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9 Physical Symptoms of Anxiety

9 Physical Symptoms of Anxiety

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Anxiety — both as a feeling and a disorder — manifests not just in the realm of our thoughts and emotions but also physically, impacting multiple aspects of our well-being. From persistent headaches to an inexplicably rapid heart rate, the physical symptoms of anxiety can be as debilitating as the psychological strain.

In this general overview, we’ll uncover the nine common physical symptoms that can be associated with anxiety. Beyond identifying the physical signs, you’ll also learn how understanding the long-term effects of anxiety on the body, practical coping skills, and therapeutic and pharmaceutical treatment options may help in managing anxiety symptoms. 

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Common physical symptoms of anxiety

Take a breath. In and out. In. And out. Whether you realize it or not, your breath might be slightly shallower and quicker than usual.

That's anxiety for you — people can experience a variety of physical symptoms because these disorders and feelings can subtly alter physiological responses without our conscious awareness.

Let’s explore the 9 physical symptoms commonly associated with anxiety and anxiety disorders.

Fatigue

Marked by an overwhelming sense of exhaustion, it's that ”can't get out of bed” feeling, even if you've had hours of restful sleep, which — truth be told — is rare when experiencing anxiety.

Fatigue results from your nervous system working overtime, keeping you on high alert, and sleeping enough — or more — won’t relieve this symptom.

Headaches

They're the pulsing kind, usually above your eyes. This throbbing pain is a symptom of tightened neck and facial muscles, often associated with anxiety-related stress and tension.

The relentless nature of these headaches can substantially impact daily functions, compelling you to seek relief.

Anxiety shakes or anxiety shivers

Anxiety shakes and anxiety shivers are physiological responses to heightened states of anxiety or stress. Your body can involuntarily react with rapid, jittery movements or a quivering sensation.

Tremors or shaking are part of the body's fight-or-flight response, designed to prepare for perceived threats, and can occur even in the absence of physical danger.

Muscle tension

Anxiety increases tension in your muscles. The heightened state of alertness that accompanies anxiety prompts your body's muscles to contract, preparing you to respond to perceived threats.

As one of the signs of anxiety, this prolonged muscle tightness can lead to discomfort in various parts of your body, including painful knots in your back.

Back bain

A direct sequel to prolonged muscle tension, back pain emerges as muscles remain in a constant state of stiffness and contraction.

Your mobility and daily activities could potentially become restricted by the pain caused by this physical symptom of anxiety. 

Nausea

Interfering with the digestive system, anxiety can induce feelings of nausea, serving as a physical reminder of its presence.

This uneasy sensation often leads to a decreased appetite and can dramatically alter eating habits, which might inadvertently make anxiety worse by affecting overall health and energy levels. 

Rapid heart rate

Have you ever been sitting down, watching TV, and suddenly your heart races like you just ran a marathon? Anxiety can cause your heart rate to accelerate unexpectedly, even in the absence of physical exertion, as part of the body's heightened response to perceived stress.

This sudden increase in heart rate can be alarming, potentially heightening your anxiety further as you wonder about its cause. It's a stark reminder of how closely our mental state can impact our physical well-being. 

Changes in libido

The impact of anxiety on sexual desire can be significant, with potential reductions in libido affecting both males and females.

This often overlooked symptom can strain personal relationships and contribute to feelings of inadequacy or stress, further complicating one's mental health. 

Shortness of breath

Anxiety can disrupt typical respiratory patterns, leading to experiences of breathlessness even when you haven’t done anything active. This change in breathing patterns is often caused by the body's natural response to stress or fear.

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Long-term effects of anxiety on the body

Anxiety, often perceived primarily as a mental health concern, can also have lasting effects on your physical health. Over time, it can impact your body in several ways:

  • Central nervous system: Anxiety can create lasting alterations in brain functionality and structure, which can affect neurological disorders and contribute to difficulties in concentration, memory, and mood stability.
  • Cardiovascular system: Chronic anxiety can strain the cardiovascular system, leading to elevated blood pressure and an increased risk of heart disease over time. 
  • Immune system: The constant stress response associated with anxiety can weaken your immune response, making you more susceptible to infections and illnesses. 
  • Digestive system: The stress-response system that activates during anxiety episodes can alter digestive processes and nutrient absorption, and prolonged impact can also cause issues like irritable bowel syndrome (IBS), ulcers, and chronic indigestion. 
  • Respiratory system: The respiratory effects can be stifling if left unmanaged — prolonged anxiety can worsen respiratory disorders like asthma and chronic obstructive pulmonary disease (COPD).

