How to Deal with Anxiety at Work: A Practical Guide for Professionals

Lexy Pacheco
Reviewed by Lexy Pacheco

You're not the only one who feels this way. A lot of people don't know that anxiety at work is much more common than they think. In professional settings, though, it is often written off as just stress or not even noticed at all. Even the best professionals can feel overwhelmed by the pressure to do well, the way people interact with each other, and the fast pace of work. If you're looking for ways to deal with anxiety at work, this guide will show you some useful, doable ways to get your calm and confidence back.
Workplace anxiety can show up in a lot of different ways, from small physical signs like a racing heart before meetings to big mental spirals like overthinking feedback. These things can get in the way of productivity and health. The good news is? You don't have to "just push through." You can turn anxiety from a problem into something you can handle by figuring out what makes you anxious and using specific techniques, like quick resets and long-term changes in your mindset. Let's look at how to get through these problems with clarity and kindness toward ourselves.
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What Is Work Anxiety?
Work anxiety is more than just the normal stress that comes with tight deadlines or hard projects. It's a constant feeling of dread, worry, or physical tension that doesn't go away even when things get easier. Stress is usually linked to certain events, like a big presentation, but work anxiety stays with you, making even simple tasks feel stressful. You might obsess over what you think are mistakes, be afraid of what your coworkers will think, or feel stuck because you want everything to be perfect, even when there isn't any immediate pressure. The main difference? Stress makes you do things, but anxiety often stops you from doing them, which can leave you tired from overthinking or avoiding them.
Work anxiety can be caused by a bad boss or job insecurity (situational) or by generalized anxiety disorder (clinical). Gallup says that almost 40% of U.S. workers feel anxious at work every day. This shows how common this problem is, but many people don't talk about it because they are afraid of being judged. Knowing if your anxiety is caused by your surroundings or is part of a bigger pattern can help you find solutions. No matter what, your experience is real, and even small changes can have a big effect.
Common Causes of Anxiety at Work
A toxic work environment, whether it's because of bad leadership, passive-aggressive coworkers, or policies that aren't always followed, can make you feel anxious all the time. Employees may feel like they have to be very careful because they don't know what might set off criticism or conflict. Unclear expectations make this stress worse because workers don't know what their priorities are or how their work is measured. For instance, you might spend hours making a project perfect, only to have your boss say something vague like "This isn't what I wanted," without saying what that means. This unpredictability keeps your nervous system on high alert all the time, which can show up as physical symptoms like stomach knots before team meetings or trouble sleeping after tough conversations. Psychological safety means being able to speak up without fear of punishment. Without it, even simple tasks can make you anxious.
Perfectionism makes normal standards into impossible goals, so anything less than perfect feels like a failure. For a lot of professionals, their anxiety comes from pressures inside them rather than from outside sources. This often goes hand in hand with imposter syndrome, which is the constant feeling that you're not good enough even when you know you are. You might spend days worrying about a small mistake in a report because you think it will make you look "fraudulent," or you might not volunteer for projects because you think other people are better at them than you are. It's common to spend three times as long on a presentation, practice it over and over, and then focus on one person's blank face as proof that you "bombed." This cycle of self-sabotage drains your energy and makes your anxiety worse, making every new task feel like a test of your worth.
Because of the always-on work culture of today, the line between work and personal time has become less clear. Many workers are expected to be available all the time. Workloads become impossible to handle when there are no clear boundaries, which leads to chronic stress and eventually burnout. You might say "yes" to every request because you're afraid of looking uncommitted, but then you end up working through lunch, answering emails at midnight, and giving up your weekends to catch up. A typical anxiety spiral: staring at a mounting to-do list, paralyzed by where to start, then working late to compensate, which disrupts sleep, leaving you even less capable the next day. When you can't disconnect (physically or mentally), your brain learns to link work with danger, which can make you anxious and give you headaches, make you irritable, or make your heart race when your phone buzzes after hours.
