I have been suffering with blood pressure spikes for about one year and I believe it is due to being anxious. I get nervous at the doctors office and it is very high. Last reading was 198/90. I got home and did deep breathing and relaxed and it was 122/70. I am on three different bp medications and have a new doctor who wants to put be on Lexapro and send me to a cardiologist. I take it at home and meter was checked to be accurate in her office. I can get readings at home from 165/90 down to 115/72 but spikes every day. The doctor is new for me and insists that they have to get a blood pressure reading in their chart for me that is textbook - 130/80 no higher. I have told her that I am too anxious. I do have Zanax for when i need it and take one .50 tablet when I am under extreme anxiety. Do I try to do natural ways of reducing the anxiety? What has worked for people the best? SSRI medications or exercise, yoga, meditation deep breathing? My PCP doctor says that all natural sounds good but this is putting my heart at risk. I am a 61 year old female; no other health issues. Walk 30 minutes every day. Could lose 30 pounds. Do have anxiety for sure and have had for most of my life. I am at a loss as to what to do? I do have an appointment with a cardiologist as my PCP is insisting. What have others done in this situation to reduce blood pressure spikes. What have you been told by your doctors and what if any tests have they done - stress test? echo or nothing?