When Does Anxiety Become an Anxiety Disorder?
We all feel anxious sometimes. But when does typical anxiousness become an anxiety disorder?
You might be thinking, “I feel anxious — does that mean I have a mental health condition?”
The answer is “It depends.” Anxiety disorders aren’t uncommon, but it’s also important to remember that anxiety is a natural and universal human response.
Are anxiety and anxiousness the same?
In simple terms, anxiety is a threat response. Anxiety and anxiousness refer to the same set of mental and physical experiences, which are characterized by:
- stress
- worry
- tension
- alertness
People may use the word “anxiety” more often to refer to an anxiety disorder, which goes beyond typical anxiousness.
Anxiety can be useful, even if it’s not pleasant to experience. When your anxiety response is working as intended, it can help you anticipate harmful events and activate fight, flight, or freeze, which is your built-in survival mechanism.
While most people feel anxious at some point in life, like when taking a test, fewer live with an anxiety disorder. About 31.1% Opens in a new window of people in the United States experience an anxiety disorder in their lifetime.
Research from 2016 Opens in a new window connects anxiety to uncertain or vague threats — like not knowing if you’ll be accepted or rejected for a job — rather than to obvious threats, like being chased by an angry dog.
When does anxiety become a problem?
When your natural anxiety response seems to be firing all the time or is significantly getting in the way of your daily life, it might mean you’re experiencing an anxiety disorder.
While regular anxiety ebbs and flows according to events most people view as stressful, an anxiety disorder means you respond with disproportionate stress to more events in daily life.
If you have an anxiety disorder, you’ll probably find that anxiety makes you worry about things in day-to-day life that don’t seem to affect others as much.
Living with an anxiety disorder also means fitting the criteria for a specific diagnosis, such as:
- generalized anxiety disorder
- social anxiety disorder
- separation anxiety disorder
- panic disorder
- specific phobias
- agoraphobia
An anxiety disorder can also be a partially learned response you develop over time. Some researchers Opens in a new window point out that anxiety disorders are often based on unhelpful, or maladaptive, core beliefs.
Wondering if what you’re experiencing is an anxiety disorder? You can check out our anxiety quiz to find out.
How to manage anxiety
Whether you’re looking to manage anxiousness or an anxiety disorder, you have many options to choose from.
Relaxation techniques
You can use most relaxation techniques at home or almost anywhere else to regain calm quickly when you’re feeling anxious.
Research from 2017 Opens in a new window even suggests that relaxation techniques can be as effective as cognitive behavioral therapy for treating some anxiety disorders (but not others).
You might benefit from trying these relaxation methods to manage anxiety:
- Mindful breathing can help slow down your breathing and heart rate, allowing you to feel calmer.
- Meditation may help you regulate emotions and reduce anxiety symptoms.
- Visualization, which involves focusing on positive imagery and emotions to bring on a state of relaxation, may be helpful, according to some research Opens in a new window.
- Progressive muscle relaxation brings your focus to one body part at a time, encouraging you to practice tensing and releasing stress from those areas.
- Yoga for anxiety blends physical activity with a relaxed mental state in a way that helps people manage both anxiety and anxiety disorders.
Self-care
It’s important to pay extra attention to your self-care habits whether you live with an anxiety disorder or happen to be experiencing a period of high anxiety. Some key habits to check on include:
- Nutrition. Certain foods, like green tea and dark chocolate, may be more helpful than others when you’re trying to manage anxiety.
- Exercise. Adding movement to your day in some form — whether through walks, gym time, or dancing — is a science-backed Opens in a new window way to reduce stress and anxiety.
- Fun and free time. Setting aside some time to focus on an activity that brings you joy or makes you laugh can make an anxiety flare-up feel more manageable.
- Sleep. Anxiety can cause you to lose sleep, but lack of sleep can also worsen Opens in a new window anxiety. Here’s how to manage anxiety at bedtime.
If you’re looking for more ideas, you can read about more anxiety self-care strategies.
Therapy
Talking with a trusted therapist can help with anxiety in a few ways. Therapy may provide support if you want to:
- manage challenging emotions during an anxiety-inducing phase of life
- find out whether you have an anxiety disorder
- develop skills for managing and reducing anxiety disorder symptoms
Here’s some more info on how therapy can help you handle anxiety.
Medication
If you live with an anxiety disorder, your doctor or psychiatrist might prescribe an anti-anxiety medication as part of your treatment plan. The type of medication you take may vary depending on your specific symptoms and co-occurring conditions.
Using medication for anxiety usually comes with some trial and error — so even if the first one you try doesn’t work, chances are your doctor can suggest another one that will.
Next steps
Anxiety tends to be uncomfortable whether it’s a natural and proportional response or a mental health condition. But regardless of which form of anxiety you’re experiencing, you can find an approach to help you address it.
If you’d like more info and support, you can:
- Find out if it’s time to take your anxiety treatment up a notch.
- Connect with a compassionate mental health professional.
- Reach out to an anxiety support group online.
- Any anxiety disorder. (n.d.). https://www.nimh.nih.gov/health/statistics/any-anxiety-disorder Opens in a new window
- Koerner N, et al. (2015). Maladaptive core beliefs and their relation to generalized anxiety disorder. https://www.tandfonline.com/doi/abs/10.1080/16506073.2015.1042989?journalCode=sbeh20 Opens in a new window
- Montero-Marin J, et al. (2017). Is cognitive–behavioural therapy more effective than relaxation therapy in the treatment of anxiety disorders? A meta-analysis. https://www.cambridge.org/core/journals/psychological-medicine/article/abs/is-cognitivebehavioural-therapy-more-effective-than-relaxation-therapy-in-the-treatment-of-anxiety-disorders-a-metaanalysis/7DB51D0838F0D6A81B527F4A70659E9A Opens in a new window
- Norelli SK, et al. (2023). Relaxation techniques. https://www.ncbi.nlm.nih.gov/books/NBK513238/ Opens in a new window
- Ozamiz-Etxebarria N, et al. (2020). Reduction of COVID-19 anxiety levels through relaxation techniques: A study carried out in Northern Spain on a sample of young university students. https://pmc.ncbi.nlm.nih.gov/articles/PMC7477108/ Opens in a new window
- Pires GN, et al. (2016). Effects of acute sleep deprivation on state anxiety levels: A systematic review and meta-analysis. https://www.sciencedirect.com/science/article/abs/pii/S1389945716301368 Opens in a new window
- Remes O, et al. (2016). A systematic review of reviews on the prevalence of anxiety disorders in adult populations. https://onlinelibrary.wiley.com/doi/full/10.1002/brb3.497 Opens in a new window
- Rigoli F, et al. (2016). Threat visibility modulates the defensive brain circuit underlying fear and anxiety. https://pmc.ncbi.nlm.nih.gov/articles/PMC4729319/ Opens in a new window
- Stubbs B, et al. (2017). An examination of the anxiolytic effects of exercise for people with anxiety and stress-related disorders: A meta-analysis. https://www.sciencedirect.com/science/article/abs/pii/S016517811630909X Opens in a new window