Job security is a thing of the past for many workers because of unstable economies and changing industries. Layoff rumors, contract jobs with no benefits, or fields that are very competitive can make people worry about their jobs. This often shows up as catastrophic thinking, like "If I make one mistake, I'll lose everything and get fired." Fear of failure can be paralyzing, even in stable jobs. For example, a salesperson who is so afraid of missing their quotas that they don't make calls is ironically making their performance worse. Panic attacks before performance reviews or constantly checking industry news for "signs" that your job is in danger are two examples of physical symptoms. This kind of anxiety is especially bad because it takes over your survival instincts. Your brain sees the possibility of losing your job as a real threat to your health, releasing stress hormones into your body even when there is no real crisis.
Think about the marketing manager who gets sick every Sunday night because they dread another week of executives making last-minute changes and having to deal with competing priorities. Or the software engineer who checks every line of code three times because they are afraid that a bug will show how "incompetent" they are, even though they have been successful for years. It's possible that the freelance writer who works 70 hours a week because they're afraid to turn down jobs in a shaky gig economy is to blame. These aren't just ideas; they're things that happen every day to millions of people. The first step toward change is to see these patterns in your own life. Anxiety at work isn't a sign of weakness; it's often a normal reaction to systems that don't make sense. To move forward, you need to change your mind (like separating your job performance from your self-worth) and use practical strategies (like setting boundaries).
Signs You May Be Experiencing Work Anxiety
Physical Symptoms: Fatigue, Chest Tightness, Headaches. Before your mind fully registers the stress, your body may show signs of work anxiety. You might feel tired all the time, even after drinking coffee. Even simple tasks might seem hard. During meetings or when you think about work, you might feel tightness in your chest or have trouble breathing. Tension headaches, on the other hand, can happen in the afternoons or last for days. These aren't random problems; they're how your nervous system reacts to stress hormones like cortisol and adrenaline that last a long time. For instance, a lot of people get "Sunday scaries," which are stomachaches or trouble sleeping the night before the workweek. This is because their bodies are getting ready for more stress. Ignoring these signs can often lead to worse problems, like a weaker immune system or long-term pain.
Emotional Signs: Dread, Irritability, Feeling "On Edge". When you have work anxiety, it can feel like a constant shadow of dread, even when there isn't a crisis right now. Little things that annoy you, like a small criticism or a full inbox, can make you feel much worse than they should. You might feel "on edge" all the time, like you're always waiting for the next problem to come up, which makes it hard to relax even when you're not working. Some people say they feel numb and detached from things they used to enjoy, while others cry suddenly in bathrooms or parking lots. These changes in mood are often caused by your brain's overactive threat response, which sees problems at work as life-or-death situations. Over time, this can make you less sure of yourself and make even simple tasks seem too hard.
Behavioral Changes: Avoidance, Procrastination, Snapping at Coworkers. Anxiety changes the way you act in small ways, often without you even knowing it. You might skip meetings by saying you're "too busy," or put off starting projects because they make you anxious about doing them perfectly. Some people deal with anxiety by doing the same thing over and over, like rewriting emails 10 times. Others get angry with coworkers over small things, which is a sign that they are running out of emotional energy. For example, you might put off opening important messages for days, only to have a crisis at the last minute, or you might notice yourself sighing loudly when someone interrupts you, even if they mean well. These actions aren't flaws in someone's character; they're ways of coping that have gone wrong, ways of trying to take back control in a situation that feels unsafe or unpredictable. The first step toward healthier strategies is to recognize them.
How Work Anxiety Affects Your Performance and Health
Productivity Drops. When you worry about doing a good job at work, you actually get less done. Fear of failure or criticism can make you unable to make decisions or edit documents too much, or even avoid tasks altogether. Anxiety caused by perfectionism might make you redo work that doesn't need to be done, and fear of meetings or presentations might make you put things off. These patterns lead to missed deadlines, lower-quality work, and a frustrating cycle where less productivity makes people even more anxious. When your brain's threat response takes over your executive function, your coworkers may think you're lazy or incompetent.
