7 Signs of High-Functioning Anxiety

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High-functioning anxiety can be a tricky, almost hidden form of anxiety. To the outside world, people who are experiencing anxiety and are high-functioning may appear very successful, organized, and willing to take on additional responsibilities. They may be driven and motivated, and their work performance may be exemplary. Unfortunately, it can take a toll on a person’s mental and physical health. The purpose of this blog is to highlight seven signs of high-functioning anxiety and provide a few suggestions for what to do if you or a loved one are experiencing it. 

Seven Signs of High-Functioning Anxiety

We are all unique, and the way that we experience anxiety is also unique. You or your loved one may or may not experience these characteristics, but it can be helpful to consider this list in the context of your own life and emotions. High-functioning anxiety may be hard to recognize because it may not prevent a person from fulfilling their daily obligations, but it can still cause problems and take an emotional toll. 

  1. Overthinking. We’ve probably all experienced this in some form in our lives, whether replaying conversations in our minds, second-guessing decisions we’ve made, or thinking about “what if” scenarios. The longer this continues, the more it contributes to anxiety and exhaustion.
  1. Perfectionism. People experiencing high-functioning anxiety are likely to suffer from perfectionism and may not feel the satisfaction or joy of achievement as they spend energy focusing on what they could have done better. Over time, this can lead to burnout.
  1. Difficulty saying “no”. Setting healthy boundaries can be challenging for all of us, but for individuals with high-functioning anxiety, saying “no” could be even more challenging due to fear of conflict or disappointment. As a result, we often take on more work and responsibility, which can quickly lead to resentment and fatigue. 
  1. Fear of failure. This is a common but difficult characteristic of high-functioning anxiety. Fear of failure can be a persistent form of anxiety and can prevent us from taking risks or trying new things.
  1. Overachievement. Overachievement can be a way to stay busy and avoid dealing with anxiety. Overachievers often experience professional success but their personal well-being may suffer.
  1. Difficulty sleeping. Most of us have experienced racing thoughts at night that make it difficult to fall or stay asleep. Lack of sleep or poor sleep can worsen anxiety, and this characteristic of high-functioning anxiety can lead to a problematic cycle of exhaustion that only worsens anxiety.
  1. Need for control. Planning and organization help reduce uncertainty, which can be helpful to anyone experiencing anxiety. High-functioning individuals experiencing anxiety are likely to spend time double-checking plans and overcommunicating. When things don’t go as planned, it can increase stress and frustration.

Southern Sky Recovery Can Help You Cope with High-Functioning Anxiety

High-functioning anxiety is generally considered a form of general anxiety disorder (GAD), so it can be hard to know exactly how many people experience it. Not everyone who is experiencing high-functioning anxiety may be even aware of it. The National Institute of Mental Health estimates nearly 1 in 5 adults experienced some anxiety in the past year, with women experiencing it at a higher rate (23.4%) than men (14.3%). 

Each of the seven signs of high-functioning anxiety listed above can significantly impact our mental and physical health despite the appearance of success to our friends, families, colleagues, and even ourselves. If you have experienced any of the symptoms mentioned above or are using unhealthy coping mechanisms to suppress them, you may benefit from making some changes. Implementing a mindfulness routine, regularly exercising, or therapy such as cognitive-behavioral therapy (CBT) could help you manage your symptoms and set you up for greater happiness.

At Southern Sky Recovery, we offer a variety of therapy options. Our treatment providers understand that everyone’s journey and emotions are unique. We are ready to help you create a treatment plan tailored to your specific needs. Contact us today to start on your path to living a happier, more fulfilling life.

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Pam Deloach

Care Coordinator/CPRS

Pam is a Peer Support Specialist with Southern Sky, dedicated to supporting individuals on their recovery journeys with compassion, understanding, and hope. Born and raised in Hampton, South Carolina, Pam is a proud mother of two amazing boys, ages 20 and 10. She has always been drawn to work that helps others, spending 20 years as a massage therapist before beginning her own journey through recovery. Inspired by her experiences, Pam chose to use her story, strength, and insight to walk alongside others who are struggling with addiction.

In her free time, Pam enjoys going to the lake, spending time with family and friends, attending church, and cheering on her son at his baseball games. These moments keep her grounded and remind her of the joy in everyday life. She is committed to empowering individuals, building trust, and creating a safe, supportive environment for healing and growth.

Ben LaGrange

Community Relations Advocate

Ben is a person in long-term recovery with a gift for creativity, a deep connection with people, and a passion for helping others find their path to sobriety. After getting sober in 2018, he discovered that authenticity was the greatest gift he could offer. Embracing it brought genuine connection, creative freedom, and a beautiful life in recovery.

With experience in multimedia, fine art, and digital design, Ben studied photography at the University of Nebraska–Lincoln and art at the Savannah College of Art and Design. He has spent years working as a professional photographer and marketer. He has also worked in recreational and art therapy for substance use treatment and has led educational groups on anger management and relapse prevention.

Ben believes that connection is the opposite of addiction—and that when we allow ourselves to be fully authentic, we become our most powerful selves, capable of deeper connection and better equipped to help others navigate a turbulent world.

Keith Toomer

Residential House Manager

Keith began his career in the maintenance and plumbing industry, where he built hands-on experience and a strong work ethic. During that time, he faced significant challenges with addiction. His decision to seek help led him to Southern Sky Recovery in Bluffton, South Carolina—an experience that transformed his life.

Through the support of Southern Sky Recovery, Keith rebuilt his foundation and discovered his true passion: serving others on their recovery journeys. He was given the opportunity to become the Men’s Residential House Manager, a role that allows him to guide, support, and mentor men as they work toward lasting recovery.

“For the first time in my life, I found a career that truly fulfills me. I love working in addiction recovery and being part of a community dedicated to helping others heal and grow.”

Outside of work, Keith enjoys spending quality time with his family. He remains committed to his own recovery and has a strong interest in nutrition and exercise, which help him stay grounded, healthy, and focused.

He is grateful every day for the opportunity to serve his community and work in a field that gives his life purpose.

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