I wake up like this often as well. It's frustrating because I don't know when it will happen or whether or not it will be severe enough that it interferes with my being able to function and do what I need to do for the day. I have panic attacks and they are the most debilitating. I often wake up from a nightmare with one.

It sucks, believe me I know. I even surrendered to finally taking meds. It has helped some, but it's not realistic to expect meds to solve it all.

I'm in therapy and as tough as it can be sometimes, I do feel it's helping as well.

I wish you luck & hope you find some relief.