Anxiety
Everything Shrinkopedia knows about anxiety, in one place.
Reviewed by Shariq Refai, MD, MBA
Anxiety is the most common category in mental health and one of the most heterogeneous. This hub exists to give the category a single clinical landing page, so the work of figuring out which anxiety condition fits, what the symptoms are, and which treatments have evidence doesn't require digging through dozens of fragmented entries.
Anxiety isn't one thing. It's a category that holds at least eight distinct conditions, dozens of symptoms, several evidence-based treatments, and a vocabulary that's specific enough that getting the words right is part of the work.
Most people who land on a page about anxiety arrived there from a single experience, a panic attack, a worry that wouldn't stop, a social situation that left them shaking. The page they need first depends on where they started. This hub is the map: it points you to the condition entries, the symptom explanations, the treatments with evidence, and the glossary terms that connect them.
Read whatever's most relevant first. If you're not sure where to start, the conditions section below is usually the right place.
Conditions
Generalized anxiety disorder
What generalized anxiety disorder is, how it differs from everyday worry, the symptoms, and what treatment helps.
Strong ConditionPanic disorder
What panic disorder is, why attacks feel dangerous but aren't, how avoidance grows, and what treatment helps.
Strong ConditionSocial anxiety disorder
How social anxiety differs from shyness, what it feels like, why avoidance keeps it going, and what treatment helps.
Strong ConditionSpecific phobia
A marked, lasting fear of a particular object or situation, out of proportion to the real danger.
Strong ConditionAgoraphobia
An anxiety disorder defined by intense fear of situations where escape might be hard, or help unavailable, if panic strikes.
Strong ConditionHealth anxiety
A persistent preoccupation with fear of having or developing a serious illness.
Strong ConditionObsessive-compulsive disorder
How OCD works, the obsession-compulsion cycle, what intrusive thoughts mean, and why treatment like ERP helps.
Strong ConditionPost-traumatic stress disorder
What PTSD is, the four symptom groups, why trauma stays stuck, and how trauma-focused treatment helps.
StrongPlanned coverage (4)
- Selective mutism
- Separation anxiety disorder
- Substance or medication induced anxiety disorder
- Anxiety disorder due to another medical condition
Symptoms
- Worry
- Panic attack
- Restlessness
- Racing thoughts
- Chest tightness
- Dizziness
- Avoidance
- Catastrophizing
- Derealization
- Depersonalization
- Intrusive thoughts
- Reassurance seeking
- Sleep trouble
Planned coverage (7)
- Shortness of breath
- Sweating
- Trembling
- Hypervigilance
- Concentration difficulty
- Muscle tension
- Rumination
Treatments
- Cognitive behavioral therapy (CBT)
- Exposure therapy
- Acceptance and commitment therapy (ACT)
- SSRIs
- SNRIs
- Benzodiazepines
- Mindfulness-based therapy
Planned coverage (4)
- Buspirone
- Beta blockers
- Hydroxyzine
- Applied relaxation
Glossary
- Fight-or-flight
- Sympathetic nervous system
- HPA axis
- Cortisol
- Prodrome
- Cognitive distortions
- Coping skills
- Grounding
- Hypervigilance
- Rumination
Planned coverage (6)
- Amygdala
- Safety behavior
- Anxiety sensitivity
- Catastrophic misinterpretation
- Interoceptive exposure
- Anticipatory anxiety
Treatment Overview
Anxiety has some of the most studied treatment evidence in mental health. For most anxiety disorders, the first line approach is cognitive behavioral therapy plus or minus an SSRI or SNRI. CBT, when it includes the exposure based components matched to the specific disorder (interoceptive exposure for panic, social exposures for social anxiety, situational exposure for specific phobias), produces durable remission for the majority of patients who complete a full course. SSRIs and SNRIs work for the majority of patients within 6 to 12 weeks. Benzodiazepines have a limited role for short term use during crises or as a bridge while an SSRI is reaching effect; long term use is generally avoided because of tolerance and dependence risks. Buspirone is an option for generalized anxiety specifically. Beta blockers can help with performance anxiety. Hydroxyzine is a non addictive option for as needed anxiety relief. Lifestyle factors (sleep, exercise, alcohol use, caffeine intake) substantially affect anxiety and are part of the treatment plan.
Resources and Support Organizations
The organizations below are independent of Shrinkopedia and the Shrink Network. We list them because they're recognized national resources, not because we have any financial or organizational relationship with them. Most are free at the point of access.
- ADAA (Anxiety and Depression Association of America) National nonprofit providing patient education, a therapist finder, free support groups, and evidence based resources. adaa.org
- NAMI (National Alliance on Mental Illness) Free peer support groups, family education programs, and a helpline. State and local chapters across the country. nami.org · Helpline 1-800-950-6264
- International OCD Foundation (IOCDF) For OCD specifically, which is often grouped with anxiety. Maintains a clinician directory specifically for clinicians trained in ERP. iocdf.org
- Mental Health America (MHA) National mental health advocacy organization with free screening tools and educational resources. mhanational.org
- 988 Suicide and Crisis Lifeline Free, confidential, 24 hours a day in the United States for any mental health crisis. Call or text 988
- SAMHSA National Helpline Free, confidential treatment referral and information service for individuals and families facing mental health or substance use disorders. 1-800-662-4357 (HELP)
- Find Treatment (SAMHSA) Federal directory of evidence based mental health and substance use treatment providers, searchable by location and insurance. findtreatment.gov
Anxiety overlaps heavily with depression, OCD, and trauma. These adjacent hubs cover the overlap.
Across the network
How the network covers this topic.
The Shrink Network covers this topic at multiple layers. Below is a quick map of which site does what for this category. For the full cross-network cluster view, see the matching Network Cluster at /clusters/.
See the full cross-network cluster for this topic at /clusters/generalized-anxiety-disorder/
You are here: Shrinkopedia, the concept layer of The Shrink Network.
Understand the idea here first, then follow it to the property that takes it further.
Read a related condition →Want to understand more first?
- Understand anxiety at AnxietyResource →
- Work with the pattern at shrinQ →
- Consider clinical evaluation at shrinkMD →
Disclosure: shrinkMD is the clinical care practice within The Shrink Network, the same network that publishes Shrinkopedia. Shrinkopedia takes no referral or affiliate commission for care.
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