11 Subtle Signs That You Might Be Anxious

Insomnia can be a sign of underlying anxiety

Insomnia can be a sign of underlying anxiety

Anxiety doesn’t look the same for everyone. It’s not always obvious. Anxiety can have subtle influences on your thoughts, behaviors and feelings. It shows up in different ways for different people.

The way you were raised, the experiences you’ve had in your lifetime, and your biology/genetics can all affect how you experience anxiety. Those factors can determine when you are likely to feel anxious, what you feel like when you’re anxious and how you respond to situations and things that make you feel anxious. That’s because anxiety is often triggered by an emotional memory that is stored both in the brain and in the body.

Here are a few traits and behaviors that might mean you’re anxious:

  1. Procrastination. If you constantly put things off because it feels uncomfortable to move forward, or you worry that you won’t be able to do something “right,” you might be anxious. If you find that you procrastinate a lot, putting things off might be a sign that you have anxiety about your abilities or about being judged by others.

  2. Perfectionism. Perfectionism and procrastination sometimes go hand in hand. You want things done perfectly. If you don’t think that will happen, you procrastinate. In reality, sometimes perfectionism leads to over-doing and over-thinking. Giving 110 percent to everything in your life might really be a sign of your anxiety working overtime. Part of you believes that avoiding mistakes, being perfect, going above and beyond in all areas of your life will keep you from feeling uncomfortable. Unfortunately, it often leads to exhaustion and burn-out. 

  3. Phobias of any kind. You might be afraid to cross bridges in a car, afraid of spiders or flying insects, or afraid of flying. No matter what you’re fearful of, if it gets in the way of daily activities, it’s probably due to your anxiety about the unexpected the unknown and the unpredictable.

  4. Fear of new situations. Do you avoid going places you’ve never been or being with people you’ve never met? It might be that your anxiety is making it hard to be in new situations because there are so many unknowns and things you can’t control.

  5. Indecision. Is it hard for you to make seemingly small choices? Do I exercise or not? Should I have the chicken or fish? Do I walk or drive? Sometimes small things can be very difficult to decide when you’re anxious. You feel stuck in the middle, unable to move toward either choice.

  6. Irritability. When anxiety starts to bubble up, it can leave you feeling uncomfortable. That discomfort can make you very irritable, especially if you’re trying to control uncontrollable situations. You might snap at your partner, friends or children for no reason at all, except that you’re anxious.

  7. Extreme distress when things don’t go as planned. Trying to control people, places and things is a hallmark behavior of an anxious person. You might think, “If I can keep everything under control, then I’ll feel calm.” But life is uncontrollable, so it’s a losing battle. The fight for control usually leads to more anxiety, because so little is really within your control.

  8. Insomnia. If you find that on many nights you lie tossing and turning, or just lie in bed awake, it might be due to anxiety. Anxiety can make it hard to turn off your mind and relax your body enough to fall asleep.

  9. Worrying all the time. We all worry sometimes, but if you find you worry all the time — and maybe worry about how much you’re worrying — you probably have some underlying anxiety.

  10. Assuming the worst. Worrying and assuming the worst are often partners in crime. If you find that you’re always thinking about all of the worst possible outcomes, and you tell yourself you just want to be prepared for what might happen, there’s usually some anxiety there below the surface. The problem is, we can’t control what might or might not happen. All that worrying about bad things just makes you more anxious.

  11. Frequent stomachaches or headaches. Anxiety has both emotional and physical symptoms. Frequent stomachaches, headaches, chest tightening, difficulty swallowing, feeling flushed and increased heart rate are a few of the physical symptoms of anxiety. If you’re experiencing one or more of these symptoms pretty regularly, and you’ve seen your doctor to rule out any health issues, you might be experiencing some anxiety.

Anxiety can take a toll on our daily life and our physical and emotional health. You don’t have to struggle with this alone. Know that others struggle, too, and that you can get help. Therapy, mindfulness practices, meditation and medication can help you better manage the anxiety so you can live your life with more ease and contentment.

On the Woman Worriers podcast this week:

If you’re anxious, does that mean you’re an introvert? Does being an introvert means you’re shy? In this episode of Woman Worriers, I talk with Nicole Burgess—a marriage and family therapist and life coach, an empowerment mentor for introverted women, and an introvert herself— clear up many myths and misperceptions about introversion. They also talk about how introverted women can come to find and embrace their unique strengths and find the quiet groundedness they crave.

 Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979. 



Sleepless On Sunday Nights

Sunday Scaries

Sunday Scaries

Occasionally I struggle with falling or staying asleep. I hate those nights! I can often tell early in the day when I’m going to have a night like that, but I usually ignore the feeling until it’s too late. That’s how I wind up lying in bed on Sunday night, a full week of work ahead, and I’m bug eyed. I’m tired, but my body can’t relax enough to drift off.

If you’re sleepless on Sunday night —or any other night of the week — you’re not alone. According to the National Sleep Foundation, women are more likely to report insomnia than men. The Foundation also notes that, “Surprisingly, 24 percent of women say they have woken up feeling well-rested zero of the past seven days, compared to 16 percent of men, despite reporting similar sleep times.” Well-rested ZERO of the past seven days!

Sunday nights, in particular, seem to be a big problem for sleeplessness for many people. I Googled “Sleepless on Sundays” and got a full page of results on the topic. So let’s look at why it’s so hard for us to fall asleep on Sunday nights.

Why Does Anxiety Make It Hard To Sleep?

We’ve gotten very good as busying ourselves to manage anxiety. If we’re always “doing,” we don’t have time to feel the anxiety, the difficult emotions and the stress that build up over the week. Many people work Monday through Friday jobs, so maybe they’re slowing down on Sundays. Slowing down opens the door to feel feelings, to notice anxiety and stress.

