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

High-functioning anxiety can be difficult to recognize, even for those living with it. On the outside, a person may appear driven, punctual, organized, and calm under pressure. Internally, though, they are battling constant self-doubt, chronic stress, and a mind that never shuts off. Because their achievements mask the distress, many people with high-functioning anxiety go undiagnosed and untreated. 

Common Signs of High-Functioning Anxiety 

Signs of high-functioning anxiety may include: 

• Overthinking and over-preparing for every situation 

• A persistent fear of failure despite accomplishments 

• Difficulty relaxing or feeling guilt when not being productive 

• Perfectionism and the need to always “do more” 

• Irritability or internal restlessness 

Many people with high-functioning anxiety are successful students, professionals, or caregivers. Their anxiety fuels achievement, but at a high cost. 

How Anxiety Therapy Can Help 

Anxiety therapy can be a powerful resource for managing this condition. A licensed therapist can help you identify negative thought patterns and build healthier ways to respond to stress. Therapists can also help you set boundaries, process underlying trauma, and reconnect with your values beyond productivity. Evidence-based approaches like cognitive behavioral therapy (CBT), mindfulness, and acceptance and commitment therapy (ACT) are especially effective. These methods focus on building awareness of anxiety triggers, developing coping strategies, and reframing internal narratives. 

You Deserve to Be More Than Just "Functioning" 

High-functioning anxiety is a real thing, but you don’t have to live in this constant state of mental overdrive. Reach out today to speak with a therapist who specializes in anxiety therapy and discover what life feels like when peace becomes part of your success story. 

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About the Author

Amanda Landry, LMHC, CAP, NCC, Founder & CEO, Caring Therapists - Florida Group Practice

Amanda Landry is a Licensed Mental Health Counselor (LMHC), Certified Addictions Professional (CAP), and National Certified Counselor (NCC), with over 18 years of experience helping teens, young adults, couples, and families navigate anxiety, depression, trauma, substance use, and relational challenges. Her holistic approach blends evidence‑based therapies-such as Cognitive Behavioral Therapy (CBT), EMDR, and Emotionally Focused Couples Therapy-with yoga, meditation, and vegetarian wellness practices.

As the Founder and Chief Executive Officer of Caring Therapists, Amanda leads a thriving group practice with multiple locations across South Florida, including Fort Lauderdale, Wellington, Davie, Pembroke Pines, Coral Springs, Sunrise, Hollywood, and Palm Beach Gardens. Her leadership emphasizes clinical quality, community connection, and accessibility, with an emphasis on serving local South Florida communities.

Amanda is also a published author of "Guided Journal for Women with Anxiety" (2022) and has created My Private Practice Collective, an online community and resource hub for therapists establishing or expanding their practices. As a Qualified Supervisor, she mentors and supervises new clinicians seeking licensure and growth in their therapeutic careers.