Hi, just to know you're not alone. I have had a really horrible time with gagging when I'm really anxious and can't eat at all. You know the feeling when the doctor puts the tongue depressor at the back of your thoat and the gag reflex kicks in? I had that severely for quite some time. It felt like a tourniquet around my neck. I tried to hide myself so people wouldn't hear me gagging. But what seems to have helped is not focusing on the gagging or anticipating it. The more I did, the more likely it would happen and the anxiety would get even greater which would make me gag all the more. Vicious circle. But my mediation seems to have helped, and I'm cutting back on it now, as well as increasing my exercise to four times a week for 40 minutes daily. It's reduced my blood pressure too by an amazing amount. I am also trying herbal relaxation supplements and am going for a relaxation massage this week. The latter is causing me a ton of anxiety anticipating it, but i think in time if I stick with it, it might help me to relax me more. When I relax more, the gagging stops, and my appetite gets back to normal. Putting on weight for me has been a lifelong struggle.