Sometimes your only option is to ride it out by treading water (using whatever thought exercises you’ve got). Sometimes, it’s not a heavy storm at all and you can enjoy it or have it affect you minimally. But sometimes, it’s too intense to ride out, and you need whatever you can get to survive it. My psychiatrist was the coast guard who came to my rescue when I was drowning at sea, but only if I knew in advance I might need it. Medication on the other hand was like a life-preserver, something I had to keep me afloat even when I was too tired to keep treading water.