Difficulty Concentrating. When you're anxious, your brain works like a computer that has too many programs running at once. You might reread emails over and over again without understanding them, zone out during conversations, or have trouble organizing your thoughts when you're under a lot of stress. When you're anxious, your amygdala (the part of your brain that controls fear) takes resources from the prefrontal cortex, which is in charge of focus and problem-solving. You might be sitting at your desk for hours, feeling overwhelmed by a project, but not being able to get anything done because anxious thoughts like "What if I'm doing this wrong?" keep playing in your head and getting in the way of your work.
Sleep Issues. The link between work stress and sleep is very bad in both directions. Cortisol and other stress hormones keep your body in a state of hyperarousal, which makes it hard to sleep or stay asleep. Racing thoughts about things you need to do or meetings the next day keep you from going to sleep, and then you wake up the next day feeling more anxious. A lot of professionals say they lie awake at night going over conversations in their heads or wake up at 3 AM with a racing heart, dreading the workday ahead. This cycle of not getting enough sleep over and over again makes it harder to control your emotions, remember things, and fight off infections. The effects on your body last long after work hours.
Risk of Burnout or Long-Term Mental Health Problems. If you don't deal with your work anxiety, it can turn into clinical burnout, which is when you feel emotionally, physically, and mentally drained and have a sense of cynicism, detachment, and ineffectiveness. Long-term exposure to stress hormones also raises the chances of getting depressed, having gastrointestinal problems, and having heart problems. When someone has chronic anxiety, their brain actually changes shape. The amygdala becomes more reactive, and the hippocampus, which is in charge of memory and controlling emotions, can get smaller. If you don't do anything about it, what started as work-related stress could turn into generalized anxiety disorder or lead to substance abuse as a way to cope. This isn't meant to scare you, but it is meant to stress that dealing with work anxiety isn't just about doing your job well; it's also about keeping your whole body healthy.
Physical Manifestations to Watch For:
- Tension headaches or migraines after stressful workdays
- Jaw pain from unconscious teeth grinding (bruxism)
- Recurrent colds/illnesses due to suppressed immunity
- "Sunday Scaries" stomach aches or nausea
Remember: These effects aren't personal failures—they're biological responses to prolonged stress. Recognizing them early allows you to intervene before they escalate.
How to Deal with Anxiety at Work: 7 Evidence-Based Tips
1. Practice Micro-Breaks and Grounding Techniques
Micro-breaks, which can be as short as 30 seconds, can help keep you from feeling overwhelmed when your anxiety levels rise at work. Use the 5-4-3-2-1 grounding method: Name five things you see, four things you can touch, three things you hear, two things you smell, and one thing you taste. This will break the cycle of anxiety and keep you in the present. Box breathing (inhale for 4 counts, hold for 4, exhale for 4) can calm your nervous system in just a few minutes. A two-minute walk to the bathroom or water cooler can help by relaxing your muscles and getting your mind back on track. These methods work because they stop the body's stress response before it gets worse.
2. Set Boundaries — Even in Small Ways
When there are no clear boundaries, work anxiety grows. Set small limits to begin with. For example, set aside 15 minutes after meetings to regroup, or use Slack's "Do Not Disturb" mode when you're working on something important. If you often skip lunch breaks, set up a regular "Meeting With Self" to eat away from your desk. For people who work from home, physical cues, like shutting your laptop at a certain time, tell you when the workday is over. These little things teach your brain (and your coworkers) that your needs are important, which can help people who feel guilty about putting themselves first.
3. Focus on What You Can Control
Anxiety often focuses on things that might happen ("What if my presentation goes badly?"). To fight this, make a list of things you can control, like getting ready, talking to yourself, and making plans for how to respond. If you miss a deadline, change your mind from "I'm incompetent" to "I'll let you know a new timeline and change my workflow." Cognitive reframing can also help. Instead of saying, "My boss's feedback means I'm failing," say, "This is how I'll get better." Taking action, even small steps, can help you feel less helpless, which can make you anxious.
