Anxious patients will easily describe their anxious emotions, that means what they feel (lump in the throat, internal tension, palpitations, irritability, feeling of restlessness...). They will also tell you which anxiogenic situation, in other words what they are living, which according to them has caused the anxiety (my children are late...). They will quite easily recall the maladjusted behaviour that their anxiety causes, in other words what they do (I go round in circles, I come and go, I rouse myself but I can't manage to concentrate...). But do they spontaneously recall their cognitions, in other words what they think, what they say to themselves at the time of the anxiety, their internal conversation ? Were they to do this, they would understand that it is the dramatizing thought that causes the anxious emotion. They will understand that because they are anxious, they have a tendency towards dramatizing situations, always apprehending danger, thinking that the worst will happen (my children must have had an accident...). Anxiety disturbs cognitive functions, but erroneous cognitions cause anxiety and the vicious circle starts. In order to break free, patients have to be relieved because anxiety is a real suffering, but patients must also be enable to face up to their problems by modifying their dramatizing thoughts. For that, they have to summon up their attention, their memory and concentrate, they have to find less dramatic alternative solutions in order to do things : they must have normalized cognitive functions. Modern Clinical Management of Anxiety is based on this double therapeutic approach : relief of anxious suffering and respect of cognitive functions to help challenge the absolute character of the dramatizing thoughts.