I also wanted to say that anxiety is not always something that needs to be regulated – especially when you are trying to work with a therapist. I think our job is not to regulate it – in a way, that is repression – I think we need to understand what is causing it and to do that, we have to allow it to be for the moment. The rising of anxiety is a sign the danger signal has been turned on. We can use that to explore why that is – what was the thought, the emotion, the thing that was said or done or not said or not done or seen – that made the danger signal sense danger? If we focusing on repressing the anxiety we might miss the opportunity to see what is underneath it. Of course, if the patient’s anxiety is too high, you can’t do the work either….so regulation is necessary. It is an art to know when to help the patient regulate and when to help them explore it.