In today’s fast-paced world, anxiety is one of the most commonly discussed mental health concerns. Yet, one form of it often flies under the radar—high functioning anxiety. This condition doesn't always show up in the ways people typically expect anxiety to look. Instead, it hides behind success, motivation, and seemingly perfect organization. But beneath that polished surface lies a constant battle. So, what is high functioning anxiety, and how can those experiencing it find support and healing?
At Inland Empire Behavioral Group, we specialize in treating a wide range of mental health conditions with compassion and personalized care. If you’ve ever found yourself asking, “Do I have high functioning anxiety?” you’re not alone—and help is available.
What Is High Functioning Anxiety?
High functioning anxiety disorder is not officially listed in the DSM-5 (the diagnostic manual used by mental health professionals), but it is widely recognized by clinicians due to its unique presentation. People with high functioning anxiety often appear calm, driven, and accomplished. However, internally, they may struggle with excessive worry, self-doubt, and overthinking.
So, what does high functioning anxiety look like? Imagine someone who meets all their deadlines, keeps an immaculate home, and maintains a packed calendar—but can't sleep at night due to racing thoughts or a fear of failure.
High Functioning Anxiety Symptoms
While traditional anxiety symptoms can be quite visible, high-functioning anxiety symptoms are more subtle and may include:
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Overthinking every decision, no matter how small
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Constantly worrying about the future
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A fear of disappointing others
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The need for perfection and control
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Physical symptoms like tense muscles, headaches, or fatigue
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Avoidance of rest or downtime due to guilt
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Internal panic masked by external success
These sneaky signs of high-functioning anxiety often go unnoticed because the individual appears to be thriving.
Signs of High Functioning Anxiety
Signs of high functioning anxiety may include:
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Difficulty saying “no” due to fear of letting people down
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Procrastination followed by intense last-minute effort
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Being perceived as a “people pleaser”
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Using achievement to mask inner turmoil
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Dependence on routines or lists for control
If you recognize these signs, a high functioning anxiety test conducted by a mental health professional can help clarify your experience.
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What Causes High Functioning Anxiety?
There’s no single cause, but what causes high functioning anxiety can include:
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Genetics or a family history of anxiety disorders
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Childhood trauma or high expectations
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Personality traits like perfectionism or sensitivity
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Chronic stress or demanding environments
This form of anxiety often starts early and can become deeply embedded in a person’s identity, making it harder to recognize as a problem.
How to Deal with High Functioning Anxiety
Living with high functioning anxiety can feel exhausting, but there are effective ways to manage it. Knowing how to deal with high functioning anxiety begins with recognizing the issue and seeking professional support. Here are key steps:
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Therapy: Cognitive Behavioral Therapy (CBT) is especially helpful in addressing thought patterns that fuel anxiety.
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Medication: For some individuals, medication may help balance brain chemistry and alleviate symptoms.
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Mindfulness: Learning how to stay present and reduce overthinking can be transformative.
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Lifestyle Changes: Regular sleep, exercise, and reduced caffeine can significantly improve symptoms.
At Inland Empire Behavioral Group, we tailor treatment plans to each client’s needs, offering both evidence-based and holistic approaches.
How to Help High Functioning Anxiety in Yourself or Others
If you or a loved one seems to be struggling despite “doing well,” here’s how to help high functioning anxiety:
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Listen without judgment: High-functioning individuals often fear being misunderstood.
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Encourage support: Suggest therapy or professional guidance.
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Normalize rest: Help them understand that rest is productive too.
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Be compassionate: Acknowledge their efforts and emotional experiences.
Treatment for High Functioning Anxiety
Effective treatment for high functioning anxiety includes a mix of therapy, self-awareness, and sometimes medication. At Inland Empire Behavioral Group, we offer:
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One-on-one counseling to explore the roots of anxiety
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Group therapy for shared experiences and support
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Medication management with licensed psychiatric professionals
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Telehealth services for flexible, convenient care
Wondering how to treat high functioning anxiety or even how to fix high functioning anxiety? There’s no one-size-fits-all answer, but with the right support, healing is absolutely possible.
How to Overcome High Functioning Anxiety
Learning how to overcome high functioning anxiety is a process that begins with acknowledging the anxiety behind the success. At Inland Empire Behavioral Group, we work with clients to break the cycle of worry and overachievement by building emotional resilience and healthier coping strategies.
Some additional tips:
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Set realistic expectations
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Celebrate progress, not perfection
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Create boundaries and say no when needed
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Schedule time for rest and activities that bring joy
Why Choose Inland Empire Behavioral Group?
Inland Empire Behavioral Group is committed to serving individuals and families with integrity, empathy, and clinical excellence. When you walk through our doors—either physically or virtually—you’re met with professionals who truly care.
We are proud to be a trusted provider of high-functioning anxiety treatment, offering:
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A compassionate, judgment-free space
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Expertise in anxiety-related disorders
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Personalized, evidence-based plans
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Mental health services tailored for your busy life
Final Thoughts
If you've been asking yourself, “Do I have high functioning anxiety?” or feel overwhelmed despite appearing to have it all together, know this: you are not alone, and you don’t have to live in constant overdrive. Recognizing high functioning anxiety symptoms is the first step toward recovery.
Let Inland Empire Behavioral Group walk alongside you in this journey toward clarity, calm, and control. Reach out to us today to schedule a consultation and begin your path to a healthier, more balanced life.
Inland Empire Behavioral Group — Compassionate Care for a Healthier Mind.