Horrible anxiety all day everyday. have been doing cbt for almost a year and no effect. on remeron, (mirtazapine) no help, feel helpless don't know what else to do?

More options: If Remeron (mirtazapine) has not been helpful - it may not be the optimal choice for you. Discuss this with your psychiatrist. What are you doing in addition to to cbt? Talk about feelings ; address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/ night. Daily physical activity is optimal in a green space. Eat healthfully. Cut out junk carbs, caffeine ; alcohol (or moderate). Try qi gong, tai chi, .