Its all about currency.
I always get a bit nervous if I haven't flown IMC for a while. I would suggest that you (or any IFR pilot) should fly with an autopilot. You don't have to use it, but it helps to build that confidence back knowing that at the very least it will keep the wings level. Also, a pair of high quality headphones is very important for minimizing distraction, confusion and keeping the stress levels low. Also, practice you flight beforehand on a flight simulator.
Last edited by yawningdog; 8th April 2009 at 15:26.