While POTS and Anxiety share similar symptoms such as palpitations and dizziness, understanding their distinct features is crucial. POTS is often misdiagnosed because of its similarities to having anxiety attacks. The rapid heart rate, lack of breath ect. Heart rate in POTS patients show to rise and drop drastically. Even in the simplest of movement like standing from a sitting position. This is a factor that separates Tachycardia from Anxiety attacks. The rapid increase to decrease of heart rate. It is not just an increase, it is scattered EKG readings. Causing dizziness, fatigue, tire, and even fainting. Patients struggle to deal with temperature regulation and hot showers or hotter weather can cause symptoms to worsen.