High-Functioning Anxiety: Signs You Might Be Struggling (Even If No One Notices)

A woman lays in bed, staring at the ceiling.

What Is High-Functioning Anxiety?

On the outside, you seem put together—productive, dependable, successful. But beneath the surface, you’re battling a constant cycle of overthinking, self-doubt, and pressure to do more. This is high-functioning anxiety, a hidden struggle that often goes unnoticed because it drives people to perform rather than paralyze them.

While high-functioning anxiety isn’t a clinical diagnosis, it’s a very real experience for many. Left unchecked, it can lead to chronic stress, burnout, and emotional exhaustion—even if you appear to be excelling in life.

Signs of High-Functioning Anxiety

If you’re wondering whether you might be experiencing high-functioning anxiety, here are some common signs:

1. You Overthink Everything

From what you said in a meeting to how you worded a text, you replay conversations in your mind, analyzing every detail.

2. You Feel Restless—Even When You “Relax”

Sitting still feels unproductive. Even downtime is filled with tasks—reading self-improvement books, planning the week ahead, or organizing your to-do list.

3. You Struggle to Say No

You take on extra work, agree to social plans even when you're exhausted, and feel guilty for setting boundaries.

4. Your Productivity is Fueled by Fear

You push yourself to stay ahead—not out of excitement, but because you fear falling behind. No matter how much you accomplish, it never feels like enough.

5. You Experience Physical Symptoms

Muscle tension, jaw clenching, headaches, digestive issues, and trouble sleeping are common with high-functioning anxiety.

6. You Appear Calm But Feel on Edge

People describe you as composed, but internally, your mind races through worst-case scenarios.

How to Manage High-Functioning Anxiety

If this sounds like you, know that you’re not alone. Here are some strategies to help:

  • Recognize It for What It Is – Your anxiety doesn’t have to be debilitating to be real. Acknowledging it is the first step toward managing it.

  • Challenge Perfectionism – Ask yourself: Would I expect this level of perfection from a loved one? Probably not.

  • Practice Saying No – Your time and energy are valuable. Boundaries are not selfish—they’re necessary.

  • Prioritize Rest Without Guilt – Your worth isn’t based on productivity. Rest is a requirement, not a reward.

  • Seek Support – Therapy can help you break the cycle of anxiety and self-imposed pressure, offering tools to manage stress while maintaining success.

Final Thoughts

High-functioning anxiety can be difficult to recognize because it often looks like ambition or dedication. But just because others don’t see your struggle doesn’t mean it’s not real. You deserve to feel at peace—not just productive.

If you relate to this, therapy can help. I offer individual sessions for those struggling with anxiety, perfectionism, and burnout virtually throughout California or in-person in Walnut Creek. Let’s work together to find balance. Reach out if you are ready to schedule a free 15-minute consultation.

Samantha Schaefer, LCSW, PMH-C

Samantha Schaefer, LCSW, PMH-C, is a trauma-informed Licensed Clinical Social Worker and Certified Perinatal Mental Health professional offering therapy services to teens, adults, and couples in-person in Walnut Creek and online across California. Her approach is direct, solution-focused, and collaborative, helping clients navigate life transitions and heal from trauma. Fluent in English and Spanish, Samantha ensures accessible, compassionate care for diverse individuals. With a background in community-based mental health, she creates a safe, supportive space for growth and healing

https://www.schaefertherapy.com/
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