What I do know from my own experience is that the person suffering with anxiety or depression can only be really helped once they are ready to accept and face their demons. Telling me to pull myself together or that it's all in my head would have the opposite effect to that intended.
Mostly these days I am coping and I'm challenging myself. Our trip to Montreal was an example of this. We were going somewhere new, visiting and staying with people I've never met and I was not in control. But we planned ahead, were open with our hosts about the problems and we had a great time. Yes there were a few sticky moments: needing to get down from a hill top walk quickly when it had snowed and the path was icy in places was one of them. Fortunately I made it in one piece and with my dignity intact.
Making decisions when you have mental health issues can also be difficult. Procrastination can become a way of putting off things that seem hard, or even everyday things you don't want to do. I'm excellent at procrastinating. That's partly why I've set myself goals again for 2019 even if I didn't do too well with them this year.

On that note, yesterday I decided to resurrect my Wii fit. I did have some good spells where I used it a lot. Sadly it laid idle through the whole of 2018. I decided I needed a clean slate and deleted my previous data. So fresh start, new baselines required. For those unfamiliar with the Wii fit, one of the things it does is calculate your weight and BMI and it also looks at your balance - do you lean too much in one direction. Well I knew my weight and BMI would not be great but I was surprised at how bad my balance seemed to be. I was prepared to put that down to always holding the Grandkids on the same hip.
I decided to start off gently with a basic stepping routine. Again I was appalled at how badly I was doing. I seemed to be completely out of sync and as a former dancer this was not good! Next I tried a balance game and again was hopeless.
I changed all the batteries in case that was the problem. Then, eventually, came the moment of enlightenment. The wii board was facing the wrong way!
Hmm error corrected and my physical efforts were much improved. Didn't do much for my mental health though! lol