Workplace Anxiety
Workplace anxiety is more than just nervousness about a meeting or a deadline. It involves persistent fear, stress, and worry related to job performance, social interaction, or future employment. Anxiety in the workplace can affect mental health, physical health, and overall quality of life.
What Is Workplace Anxiety?
Workplace anxiety includes the fear of failing at work, losing your job, or being judged by colleagues. It may also involve anxiety about going to work or panic attacks triggered by common tasks. When these symptoms interfere with daily function, it may meet the criteria for an anxiety disorder.

Is It a Medical Issue?
According to the Diagnostic and Statistical Manual of Mental Disorders, workplace anxiety may reflect conditions like generalized anxiety disorder, social anxiety disorder, or panic disorder. A mental health professional or physician can determine if your symptoms meet the threshold for a medical diagnosis.
Workplace Anxiety Symptoms
Workplace anxiety symptoms can be mental, physical, or behavioral. Common symptoms include:
- Constant worry about job performance
- Avoidance of social situations like meetings
- Fatigue, insomnia, and trouble concentrating
Physical signs include palpitations, shortness of breath, stomach pain, and muscle tension. Behavioral changes may include procrastination, withdrawal from co-workers, or irritability.
Causes of Anxiety in the Workplace
Anxiety in the workplace may result from high workload, unclear expectations, toxic culture, or job insecurity. Other causes include:
- Discrimination or bullying
- Poor leadership or lack of support
- Inflexible schedules and unrealistic deadlines
Anxiety due to work can also develop from performance pressure or social skills challenges, especially during public speaking or group collaboration.
Risk Factors and Mental Health Conditions
Workplace anxiety increases the risk of other mental disorders. Major depressive disorder, bipolar disorder, and even eating disorders can develop alongside untreated anxiety. People with pre-existing conditions may experience worsening symptoms due to workplace stress.
Co-occurring Issues
- Substance abuse (e.g., alcohol, stimulants)
- Mood swings and emotional dysregulation
- Addiction as a coping method
Chronic stress also affects the immune system, heart rate, and hormone levels like cortisol, increasing the risk of cardiovascular disease.
The Role of Psychiatry and Psychology
Psychiatry and psychology both play vital roles in addressing work stress and anxiety. A psychiatrist may prescribe medication such as SSRIs for panic disorder or GAD. A psychologist can provide therapy, using evidence-based techniques like cognitive behavioral therapy (CBT).

