Understanding High-Functioning Anxiety: What It Is and When to Seek Help

High-functioning anxiety is often invisible. On the outside, someone may seem successful, organized, and high-achieving—but on the inside, they’re battling constant worry, fear of failure, and burnout. Unlike traditional anxiety, high-functioning anxiety can hide behind a polished facade, making it harder to recognize—and even harder to address.

At Aldergrove Counseling, with offices in Naperville and Downers Grove, IL, we work with many clients who identify with high-functioning anxiety. Our licensed therapists help individuals uncover the root of their anxiety, develop sustainable coping tools, and rediscover peace of mind.

What Is High-Functioning Anxiety?

High-functioning anxiety refers to someone who struggles with anxiety symptoms but continues to perform well in daily life. These individuals often excel in their careers, maintain responsibilities, and appear calm to others—while privately dealing with racing thoughts, insomnia, overthinking, and perfectionism.

Unlike clinical anxiety disorders that can disrupt one’s ability to function, high-functioning anxiety often goes unnoticed. However, the emotional toll is just as real and can lead to burnout, relationship strain, and physical health issues over time.

This article by Mayo Clinic Health System explores how high-functioning anxiety can manifest and offers early management tips.

Common Signs of High-Functioning Anxiety

While symptoms vary, here are some key traits that often appear:

• Chronic overthinking or second-guessing decisions

• Trouble sleeping despite exhaustion

• Irritability or restlessness, especially when things feel out of control

• Perfectionism and fear of disappointing others

• Physical symptoms like muscle tension or headaches

• A relentless need to “stay busy”

• Struggling with self-doubt despite achievements

SummitStone Health Partners outlines more signs of high-functioning anxiety that are worth reviewing if you’re unsure what you’re experiencing.

Why It’s Important to Address It

Because individuals with high-functioning anxiety often appear capable and in control, they may not seek help until they hit a breaking point. But waiting too long can increase the risk of:

• Burnout

• Depression

• Chronic health conditions

• Isolation or withdrawal from relationships

Therapy offers a safe space to uncover the roots of anxiety and develop tools to manage it effectively. At Aldergrove Counseling, we tailor support to meet you where you are—even if everything looks okay on the surface.

How Therapy Can Help

Working with a therapist allows you to:

• Understand your anxiety triggers

• Set boundaries and reduce overcommitment

• Replace self-critical thoughts with healthier ones

• Learn coping tools that work for you, not against you

• Create space for rest, reflection, and authenticity

Our compassionate team provides a range of evidence-based services that can support those navigating anxiety and related concerns. Explore our counseling services here.

Whether you're near Naperville or Downers Grove, IL, Aldergrove Counseling offers convenient, in-person support in a warm and welcoming environment. We also provide virtual sessions for added flexibility.

When to Seek Help

If you’re constantly tired, overwhelmed, or feel like you’re holding it together just enough to get by, it might be time to talk to someone. Therapy isn’t just for “crisis”—it’s a proactive way to care for your emotional well-being.

You don’t have to carry anxiety alone. Contact Alder Grove Counseling today to schedule a consultation at our Naperville or Downers Grove location and take the first step toward more balance, clarity, and calm.