Vertigo, specifically BPPV, can bring on significant feelings of anxiety and fear. So many times, my patients are very nervous and fearful when they come in for their physical therapy evaluation, which actually makes their symptoms of dizziness so much worse. In many cases, they have already been to the emergency room, doctor's office, ENT, or even a neurologist before getting a physical therapy referral. They have had many tests run with no significant findings or results.