Take it from me - I've suffered with anxiety since I was a teen (I'm now 64) and I've not only had up and down days, but up and down YEARS, when I didn't experience anxiety at all. I've never had years of constant anxiety though, thank God. It seems the longest I've gone with anxiety is a few months - and when I get to the point where I don't think I can stand it anymore, it subsides (I think your mind and body know when you've had enough) I agree that maybe getting the meds straightened out might help but sometimes anxiety just decides when to hit - doc calls it "free floating" anxiety..ugh. At least when you can find a reason why you feel bad, it helps - but when you think you're feeling good and wham, the anxiety floods in, it makes you feel you must be crazy. When I'm not having anxiety for a long period of time, I can't imagine ever feeling that way again....but it's amazing how quickly it can come back and debilitate you. Sometimes when I'm feelin great, I look at some of the posts I've written on this site and can't imagine that I really wrote them - was I really EVER feeling that bad....but that's the way this darn thing works. I just had a great couple of days last week and figured "well it's gone now for at least awhile" and then the following day it reared it's ugly head again! We just have to keep fighting, enjoy our good days, try to get regulated on any meds we're taking, and go from there. I talk to myself when I'm having relentless bad anxiety thoughts and my doctor made a suggestion (easier said than done of course). He said imagine your anxious thoughts as if you were looking at a fish tank. Watch the thoughts swim by like the fish and let good thoughts in until the fish (anxious thoughts) come back around.....but they never stay in one place, they go away and give us a chance to enjoy the beauty of the good moments. Good analogy but hard to practice.