Anxiety and worry are definitely emotional experiences, but ask anyone who's had an anxiety episode or who lives with an anxiety disorder, and they'll tell you that it can be a physical problem, too. In fact, studies have long linked anxiety to physical conditions like migraines and even thyroid disease.
"The physical symptoms play a major role in anxiety," says Amy Morin, LCSW, a psychotherapist and author of 13 Things Mentally Strong People Don't Do. "If someone experiences shortness of breath, for example, they are more likely to think anxious thoughts like, I'm going to die. That in turn, spikes their anxiety. It can be a vicious cycle that is hard to break unless you address the physical symptoms."
"Some people also grind their teeth while others experience muscle soreness due to keeping their muscles tensed up much of the time," she says, adding that if someone is experiencing an acute episode of anxiety or panic, they might also experience shortness of breath, sweating, dizziness, and increased heart rate.
[Anxiety] can be a vicious cycle that is hard to break unless you address the physical symptoms.
Amy Morin, LCSW
"The brain activates a fight-or-flight response in the body when it perceives a threat," Morin says. "If you were in physical danger, that response would help you get oxygen to your lungs and blood to your muscles so you could escape or defend yourself."
But for people with anxiety, that fight-or-flight response gets activated even when they aren't in immediate physical danger, and so their bodies spend a lot of time being on high alert, making them more prone to physical symptoms like exhaustion or upset stomachs.
If you're going through some of the bodily symptoms Morin describes, she suggests keeping a journal (or getting a mood-tracking app if you want to be eco-friendly) to track them. If they persist, it might be helpful to see a primary care doctor who can rule out any other physical health issues and direct you to a mental health professional if they think you might be experiencing anxiety.
"For someone with an anxiety disorder, it's important to seek professional help," Morin says. "A psychotherapist can assist with addressing the physical symptoms, as well as the emotional and cognitive symptoms."
If you are experiencing anxiety and are in need of crisis support, please contact Samaritans on 116 123. All calls are free and will be answered in confidence.