Dear Melissa,
Caffeine is a stimulant, and you may have developed increased
sensitivity to it with time. Caffeine can cause jitteriness, tremulousness, and increased heart rate, all of which can also occur in panic or anxiety. There could also be a psychological component contributing to your anxiety.
I recommend you abstain from caffeine until your anxiety and panic are stable. Your therapist may recommend some techniques to help you relax and cope better with anxiety provoking stressors.
My best wishes to you.
Sincerely,
HFHS M.D.-SW