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What Does Anxiety Feel Like and How Can It Affect Your Body?

Understanding how anxiety feels, what physical symptoms to expect, and common triggers can help you recognize when it’s happening and take steps to manage it.

By Taylor Pagniello, RP, M.A.

Jan 05, 2025

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Anxiety is more than just feeling nervous before a big event—it can be an overwhelming, full-body experience that affects your thoughts, emotions, and even your physical health. If you’ve ever wondered, Is what I’m feeling anxiety? or Why is my body reacting this way?—you’re not alone.

Anxiety doesn’t just live in the mind; it’s deeply connected to the body. Understanding how anxiety feels, what physical symptoms to expect, and common triggers can help you recognize when it’s happening and take steps to manage it.

What Does Anxiety Feel Like?

Anxiety can feel different for everyone, but some common emotional and physical sensations include:

1. A Sense of Overwhelming Dread

Anxiety can create a persistent feeling that something is wrong or that something bad is about to happen, even if there’s no real threat.

2. Racing Thoughts & Mental Overload

You may feel like your mind is running a marathon—constantly overthinking, replaying past mistakes, or imagining worst-case scenarios. This can make it difficult to focus, remember things, or make decisions.

3. Feeling on Edge or Irritable

Anxiety can make you feel tense, restless, or easily frustrated. Small inconveniences might feel overwhelming, and you may feel jumpy or hyper-aware of your surroundings.

4. A Feeling of Disconnection (Derealization/Depersonalization)

Some people experience a sense of detachment, as if they’re watching themselves from outside their body (depersonalization) or as if the world around them feels unreal (derealization).

5. The Urge to Escape or Avoid

You might feel like you need to leave a situation immediately or avoid certain places, conversations, or responsibilities to prevent feelings of panic.

How Anxiety Affects Your Body

Anxiety triggers the fight-or-flight response, a survival mechanism designed to protect you from danger. But when anxiety is persistent, this system stays on high alert, leading to physical symptoms such as:

1. Rapid Heartbeat & Chest Tightness

Your heart may race, pound, or feel like it’s skipping beats. You might also feel pressure or tightness in your chest, which can be mistaken for heart problems.

2. Shortness of Breath & Hyperventilation

Anxiety can make your breathing shallow and rapid, making it feel like you’re not getting enough air—even though you are.

3. Dizziness or Lightheadedness

Hyperventilation and muscle tension can make you feel unsteady, dizzy, or as if you might faint.

4. Stomach Issues (Nausea, IBS, or Digestive Problems)

Anxiety affects the gut-brain connection, often causing stomachaches, nausea, diarrhea, or symptoms of Irritable Bowel Syndrome (IBS).

5. Muscle Tension & Aches

Your body might feel stiff, sore, or fatigued due to prolonged muscle tension, especially in the neck, shoulders, and jaw.

6. Sweating & Temperature Fluctuations

You may suddenly feel hot and sweaty or cold and clammy, even if the temperature around you hasn’t changed.

7. Shaking or Trembling

Your hands, legs, or entire body might shake due to adrenaline surges.

8. Insomnia or Disturbed Sleep

Anxiety can make it difficult to fall asleep, stay asleep, or feel rested—even if you’re exhausted.

9. Numbness or Tingling (Paresthesia)

You might feel tingling, numbness, or a pins-and-needles sensation, especially in your hands, feet, or face. This is often due to hyperventilation or blood flow changes.

10. Frequent Urination

Anxiety can increase the need to use the bathroom due to heightened nervous system activity.

Managing the Fear of Physical Anxiety Symptoms

  • One of the hardest parts of anxiety is not just the symptoms themselves, but the fear that comes with them. When your heart races, your chest tightens, or you feel dizzy, it’s easy to believe something is seriously wrong. This fear can create a vicious cycle—your body reacts to anxiety, you become scared of the sensations, and the anxiety worsens. But it’s important to remember: anxiety symptoms, while uncomfortable, are not dangerous.
  • Your body is doing exactly what it was designed to do—responding to stress by activating the fight-or-flight system. The sensations you feel, like a pounding heart or shortness of breath, are temporary and will pass. They do not mean you’re having a heart attack, losing control, or going crazy. Anxiety cannot harm you, even if it feels overwhelming in the moment.
  • Instead of resisting or panicking about these sensations, try acknowledging them with curiosity. Remind yourself, This is just anxiety. My body is trying to protect me, but I am safe. The more you practice accepting and understanding these feelings rather than fearing them, the less power they will have over you. Over time, your brain will learn that these sensations are not a threat—and that’s when anxiety starts to lose its grip.

Common Triggers for Anxiety

Anxiety can be triggered by many different situations, emotions, or bodily sensations. Some common triggers include:

1. Stressful Situations

Work deadlines, financial worries, or major life changes (such as moving, starting a new job, or a breakup) can all trigger anxiety.

2. Social Interactions

Talking in front of a group, meeting new people, or worrying about being judged can lead to social anxiety.

3. Past Trauma

Old wounds—whether from childhood, relationships, or distressing events—can cause anxiety, especially if they remain unprocessed.

4. Health Concerns

Feeling a strange physical symptom (like a rapid heartbeat or dizziness) can cause health anxiety, leading to excessive worry about serious illnesses.

5. Caffeine & Stimulants

Coffee, energy drinks, and certain medications can increase heart rate and jitteriness, mimicking the sensations of anxiety.

6. Lack of Sleep

Sleep deprivation makes it harder for your brain to regulate stress, making anxiety worse.

7. Overstimulation (Too Much Screen Time, Noise, or Crowds)

Excessive phone use, bright screens, loud environments, or chaotic spaces can overwhelm the nervous system and trigger anxiety.

8. Conflict or Unresolved Tension

Arguments, difficult conversations, or unspoken issues can create emotional distress and anxious thoughts.

9. Feeling Out of Control

Uncertainty, unpredictability, or feeling like you don’t have control over a situation can make anxiety skyrocket.

10. Alcohol & Substance Use

While alcohol or certain substances might feel like they help in the moment, they often lead to worse anxiety once they wear off (hangxiety is a real thing!).

Final Thoughts

Anxiety isn’t just in your head—it’s a real, physical experience that can impact your entire body. Recognizing the signs of anxiety and understanding your personal triggers can help you regain a sense of control.

If anxiety is making daily life difficult, know that help is available. Therapy, lifestyle changes, and (for some people) medication can be powerful tools to manage anxiety and improve well-being. You are not alone in this.

  • Barlow, D. H. (2002). Anxiety and Its Disorders: The Nature and Treatment of Anxiety and Panic. Guilford Press.
  • Clark, D. A., & Beck, A. T. (2010). Cognitive Therapy of Anxiety Disorders: Science and Practice. Guilford Press.
  • Kim, E. J., & Kim, J. S. (2018). The relationship between anxiety, panic disorder, and heart rate variability: A review. Psychiatry Investigation, 15(12), 1072-1080.

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