4. Talk to Someone You Trust
Holding in anxiety makes it worse. Say it out loud to a trusted coworker, manager, or HR rep. You might find that others are going through the same thing. If the work culture allows it, suggest practices that help people deal with anxiety, like no meetings on Fridays. Therapy (many employers offer EAP sessions) can help you deal with triggers when you have deeper problems. Talking about your fears often makes them smaller, while being alone makes them bigger.
5. Evaluate the Workplace Fit
Sometimes anxiety comes from bad places, not from things you do wrong. Note patterns: Do you feel worse after talking to a certain leader one-on-one? Is the "urgency culture" making fake emergencies? If your values are at odds (for example, you value quality but your boss rewards speed), no amount of self-care will completely relieve stress. Think about whether moving teams around or planning for people to leave might be better for the long term.
6. Limit Stimulants and Optimize Sleep
Caffeine makes anxiety worse by acting like stress hormones. Try cutting back to one cup before noon. Screen time, especially before bed, can make it harder to sleep, which makes you more likely to feel stressed the next day. A wind-down routine, like not checking email after 8 PM and drinking herbal tea, can help you sleep better, which is important for emotional strength.
7. Consider Professional Help
When anxiety persists, evidence-based treatments help:
- CBT identifies and rewires anxious thought patterns
- Medication (like SSRIs) may be useful for chemical imbalances
- Workplace coaches can navigate accommodations or conflicts
Therapy isn’t a last resort—it’s proactive mental health maintenance, just like seeing a dentist.
When to Seek Help for Work Anxiety
When work anxiety starts to affect your daily life, it becomes a problem. For example, if you dread going to work every day, have panic attacks (racing heart, trouble breathing, or feeling "out of body"), or avoid doing important tasks (calling in sick a lot, putting off important tasks). Other warning signs are physical symptoms like chronic headaches, insomnia, or digestive problems that are caused by work stress, or if anxiety affects your personal life, making it hard to "switch off" or putting a strain on relationships. These signs point to an overactive nervous system, and getting help from a professional could help you get out of the cycle.
Where to Turn for Help:
- Therapy (CBT or ACT): Helps reframe anxious thoughts and develop coping tools.
- Psychiatry: If symptoms are severe, medication (like SSRIs) may provide short-term relief while you build skills.
- Employee Assistance Programs (EAPs): Many companies offer free, confidential counseling sessions.
- Support Groups: Connecting with others facing similar struggles reduces shame.
Final Thoughts: You’re Not Alone — And It Can Get Better
If work stress has made you feel tired, inadequate, or like you're always on edge, know that your problems are real and you're not alone. A lot of professionals, even those who seem perfectly calm, are fighting the same battles behind the scenes. Feeling anxious doesn't mean you're weak or failing; it usually means you care a lot in systems that don't always meet human needs. You should be proud of the fact that you're reading this because it shows how brave and willing you are to grow.
It's time for people to talk about mental health at work like it's normal. That feeling of tightness in your chest before a meeting? The tiredness that comes from thinking too much about every email? These aren't just weird things; they're signs that your brain and body have been pushed too hard for too long. But here's the good news: small, steady changes can change the course of this story. You don't have to change everything in your life right away. Take one small step today, like setting a firmer boundary ("I won't check emails after 7 PM"), talking to a trusted coworker, or just taking three deep breaths before doing something stressful.
You deserve help. If you can't handle your anxiety, think about seeing a therapist or counselor. It's a proactive choice, not a last resort. And if that seems like too much, try telling one person the truth today: "Work's been too much for me lately." It can be a powerful way to let go of stress. Healing doesn't mean getting rid of all your anxiety; it means learning how to deal with it with more ease and kindness toward yourself.
"Your worth isn’t measured by your productivity or perfection.
Every small step toward balance is a victory."
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