How to Deal with Anxiety at Work

How to Deal with Anxiety at Work
Written by

Published Jun 02, 2022

Published Jun 23, 2026

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Key Takeaways

  • Anxiety at work can impact productivity, relationships, job satisfaction, and overall well-being, and recognizing its causes is an important first step toward managing it effectively.
  • Common causes of workplace anxiety include generalized anxiety disorder, imposter syndrome, social anxiety, and chronic time pressure, each requiring different coping strategies.
  • Practical tools such as grounding exercises, workload management, workplace accommodations, and therapy can help reduce anxiety and prevent it from escalating into burnout or recurring anxiety attacks at work.

Anxiety at work is a common experience, particularly in demanding environments where deadlines, performance expectations, and workplace pressures can feel relentless. According to the Cureus Journal of Medical Science, workplace anxiety is linked to lower job performance, reduced job satisfaction, greater emotional exhaustion, and a higher risk of burnout, underscoring its impact on both professional success and overall well-being.

For some people, workplace anxiety shows up as persistent worry, difficulty concentrating, or fear of making mistakes. For others, it can escalate into physical symptoms or even an anxiety attack at work. Recognizing the signs early, understanding what causes them, and knowing how to deal with anxiety at work can help prevent it from affecting your health, relationships, and long-term career satisfaction.

What is Workplace Anxiety?

Workplace anxiety can involve feeling uncomfortable, stressed, nervous, or tense about work. The anxiety might stem from worries about losing your job, about your job performance, or even about relations with your coworkers. According to the American Psychological Association (APA), as many as 40% of American workers suffer from workplace anxiety. While a little bit of work-related stress and anxiety can actually help you focus and improve work performance, too much can be harmful and affect your quality of life, both at work and outside of the office.

Causes of Anxiety in the Workplace

Many situations can contribute to or lead to work anxiety. These can include conflicts with your boss or coworkers, coworker bullying, uncertainty about job stability, unrealistic deadlines, or even absent or ambiguous instructions that make your job more difficult.


“I took a class in school that opened my eyes to an interesting concept. We take on the roles that we had growing up in our families in the workplace for our own healing. This helped me tremendously because I began to see my role, and instead of blaming, I started healing.”

Talkspace therapist, Dr. Karmen Smith LCSW DD

Many people believe that all anxiety is the same, but the truth is, there are many forms of anxiety. In fact, there are a few different types of anxiety that you may be dealing with. Understanding these differences can help you address the issue and develop healthier thought patterns and behaviors.

 Generalized anxiety disorder (GAD) at work

Generalized anxiety disorder (GAD) involves persistent, excessive worry that feels difficult to control, even when there's no immediate threat or problem to solve. In the workplace, this might look like repeatedly checking an email before sending it, worrying about a presentation for days in advance, or assuming a routine meeting will result in criticism or bad news.

Beyond mental worry, GAD often causes physical symptoms such as muscle tension, fatigue, headaches, restlessness, difficulty concentrating, and sleep disturbances. Over time, this type of anxiety at work can make even routine tasks feel exhausting and overwhelming.

Performance anxiety

Work performance anxiety is more specific. This type of anxiety can be felt when you’re worried about not being able to do your job well enough. For example, you might have anxious thoughts about your boss or client not liking the report you spent all week preparing.

Imposter syndrome in high-achievers

Imposter syndrome is the persistent belief that your success is undeserved and that you'll eventually be exposed as a fraud, despite evidence of your competence. It's particularly common among high-achieving professionals, managers, and knowledge workers who hold themselves to exceptionally high standards.

People experiencing imposter feelings may attribute accomplishments to luck, downplay positive feedback, or constantly compare themselves to colleagues. One helpful grounding technique is to keep a record of accomplishments, positive feedback, and completed projects to review when self-doubt arises. Looking at objective evidence can help challenge the anxious thoughts that often fuel workplace insecurity.

