The Hidden Toll of High-Functioning Anxiety
High-functioning anxiety is a term often used to describe individuals who, despite experiencing significant anxiety, manage to outwardly appear successful and even thrive in various aspects of their lives. This apparent success can mask the underlying psychological distress, making it difficult for those struggling to recognise and address their anxiety.
How does high-functioning anxiety manifest?
Individuals with high-functioning anxiety may exhibit a range of behaviours, including:
Perfectionism: An intense drive for flawlessness in all areas of life, leading to constant self-criticism and an inability to accept "good enough."
Procrastination: Despite recognising deadlines, individuals may find themselves paralyzed by fear of failure or the overwhelming pressure to achieve perfection, leading to chronic procrastination.
People-pleasing: An excessive need to gain approval from others, often at the expense of their own needs and boundaries.
Control issues: A strong need to control situations and outcomes, leading to anxiety when things feel uncertain or beyond their control.
Physical symptoms: While seemingly high-functioning, individuals may experience a range of physical symptoms such as insomnia, digestive issues, headaches, and muscle tension.
The psychological toll:
While outwardly successful, individuals with high-functioning anxiety often experience significant internal distress:
Chronic stress: The constant pressure to maintain a facade of perfection and control can lead to chronic stress, impacting both physical and mental health.
Low self-esteem: Despite outward achievements, underlying self-doubt and self-criticism can significantly impact self-esteem.
Burnout: The relentless pursuit of perfection can lead to burnout, characterised by exhaustion, cynicism, and a decreased sense of accomplishment.
Social isolation: Fear of judgment and the need for control can hinder social connections and lead to feelings of isolation and loneliness.
Relationship difficulties: People-pleasing tendencies and a fear of vulnerability can strain personal relationships.
Managing and overcoming high-functioning anxiety:
Mindfulness and Acceptance: Practices like mindfulness meditation can help individuals become more aware of their anxious thoughts and feelings without judgement. Techniques like acceptance and commitment therapy (ACT) can help individuals learn to accept their anxious thoughts rather than trying to suppress them.
Cognitive Behavioural Therapy (CBT): CBT can help individuals identify and challenge negative thought patterns and develop more realistic and helpful ways of thinking.
Therapy for perfectionism: Specific therapies, such as schema therapy, can help individuals explore the underlying beliefs and experiences that contribute to perfectionism.
Seeking professional help:
If you suspect you may be struggling with high-functioning anxiety, seeking professional help from a qualified psychotherapist or counsellor is crucial. Therapy can provide a safe and supportive space to explore your anxieties, develop coping mechanisms, and improve your overall well-being.
Crucible Personal Development is a private psychotherapy and counselling practice in Preston, Lancashire.
References:
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior2 change.
Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide.