Types of Professional Support
- CBT to challenge distorted thinking
- Breathing exercises to calm the nervous system
- Exposure therapy for performance-related fears
Revival Mental Health offers both psychiatry and psychotherapy to address workplace anxiety and related mental health conditions.
Coping with Workplace Anxiety
Coping with workplace anxiety starts with identifying triggers. Reflect on when symptoms appear—during emails, before meetings, or after feedback. Once recognized, coping becomes easier.
Effective Coping Strategies
- Daily exercise to regulate mood and sleep
- Mindful breathing to manage in-the-moment panic
- Nutrition and hydration to stabilize energy and focus
Avoid overuse of caffeine and practice proper sleep hygiene. Developing positive mindset habits can improve resilience and job productivity.
Work Performance and Anxiety
Untreated anxiety directly impacts job performance. It affects memory, attention, and decision-making. Employees may suffer from impostor syndrome, procrastination, and fear of failure. Over time, this leads to missed deadlines, burnout, or even resignation.
Signs It’s Affecting Your Work
- Avoiding communication with your supervisor
- Taking longer to complete routine tasks
- Reduced creativity or ability to focus
Dealing with anxiety in the workplace is essential to restoring confidence and improving long-term outcomes.
Employee Assistance and Legal Protection
The Americans with Disabilities Act of 1990 protects workers with mental health conditions. If diagnosed with an anxiety disorder, you may qualify for a reasonable accommodation.
Available Protections
- Flexible schedules or remote work
- Modified responsibilities
- Temporary leave of absence
An employee assistance program (EAP) may also offer free short-term therapy sessions, stress management coaching, or referrals to mental health providers. Contact human resources or the Equal Employment Opportunity Commission (EEOC) for help.
The Connection Between Anxiety and Physical Health
Chronic workplace anxiety has a major impact on physical health. Stress hormones like cortisol increase, triggering physical symptoms such as headaches, digestive issues, and palpitations. Over time, these changes can elevate the risk of cardiovascular disease and weaken the immune system.
How It Impacts the Body
- Increased heart rate and blood pressure
- Chronic muscle pain or stomach cramps
- Sleep disruption and chronic fatigue
Many patients report that workplace stress and anxiety begins with physical symptoms before they even recognize emotional distress. These signs should not be ignored. Early intervention with a health professional can prevent further health deterioration.
Workplace Anxiety and Social Interaction
For many, work causing anxiety isn’t about deadlines—it’s about people. Social anxiety disorder can make everyday conversations, meetings, or collaborative projects feel overwhelming. This fear may stem from past negative feedback or low self-esteem.
Social Skills Under Pressure
Anxiety affects verbal fluency, body language, and overall confidence. You might feel anxious about joining a conversation, taking phone calls, or participating in team-building events. If left untreated, these challenges can isolate workers and damage team cohesion.
Revival Mental Health helps patients strengthen social skills through therapy and role-playing, helping them feel more confident and connected in professional settings.
Leadership’s Role in Workplace Mental Health
Management has a direct effect on employee well-being. Leaders who use empathy, set realistic expectations, and encourage open conversation reduce workplace anxiety. In contrast, poor communication or public criticism can increase anger, panic, and emotional distress.
Creating a Safe Space at Work
- Promote mental health days and flexible scheduling
- Train supervisors in mental health awareness
- Enforce anti-bullying and anti-discrimination policy
Organizational support builds trust, increases motivation, and reduces absenteeism and turnover. It also creates space for those with conditions like autism spectrum or bipolar disorder to thrive.
Performance Reviews and Feedback Anxiety
One overlooked cause of anxiety about going to work is fear of evaluation. Performance reviews and even casual feedback can be triggering for those with anxiety disorders. Some workers may interpret neutral comments as personal failure, leading to shame or avoidance.
Strategies to Reduce Feedback Stress
- Ask for written summaries to process at your own pace
- Use relaxation techniques before reviews
- Prepare questions to stay grounded and engaged
Therapy sessions at Revival Mental Health often include real-world simulations for high-pressure feedback scenarios, helping patients build tolerance and maintain self-esteem.
Nutrition, Sleep, and Daily Function
What you eat—and how well you sleep—affects how you feel at work. Poor nutrition, skipped meals, and high caffeine intake are common in high-stress jobs. These habits worsen insomnia, reduce focus, and raise anxiety levels throughout the day.
Sleep, Energy, and Mood
- Lack of sleep reduces concentration and attention
- Fatigue leads to poor decision-making and irritability
- Skipping meals worsens anxiety and blood sugar imbalances
Revival Mental Health helps patients create sustainable routines that support brain function, emotional regulation, and long-term mental wellness.

Should I Disclose My Anxiety at Work?
Many people with anxiety disorders feel unsure about telling their employer. While disclosure is optional, it can help you access support like reasonable accommodations or an employee assistance program. Knowing your rights under the Americans with Disabilities Act of 1990 is key.
Tips for Disclosure
- Speak with HR, not just your supervisor
- Request specific accommodations like noise reduction tools or short breaks
- Provide documentation from your physician or mental health professional
You’re protected against discrimination and retaliation when you disclose under ADA. Revival’s care team can help prepare the paperwork and guide these conversations.
Long-Term Goals and Recovery
Managing workplace anxiety isn’t just about getting through today—it’s about creating sustainable change. Long-term strategies include:
- Weekly therapy to track progress
- Medication review and management through psychiatry
- Workplace adjustments to restore function and confidence
At Revival Mental Health, we believe in empowering each patient with tools to increase autonomy, build resilience, and improve quality of life—both in and out of work.
FAQ
1. Can I take time off work for anxiety without losing my job? Yes, under the Family and Medical Leave Act (FMLA), you may qualify for protected leave if anxiety interferes with your ability to work. You must provide documentation from a medical professional.
2. What workplace accommodations help with anxiety? Examples include remote work options, reduced workload, flexible scheduling, noise-canceling tools, and mental health breaks. These must be reasonable under the ADA.
3. Does workplace anxiety count as a disability? Yes, if diagnosed by a health professional and it substantially limits major life activities. It may qualify as a disability under the Americans with Disabilities Act.
4. Are there mental health podcasts about workplace anxiety? Yes, podcasts by licensed psychologists or mental health experts offer coping tips, interviews, and stress-reduction strategies focused on workplace challenges.