What are the best treatments for someone with really severe anxiety issues. I m talking about somebody with lot of obsessions, compulsions, ocd ! bizaree rituals out of irrational fears. Health anxiety, fears of dying, getting ill. This person dwells on anxiety thoughts a lot. Feels need to talk about anxiety a lot, and gets wound up, angry at times too frustrated. Is agoraphobic, does not leave the house. family does shopping for him. He gets down a lot, and angry annoyed at himself, sometimes a bit depressed. He had a check up around december 2011, and the doctor found nothing wrong. He went looking for things wrong after that, even when doctor checked him ( the doctor who checked him out actually said he would do that, as he knew by talking to him ) and anyway, hes improved on that, but still thinks something could be wrong with him, even though hes functioning fine, eats well, sleeps ok, good energy etc. But he seems to be in a habit of thinking negatively, dwelling on negative thoughts, scared of thoughts he had etc, he has a fear that imagining getting cancer etc and visuals of diseases, medical words, focusing on areas could cause disease like cancer, despite being told by experts such things are not possible. Hes tried CBT therapy, and liked it, but didnt stay at it long enough. He takes .25 mg xanax twice soemtimes three a day. a low dosage. and sometimes he takes Lexapro. but goes off it for a while and doesnt bother. Could you offer some advise ? Distraction works for him, he loves movies, books and internet... but he wants to improve a lot more on things liek getting out of the house, and stop being obsessed with health stuff etc. Someday s he is doing better, but he gets bad days too... Thanks