Mental Health Corner

What Is Anxiety?

Anxiety disorders are the most common mental health conditions.

August 13, 2025
Author: Pesach Tikvah
What Is Anxiety?

Anxiety is a feeling of unease, fear, or dread. It’s often a natural response to stress. For example, you may experience anxiety before a big presentation, a challenging work project, or a significant life decision. In these situations, anxiety can actually be helpful, providing focus or a burst of energy to handle the situation. However, for those with anxiety disorders, these feelings can be intense and long-lasting, often affecting daily life. 

Anxiety disorders are the most common mental health conditions. Fortunately, these disorders are treatable, and therapy can help many individuals live productive, fulfilling lives. 

What Defines an Anxiety Disorder? 

For a person to be diagnosed with an anxiety disorder, their fear or anxiety must: 

  • Be excessive or disproportionate to the situation. 
  • Interfere with their ability to function in everyday life. 

Common Signs and Symptoms of Anxiety: 

  • Nervousness, restlessness, or tension 
  • A sense of impending doom or panic 
  • Rapid heart rate 
  • Shortness of breath or hyperventilation 
  • Sweating 
  • Shaking or trembling 
  • Fatigue or weakness 
  • Difficulty concentrating or staying focused on anything other than the current worry 
  • Trouble sleeping 
  • Digestive issues 
  • Difficulty controlling excessive worry 
  • A strong urge to avoid situations that trigger anxiety 
  • Irritability and anger 

Types of Anxiety Disorders 

Generalized Anxiety Disorder (GAD) 
This involves persistent and excessive worry about a range of topics, such as work, health, or everyday matters. This ongoing anxiety may be accompanied by symptoms like restlessness, irritability, fatigue, difficulty concentrating, muscle tension, or trouble sleeping. 

Panic Disorder 
The hallmark of panic disorder is recurrent panic attacks, which are episodes of overwhelming physical and emotional distress. Symptoms during an attack may include: 

  • Rapid heart rate or palpitations 
  • Sweating and trembling 
  • Shortness of breath 
  • Chest pain or discomfort 
  • Dizziness or light-headedness 
  • Tingling or numbness 
  • Nausea 
  • Fear of losing control 

These attacks can be so intense that some individuals may mistake them for a heart attack. Panic attacks can occur unexpectedly or in response to a specific trigger and are often seen alongside other conditions like depression or PTSD. The average age of onset for panic disorder is between 20-24. 

Phobias (Specific Phobia) 
A specific phobia is an intense, irrational fear of something specific, such as spiders, flying, or public speaking. Although individuals with phobias recognize that their fear is excessive, they often struggle to overcome it, which can lead to significant distress and avoidance behaviors. 

Agoraphobia 
This involves the fear of being in places or situations where escape might be difficult or help might not be available if panic symptoms occur. Individuals with agoraphobia often avoid situations such as using public transportation, being in crowds, or leaving the house alone. In severe cases, agoraphobia can limit a person’s ability to leave his home entirely. 

Social Anxiety Disorder 
Also known as social phobia, this condition involves an overwhelming fear of being judged, embarrassed, or rejected in social situations. Individuals with social anxiety will often avoid social interactions or endure them with extreme anxiety. This can include fear of public speaking, meeting new people, or eating in public. For diagnosis, these feelings must last for at least six months and significantly impair daily functioning. 

Separation Anxiety Disorder 
This disorder is marked by an excessive fear of being separated from those to whom one is attached, typically beyond what is expected for the person’s age. This fear can lead to difficulty leaving home, avoiding social situations, or experiencing nightmares about separation. It often begins in childhood, but the symptoms can persist into adulthood. 

Selective Mutism 
Children with selective mutism are unable to speak in certain social situations (such as school), even though they are capable of speaking in others, like at home with family. This condition can affect their social and academic performance, even though their language development is typically normal. 

Risk Factors for Anxiety Disorders 

While anxiety disorders can affect anyone, certain factors increase the likelihood of developing one. These factors include: 

  • Shyness or withdrawal in new situations or with unfamiliar people 
  • Experiencing trauma, especially in childhood or early adulthood 
  • A family history of anxiety or other mental health conditions 
  • Certain physical health problems, such as thyroid issues or irregular heart rhythms 

Related Disorders 

Many individuals with anxiety disorders also experience other mental health conditions, such as depression, obsessive-compulsive disorder (OCD), or post-traumatic stress disorder (PTSD).  

When to Seek Help 

It’s important to seek professional help if: 

  • Your anxiety is interfering with work, relationships, or other parts of life 
  • You find your anxiety or worry difficult to control and it’s causing distress 
  • You experience symptoms of depression or substance use problems alongside anxiety 
  • You suspect that physical health issues may be contributing to your anxiety 
  • You have thoughts of self-harm or suicide — in this case, seek emergency treatment immediately 

Anxiety often worsens over time if left untreated, so it’s important to reach out for help sooner rather than later. Early intervention makes it easier to manage and treat anxiety effectively.