Why do I feel anxious at work?

Whether it’s dread before a meeting, replaying something you said, or a constant feeling that you’re behind, anxiety at work can follow you home. Here’s what can drive it, and what can help.

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The short answer

Feeling anxious at work means your stress response is switched on during the workday, often as worry about performance, deadlines, or how you’re seen, and sometimes with physical signs like a racing heart or tense shoulders. It can come from workload, an unclear or unsupportive environment, conflict, or anxiety you’d feel elsewhere too. It’s worth talking to someone if it’s there most days, keeps you up at night, or is changing how you work or live.

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What anxiety at work can feel like

It might be a tight chest before you open your inbox, rereading a message five times before you send it, or lying awake replaying a meeting. Some people overprepare and overwork to stay ahead of the worry; others put things off because starting feels like too much.

None of this means you’re bad at your job or can’t handle it. Anxiety can latch onto the things you care about, and for a lot of people, work is one of them.

Possible causes of anxiety at work

  • Workload and deadlines

    Too much to do in too little time keeps the stress response switched on.

  • Perfectionism and fear of mistakes

    High standards, or a workplace that punishes errors, can make every task feel high-stakes.

  • Conflict or criticism

    A difficult manager or coworker can make the workday feel unsafe.

  • Uncertainty

    Unclear expectations, reorganizations, or job insecurity give worry plenty to work with.

  • An anxiety condition

    Work can be where a broader anxiety condition shows up most.

What can help

  1. Layered fronds in deep shade
    Name the specific worry’I’m anxious about Thursday’s review’ is easier to work with than a general dread.

What it might be connected to

Anxiety at work can overlap with a few things worth understanding: a starting point, not a diagnosis.

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When it’s worth talking to someone

Feeling nervous before a big presentation or deadline is part of working life. It’s worth reaching out if the anxiety is there most workdays, if it’s keeping you up at night or following you into weekends, or if you’re avoiding tasks, meetings, or people because of it. You don’t need to be close to burnout to deserve support.

How therapy helps with anxiety at work

A therapist can help you untangle what’s coming from the job and what’s coming from patterns you bring to it, like perfectionism or fear of letting people down. Therapists often use approaches like CBT to help you notice anxious thoughts and respond to them differently. On Alma, you can find therapists who treat anxiety and take your insurance.

Therapists who treat anxiety

How Alma works

  • Search with your insurance

    Filter by what you’re feeling, your coverage, and what matters to you.

  • Message therapists directly

    Reach out to anyone who looks like a fit, with no waitlist middleman.

  • Book a first session

    Meet in person or online.

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Frequently asked questions

  • Work puts a lot of what we care about on the line: money, reputation, relationships, and a sense of being good at something. Heavy workloads, unclear expectations, conflict, or a critical environment can keep your stress response switched on, and anxiety you’d feel elsewhere can show up most at work. A therapist can help you figure out which parts are the job and which are patterns you can work on.

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