Anxiety affects millions of people, but not all anxiety is obvious. Some people manage their daily responsibilities, maintain relationships, and even achieve professional success—all while struggling with an internal battle that goes unnoticed. This is called high-functioning anxiety. If you or someone you love is dealing with anxiety while considering mental health treatment, know that you’re not alone. Recovery starts with a single step, and getting the proper support can make all the difference. Promises Washburn House offers accessible, evidence-based mental health care in Worcester, MA, and we’re ready to walk alongside you on your path to recovery.
What To Know About Anxiety and Mental Health
Anxiety disorders are among the most common mental health conditions in the United States. According to the National Institute of Mental Health (NIMH), more than 31% of U.S. adults will experience an anxiety disorder at some point in their lives.1
While anxiety is often associated with excessive worry, panic attacks, and avoidance behaviors, not everyone experiences it the same way. People with high-functioning anxiety may seem outwardly successful, but internally, they may struggle with racing thoughts, self-doubt, and fear of failure. This hidden struggle can contribute to burnout, substance use, and other mental health concerns.
What Are the Common Signs of Anxiety?
Anxiety manifests differently for everyone, but some common signs of anxiety include:
- Constant overthinking and dwelling on past or future events
- Difficulty relaxing or feeling “on edge”
- Sleep disturbances, including insomnia
- Physical symptoms such as headaches, muscle tension, or stomach problems
- Avoiding social situations due to fear of judgment
- A strong need for control or perfectionism
If you recognize these symptoms in yourself or someone you care about, it may be time to seek help. There’s no such thing as a one-size-fits-all treatment for addiction or mental health, so finding the right approach is key.
What Is High-Functioning Anxiety?
Some behaviors that may indicate high-functioning anxiety include:
- Overcommitting to work or personal obligations
- Fear of saying “no” due to anxiety about disappointing others
- Constantly seeking reassurance but appearing confident
- Using coping mechanisms like alcohol, drugs, or compulsive behaviors to manage stress
Unlike generalized anxiety disorder (GAD), high-functioning anxiety isn’t an official diagnosis. However, it’s a term used to describe people who struggle with anxiety while maintaining the appearance of success. While they may be organized, driven, and detail-oriented, they often experience high stress levels, self-criticism, and exhaustion behind the scenes.
Can Anxiety Disorders Co-Occur With Other Mental Health Issues?
Yes. Anxiety disorders often co-occur with other mental health conditions. Major depressive disorder (MDD) is one of the most common conditions that occurs alongside anxiety disorders, affecting nearly half to two-thirds of adults who struggle with anxiety. It’s not uncommon for anxiety to also appear alongside other challenges, such as bipolar disorder, substance use disorders (SUDs), obsessive-compulsive disorder (OCD), or post-traumatic stress disorder (PTSD). While OCD and PTSD were once classified as anxiety disorders under earlier versions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), they’re now recognized as distinct conditions.2
When anxiety coexists with substance use, it can create a cycle where substances are used to numb symptoms, leading to increased dependency. At Promises Washburn House, we’ve been helping people struggling with life’s stresses since 1896. Whether it’s anxiety, addiction, or both, you don’t have to go through recovery alone.
Tips for Living With High-Functioning Anxiety
If you’re living with high-functioning anxiety, here are some strategies that may help:
- Practice mindfulness – Techniques like deep breathing and meditation can help you stay present.
- Know your limits – Saying “no” when you need to can help you avoid burnout and keep stress in check.
- Take care of yourself – Make time for exercise, good sleep, and healthy meals to boost your mental health.
- Seek support – Therapy and support groups can provide tools for managing anxiety.
If anxiety is getting in the way of your daily life, talking to a mental health professional can really help. The right support can make a big difference in managing high-functioning anxiety and feeling better overall.
How Mental Health Treatment Can Help
Seeking help for high-functioning anxiety can be a life-changing decision. Treatment options at Promises Washburn House include:
- Cognitive-behavioral therapy (CBT)
- Dialectical behavior therapy (DBT)
- Medication management
- Dual diagnosis treatment
At Promises Washburn House, we design individualized treatment plans that address the unique needs of each person seeking our care. Our compassionate team of mental health professionals is dedicated to helping you overcome anxiety and reclaim your life. Our goal is to provide a safe, compassionate space where healing happens. Recovery isn’t about perfection—it’s about progress.
Take the Next Step With Promises Washburn House in Worcester, MA
If you or a loved one is experiencing high-functioning anxiety, know that help is available. Getting better together is possible with the proper support. Contact Promises Washburn House in Worcester, MA, to learn more about our mental health and addiction treatment programs.
Call us today at 855.298.3104 or reach out to our team online to start your journey toward healing.
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