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October 13, 2025 by Alan Zupka

What Is High-Functioning Anxiety? Signs, Symptoms, and How to Cope

More Than Just “Functioning”: Understanding and Healing High-Functioning Anxiety

High-functioning anxiety often hides in plain sight. On the outside, individuals may appear calm, competent, and composed—organized, punctual, high-achieving. Yet beneath that polished exterior lies a persistent hum of self-doubt, overthinking, and tension. For many, this internal struggle becomes so normalized that they do not recognize it as anxiety at all. Because the world sees their accomplishments, not their inner turmoil, high-functioning anxiety frequently goes unnoticed, undiagnosed, and untreated.

Recognizing the Signs of High-Functioning Anxiety

High-functioning anxiety may manifest in the following ways:

  • Excessive overthinking or over-preparing for situations

  • A fear of failure that persists despite evidence of success

  • Difficulty relaxing, often accompanied by guilt when resting

  • Perfectionism and an internal pressure to constantly do more

  • Chronic irritability, internal restlessness, or emotional exhaustion

Many of those who experience this type of anxiety are students, professionals, caregivers, or creatives. Their anxiety becomes a silent engine for their achievements—but at the cost of their well-being.

Rewriting the Story with Anxiety Therapy

From a narrative therapy perspective, anxiety often thrives in stories of inadequacy, pressure, and internalized expectations. In our work together, I help you explore those dominant stories—the ones that insist you must keep striving, achieving, or pleasing others to be enough. We begin to make space for alternative narratives: stories that honor your values, your strengths, and your right to rest.

Using evidence-based practices from cognitive behavioral therapy (CBT), we challenge anxious thought patterns and develop practical tools for managing stress. From the lens of mindfulness, I guide you toward present-moment awareness and emotional regulation. Through the principles of positive psychology, we uncover your existing resilience, helping you move from survival mode into a fuller, more fulfilling life.

Therapy for high-functioning anxiety is not about reducing your drive or ambition. It is about creating a life where your accomplishments are not fueled by fear—but aligned with peace, balance, and meaning.

You Deserve More Than “Just Getting By”

If you are living with high-functioning anxiety, know that there is a path toward healing. You do not have to remain in a state of constant overdrive. You can continue to succeed without sacrificing your mental and emotional health.

I invite you to reach out to me today. Together, we can explore what life looks like when your success includes ease, self-trust, and rest. Therapy can help you reconnect with yourself—not just as someone who functions, but as someone who thrives.

Filed Under: Anxiety, high functioning-anxiety

July 28, 2025 by Alan Zupka

The Many Forms of Anxiety and What to Do About It

Understanding and Treating Anxiety: A Personalized Path Toward Relief

Anxiety is one of the most common mental health concerns people face, but it does not present in the same way for everyone. Some individuals experience racing thoughts before a meeting or presentation. Others feel overwhelmed or panicked at the thought of leaving home. Anxiety has many faces, and part of the healing process begins with recognizing how it uniquely manifests in your life.

As a therapist, I guide my clients in exploring the stories they tell themselves about anxiety—what it means, where it began, and how it affects their identity and daily life. From a narrative therapy perspective, we seek to understand not just the symptoms but the meaning you have assigned to your experiences. Together, we begin to separate the problem from your sense of self.

When Does Anxiety Become a Disorder?

It is perfectly normal to feel anxious from time to time. However, when that anxiety becomes persistent, overwhelming, or begins to interfere with daily life, it may point to an anxiety disorder. These conditions can disrupt routines, challenge relationships, and make even basic tasks feel burdensome.

Common anxiety-related diagnoses include:

  • Generalized Anxiety Disorder (GAD): A pattern of chronic worry and tension, often about everyday situations.

  • Social Anxiety Disorder: A fear of being judged, criticized, or embarrassed in social or performance situations.

  • Panic Disorder: Recurrent and unexpected panic attacks, often accompanied by fear of future attacks.

  • Phobias: Intense fear of specific objects or situations, such as flying or enclosed spaces.

  • Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD): These share traits with anxiety and often involve intrusive thoughts or hypervigilance.

In many cases, anxiety overlaps with depression, trauma histories, or occupational burnout. Identifying and addressing these intersections is a crucial part of effective care. From a CBT lens, we work to uncover and shift distorted thought patterns that contribute to ongoing distress. Through mindfulness-based practices, we increase present-moment awareness, reduce reactivity, and cultivate greater emotional regulation.

Anxiety Therapy Can Transform Your Relationship with Fear

Whether your anxiety feels like a constant undercurrent or strikes without warning, there are concrete tools and strategies available to help you regain a sense of calm, clarity, and confidence. Using a combination of evidence-based approaches, I help clients map out practical goals and apply techniques that promote lasting change.

We may work on identifying triggers, restructuring anxious thought patterns, developing grounding techniques, and increasing resilience through self-compassion and strengths-based exercises drawn from positive psychology. In some cases, collaboration with a medical provider regarding medication may also be helpful in easing the intensity of symptoms and supporting deeper therapeutic work.

You do not have to live in fear or remain stuck in the story anxiety tells about you. Change is possible. I invite you to reach out so we can begin building a therapy plan that honors your strengths, values your voice, and supports your healing, one intentional step at a time.

Filed Under: Anxiety, high functioning-anxiety, mental health

Alan Zupka

Alan Zupka | Counselor | LGBTQ Community | Orlando, FL

(407) 986-2888
alan@azupkacounseling.com

Orlando, FL 32803

"Be proud of who you are and not ashamed of how others see you."
--Anonymous

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