I have been waking up between 4am and 5am for the past month with bad anxiety. I go to bed fine but the mornings are so rough. Been suffering on and off with bad anxiety since I was a child. I'm 40, on 120mg of Cymbalta, 20mg of Busbar. I started taking them a month ago after being on Effexor for six years. I'm an English teacher and I'm having to miss school because it's so bad in the morning. Any help is appreciated. Thanks.