Identifying High-Functioning Anxiety

In our fast-paced, achievement-oriented society, the concept of being “high-functioning” is often glorified. We admire those who seamlessly juggle multiple responsibilities, excel in their careers, and maintain vibrant social lives. Yet, beneath this façade of competence lies a silent struggle faced by many—high-functioning anxiety. This phenomenon, particularly prevalent among women and women of color, is challenging to identify due to its subtle nature.

As the owner of a mental health practice in Brownsville, McAllen, and Corpus Christi, Texas, I see firsthand how high-functioning anxiety affects our community. It’s my mission to bring awareness to this issue and provide support to those in need.

High-functioning anxiety operates like a stealthy predator, lurking beneath the surface while its victims continue to excel outwardly. Women, already burdened with societal expectations of perfection in both personal and professional realms, often find themselves grappling with this condition more frequently. For women of color, the intersectionality of gender and racial biases amplifies the pressure, exacerbating their anxiety.

Identifying High-Functioning Anxiety

Recognizing high-functioning anxiety can be tricky because those affected often appear calm and collected on the surface. They excel in their endeavors, meet deadlines, and maintain a composed demeanor even in stressful situations. However, behind closed doors, the internal turmoil persists.

Symptoms of high-functioning anxiety manifest in various ways, both at home and in the workplace. At home, individuals may exhibit perfectionistic tendencies, constantly seeking validation and approval from others. They may struggle with excessive worry and rumination, overanalyzing past events or anticipating future scenarios with dread. Sleep disturbances, such as insomnia or restless sleep, are common, as the mind refuses to quiet down even during moments of rest.

In the workplace, high-functioning anxiety often drives individuals to overachieve, working long hours and taking on more responsibilities than necessary. They may experience difficulty delegating tasks, fearing that others won’t meet their standards. Despite their achievements, they live in constant fear of failure, driving themselves to the brink of exhaustion in pursuit of perfection. Procrastination may also be a coping mechanism, as the pressure to perform reaches overwhelming levels.

Recognizing the Signs: What I See As A Therapist

It’s crucial for both individuals and those around them to recognize the signs of high-functioning anxiety. In my practice, I frequently encounter the following indicators:

1. Need for Control: Many clients exhibit a strong desire to control most aspects of their lives. This need for control can manifest in meticulous planning and an inability to delegate tasks, leading to significant stress when things don’t go as planned.

2. Constant Worry: Persistent and intrusive thoughts about potential outcomes or worst-case scenarios are common. Clients often describe a continuous cycle of worrying about various aspects of their lives, from work responsibilities to personal relationships.

3. Difficulty Relaxing: Clients frequently report feeling restless or on edge, even during their leisure time. They struggle to unwind, as their minds are constantly preoccupied with their responsibilities and potential future problems.

4. Imposter Syndrome: Despite their achievements, many clients feel that they are not as competent as others perceive them to be. They fear being exposed as frauds and often attribute their successes to luck rather than their abilities.

5. Feelings of Resentment: There is often a sense of resentment towards those who don’t perform at the same level. Clients may feel frustrated or envious of others who seem to “care less” about work, life, etc.

6. Overcommitment: Taking on more responsibilities than can be reasonably managed is a common coping mechanism. Clients often feel compelled to say “yes” to every request, driven by a need to prove their worth and avoid disappointing others.

7. Working Beyond Capacity to the Point of Exhaustion: Many clients push themselves to their physical and mental limits, working long hours and neglecting self-care. This relentless drive can lead to burnout and significant health issues.

8. Trouble Sleeping: Sleep disturbances, such as insomnia or restless sleep, are prevalent among those with high-functioning anxiety. Clients often find it difficult to quiet their minds, leading to chronic fatigue and a decreased ability to cope with stress.

9. Appearing to Excel While Struggling Internally: Despite outward appearances of success, many clients struggle to find joy and calm internally. They may meet all their external goals but feel unfulfilled and constantly anxious inside.