i usually get the tightness by mid morning. when i wake up it is not there, but it shows up mid day. some days are worse than others. i guess for people without hypochondriasis it would just be bothersome, but i can't help but feel it is something worse. i also have this weird "tuning fork" vibrating sensation that runs up my head too. that is probably due to the irritation of the occipital nerve, but i always have worse case scenarios running through my head. it's hard for me to just rationalize it. so i am sure the pressure is due to muscle tension, just don't know how to stop it!!!! when i start to relax, when i can, it doesn't feel so bad. but i don't know if it's due to me relaxing or not caring about it so much! all i know is that this has been going on since december and it's getting real old real fast. i have been to my doctor, physical therapist, therapist, chiropractor, had bloodwork and an mri. they all say the same thing: anxiety. ugggg... how i hate anxiety.