I think you guys both make great points. "Live Deliberately" is a motto of mine, but it is an ideal as much as it is a reality. It is something to strive toward. Learning to deal with anxiety and panic is a constant struggle for me, but it is a struggle that I have made real progress in. I am not in the same place that I was 5 years ago. So my biochemistry is always going to have something to say about what I do and what choices I make, but I can make deliberate choices to learn to deal with those limitations in ever improving ways. I've found mindfulness meditation combined with anti-anxiety medication to be useful in that. The medication makes the anxiety less overwhelming (though still quite a real factor) and the meditation helps me examine more clearly what I am feeling and where the boundaries of what I need to control really are.
"These days I just try to keep to myself,
well aware I've lost touch with everyone else.
I understand that I'm fading away."