Two points: we all get a little nervous when we do new things. Those of us with anxiety often confuse nervousness with anxiety, and so do too many doctors. Before I ever got my anxiety disorder I was always nervous when starting a new school or a new school year. Then I got over it. So it's okay to be nervous. Anxiety is a different animal, a chronic condition not really connected to the real world. It just comes seemingly out of nowhere. So that's that. I've had a ton of schooling, with two graduate degrees, and for me, it always happened that way -- some nervousness the first couple weeks when all the decisions had to be made, and then I was fine. This also happens with new jobs. If you listen to interviews with your favorite actors and performers and athletes you will find almost all of them get nervous before performances. Some people are really cool and calm all the time, but most of us aren't. Second, yes, going up in dose can cause the same start-up side effects again. Doesn't have to happen, but it can. But make sure you analyze this to make sure you're not just nervous, that this is really anxiety, before you decide you need more medication. Good luck to you.