Hi, Pressure behind eyes can be seen in conditions like migraines, sinusitis, ocular hypertension or glaucoma. As you say, if the anxiety is secondary to a primary problem then treating the primary problem is necessary. An ophthalmologist and an ENT surgeon consultation can rule out or confirm ocular hypertension, glaucoma and sinusitis respectively. Migraines are also accompanied by headaches that are usually unilateral and throbbing in nature, accompanied by nausea that increases in intensity with exertion. Your psychiatrist most likely would have diagnosed it by now if you did have it. But suppose the eye and nose discomfort (with or without a diagnosable physical basis) has triggered off severe anxiety in you, it can go on as a vicious cycle. Its the anxiety of anticipating that you may not be able to work in all situations because of the discomfort. This can go on and on. If anxiolytics or other anxiety allaying medications can help you, you can take them temporarily as prescribed by your psychiatrist. Sometimes anxiety or low mood can cause difficulty in concentration and hinder with day to day activities. If anxiety does turn out to be the primary cause after all investigations then it would be more useful trying to gain insight into your illness rather than denying it. Hope this helps, Dr A Rao