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Last updated: Mar 9, 2025

Understanding High-Functioning Anxiety: What It Is and How to Cope

Understanding High-Functioning Anxiety

High-functioning anxiety is a term that describes individuals who experience anxiety but can still manage their daily responsibilities effectively. While they may appear calm and successful on the outside, they often struggle internally with overwhelming feelings of worry, fear, and perfectionism.

What Does High-Functioning Anxiety Look Like?

People with high-functioning anxiety often exhibit certain characteristics, including:

  • Overachievement: They might excel at work or school, often going above and beyond.
  • Perfectionism: Fear of making mistakes can lead to excessive attention to detail.
  • Constant Worry: They may constantly anticipate problems or catastrophes.
  • Difficulty Relaxing: They often find it hard to unwind or enjoy leisure time.
  • Physical Symptoms: Common symptoms include headaches, stomach issues, or fatigue.

Steps to Cope with High-Functioning Anxiety

If you or someone you know is dealing with high-functioning anxiety, here are some practical steps to help manage it:

  1. Practice Mindfulness: Engage in mindfulness activities like meditation or yoga. This can help ground you in the present moment and reduce anxiety.
  2. Set Realistic Goals: Instead of aiming for perfection, set achievable goals. Break tasks into smaller steps to avoid feeling overwhelmed.
  3. Establish Boundaries: Learn to say no when necessary. Overcommitting can increase anxiety, so protect your time and energy.
  4. Seek Support: Talk to friends, family, or a therapist. Sharing your feelings can provide relief and new perspectives.
  5. Limit Caffeine and Sugar: These can exacerbate anxiety symptoms. Opt for herbal teas or whole foods for better energy levels.
  6. Stay Active: Regular exercise can boost your mood and reduce anxiety levels. Even a daily walk can make a difference.

Real-Life Examples

Example 1: The Perfectionist Student

Consider a college student named Sarah. She always gets top grades and participates in every club. However, she spends nights worrying about her assignments and feels stressed even when she succeeds. By learning to manage her perfectionism, setting realistic goals, and practicing mindfulness, Sarah begins to find more joy in her studies.

Example 2: The Overachieving Professional

John is a marketing manager who excels at his job. He constantly worries about meeting deadlines and often works late. Although he appears confident to his colleagues, he feels overwhelmed. By setting boundaries, reducing his workload, and incorporating exercise into his routine, John learns to manage his anxiety better.

Conclusion

High-functioning anxiety can be tricky because it doesn't always look like traditional anxiety. Recognizing the signs and implementing coping strategies can help individuals lead fulfilling lives while managing their anxiety effectively.

Dr. Neeshu Rathore

Dr. Neeshu Rathore

Clinical Psychologist, Associate Professor, and PhD Guide. Mental Health Advocate and Founder of PsyWellPath.