Invega can, in low numbers of cases, cause anxiety as a side effect. Is your case manager an M.D. or, more specifically, a psychiatrist? If you are having Generalized Anxiety Disorder or Anxiety due to one of the flavors of Depression and Panic Disorder. If this worsens, I would talk to someone else or get a second opinion. It is amazing to me really how many folks in healthcare seem not to understand medication therapy is supposed to help people and be corrective to such conditions. Not cause them, sorry for the anxiety.