Hi, I can totally relate to the anxiety. It's my most disabling symptom. My attacks come out of no where, not positional in nature at all. I have come to accept this as a part of pots. I've never had anxiety prior to pots, so it must be pots. I Do however think that things the relieve panic help me. Dr stressing my life is a major one. I try to not get bawled up anymore. The more stressed I get, the more anxious I get then it seems like the attacks happen more frequently. Have you started journaling? That helped me identify situations that trigger.. I don't avoid those situations now, but I will do breathing techniques to manage during a trigger situation. Plus a lot of positive thinking! This is pass.. YOu have had enough I'm sure to know that you will not die today from these attacks. Mine usually last a few Minutes 10 at the most, so finding somewhere to sit breathe and think positively helps a ton. I had to start with celexa an SSRI though. I don't know I you have tried this particular one, but I was per scribed it for anxiety/ depression and it actually really helped my pots. My blood Pressure stabilized, and my tachycardia dropped about 15-20 Bpm plus the anxiety stopped. I had to take it for approx 4 months to see results, but it got me into a better place. I built up my confidence during that time. I have now been off of it for 2 months. I have little attacks maybe twice a month, but I can cope a lot more now. it might be worth trying? Exercise now really helps calm my attacks. Anyways, I hope you find something that helps. Like I said, I can relate to being miserable From anxiety