Feeling a constant sense of urgency

A constant sense of urgency can develop when workloads, deadlines, and competing priorities create the feeling that there's never enough time. This pressure can increase cortisol, the body's primary stress hormone, keeping you in a prolonged state of alertness that contributes to anxiety at work and eventual burnout.

In some cases, urgency stems from organizational demands. In others, it comes from internal pressure and perfectionistic expectations. If you frequently feel overwhelmed at work, a simple prioritization matrix can help. Categorizing tasks by urgency and importance allows you to focus on what truly requires immediate attention rather than treating every task as an emergency.

Social anxiety (social phobia) around coworkers

Social anxiety disorder involves intense fear of being judged, embarrassed, or negatively evaluated in social situations. At work, common causes include speaking during meetings, networking events, client presentations, performance reviews, or even conversations in open-plan offices.

For some people, workplace social anxiety can lead to avoiding collaboration, remaining silent during discussions, or declining professional opportunities. If this sounds familiar, learning more about social anxiety at work may help identify patterns and coping strategies. One effective micro-exposure technique is to set a small, achievable goal, such as contributing one comment during a meeting or initiating one brief conversation with a coworker each day.

Workplace anxiety doesn't always stem from a diagnosed anxiety disorder. Sometimes it develops in response to ongoing stress, unrealistic expectations, toxic work environments, or growing dissatisfaction with a role. In fact, persistent anxiety may be one reason some people begin thinking, "I don't want to go to work." Identifying the specific source of your anxiety is often the first step toward finding effective ways to manage it.

How Can You Calm an Anxiety Attack at Work?

An anxiety attack at work can feel overwhelming, but there are effective ways to regain a sense of control. The most helpful strategies generally fall into three categories: immediate techniques that calm your nervous system during a spike in anxiety, short-term adjustments that reduce workplace stressors, and preventive habits that lower the likelihood of future episodes.

If you're experiencing an anxiety attack at work, start with a grounding exercise. Try box breathing: inhale for four counts, hold for four, exhale for four, and hold again for four. Repeat for several cycles. Another effective technique is the 5-4-3-2-1 grounding method, where you identify five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste. These exercises help shift attention away from anxious thoughts and back to the present moment.

“See your role in the situation, analyze your expectations — are you taking on the role you had/have in your family? Are you ready to see it differently and make changes? All of these are good questions to ask, and they allow you to go inward.”

Talkspace therapist, Dr. Karmen Smith LCSW DD

Talk to a trusted coworker

Sometimes just being able to discuss a work situation with someone else can reduce anxiety. However, make sure that if you talk with a coworker, it’s someone you can trust. You don’t want your words to be turned against you. That said, if you have someone you feel you can confide in, coworkers can be great sounding boards. They understand the context and environment you’re struggling in, but may have a slightly different (or even detached) viewpoint of the situation. This might allow them to offer you some insight on how to handle things and reduce anxiety.

Speak with your manager or HR

If workplace conditions are contributing to your anxiety, an honest conversation with your manager or HR department may help identify solutions. This is especially important when anxiety is linked to workload concerns, unclear expectations, workplace conflict, or inappropriate behavior.

A simple two-step approach can make these conversations easier:

  1. State the impact: Explain how the situation is affecting your work or well-being. For example, "I've been struggling to manage competing deadlines, and it's beginning to affect my focus and productivity."
  2. Request an adjustment: Suggest a specific change, such as clearer priorities, workload redistribution, schedule flexibility, or additional support.

Employees may also have legal protections related to mental health accommodations depending on their circumstances and workplace policies. HR can often help explain available resources and support options.

Organize tasks with digital tools

When anxiety at work stems from feeling overwhelmed by competing responsibilities, creating structure can reduce uncertainty and improve focus. Digital task-management tools help break large projects into manageable steps and make priorities easier to visualize.

One reason these tools are effective is that they provide visible evidence of progress. Moving tasks into a completed column or checking off items on a list creates a sense of accomplishment that can counter feelings of overwhelm. Instead of carrying every responsibility mentally, you have a clear system for tracking what needs attention and what has already been completed.

