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Signs of Anxiety and How Therapy Can Help

  • Writer: Sarah Adele
    Sarah Adele
  • Oct 31
  • 6 min read

Introduction:

Anxiety is a fundamentally human experience. It's an emotion that relays our deepest hopes and our most poignant fears. It can be the precursor to a challenge we desire to overcome, or a signal of potential danger ahead.


But when anxiety shifts from a temporary visitor to a constant, unwelcome companion, its language becomes more complex. It can flood our system with stress hormones like cortisol and adrenaline, triggering a cascade of physiological alarms: a racing heart, jittery limbs, and an urge to escape. In this state, the very idea of sitting with the feeling to understand its message can feel impossible. The noise is simply too loud.


And yet, beneath this turbulence, your anxiety holds a quiet wisdom. It often points toward the parts of your life that matter most—your values, your freedoms, your relationships, your unmet potential, your authentic self.


In this article, we will explore some common signs of anxiety and how therapy can offer a way to listen to its messages, develop self-understanding, and reclaim your sense of appreciation for your inner world.


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Part I: The Many Faces of Anxiety


How does your anxiety try to get your attention? As you read some of the signs below, notice which ones resonate. The aim here isn't to “match the criteria”, but to identify some specific ways your inner world is trying to communicate.


The Internal Experience

  • The Overthinking Loop: Mentally rehearsing past conversations or pre-living future ones, stuck in a cycle that never brings resolution.

  • Irritability: Snapping over small things, a sign that your nervous system is overloaded and on high alert.

  • Social Hangovers: Feeling mentally drained after social events from over-analysing everything you said and did, or simply always being on alert.

  • Feeling Numb or Detached: A sense of emotional flatness or watching your life from a distance to protect yourself from feeling too much.


The Physical Experience

Anxiety is a full-body experience. When you perceive a threat, your body's primal survival system activates.

  • The Urge to Escape: A powerful, physical feeling of needing to get out of a situation now.

  • A Racing Heart & Shallow Breath: Your body preparing for action, which can lead to feelings of dizziness or panic.

  • Feeling "Wired" or On Edge: Muscle tension, restlessness, sweating, or stomach issues as your body prioritises your muscles and cardiovascular system to run or fight.

  • A Sense of Unreality: The world suddenly feeling distant, foggy, or dreamlike, a temporary disconnection from overwhelming feelings.


Behavioural Patterns

These are the often-unconscious strategies to manage anxiety. They help in the short-term but keep you stuck in the long run.

  • Avoidance: Steering clear of people, places, or tasks you believe will trigger anxiety.

  • Procrastination: Putting things off because starting feels too overwhelming or risky.

  • Seeking Constant Reassurance: Needing others to validate your decisions to quiet inner doubt.

  • Staying Constantly Busy: Filling every moment to avoid the discomfort of being alone with your thoughts.


Subtle & Overlooked Signs

These are the quiet, internal experiences of anxiety that don't always manifest as obvious panic or avoidance but can be just as draining.

  • Perfectionism: Setting impossibly high standards to avoid the possibility of criticism or failure.

  • A Harsh Inner Critic: A relentless voice that magnifies every mistake, trying to make you “better” in some way to be safe.

  • Decision Paralysis: Feeling frozen by even small choices, terrified of making the "wrong" one.

  • Chronic Mental Exhaustion: Feeling tired all the time from the constant, unseen effort of managing your inner world.


As you read through this list, you may notice that a crucial pattern emerges: many of these experiences are not the core problem, but your system's reaction to a perceived threat. The rumination, restlessness, and avoidance are like an alarm — loud, disruptive, and demanding attention. But the alarm itself isn't the issue; it's a response to something that caused it. The real work begins when we learn to look past the overwhelming noise of the alarm to understand what set it off in the first place. Your whole system is working hard, in its own way, to protect you; the challenge is learning what it’s trying to protect you from.


Part II: Beyond the Symptoms: What Is Anxiety Really About?


This brings us to the essential question: if your system is working so hard to protect you, what is the nature of the threat? To move beyond managing symptoms, we must learn to interpret your anxiety's message. It is often a signal that something fundamental to your safety, identity, or values feels at risk.

The challenge is that this "something" is rarely obvious. It could be a past wound echoing in the present, a future you dread, a value you're betraying, or a part of yourself you're afraid to acknowledge. The threat isn't always external; it could be an internal conflict between who you are and who you feel you must be, or between what you truly want and what you believe is expected of you.

This is why simply being told to "relax" is infuriating. If you could, you would. You can't negotiate with the alarm until you understand what tripped the circuit. The work, then, involves becoming curious about your own inner world. It's about asking, with compassion:

What feels so dangerous about letting my guard down?

What is my anxiety trying to protect me from?

In listening to your anxiety as a part of you that, however clumsily, is operating to protect you, we offer it what it has always needed: to be understood. In doing so, we offer that anxious protector the opportunity to finally, gradually, stand down.


Part III: How Therapy Helps You Relate to Anxiety

Therapy provides a collaborative space where you, with your therapist as a facilitator, can safely look at your inner world and the dynamics at play in your life. In this space, we gently confront the patterns from Part I. The procrastination, the rumination loops, the need for control, these are the starting points of our exploration.


The Process of Therapy:


  • Creating a Secure Base: First, we build a calm, consistent space where you can begin to notice your anxiety without having to manage it alone. This foundational safety—being truly heard and seen with genuine curiosity and compassion—can, in itself, begin to turn down the volume of the alarm.

  • Understanding the 'Why': Together, we become detectives of your inner world. We notice and gently explore the roots of your anxiety: the underlying fears, old wounds, unspoken needs, and internal conflicts. We learn the unique language your anxiety speaks and begin to listen.

  • Developing a New Relationship: As we understand what your anxiety is trying to communicate, we create an opportunity for you to build a new relationship with it. We explore how this protective part might fit into your whole self and interact with your other feelings, needs, and desires.

  • The Relational Dimension: A crucial part of our work happens right in the room. We pay close attention to how your anxiety shows up between us. Does it make you hesitant to speak? Does it urge you to fill the silence? Are there topics you avoid? These live, immediate moments offer a powerful window into your relational patterns and provide a direct opportunity to experience a different, more secure way of being in yourself and with another person.


The aim is not a life free from anxiety—a natural and sometimes useful emotion—but a shift towards a life where anxiety becomes a signal you can understand rather than a force that takes over.


Conclusion: Your Path Forward

If the experiences described here resonate with you, it might be a signal that it's time to listen to that inner knowing. For some, the task of understanding and unravelling their anxiety feels insurmountable, and the steady presence of someone who is not afraid of it is what makes the journey feel possible. For others, it is a practice of gentle inquiry. Or perhaps you've been managing on your own but feel ready for a more focused exploration.

Wherever you are, therapy provides a space that supports you in turning toward your anxiety with curiosity instead of fear, allowing you to unravel its messages and reclaim a sense of agency and peace in your life.

If the way I've described this process speaks to you, and you feel we might work well together, please get in touch.


 
 
 

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