every other day? Do you drink a lot of coffee? I’m asking because anxious feelings can sometimes be triggered or increased by physical lacks such as not getting enough fluids, daylight or exercise, or by drinking too much coffee.

-Are you seeing a therapist and / or receiving medication for your anxiety? You are saying it is intense, so maybe medication can help?