My bp seems to be very sensitive to stress and anxiety but normalizes when relaxed. can spike due to white coat syndrome. what if anything can done?

Labile BP: Labile hypertension, reactive to external factors like stress , anxiety, fear, etc , can be managed. In fact., there are apps for smart phones that have zen style tones and biofeedback to help anywhere . I've seen it work for myself. The general idea is to desensitize yourself to predictable triggers .Meditation , yoga, behavior mod psychotherapy all help.

Many options: One could stay out of doctor's offices. Not really. The underlying diagnosis - whether it be performance anxiety, generalized anxiety, social anxiety, mixed anxiety/depression, or even simple phobias like that of needles - are easily treated. Relaxation protocols, meditation, cognitive-behavior therapy, cutting back on nicotine/caffeine, exercise, biofeedback, and medications/natural remedies.