MSP.,
I know exactly what you are taking about....as I have been in a similar state before.
For me, a lot of the issues that I have had with my symptoms have to do with control. Even after I got to the point of being able to believe that my symptoms were anxiety related...(and I was not seriously afflicted with a deadly/debilitating disease) I still struggled with the feeling of being out of control.
The depersonalization for instance would threaten to bring on panic, because I felt I had no control over my situation or even myself!
I realized, after fighting this for so long, that the best way to diffuse the fear of lack of control...was to simply give into it.
A lot of advice given in terms of anxiety management is the acceptance of the anxiety.
That is not to say that we simply do nothing and give up...on the contrary!
Rather, we continue to get help through therapy, self-help, medically, whatever methods we need and ultimately choose...but also that we stop mentally fighting within ourselves in regards to our struggles...and simply observe them.
By objectively looking at your symptoms, you can then make a statement such as this:
"I am struggling with my issues today, but I am doing all that I can to feel better, and I know that I am still making progress."
Or for instance, if you are worrying about your ability to make your upcoming trip...you migh want to add:
"I will not worry about the things of tomorrow, but rather will choose to do all that I can in this day to be well. I accept my current state of being, and have faith that I will be improving everyday, so I can do all of the things that I want and need to do in the future."
Has mindfullness been something that you have been able to look into? It has helped many stay in the moment, and find peace and calm, providing relief from their anxiety/worries.
Our Admin has some good information on this on the very front page of HW here. There are many good links and books to be found on the subject as well. Let me know if you need some guidance, and I will help.;)
Keep posting!!
S.C.