Understanding how to reduce anxiety not only helps improve your mental well-being but also helps protect and support your physical health.

Graphic shows coping strategies for anxiety, which include mindfulness, breathing techniques, progressive muscle relaxtion, healthy eating, and exercise

How to relieve symptoms of anxiety

Anxiety thrives when it has free rein over your thoughts. However, you can establish defenses against it to protect both your mind and body against anxiety's effects.

These coping strategies address how you can relieve the psychological and physical symptoms of anxiety:

  • Mindfulness redirects your thoughts and focuses your mind on the present, which helps turn down the intensity of your anxiety.
  • Breathing techniques are like mental stretches for your 'fight or flight' response, helping you relax your muscles and slow down your thoughts.
  • Progressive muscle relaxation systematically tenses and then relaxes each muscle group, teaching your body what relaxation feels like again.
  • Healthy eating gives your body the necessary nutrients to regulate mood and reduce stress.
  • Exercise releases endorphins, which are your body's natural stress fighters. 

Incorporating these coping strategies into your routine can enhance your resilience to anxiety and help you maintain control over both your mental and physical health.

Treatment options for anxiety disorders

With a wide array of treatment options available, managing anxiety disorders has become an achievable goal for many. From therapy to medication, a mental health professional can help you find a care plan for your needs.

Therapy for anxiety disorders

Therapy for anxiety symptoms and disorders can come in various forms, such as cognitive behavioral therapy (CBT), exposure therapy, or dialectical behavior therapy (DBT).

Cognitive behavioral therapy focuses on identifying and changing negative thought patterns that fuel anxiety. By breaking down overwhelming fears into smaller, more manageable parts, CBT could help you confront your anxieties in a safe environment.

This therapy emphasizes the development of personal coping strategies, teaching you to challenge distorted perceptions and change your reactions to anxiety-inducing situations.

Exposure therapy is based on the principle that facing your fears is essential to overcoming them. This approach gradually and systematically exposes individuals to the objects or situations that provoke anxiety in a controlled setting.

Over time, repeated exposure decreases the power these triggers have, reducing fear and anxiety levels. It’s particularly effective for specific phobias and obsessive-compulsive disorder (OCD).

Dialectical behavior therapy combines cognitive-behavioral techniques with mindfulness practices. DBT is designed to help manage distress, regulate emotions, and improve relationships.

This approach is especially beneficial for those with complex or hard-to-treat disorders, helping them to deal with intense emotional turmoil and impulses.

Free resource: How to Soothe Anxiety with DBT Skills

Therapy provides a supportive space to understand and work through underlying issues that may be causing anxiety. This part of an anxiety treatment plan also equips you with tools to manage symptoms and cope with triggers.

Medication for anxiety disorders

For some, medications may help manage the symptoms of anxiety disorders. While therapy focuses on the psychological aspects, medications address the neurochemical imbalances that might contribute to persistent anxiety.

Anti-anxiety medication, selective serotonin reuptake inhibitors (SSRIs),  serotonin-norepinephrine reuptake inhibitors (SNRIs), and beta-blockers are common prescriptions that may help reduce anxiety symptoms. It's vital to have a discussion with a healthcare provider about the benefits and potential side effects of any medication in an anxiety treatment plan.

With Cerebral's online therapy and virtual medication management services, you can get personalized care from licensed prescribers, therapists, and care counselors to address an anxiety disorder.

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How can I tell if I have an anxiety disorder?

If you’re experiencing these physical anxiety symptoms — and/or emotional signs of anxiety like difficulty concentrating, restlessness, and irritability — you can take an initial step in gaining more clarity by taking our free anxiety self-test.

While you’ll need to speak with a mental health professional to get a diagnosis, this free 3-minute screening tool  suggests where your anxiety symptoms range on a scale of normal to severe, though only a licensed professional can give a diagnosis after a full evaluation.

Start on the path to a more serene and stable life — take our free anxiety screening tool  today. 


Images by DC Studio, freepik, and krakenimages on Freepik.

