Part of the anxiety, and a bigger problem than the regular old anxiety these days, is obsession and paranoia. When difficult child gets something in her head, she cannot let it go. We spend hours, literally, working out the obsession of the moment. It's exhausting and never ending. The paranoia is always present, but is a huge problem when her anxiety is high. She will hear and see things that aren't there, phobias grow by the day, etc. I don't want to add an AP, but I'm thinking we're going to have to because of the paranoia. But, what works with the obsession? She does have some compulsions, but the biggest part of her Obsessive Compulsive Disorder (OCD) is obsession.