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Writer's pictureJulie N

Understanding the Link Between Anxiety and Physical Symptoms

Anxiety isn’t just a mental experience. For many, it manifests through physical sensations like a racing heart, muscle tension, digestive issues, or fatigue. These physical symptoms can make anxiety feel even more overwhelming, creating a cycle of stress that impacts both body and mind. By understanding why anxiety affects the body and learning techniques to manage it, you can find relief and feel more in control.


Why Anxiety Affects the Body

Anxiety triggers the body’s “fight-or-flight” response, a survival mechanism designed to keep us safe from perceived threats. When we experience anxiety, our body releases stress hormones like adrenaline and cortisol, which prepare us to face danger by increasing our heart rate, tensing our muscles, and redirecting blood flow to essential organs. While helpful in real-life emergencies, this response is often activated by modern stressors, like social interactions, work pressure, or health concerns, where physical action isn’t required.

When the fight-or-flight response is triggered repeatedly, it can leave us feeling tense, fatigued, or even physically ill. The good news is that with awareness and practice, you can learn to manage these physical responses and reduce their impact on your daily life.


Common Physical Symptoms of Anxiety

While each person’s experience with anxiety is unique, some physical symptoms are commonly linked to anxiety. Here’s an overview:


  • Muscle Tension and Headaches: Anxiety often causes the body to brace for “danger” by tensing up. This can lead to muscle pain, tightness in the neck or shoulders, and tension headaches.


  • Digestive Issues: Anxiety affects the digestive system, leading to symptoms like nausea, stomach aches, or changes in bowel movements. This is sometimes referred to as “gut anxiety” and is influenced by the close relationship between the brain and gut.


  • Heart Palpitations and Chest Tightness: The body’s response to anxiety includes increasing blood flow and heart rate, which can feel like a racing heart or even chest pain. Although these symptoms are usually harmless, they can feel frightening.


  • Fatigue: Living with chronic anxiety can be exhausting. The constant stress on the body’s systems can lead to low energy and fatigue, which can impact daily life and make tasks feel overwhelming.


  • Sweating and Shaking: Anxiety can also cause physical responses like excessive sweating, shaking, or feeling cold, as the body’s nervous system reacts to heightened stress.


How Therapy Can Help You Manage Anxiety’s Physical Symptoms

Therapy is a powerful way to understand and manage anxiety on multiple levels. By exploring the root causes of anxiety and learning tools to address both the mental and physical aspects, you can break the cycle of anxious thoughts and physical discomfort.


Key Ways Therapy Supports Anxiety Management:


  • Identifying Triggers: Therapy helps you recognize specific situations or thoughts that trigger anxiety, allowing you to prepare for and manage these moments.


  • Cognitive Techniques: Working with a therapist can help you learn to challenge unhelpful thought patterns, which often fuel physical symptoms.


  • Body Work: Anxiety often shows up physically in the body. By exploring your embodied experience of anxiety, you can gain greater awareness of what might help calm your nervous system.


  • Building a Personalised Toolkit: Your therapist can guide you in creating a set of calming practices, such as deep breathing, mindfulness, or progressive muscle relaxation, tailored to your needs.


  • Exploring Underlying Emotions: For some, physical symptoms are connected to emotions like fear or anger. Therapy can provide a safe space to explore these feelings and develop ways of processing them.


Self-Help Strategies for Managing Physical Symptoms of Anxiety

Alongside therapy, there are practical strategies you can use in your daily life to reduce the physical impact of anxiety. Here are some techniques to help calm your body and mind when anxiety arises:


1. Breathing Exercises to Calm the Nervous System


  • Slow, deep breathing helps to activate the body’s relaxation response, counteracting the fight-or-flight response. Try this simple exercise: inhale deeply through your nose for a count of four, hold for four, and exhale through your mouth for six. Repeat for a few minutes to feel more centered.


  • Physiological sigh breathing is an automatic mechanism for regulating the body's oxygen levels and calming the nervous system. It is a natural, deep-breathing technique that involves taking two inhales through the nose—one shallow and one deep—and then exhaling slowly through the mouth. This breathing pattern helps activate the parasympathetic nervous system, promoting relaxation and stress relief.


2. Progressive Muscle Relaxation

Progressive muscle relaxation involves tensing and relaxing different muscle groups to release tension. Starting from your feet, tense each muscle group for a few seconds, then release and move up the body. This helps signal to your body that it’s okay to relax.


3. Grounding Techniques to Stay Present

Grounding techniques help shift focus from anxious thoughts to the present moment. One popular method is the “5-4-3-2-1” exercise: identify five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste.


4. Exercise to Release Tension

Physical activity is a natural way to reduce stress hormones and release built-up tension. Even gentle activities like walking, yoga, or stretching can help ease physical symptoms of anxiety and improve mood.


5. Practicing Self-Compassion

It’s easy to become frustrated with yourself when anxiety leads to physical symptoms. Practicing self-compassion means treating yourself with understanding rather than criticism. Remind yourself that anxiety is a natural response and had at some point a useful function: keeping you alive, safe, protected.


When to Seek Additional Support

If physical symptoms of anxiety are impacting your daily life, it’s worth considering additional support. Persistent symptoms, especially those that interfere with work, relationships, or well-being, may benefit from professional intervention. A therapist can help you develop coping strategies and explore any underlying causes of anxiety. Additionally, talking to a healthcare provider can rule out any physical health concerns that might be contributing to symptoms.


Moving Forward: Building a Healthier Relationship with Your Body and Mind

Understanding the link between anxiety and physical symptoms is the first step toward managing them. By taking a compassionate approach, practicing self-help strategies, and seeking support when needed, you can break the cycle of anxiety and physical discomfort. Remember, you don’t have to face anxiety alone—resources and support are available.


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The content on this page is provided for general information only. It is not intended to, and does not mount to advice which you should rely on. If you think you are experiencing any medical condition you should seek immediate medical attention from a doctor or other professional healthcare provider.

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