“Sam” remembered experiencing anxiety since he was 15 in high school when there was any situation where he was the focus of attention. His anxiety became especially debilitating in college where he would skip the first day of classes to avoid the panic that would occur during introductions in class. He realized that his use of Xanax and beta blockers was becoming a crutch as he always kept them at ready, in his pocket, when there would be any situation where he could be the focus of attention. He was desperate to “hide any possible symptom”. He became an expert at obsessively analyzing in advance possible performance scenarios, during meetings, so that he could take his medicine exactly at the right time. This became a compulsion and an ingrained way of life. “Power drinking” beer became an integral part of his social culture as a teen; especially during football days. Sam turned the tragedy of his DWI into an empowering treatment experience.