Re: GAD - how do I cope with this long term
I think you have your own answers here. CBT and medication have helped you in the past, so I think now it's time revisit them.
Those are the things that help me. I've had GAD all my life, and it waxes and wanes. When I'm stressed whether due to positive or negative life events, it gets worse, and when things are calm, it settles down a bit on it's own...but it never goes away completely. Medication helps me a lot. While I still have the worrying thoughts, the meds don't allow me to fixate on them. When I've been in a particularly bad spell, in addition to the meds and therapy, journaling, exercise, eating right/avoiding alcohol, getting plenty of sleep help as well.
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