Well, I'm 26, female, relatively healthy (except for my anxiety, mitral valve prolapse and occassional bouts of IBS), and I don't exercise as much as I should, although I'm trying. I'm naturally thin, so I've never had a weight problem. HBP does run in the family, my dad getting it as young as 24, but he was also eating terrible foods back then - things very high in sodium. I try to keep my diet low in sodium and caffeine and eat as much as my anxiety problem allows. I admit I do have a slight sweet tooth.My blood pressure, up until my anxiety reached the boiling point and I was panicking every day, typically ran at about 122/62. When I would get nervous about going to a doctor or over anything else, the bottom number would be in the high 70's, low 80's. I've been taking birth control for 3 years and it has never messed with my blood pressure. The day my really high blood pressure started was when I began all of these anxiety attacks, and then it just got higher after I began Effexor (which it states in the brochure that the drug can raise BP).I'm still inclined to think it's the Effexor, because I'm less anxious than I was and haven't been having any more panic attacks. I'm going to the doctor tomorrow to get my BP checked there (my doctor wants to make sure my home machine is correct), and if it's high there, then we have to discuss options.I frankly don't know what options I have left, though, other than becoming a junkie on benzodiazepines like Valium and Xanax. I've tried Paxil, Prozac, BuSpar and some others, all to no avail.Therapy has also been tried many times and it became clear to me I needed medication, not talking. Talking to my last therapist I became so overwhelmed with anxiety (feeling as though I was trapped in his office and he was just staring me down) that I had to leave mid-session for fear of throwing up right on the floor in there or passing out. Once I was in the car, sweating and trembling after that whole thing, I began to feel the anxiety lessen.This is really frustrating for me. Thank you all for listening and offering your advice.