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Quietly Overwhelmed: Recognizing High Functioning Anxiety

  • khysandralee
  • Jan 27
  • 2 min read

The term "high functioning anxiety" represents those who experience anxiety symptoms while maintaining a high level of functioning in various aspects of their lives. Individuals with "high functioning anxiety" are often in successful careers or other roles, yet internally consistently struggle with feelings of stress, self doubt and the fear of not measuring up. They feel extremely uncomfortable on the inside and experience of loud inner critique.


On the outside, others observe you as in control and able to excel in any environment. Underneath the polished exterior, they struggle with persistent self criticism, worry and feeling on edge.



What Is High Functioning Anxiety?


  • Persistent worry or overthinking

  • Difficulty relaxing or switching off

  • Perfectionism and fear of failure

  • Physical tension, fatigue or trouble sleeping

  • Irritability or restlessness

  • Masking emotions


Its called "high functioning" because despite of these struggles, you still perform well in school, work and daily life. However, functioning doesn't mean thriving, this anxiety can consume a lot of your energy.



Why doing "fine" doesn't always mean your "okay"


Because its not outwardly obvious and noticeable, you may feel "fine" and overlook it. Others assume your fine so its easy for you to dismiss it as well. This can lead to:


  • Chronic stress and burnout

  • Feeling isolated and misunderstood

  • Difficulty asking for help

  • Developing secondary mental health like depression



Coping Strategies


If this sounds familiar, know that you are not alone and there are many ways to begin managing high functioning anxiety at any time;


  1. Name it: Recognize that "doing fine" doesn't mean your not struggling. Naming the anxiety is a powerful first step.

  2. Set realistic expectations: Give yourself permission to do "enough and take breaks.

  3. Identify Core Values: Identify what is truly important to you and how to align your thoughts and actions.

  4. Build healthy routines: Regular sleep, movement and balanced meals help regulate stress and anxiety.

  5. Practice mindfulness: Techniques like deep breathing, meditation or grounding exercises can calm your nervous system.

  6. Create a support network: Talking with trust friends, family or a therapist can help you process your thoughts and feelings instead of bottling it up.


High Functioning Anxiety In Therapy


Even if your functioning well, a therapist can gently guide you to notice how this pattern started, where it occurs and provide tools to manage the anxiety, reduce stress and prevent burnout. If anxiety is affecting your sleep, relationships or sense of self worth, you deserve to feel genuinely okay.




 
 
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