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Anxiety is a silent and mortal enemy, I have generally seen it be accompanied by depression. I suffer from both, they give me panic attacks in certain situations, for example when I listen doors bathe strongly (because i live on a high floor and the sound resonance is tremendous, this sound reminds me of the tremor that was where I live that made me urinate on fear) and now every time I hear a similar sound I get the pressure, they give me attacks of panic and anxiety.
It is something difficult to control and requires medication and therapy, for which money is required, which produces anxiety and there begins a vicious circle.
To lead these problems, you have to have an iron mind, it is necessary to be very strong and know many things of spirituality, and believe me yet, there is a point where that is not enough.
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When u mentioned spirituality, I am in state of an awww.
Surah Ash-Sharh (94:5-6)
Indeed, with hardship comes ease. Indeed, with hardship comes ease.
Surah Al-Baqarah (2:286)
Allah does not burden a soul beyond what it can bear.
Surah Ad-Duha (93:3)
Your Lord has neither forsaken you nor is He displeased.
I am not sure if it's helpful for you, but it might help. You can change Allah to Universe if you like.