<s>[INST] Hi, Im a 30 year old female with high blood pressure which is currently at 144 over 102.  I just visited my doctor a few days ago and he wants to see me again within a few weeks.  Ive been on medication for depression and anxiety for the last 2 years.  I was wondering if stress has anything to do with the high blood pressure as well? [/INST] Hi though stress is related to high blood pressure yet grade 3 severe diastolic BP at an age of 30 can not be just because of anxiety young age grade 3 diastolic blood pressure can be because of renal artery stenosis, I would suggest you a renal artery Doppler to find out the stenosis of renal artery. Another possibility is pheochromocytoma therefore I would advise you to check your vinyl mandolin acid and metanephrines, stress can increase b.p but not grade 3 diastolic BP can be just because of stress at such a young age avoid over oily and junk food, work out for 45 minutes a day </s>