###Human: Can severe anxiety be cured completely without any medication? ###Assistant: Hello. I have gone through the clinical description and attached reports (attachment removed to protect patient identity). My answer to your questions is that we do not have anything to gauge your anxiety with some instrument but it can be detected with a complete history and physical examination. At this level, there is indirect evidence to suggest that your symptoms are largely due to anxiety than anything else. This is evidenced by a good response to almost all anxiety medications in short duration. It is often stated that any symptom related to any system of the body can be explained on the basis of anxiety. The criteria in favor of anxiety are the absence of anything else to explain the system and same is true in regard to your back pain and other symptoms as MRI (magnetic resonance imaging) is quite clear and it cannot be the cause of your symptoms. Yes, it can be treated without medication with the use of cognitive behavior therapy provided you have access to the clinical psychologist in your city. However, I like to make it clear that CBT (cognitive behavioral therapy) is not for everybody and psychological mindedness is a pre-requisite to have a useful CBT. I think you need proper assessment for evaluation of the severity of your anxiety disorder. Then, it will be worth to discuss the need for medication. In fact, your psychiatrist will be glad to discuss these important details which will be useful for long-term care. For more information consult a psychiatrist online -->