Thank you all for your answers. I have been having such horrible anxiety and one of the worst flares ever. Both have been going on so long, it's hard for me to remember which came first.

I believe both can cause either one. Sometimes overthinking or anything can trigger anxiety. Or you don't need any reason for anxiety to sneak up on you. It's not a great feeling to feel.

Stress definitely makes mine worse. But the pain brings on stress, thus im worse. If I could not work I would have a better quality of life. Work is stressful, then I hurt more, then more stress because I feel so bad. Horrible cycle. And there are days I just have a hard time keeping positive. I fake it till I make it, so to speak. And when I let my self stop... I'm done. In bed and miserable.

Mine works both ways as well. Stress triggers flares and flares increase my anxiety. During a flare I get really stressed about all the things that need to be done and I am unable to do

I have actually had it both ways. But truth be told I would say the majority for me is my anxiety increases with the pain/symptoms