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What is high-functioning anxiety?

Updated: 2 days ago

The term "high-functioning anxiety" refers to individuals who experience anxiety symptoms while still performing well in various areas of their lives. Despite their outward success in careers or other responsibilities, they grapple with ongoing stress, self-doubt, and a fear of falling short. Internally, they endure intense discomfort and struggle with harsh self-criticism. People with high-functioning anxiety often appear successful, organised and calm on the outside, but internally, they may be struggling with persistent worry, stress, and self-doubt.


How High-Functioning anxiety can impact day to day life

  • People with high-functioning anxiety may excel in their careers or academics due to their drive and attention to detail. However, this can come at the cost of chronic stress, burnout, and an inability to disconnect from work.

  • They may appear socially active and friendly but might struggle with underlying social anxiety, fear of judgement, or feeling inadequate.

  • High-functioning anxiety can strain personal relationships as individuals may have difficulty opening up, appear overly critical, or prioritise work over social engagements.

  • The constant pressure and internal struggle can lead to other mental health issues, such as depression, burnout, or worsening anxiety over time.


Coping mechanisms

  • Practices like mindfulness meditation, deep breathing exercises, and yoga can help manage anxiety symptoms.

  • Cognitive-behavioural therapy (CBT) can be particularly effective in addressing the thought patterns and behaviours associated with high-functioning anxiety.

  • Learning to say no, delegating tasks, and setting boundaries can help prevent burnout and reduce stress.


High-functioning anxiety can be challenging to recognise because the outward appearance often contrasts with the internal experience. While these individuals may seem highly successful and composed, they may be struggling with significant anxiety that affects their well-being. Understanding and addressing high-functioning anxiety is vital for maintaining long-term mental and physical health.


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