Anxiety can make it hard to sleep

Anxiety can make it hard to sleep

If your workweek is stressful or you’ve put off doing things at work that are now looming, the idea of going back to work on Monday might leave you full of stress.

Or maybe you’re stressed because time is moving forward and you don’t feel as if you’ve done enough over the last week, or you hate your job and it’s already time to go back. Then you to lie awake dreading the week ahead.

Another possibility is that you sleep so little during the week that on weekends you sleep more than usual and come Sunday night your body might not be ready to rest.

Get Curious About Your Stress

If you’re not sleeping on Sundays, it’s time to get curious. Set aside some time to sit with the worry about sleep. It’s best if you can do this sometime before bed, during the day. You might ask some questions to prompt your curiousness, like:


Journaling can help

Journaling can help

  • Where do I hold the stress in my body? Is it a tightness in your chest? Increased heart rate? An empty or painful feeling in your belly? Tension in your neck? Once you’ve identified the body’s sensations, just notice them without trying to change them.

  • What am I telling myself about the insomnia? Do you tell yourself not to think about it and to push the anxious feelings down? Do you tell yourself that your sleeplessness is your own fault? Maybe you’re telling yourself to ignore the feelings, because they will only make the insomnia inevitable.

  • What am I worried about? Draw or journal about your worries. Getting the words or pictures on paper can help ease the distress. It gets them out of your head and onto the paper.

  • Am I being too hard on myself? Try offering yourself some compassion about how hard it is to be sleepless. If you were talking to a friend or a child who struggled with insomnia, what might you say to them? Maybe you’d say, “I’m sorry this is so hard for you. I know how hard it is to lie awake on Sundays not sleeping.” If what you’d say to others is kind and compassionate, try offering the same phrases to yourself.


If it feels like you’re never sleeping, or that the idea of trying to sleep causes you distress, therapy could be a resource for you. Talking about the stressors, learning relaxation skills and understanding that you’re not alone in the struggle can help. 

It’s also important to keep regular sleep routines. If you’d like to improve your sleep habits, check out my Good Therapy article, Can Better Sleep Help You Manage Anxiety for tips on things you can do to sleep better.

Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 








Why Do Women Struggle With Self-Care?

 Part 2 in a Series: Over-Stressed and Overwhelmed —We're Not Taking Care Of Ourselves

Women don't take time for self-care

Recently, two different female clients told me that they couldn’t fit self-care into their schedule. I think everyone struggles with making self-care a priority, but I also believe that many women make caring for others a priority.  Doing so makes them prime targets for burn-out, added stress, anxiety and feeling overwhelmed. Perhaps it’s because I am a woman, or because I talk to female friends about this more frequently than I do with male friends, but it seems to me that women in particular struggle more than men when making self-care a priority.  For me, when life is crazy, self-care is the first thing that drops from my to-do list.

Is it genetics? Societal factors? Where did we learn that we should care for others before we care for ourselves? In my last post, several colleagues offered their thoughts on the importance of self-care. I asked some of them, and some others, about why women seem to struggle more with self-care.

Experts Offer Perspectives

Julie Blamphin, a registered yoga teacher, and owner of Stretch Your Spirit in Annapolis, MD, says, “We live in a culture that sometimes tells us that if we put Self before all others, it means that we’re narcissistic, egocentric, or downright selfish. So many of us women shy away from shining our light fully bright. We instead focus that light upon caring for others.”

When we put the focus on others instead of ourselves we can lose track of who we are, what our priorities are, and can lead us to feel unfulfilled, or living our life for others. Blamphin says that when we neglect our needs, our energy becomes imbalanced. This imbalance shows up in our life as:

  • Insomnia
  • Anger
  • Illness
  • Addiction
  • Pain
  • Resentment
  • A general sense of grumpiness

Agnes Wainman, Ph.D., C. Psych., of London Psychological Services in London, ON, agrees that our culture’s expectations and perceptions can play a role in women’s priorities. She says, “Women are often expected to take care of others and to put their own needs below others. Self-care is often seen as being selfish or indulgent. We often think of self-care as extravagant — like weekends at the spa. We may feel guilty for taking time for ourselves.”

Neglect of emotional needs can lead to anxiety

Laura Reagan, LCSW-C , a Severna Park, MD therapist, and creator/host of the Therapy Chat podcast, agrees that our culture plays a big role in our quest to put others’ needs before our own, but believes that other factors also impact how we care for ourselves. “If we grew up receiving praise for being quiet, nice, responsible and helping around the house, we associate those behaviors with being ‘a good girl.’ If no one attended to our emotional needs we learned to ignore them as well,” she says. “The problem is, if our own emotional needs were neglected by our caregivers in childhood and we continue to ignore our own emotional and physical needs in adulthood by neglecting our own self care, we are re-enacting the neglect we experienced in childhood. This eventually catches up with us, either with our bodies shutting down or having an emotional breakdown — what many people call a ‘midlife crisis’. 

We certainly want to avoid the dissatisfaction, the physical symptoms and the behaviors that accompany self-neglect.  

So how can we make self-care a part of our daily life, without adding to our stress, or our to-do list?

My next post will offer five tips for making self-care easier. In the meantime, if you’d like help reducing stress and making self-care a greater priority in your life, call me for a free 15-minute consultation at 410-340-8469!

Elizabeth Cush, MA, LGPC is an Annapolis counselor who works to help people manage their stress and anxiety. She owns and operates Progression Counseling in Annapolis, MD.

Photos by Benjamin Child and Alex Hockett for