Dear Kimberly; I have to agree with Kathy. I recently was seen by a Autonomic Function Specialist in Denver, Dr. Khingh. (I hope I spelled that right) I have POTS and get really bad rentinal migraines to the point that my vision goes completely black. The lack of oxygen to my brain affects my vision. He told me that when our body senses a problem, no matter what the change in the normal rhythm, our body automatically sends a signal to our brain that something is going wrong. This is where the flight or fight kicks in. He also told me that panic attacks or anxiety, in more times then not, can take the place of passing out or losing conscienceness. So anxiety is an aspect of POTS and Dysautonomia. Anxiety is a symptom and a well respected doctor will know the difference and not just leave it at being just an anxiety problem. He told me that when someone has anxiety issues it usually means that there is a more complex underlying condition that needs to be addressed. I get anxiety all the time. It is my bodies way of telling me that I am either doing too much or my POTS is starting to act up full force. Accepting my anxiety as a signal is a way for me to accept my POTS and to deal with it better. I know I am not crazy or this is not "all in my head". Those people who criticize don't understand or see the entire picture. I have tried to explain all of this to my family and they don't understand everything. But, they are extremely supportive and helpful. I guess I am very lucky in that department. Wow, there are so many different opinions here. It is hard to know which is best, but then again we are all different and so are our conditions. The best thing is to talk to your doctor. Thanks for listening. Millie