@help4nurse I'm sorry you're having to deal with this and know how stressful this would be. I was going to be referred to an endocrinologist in Madison. He said, the only positive way to diagnose it is to test blood during an attack. Which means being off all medicines and being in a hospital. In other words, that's not going to happen. So pseudopheo is a diagnosis of exclusion. Many doctors aren't familiar with it. I keep referencing Dr. Samuel Mann as his articles explain it and hopefully your doctor would recognize his work as legitimate. He recommends some combination of alpha, beta blockers, antidepressant, and acknowledging psychological components. Many people think there is no psychological component. It's complicated and beyond what I understand. For some it's just their coping style that sends nervous system into overdrive. I've had many unexplained physical problems related to stress since mid 30's. This one came on when I was 67. Take care.