Occasional anxiety is a normal human emotion. Everyone experiences worry or nervousness from time to time, especially when facing stressful situations. However, for many, anxiety becomes more than just occasional unease. People with anxiety disorders grapple with intense, excessive, and persistent worry and fear about everyday situations. Often, this can manifest as repeated episodes of sudden, overwhelming anxiety, fear, or terror – known as panic attacks – that can peak within minutes.
These feelings of anxiety and panic are not just fleeting moments; they significantly interfere with daily life. They feel difficult to control, often seem out of proportion to the actual danger, and can linger for extended periods. To cope, some individuals may start avoiding places or situations that they fear will trigger these feelings. The onset of these symptoms can occur in childhood or adolescence and, if left unaddressed, continue into adulthood.
Anxiety disorders take various forms, including generalized anxiety disorder, social anxiety disorder (social phobia), specific phobias, and separation anxiety disorder. It’s also possible to experience more than one anxiety disorder simultaneously. In some instances, anxiety can even be a symptom of an underlying medical condition requiring specific treatment.
Regardless of the specific type of anxiety, it’s crucial to understand that help is available. Effective treatments can significantly improve the quality of life for those struggling with anxiety.
What Anxiety Feels Like: Common Symptoms
Anxiety manifests differently in each person, but there are several common signs and symptoms that many individuals experience. Understanding these can be the first step in recognizing and addressing anxiety. Here are some of the most frequently reported feelings and sensations associated with anxiety:
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Physical Sensations:
- Feeling nervous, restless, or on edge: This is a pervasive feeling of unease, like you can’t quite relax. You might feel fidgety, unable to sit still, or constantly anticipating something negative.
- Increased heart rate: Your heart might pound, race, or flutter, sometimes without any apparent reason. This can be a startling and unsettling physical symptom.
- Rapid breathing (hyperventilation): You might feel short of breath, like you can’t get enough air, leading to rapid and shallow breathing. This can sometimes be accompanied by dizziness or lightheadedness.
- Sweating: Excessive sweating, even when you’re not hot or physically active, is a common physical manifestation of anxiety. You might notice sweaty palms, underarms, or forehead.
- Trembling or shaking: Your hands, legs, or even your whole body might tremble or shake. This can be a visible and disconcerting symptom.
- Feeling weak or tired: Despite the heightened state of arousal that anxiety creates, it can also paradoxically lead to feelings of fatigue and weakness. This can be due to the constant mental and physical strain of anxiety.
- Experiencing gastrointestinal (GI) problems: Anxiety can significantly impact the digestive system. This can manifest as nausea, stomachaches, diarrhea, or irritable bowel syndrome (IBS) symptoms.
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Mental and Emotional Feelings:
- Sense of impending danger, panic, or doom: This is a hallmark feeling of anxiety, a sense that something terrible is about to happen. It can be overwhelming and difficult to shake off, even when there’s no real threat present.
- Trouble concentrating or thinking about anything other than the present worry: Anxiety can hijack your focus, making it difficult to concentrate on tasks, remember things, or engage in conversations. Your mind might feel consumed by anxious thoughts.
- Trouble sleeping: Anxiety frequently disrupts sleep. You might experience insomnia, difficulty falling asleep, staying asleep, or restless sleep. Worrying thoughts often race through your mind at night, preventing relaxation.
- Difficulty controlling worry: One of the defining features of anxiety disorders is the feeling of being unable to control anxious thoughts. Worrying becomes excessive, persistent, and feels like a runaway train.
- Urge to avoid things that trigger anxiety: To cope with the unpleasant feelings of anxiety, you might start avoiding situations, places, or people that you associate with triggering your anxiety. This avoidance can become increasingly restrictive and impact your daily life.
Image: A woman experiencing anxiety sits on her bed with her head in her hands, illustrating the feeling of distress and overwhelm.
Types of Anxiety Disorders: How Anxiety Manifests
Anxiety disorders are not monolithic; they encompass a range of conditions, each with its own specific characteristics and ways anxiety is experienced. Understanding these different types can provide further insight into “what anxiety feels like” in various contexts:
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Generalized Anxiety Disorder (GAD): This involves persistent and excessive worry about a variety of everyday things, even routine issues. The worry feels uncontrollable, is often disproportionate to the actual situation, and causes physical symptoms. People with GAD often feel constantly “on edge” and struggle to relax.
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Panic Disorder: Characterized by recurrent, unexpected panic attacks. These attacks are sudden surges of intense fear that peak within minutes and can include physical symptoms like shortness of breath, chest pain, dizziness, and heart palpitations. Between attacks, there’s often persistent worry about having another attack.
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Social Anxiety Disorder (Social Phobia): This involves intense fear and avoidance of social situations due to fear of embarrassment, judgment, or negative evaluation by others. Social situations can feel intensely overwhelming, leading to significant anxiety and self-consciousness.
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Specific Phobias: Marked by extreme anxiety and fear triggered by a specific object or situation (e.g., spiders, heights, flying). Exposure to the phobic stimulus can provoke immediate and intense anxiety, sometimes even panic attacks. The fear is irrational and disproportionate to the actual danger.
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Agoraphobia: A fear of places or situations where escape might be difficult or help might not be available in the event of having a panic attack or panic-like symptoms. This can lead to avoiding public transportation, open spaces, enclosed spaces, crowds, or being outside of home alone. Feeling “trapped” or “helpless” in certain situations is a key aspect of agoraphobia.
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Separation Anxiety Disorder: More common in children, but also seen in adults, this involves excessive anxiety related to separation from attachment figures (e.g., parents, partners). It goes beyond normal separation anxiety and is characterized by persistent worry about harm coming to loved ones or oneself during separation.
