For those of us suffering with anxiety disorders, it is very common to report an increase in symptoms, upon waking in the morning. Mine seems to be always worse in the morning, and I tend to have the least symptoms in the evening hours.
At the beginning of the waking cycle several things occur. One's heart rate increases, blood pressure rises, hormones surge around the body, and there is a general state of arousal that accompanies the transition from a sleep state to that of waking. For the person who suffers with anxiety, this physical state of arousal can cause an increase in symptoms, partly because they are so sensitized to associating this arousal state with anxiety. This can trigger an immediate emotional response where the prospect of a whole day of anxiety can cause an almost immediate slump in mood.
When starting your day, there are things that you can do to minimize your anxiety level. Exercising burns up adrenaline and offers a useful distraction from ruminating and worrying. As one completes a workout, heart rate and blood pressure decrease and a sense of wellbeing is created from the natural endorphins produced. Meditation or some form of relaxation technique can be beneficial. And allow yourself time in the morning for a good breakfast. Low blood-sugar levels can contribute to anxiety. Also stay clear of caffeinated beverages.
The very best to you, Salus!... Chuck