Stress and worry do not cause narcolepsy, but they may worsen symptoms and affect well-being. Neurological disorders like narcolepsy are caused by hereditary and environmental causes. Stress and worry do not cause narcolepsy, but they may increase symptoms including daytime drowsiness, cataplexy, and sleep disruption. Stress may worsen narcolepsy symptoms by causing exhaustion, insomnia, and sleep disturbances. The active component in Waklert 150, armodafinil, promotes alertness and manages daytime drowsiness caused by narcolepsy, OSA, and shift work sleep disorder. It may enhance alertness and lessen daytime drowsiness, but it does not treat narcolepsy or stress and anxiety. Narcolepsy patients with stress and anxiety should seek counseling, stress management, and medical therapy to control their symptoms and enhance their quality of life.