The information in this blog is provided as a general educational resource only, and is not to be used or relied on for any diagnostic or treatment purpose. This information should not be used as a substitute for professional diagnosis and treatment and does not create any patient-physician relationship between you and Cerebral. Please consult your health care provider before making any health care decisions or to get guidance about a specific medical condition.

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In OCD, these obsessions often revolve around specific themes that are persistent and difficult to control Common OCD obsessions include the following: Fear of contamination or germs Unwanted forbidden or taboo thoughts involving sex, religion, or harm Aggressive thoughts toward others or self Having things symmetrical or in perfect order These obsessions can dominate the person's thoughts, leading to significant distress and interfering with daily activities. Common compulsions in OCD Compulsions are repetitive behaviors or mental acts that a person feels driven to perform in response to an obsession. These actions are meant to reduce the distress associated with obsessions or to prevent a feared event, but they often  only provide temporary relief. Common OCD compulsions include the following: Excessive cleaning or hand washing Ordering and arranging things in a particular, precise way Repeatedly checking on things, such as ensuring the door is locked, or the oven is off Compulsive counting Compulsions can take up significant time and interfere with daily functioning, often causing distress and frustration. What is anxiety? Anxiety is a natural response to stress, but when it becomes persistent and overwhelming, it can develop into an anxiety disorder. Symptoms of anxiety can range from mild worry to debilitating fear and panic. Anxiety disorders are characterized by excessive fear or worry that impacts daily activities and encompass a wide range of conditions, including generalized anxiety disorder (GAD), panic disorder, and social anxiety disorder. People with anxiety disorders often experience persistent, uncontrollable worry about various aspects of life, such as work, relationships, and health. This constant state of alertness can even lead to physical symptoms of anxiety that can significantly impact one's quality of life. Common symptoms of anxiety Anxiety can manifest in various ways, affecting both the mind and body. Most commonly, people with anxiety-related disorders will experience the following: Excessive worrying Feeling agitated or restless Fatigue Difficulty concentrating Irritability Tense muscles Trouble sleeping These symptoms can significantly impact daily life, making it challenging to perform everyday tasks and enjoy normal activities. Key differences between OCD and anxiety While OCD and anxiety disorders share some similarities, there are key differences in behaviors, thought patterns, and the focus of thoughts that can help in telling the two types of disorders apart. Behaviors Behaviors associated with these conditions can greatly interfere with day-to-day functioning and are often key indicators of the underlying disorder. Here’s how the two differ in behaviors:  OCD: Involves repetitive or ritualistic behaviors or mental acts (compulsions) performed to reduce the distress caused by obsessions. Anxiety: Involves behaviors aimed at avoiding anxiety-provoking situations or events, such as avoidance of social gatherings or excessive preparation for events. Thought patterns Thought patterns are a critical component in distinguishing between OCD and anxiety disorders. These are the major differences for both: OCD: Characterized by intrusive, unwanted thoughts that the person recognizes as irrational but cannot control. Anxiety: Involves persistent worrying about future events or everyday situations, which, while often exaggerated, are more rooted in reality compared to the intrusive thoughts in OCD. Focus of thoughts Understanding where thoughts are centered can help in identifying a specific disorder. This is how the two conditions differ in this area: OCD: Thoughts are often centered around specific themes like contamination, harm, or symmetry. Anxiety: Thoughts can be generalized and involve worrying about a wide range of everyday issues, such as work, health, and relationships. Recognizing differences can aid in distinguishing between OCD and anxiety disorders, which can help lead to more personalized and targeted treatment options. Is OCD a type of anxiety? OCD was previously considered an anxiety-related disorder because it involves significant anxiety and distress caused by obsessions and compulsions. However, OCD has been reclassified as an obsessive-compulsive and related disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as of late. This reclassification reflects the distinct nature of the obsessions and compulsions in OCD, which distinguish it from other anxiety disorders. How to tell if I have OCD or anxiety Because OCD and anxiety disorders can have overlapping symptoms, it will take a mental health professional to make a clinical diagnosis. However, you can educate yourself on the main differences between the two to gain more clarity before talking with a mental health professional. Let’s take one last look at the symptoms of both to help differentiate between the two. OCD symptoms Intrusive, unwanted thoughts or images (obsessions) Repetitive behaviors or mental acts (compulsions) performed to reduce