I know what you mean-my Dr. said to accept my fate and that it could very well be for life. I always wake up anxious-then it waxes and wanes through the day. There are many ways to ease it.

Have you tried the vitamins, yoga, or acupuncture? My dr. told me the same thing help61. I wake with the anxiety, but many times I can calm it, or I was calming it well when I was on Klonopin. I have stopped taking that though and I am going to try Gaba and Lemon Balm to sleep. Just waiting for it to come in the mail.
I have never heard of the gagging symptom, but can see that being embarrassing. I shake. My friends think it is kind of funny. They just love on me if they see me doing that, but that is only if I am having an attack. Does deep breathing help?

I tried everything under the sun until my last doctor tested my vitamin levels and found out my B12 and folate levels are quite low because I have a very common mutation in the MTHFR gene which means I can't absorb those vitamins very well.

Unfortunately, those vitamins are CRUCIAL to mental health so I suffer anxiety and depression when they're low. However, when they get up to the therapeutic level (above the normal range on a conventional blood test), I may not need any other meds.

The doctor tested this gene because I have anxiety and depression but also because we have IBS, migraines, miscarriages, Alzheimer's and auto-immune illnesses like arthritis in my family. All of these issues can be related to a MTHFR gene mutation.

Until you can get things resolved, just let folks know that you have this issue and it's embarrassing for you but not dangerous. Most people have some sort of issue - diabetes, epilepsy, IBS, motion sickness, etc. And anxiety is so incredibly common.

It is mortifying to us but others mostly don't notice or, if they do, they just want to help.

Here's more info on the gene mutation. There are a lot of other articles out there but they're really technical. I think this lady does a good job of explaining it: http://doccarnahan.blogspot.com/2013/05/mthfr-gene-mutation-whats-big-deal.html

I have some of the same issues just when i get anxious it becomes very difficult for me to breathe. The medicine i took only helped a little and when i went to my doctor again in doubled the dose and it subsided substantially. I also find that just going to the bathroom or somewhere you can be alone to just gather yourself for a little bit can help a tremendous amount. Whenever I get really anxious I always just step away for a few minutes and keep repeating to myself that everything is fine. Good luck!