Out of bed with usual trouble (5)
I believe the answer is:
upset
'trouble' is the definition.
(upset can mean trouble or controversy)
'out of bed with usual' is the wordplay.
'out of bed' becomes 'up' (synonyms).
'with' means one lot of letters go next to another.
'usual' becomes 'set' (I've seen this in other clues).
'up'+'set'='UPSET'
(Other definitions for upset that I've seen before include "Knock over; worried" , "Overturn; unhappy" , "Overturn, tip over" , "Distressed - surprise" , "turned over" .)