distress Significant time spent on obsessions and compulsions, interfering with daily life Recognizing that obsessions and compulsions are excessive or unreasonable Anxiety symptoms Excessive, uncontrollable worry about various aspects of life Physical symptoms such as increased heart rate, sweating, and trembling Avoidance of anxiety-provoking situations Difficulty concentrating and sleeping Persistent feelings of restlessness or being on edge How are OCD and anxiety diagnosed? Diagnosing OCD and anxiety disorders involves a comprehensive evaluation by a mental health professional. This typically includes: Clinical interview: To discuss your symptoms, medical history, and impact on daily life. Questionnaires: To assess the severity of symptoms using standardized clinical tools. Observation: To note behaviors and physical signs of anxiety or compulsions. Diagnostic criteria: To make a diagnosis using criteria from the DSM-5. A thorough clinical evaluation and diagnosis inform a personalized treatment plan.  Can you have both OCD and anxiety? Yes, it is possible to have both OCD and an anxiety disorder, and co-occurrence of these conditions can be relatively common. While having one can increase the risk of developing the other; the likelihood of developing both is greater for those with OCD because of the condition’s severity. When both conditions are present, treatment plans should address OCD and anxiety symptoms to ensure comprehensive care. Why that matters: The presence of one condition can exacerbate the symptoms of the other, creating a complex interplay that can be challenging to manage, especially without ongoing professional help. What other conditions could it be? Several other conditions can present with symptoms similar to OCD and anxiety disorders but also have distinct treatment options. This makes a clinical evaluation or talking with a licensed professional all that more important. Conditions that could look like OCD or anxiety include: Depressive disorders: Persistent low mood, loss of interest in activities, feelings of hopelessness, and changes in appetite and sleep patterns. Attention-deficit/hyperactivity disorder (ADHD): Symptoms like difficulty concentrating, restlessness, and impulsivity can resemble anxiety and OCD, especially when the individual engages in repetitive behaviors or experiences significant worry and distractibility. Phobias: Intense fear of specific objects or situations that result in avoidance behavior. Body dysmorphic disorder (BDD): Obsessive focus on perceived flaws in appearance, leading to repetitive behaviors, such as mirror checking, and significant distress. Undergo an evaluation with a licensed professional to discuss personalized treatment for your specific condition. Are the treatments different? Not always. There are similarities in treating OCD and anxiety disorders. Medication Medication is a common treatment option for both OCD and anxiety disorders, often helping to manage and alleviate symptoms. For both conditions, medications are often combined with therapy and other interventions. Therapy A therapist can provide non-medication strategies and support in managing symptoms for either condition. By learning essential tools and techniques, therapy fosters hope for long-term recovery and resilience for people with OCD as well as for those who have anxiety-related conditions. Coping strategies Techniques such as mindfulness, relaxation exercises, deep breathing, and stress management may be particularly helpful. Lifestyle changes like regular exercise, balanced eating, and sufficient sleep also may help. By incorporating healthy coping strategies into your daily life, you are on the road to improving your mental health. How Cerebral can help If you are experiencing symptoms of OCD or an anxiety-related disorder, seeking help from a mental health professional is essential to getting the care you need. Online mental health services like Cerebral offer a convenient and accessible way to receive support for OCD and anxiety disorders. Cerebral provides: Therapy: Access online sessions with licensed therapists. Medication management: Consult with credentialed prescribers virtually to see if an online prescription and managing medication is appropriate for you. Educational resources: Explore articles, in-app exercises, and free mental health resources to help understand and manage symptoms. Services like Cerebral can be particularly beneficial for those who have difficulty accessing traditional in-person care due to geographical, logistical, or personal reasons. Our team of experienced mental health professionals is here to explore personalized care and support if appropriate for you.  Do I have anxiety? Only a mental health professional can determine the answer to that question by conducting a clinical evaluation for an anxiety disorder. But, you can take a free 3-minute self-assessment to get a better sense of the level of your anxiety symptoms.  Images by freepik, freepik, and master1035 on Freepik. *The information in this blog is provided as a general educational resource only, and is not to be used or relied on for any diagnostic or treatment purpose. This information should not be used as a substitute for professional diagnosis and treatment and does not create any patient-physician relationship between you and Cerebral. Please consult your health care provider before making any health care decisions or to get guidance about a specific medical condition.
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