What is high-functioning anxiety?

While not a clinical diagnosis, high-functioning anxiety is a term commonly used to describe someone with anxiety who is often able to hide their symptoms. 

 

Imagine the seemingly calm scene of a swan gliding gracefully across the water. Yet, beneath the surface, its legs paddle furiously to stay afloat. Similarly, a person with high-functioning anxiety may seem composed and successful on the outside. They may be organized, detail-oriented, high-achieving perfectionists. Internally, however, they may struggle with high levels of stress, obsessive or negative thoughts, and self-doubt. Just like the swan's hidden effort, their inner struggles often go unnoticed by others.

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While it is often hard to recognize high-functioning anxiety in adults, it can be even trickier to notice in kids. Children may complain of physical symptoms such as stomach aches or headaches. More commonly, parents may note symptoms such as: 

• Excessive worry

• Overthinking

• Restlessness

• Irritability

• Trouble sleeping

• Nervous habits such as nail biting, hair twirling or leg shaking

• Fear of failure, leading to procrastination​

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If you suspect your child may have signs of high-functioning anxiety, it is important you speak with your pediatrician to see if they could benefit from professional help. In our books, Lumie teaches your child useful ways to help stay calm, such as guided imagery. These techniques, while helpful for many children, are not meant to be a substitute for professional help.