I'm sorry to hear that you're experiencing anxiety along with sudden rises in blood pressure and shaky hands. These symptoms can be distressing and may indicate an anxiety disorder or other underlying health issues that need careful evaluation.

Here are some important steps you can take:

• Consult a psychiatrist or a physician promptly to discuss your symptoms in detail. They can perform a thorough assessment, including checking your blood pressure and ruling out other causes.
• If you are currently taking any medications such as Nexito (which is used for anxiety and depression), inform your doctor about these symptoms, as medication adjustments might be necessary.
• Avoid sudden cessation of any prescribed medication without medical advice, as this can worsen symptoms.
• Practice relaxation techniques such as deep breathing, mindfulness, or gentle exercise, which may help reduce anxiety symptoms.
• Keep a symptom diary noting when these episodes occur, their duration, and any possible triggers to help your doctor understand your condition better.

If you experience severe symptoms such as chest pain, severe headache, confusion, or fainting, seek emergency medical care immediately.

Please make an appointment with a psychiatrist or your primary care doctor to get a proper evaluation and personalized treatment plan. They can guide you safely through managing these symptoms.To narrow down potential causes, we will need some more information.I understand you're experiencing anxiety, sudden blood pressure spikes, and shaky hands. To provide the best advice, could you please tell me your age and gender?