Be realistic with deadlines

Sometimes it can be easy to tell your boss or your client that you’ll have a project completed by a specific date until you get in the middle of the project and realize you’ve drastically underestimated the time the project will take to complete. Feeling like you don’t have enough time to finish a project (and be proud of a job well done) can create a lot of anxiety about going to work.

Avoid this by putting a bit more thought into how much time a project will take and then adding a cushion to your timeframe before you commit to a deadline. Don’t be afraid to be honest and push back if your boss or client tries to get you to agree to complete a task in a time that’s simply not realistic.

Take an intentional mental-health day

Sometimes anxiety is a sign that your mind and body need recovery time. An intentional mental health day differs from a sick day spent recovering from illness. The goal is to rest, recharge, and engage in activities that support emotional well-being rather than simply stepping away from work.

Helpful ways to spend a mental health day include:

  • Taking a nature walk or spending time outdoors
  • Practicing yoga, meditation, or mindfulness exercises
  • Reconnecting with friends, family, or hobbies that help you relax

For more severe or prolonged symptoms, some employees may qualify for extended leave under workplace policies or applicable laws. If anxiety is significantly affecting your ability to function, it may be worth discussing available options with HR or a healthcare provider.

Seek Professional Therapy Support With Talkspace

Workplace anxiety is manageable, and recognizing that is the first step toward real change. Whether your symptoms feel mild or you suspect something deeper, tools like an anxiety disorder test can help you understand what you are dealing with. From there, building coping habits, setting boundaries, and leaning on support systems can shift how you show up at work each day. For those navigating GAD treatment online or looking for structured, ongoing support, connecting with a licensed therapist through Talkspace is a practical place to start.

Frequently Asked Questions (FAQs)

What are the first signs of anxiety at work?

Early signs of anxiety at work often include persistent worry, difficulty concentrating, irritability, overthinking mistakes, and feeling overwhelmed by routine tasks. Some people also notice physical symptoms such as muscle tension, headaches, or trouble sleeping.

How can I manage anxiety at work every day?

Managing anxiety at work starts with identifying triggers, setting realistic priorities, taking regular breaks, and practicing stress-management techniques such as mindfulness or deep breathing. Consistent self-care and professional support can also help reduce symptoms over time.

What should I do during an anxiety attack at work?

If you experience an anxiety attack at work, focus on calming your nervous system through slow breathing exercises such as box breathing or grounding techniques like the 5-4-3-2-1 method. If possible, step away from the situation briefly until symptoms begin to ease.

Can remote jobs reduce anxiety at work?

For some people, remote work can reduce anxiety by limiting commuting stress, workplace distractions, and social pressures. However, remote jobs can also create challenges such as isolation, blurred work-life boundaries, and difficulty disconnecting from work.

Are physical symptoms common with anxiety at work?

Yes. Anxiety at work can cause physical symptoms, including a racing heart, sweating, muscle tension, fatigue, stomach discomfort, dizziness, and shortness of breath. These symptoms can be especially noticeable during periods of high stress or an anxiety attack at work.

Sources

  1. Hatamova M, Rizk M, Rattan K, Gaballa A, McFarlane SI. Chronic Stress, Diabetes, and Cardiovascular Disease: Epidemiologic Evidence, Pathogenetic Insights, and Therapeutic Strategies. Cureus. https://pmc.ncbi.nlm.nih.gov/articles/PMC12924779/. 2026 Jan 22;18(1):e102108. Accessed on June 13, 2026.
  2. Cheng B, McCarthy J. Understanding the dark and bright sides of anxiety: A theory of workplace anxiety. Journal of Applied Psychology. 2018;103(5):537-560. doi:10.1037/apl0000266. https://doi.apa.org/doiLanding?doi=10.1037%2Fapl0000266. Accessed June 13, 2026.

Talkspace articles are written by experienced mental health-wellness contributors; they are grounded in scientific research and evidence-based practices. Articles are extensively reviewed by our team of clinical experts (therapists and psychiatrists of various specialties) to ensure content is accurate and on par with current industry standards.

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