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Selective Mutism: Primarily affecting children, this is a consistent failure to speak in specific social situations (e.g., school) despite being able to speak in other situations (e.g., at home). It’s driven by anxiety, not defiance or communication difficulties.
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Anxiety Disorder Due to a Medical Condition: Anxiety symptoms are directly caused by the physiological effects of a medical condition, such as thyroid problems, heart conditions, or respiratory disorders. The anxiety feels very real but is rooted in a physical health issue.
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Substance-Induced Anxiety Disorder: Anxiety symptoms are a direct consequence of substance use, intoxication, or withdrawal from substances like drugs or alcohol. The experience of anxiety is tied to the effects of the substance on the brain and body.
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Other Specified and Unspecified Anxiety Disorders: These categories are used when anxiety symptoms are significant and distressing but don’t fully meet the criteria for any of the specific anxiety disorders listed above.
Image: A person consulting with a doctor, emphasizing the importance of seeking professional help for anxiety concerns.
When to Seek Professional Help
It’s important to remember that you don’t have to live with overwhelming anxiety. Seeking help is a sign of strength, and effective treatments are available. Consult a doctor or mental health professional if you experience any of the following:
- Excessive Worrying: You feel like you worry too much, and it’s starting to interfere with your daily life, work, relationships, or overall well-being.
- Uncontrollable Anxiety: Your fear, worry, or anxiety feels upsetting and difficult to manage or control on your own.
- Co-occurring Mental Health Concerns: You experience depression, substance use issues, or other mental health concerns alongside anxiety.
- Suspected Medical Link: You suspect your anxiety might be related to an underlying physical health problem.
- Suicidal Thoughts: You are having suicidal thoughts or behaviors. In this case, seek emergency treatment immediately.
Anxiety is often progressive, meaning it can worsen over time if left untreated. Reaching out for help early can make treatment more effective and improve your long-term outlook. Don’t hesitate to take that step towards feeling better.
Causes and Risk Factors (Briefly)
While the exact causes of anxiety disorders are complex and not fully understood, they likely involve a combination of factors:
- Life Experiences: Traumatic events, abuse, or significant stress can trigger anxiety disorders, especially in those with a predisposition.
- Genetics: Anxiety disorders can run in families, suggesting a hereditary component.
- Medical Conditions: Certain health issues can directly cause or exacerbate anxiety symptoms.
- Personality Traits: Some personality types may be more prone to developing anxiety disorders.
- Substance Use: Drug and alcohol misuse can both cause and worsen anxiety.
Risk factors that increase the likelihood of developing an anxiety disorder include trauma, stress due to illness, stress buildup, certain personality types, having other mental health disorders, family history of anxiety, and substance misuse.
Complications of Untreated Anxiety (Briefly)
Living with an anxiety disorder can have significant consequences beyond just worry. Untreated anxiety can increase the risk of or worsen other mental and physical health conditions, including depression, substance misuse, sleep problems, digestive issues, chronic pain, social isolation, difficulties at work or school, reduced quality of life, and even suicide.
Prevention Tips (Briefly)
While it’s not always possible to prevent anxiety disorders entirely, you can take steps to manage symptoms and reduce their impact:
- Seek Help Early: Don’t wait for anxiety to become overwhelming before seeking professional support.
- Stay Active: Engage in activities you enjoy and that promote well-being, including social connections and caring relationships.
- Avoid Substance Misuse: Limit or avoid alcohol and drug use, as these can worsen anxiety symptoms.
By understanding “what anxiety feels like,” recognizing the symptoms, and knowing when to seek help, you can take control and work towards a healthier, more balanced life.
This information is based on and expanded from content originally provided by Mayo Clinic.
References:
- Anxiety disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://dsm.psychiatryonline.org. Accessed Feb. 26, 2018.
- Anxiety disorders. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml. Accessed Feb. 26, 2018.
- Brown A. Allscripts EPSi. Mayo Clinic, Rochester, Minn. March 5, 2018.
- Anxiety disorders. National Alliance on Mental Illness. https://www.nami.org/Learn-More/Mental-Health-Conditions/Anxiety-Disorders/Overview. Accessed Feb. 25, 2018.
- Help with anxiety disorders. American Psychiatric Association. https://www.psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders. Accessed Feb. 28, 2018.
- Reinhold JA, et al. Pharmacological treatment for generalized anxiety disorder in adults: An update. Expert Opinion in Pharmacotherapy. 2015;16:1669.
- Bandelow B, et al. Efficacy of treatments for anxiety disorders: A meta-analysis. International Clinical Psychopharmacology. 2015;30:183.
- Find support. National Alliance on Mental Illness. https://www.nami.org/Find-Support. Accessed Feb. 26, 2018.
- Bazzan AJ, et al. Current evidence regarding the management of mood and anxiety disorders using complementary and alternative medicine. Expert Review of Neurotherapeutics. 2014;14:411.
- Natural medicines in the clinical management of anxiety. Natural Medicines. https://naturalmedicines.therapeuticresearch.com. Accessed Feb. 26, 2018.
- Sarris J, et al. Plant-based medicines for anxiety disorders, Part 2: A review of clinical studies with supporting preclinical evidence. CNS Drugs. 2013;27:301.
- Bystritsky A. Complementary and alternative treatments for anxiety symptoms and disorders: Herbs and medications. https://www.uptodate.com/contents/search. Accessed Feb. 26, 2018.
- Bystritsky A. Pharmacotherapy for generalized anxiety disorder in adults. https://www.uptodate.com/contents/search. Accessed Feb. 26, 2018.
- Sawchuk CN (expert opinion). Mayo Clinic, Rochester, Minn. March 21, 2018.