This Common Term Is Sparking More Discussions About Anxiety

While it isn’t a formal medical diagnosis, the phrase “high-functioning anxiety” has gained widespread usage.

For those who seem to have it all figured out at their jobs or are reaching significant milestones in life yet still feel anxious about whether they're doing enough, this appears to encapsulate them perfectly.

"Somewhat unexpectedly, this concept has emerged within popular discourse across social media platforms and community discussions, with individuals labeling themselves as experiencing 'high-functioning anxiety,' " explains Luke Martin, a clinical psychologist and senior advisor at Beyond Blue.

Being cautious with the phrase 'high functioning'

The phrase "high functioning" can be offensive to some people because it is not recommended for use when referring to autism. where its application can be detrimental .

Although it isn’t a term clinicians would officially diagnose with, Dr Martin suggests that in the realm of anxiety, it’s positive if using this phrase leads us to discuss anxiety more frequently.

Over the past two decades, we have become quite adept at discussing depression. So, in a sense, it's positive that anxiety is finally receiving attention in these discussions since it can be a profoundly important matter for individuals in their daily existence.

Dr Martin recognizes that using the term "high-functioning anxiety" can set unachievable standards for individuals suffering from severe anxiety, making it extremely challenging for them to consistently engage with daily activities such as socializing, attending events, working, or even leaving their homes.

He says, 'We don’t want individuals who have experienced this level of anxiety to feel even more discouraged about themselves just because they aren’t “high-functioning.” We understand that dealing with intense anxiety requires immense resilience to continue handling those challenges and progressing toward recovery.'

It truly takes resilience to do this.

However, employing this term can be advantageous if it encourages individuals to contemplate their emotional state.

“If you find yourself thinking that your relationships aren’t how you’d like them to be, or that you’re not finding enough time to rejuvenate, and constantly feel ‘on,’ then reaching the realization that perhaps making changes in various aspects of your life could improve your overall well-being might be beneficial.”

What indicators should you watch for?

Several indicators suggest that things may not be entirely right beneath the exterior.

Sophie Scott, a former ABC medical journalist turned mental health activist, has authored a book exploring the idea of "high-functioning anxiety."

She puts it down to a lack of alignment between what you show externally and how you feel internally.

From an outsider's perspective, you may appear incredibly successful, confident, and diligent, essentially checking all the boxes in life. However, beneath the surface, you experience internal distress and harbor a fear of failing.

People who strive for perfection or those who undergo impostor syndrome are prime candidates," she told ABC Radio Sydney.

It often feels as though one more thing could go wrong at any moment, and everything might collapse soon.

Overthinking and frequently experiencing pessimistic thoughts like intense self-blame can also be indicators.

How does this align with recognized anxiety disorders?

According to recent statistics from the Australian Bureau of Statistics, anxiety disorders are very prevalent, affecting one out of every three people in Australia during their lifetime.

Doctor Martin explains that psychologists view anxiety along a spectrum. On one side lies the typical worries we all encounter when facing stressful situations such as a job interview or public speaking.

It then progresses to mild, moderate, or severe anxiety.

Doctor Martin places "high-functioning anxiety" within the mild to moderate range, where individuals often wear a facade of handling things well, essentially putting up a front of bravery.

Inside, we could be experiencing significant anxiety, worry, or unease, fearing that everything might collapse. However, you put on the mask and continue showing up.

Sarah Edelman is a clinical psychologist as well as the author of "No Worries," a publication aimed at helping people understand and cope with anxiety.

Doctor Edelman isn’t acquainted with the phrase "high-functioning anxiety," however, she mentions that she has definitely encountered numerous individuals experiencing anxiety who appear composed.

While it might not be immediately apparent, these individuals are actually quite tense. They experience significant bodily tightness and find their minds wandering frequently, making it difficult for them to stay mentally grounded.

However, since you're hitting your targets, why should it be significant?

Ms Scott indicates that although this type of anxiety may not be as overwhelming as generalized anxiety, it still has significant effects. When you find yourself constantly fretting, it becomes challenging to stay grounded in the moment and fully appreciate your experiences.

There comes a time when internal struggles can make you feel as though they genuinely hinder your ability to fully appreciate that success and savor the journey instead of solely concentrating on reaching the end goal.

And you might face the danger of burning out.

Often you put too much strain on yourself, with your nervous system constantly in a state of fight or flight for survival. You find it challenging to unwind during weekends and bring yourself back to a calm state.

According to Dr Edelman, anxiety takes away your capacity to fully appreciate life, puts pressure on personal connections, and makes effective parenting challenging when your thoughts consistently drift elsewhere.

It may also result in various physical signs. A lot of individuals aren’t aware they suffer from anxiety or might not view it as an essential part of their well-being, often seeking help only after encountering bodily manifestations like heart palpitations.

How can you address this issue?

Ms Scott emphasizes the importance of acknowledging when you're dwelling on thoughts or experiencing negativity, followed by challenging those thoughts.

Withdrawing from them and not merely taking them as facts, but asking, 'What proof supports their truth?'

She emphasizes that self-compassion is essential, recommending that you consider how you would care for a good friend in your situation.

Talking to yourself as gently as you would with a good friend and offering yourself that act of kindness known as self-compassion can truly create significant change.

Incorporating deep breathing exercises, reducing news intake particularly early in the day, along with regular physical activity such as a short stroll or some light stretches, can also be beneficial.

Dr Martin supports the significance of practicing slow breathing and being kinder to oneself, especially due to the link with perfectionism.

Perfectionism acts as a shield, stemming from a fear of failing and accompanied by a harsh inner critic. This voice becomes particularly critical whenever you make even minor errors. Practicing kindness towards oneself and cultivating self-compassion can significantly aid individuals dealing with anxiety.

Doctor Martin similarly urges individuals to reach out. Beyond Blue For assistance, the sooner the better.

We understand that individuals discussing 'high-functioning anxiety' might eventually experience more intense anxiety or even burnout.

This information is provided generally only. Should you require personalized guidance, consult a certified medical professional.