What to Know About High-Functioning Anxiety

Some individuals with anxiety may describe themselves as “high-functioning,” successfully managing professional, academic, or social responsibilities while still struggling internally. This type of anxiety, while not officially recognized as a distinct medical condition, poses unique challenges that often go unnoticed.

What Is High-Functioning Anxiety?

The term “high-functioning anxiety” is not a formal diagnosis. However, the concept reflects the lived experiences of individuals who manage to maintain their daily lives while grappling with anxiety symptoms internally.

Anxiety disorders exist on a spectrum, with symptoms ranging from mild to severe. People who consider themselves high-functioning may fall on the milder end, experiencing symptoms that might not meet the clinical threshold for a diagnosis. These symptoms could be:

• Mild
• Atypical
• Hidden
• Brief but recurrent

Externally, those with high-functioning anxiety may appear calm, confident, or even highly productive. Internally, they often face excessive worry, overthinking, and difficulty relaxing. These symptoms, while less visible, can significantly impact a person’s health, relationships, and overall well-being.

Causes

While high-functioning anxiety lacks specific research, it is thought to be a variation in how anxiety disorders present in some individuals. Common factors contributing to anxiety disorders include:

• Genetics: A family history of anxiety or mental health issues increases risk.
• Personality traits: Shyness or nervousness in childhood can predispose someone to anxiety.
• Stress and trauma: Exposure to stress or trauma at any stage of life can trigger anxiety symptoms.
• Underlying health conditions: Issues such as thyroid disorders, heart problems, or other mental health conditions may exacerbate anxiety.
• Substance use: Misusing drugs or alcohol, or withdrawing from them, can lead to anxiety.

Link Between Anxiety and Depression

Anxiety and depression are closely linked, with research indicating that 60% of people with anxiety also experience depression. Chronic, untreated anxiety can increase the risk of developing depressive symptoms, especially for individuals who avoid seeking help.

Interestingly, people with high-functioning anxiety may be less likely to seek treatment. They may view traits like perfectionism or overachievement as positive and fail to recognize the toll anxiety takes on their overall well-being.

Treatment

Anxiety disorders, including high-functioning anxiety, are highly treatable. Treatment often involves a combination of psychotherapy and medication.

When to Seek Help

Individuals should consider reaching out to a doctor or mental health professional if they experience:

• Persistent anxiety that causes distress
• Difficulty controlling symptoms
• Anxiety that impacts relationships, self-esteem, or health
• Reliance on substances to manage anxiety
• Symptoms of other mental health issues, such as depression

Seeking help early can significantly improve outcomes.

Final Thoughts

While high-functioning anxiety is not a distinct medical condition, it highlights the spectrum of anxiety experiences. People with high-functioning anxiety may appear to excel in their personal or professional lives, but the internal struggles can take a toll on their mental health.

The good news is that anxiety is highly treatable. If you or someone you know is experiencing symptoms of anxiety, reaching out to a healthcare professional is the first step toward managing those challenges and improving quality of life.