I think that’s often what must happen under the U.K. ‘Ignorance is Bliss’ syndrome. VM is not commonly understood by medics and is under diagnosed and/or ignored. People go on for years therefore untreated and the attacks become worse and worse and even more prolonged until it takes a huge mental toll. I never knew the true meaning of the word ‘Anxiety’ pre VM. I think that is one very good reason why Dr Teixido writes of instructing all his patients to get VM under control fast. Once people develop related mental issues everything becomes increasingly more challenging to sort out. Good on you for seeking further assistance with your GAD. I wish you all the best. The key now is to find acceptance.