What is anxiety? 

Anxiety is something everyone experiences from time to time. It’s a natural response to stress, uncertainty or perceived danger. But when anxiety becomes overwhelming, constant or starts interfering with daily life, it can feel like an inescapable cycle.

Understanding what anxiety is and why it happens can help you take the first step towards managing it.

The science behind anxiety

Anxiety is part of the body’s fight-or-flight response. This is an automatic reaction designed to keep us safe. When your brain detects a threat (real or imagined), it sends signals to release stress hormones like adrenaline and cortisol. These chemicals increase heart rate, sharpen focus and prepare the body for action.

In short bursts, this response is useful. It’s what helps you slam the brakes when a car pulls out in front of you. But when anxiety becomes long-term, your brain starts detecting threats where there aren’t any, keeping your body stuck in high alert mode.

Symptoms of anxiety

Physical

Racing heart

Dizziness or feeling lightheaded

Tense muscles, aches or pains

Shortness of breath or tight chest

Stomach discomfort or nausea

Sweating or feeling hot and flushed

Fatigue or restlessness

Emotional and mental

Constant worry or overthinking

Feeling on edge or irritable

Trouble concentrating or making decisions

Feeling disconnected from reality (like watching yourself from the outside)

Racing thoughts

Behavioural

Avoiding situations that trigger anxiety

Seeking constant reassurance from others

Struggling to relax or switch off

Disrupted sleep patterns

Procrastination or perfectionism

The impact of anxiety on daily life

When anxiety becomes persistent, it can make even the simplest tasks feel overwhelming. You might avoid social situations, struggle to focus at work or find it difficult to enjoy activities you once loved. Over time, this avoidance can reinforce the fear, making it even harder to step outside of your comfort zone.

It can also take a toll on physical health. Long-term stress weakens the immune system, disrupts digestion and contributes to chronic fatigue.

Can anxiety be managed?

Yes! While anxiety can feel like it’s running the show, it is manageable. The key is learning how to regulate your nervous system and break the cycle of anxiety. This can include:

Challenging and reframing unhelpful thoughts

Anxiety often thrives on unhelpful thinking patterns – catastrophising, overgeneralising or assuming the worst. Learning to identify and challenge these thoughts can help reduce their intensity and power.

Using relaxation techniques like deep breathing or mindfulness

Anxiety activates the body’s fight-or-flight response, leading to rapid breathing, a racing heart and muscle tension. Relaxation techniques can help counteract this response by activating the parasympathetic nervous system, which promotes calmness.

Engaging in regular physical activity

Movement is one of the most effective natural ways to reduce anxiety. It helps regulate stress hormones, releases mood-boosting endorphins and improves overall resilience to stress.

Making small, manageable changes to daily habits

When anxiety feels intense, making big changes can seem impossible. The key is to start small. Introducing tiny, achievable adjustments to your routine can build momentum and create lasting improvements in wellbeing.

How can occupational therapy help with anxiety?

Occupational therapy helps individuals with anxiety by providing practical, action-based strategies to manage symptoms, build confidence and engage in meaningful daily activities.

Identifying triggers and patterns

Recognising what worsens anxiety and understanding avoidance behaviours to develop healthier coping mechanisms.

Creating a manageable routine

Breaking tasks into smaller, achievable steps to reduce overwhelm and build structure in daily life.

Developing practical coping strategies

Using grounding techniques, sensory tools and energy management to handle anxiety effectively.

Gradual exposure to challenges

Supporting individuals in safely reintroducing avoided situations to build confidence and independence.