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Understanding High-Functioning Anxiety: A Guide for Calgary Residents

Updated: Oct 7

Quick Snapshot—Does This Sound Like You?


  • You over-prepare and still feel under-ready.

  • “Yes” is automatic, then resentment hits later.

  • Rest feels unsafe; you keep busy to keep the thoughts away.

  • You need reassurance (“Was that OK?”) then doubt it seconds later.

  • Sleep is light, shallow, or wired-and-tired.


If 3 or more resonate with you, you’re in the right place.


What’s Going On Under the Hood


Anxiety Loop in Plain Language


  1. Trigger: An email, a look, a deadline.

  2. Story: “If I drop the ball, people will see I’m not enough.”

  3. Body: Tight chest, shallow breath, jittery focus.

  4. Fix: Overwork, perfectionism, people-pleasing (it works… briefly).

  5. Reinforcement: Relief teaches the brain, “Do more of that.” The loop hardens.


Common “High-Functioning” Masks


  • Perfectionism: Endless polishing, missed sunsets.

  • Productivity as Self-Worth: You relax only when you’ve “earned” it.

  • People-Pleasing: Harmony now, resentment later.

  • Control: If you plan every variable, nothing can hurt you. (It still does.)


What Actually Helps: Evidence-Based Tools


CBT—Work with Thoughts, Not Against Them


  • Name the Thought: “If I say no, I’ll let them down.”

  • Test It: What would I tell a friend? What’s the base rate this fear comes true?

  • Right-Size It: Replace “always/never/must” with “sometimes/might/prefer.”

  • Try It Live: Say no politely once this week; track the outcome.


Behavioural Experiments—Update the Brain with Data


  • Pick One “Safety Behaviour”: (triple-checking, over-prepping).

  • Dial It Down: Reduce by 30% on a low-risk task.

  • Record: Did performance drop? Anxiety after 30 minutes? After 24 hours?


Exposure with Self-Compassion


  • Build a Graded Ladder: (easy → hard). Example:

1. Send an email without re-reading 3 times.

2. Voice a preference at lunch.

3. Leave one small task unfinished until tomorrow.

  • Pair Each Step with a Kindness Script: “Anxiety is here, and I can handle this.”


Body First—Because Your Nervous System Runs the Show


  • Physiological Sigh (x2): Inhale, tiny top-up inhale, long slow exhale.

  • Paced Breathing 4-6: 4 seconds in, 6 seconds out for 2–3 minutes.

  • Micro-Resets: Stand, roll shoulders, soften jaw, lengthen exhale before big tasks.


Values > Velocity


  • List Your Top 5 Values: (e.g., family, health, integrity, learning, presence).

  • For Each, Add One Tiny Weekly Action: (15 minutes) that serves it.

  • Achievement Becomes Directed, Not Frantic.


When High-Functioning Anxiety Hits Relationships


  • Reassurance Loops: Asking for constant “It’s fine” fatigues your partner. Swap in clear requests (“I’m anxious about X. Could you do Y today?”).

  • Over-Functioning: Doing everything blocks others from stepping up. Try delegation experiments at home or work.


When to Get Extra Help


  • Signs to Watch For:

- Panic, persistent insomnia, irritability, or avoidance are creeping bigger.

- Your world is shrinking (fewer social plans, fewer risks).

- You’re using alcohol, cannabis, or caffeine to manage the edges.


How I’ll Work with You: What Sessions Look Like


  • Mapping Your Unique Loop: We’ll identify triggers, thoughts, body responses, and behaviours.

  • Building a Two-Week Plan: We’ll incorporate CBT tools, an exposure ladder, and body-based resets.

  • Tracking Results: We’ll monitor progress between sessions so we can adjust quickly.

  • Session Availability: In-person in Calgary or securely online across Alberta.


Take the First Step


If you’re ready to explore these tools and find clarity, I invite you to book a free 15-minute consult. Together, we’ll identify one change you can try this week.


 
 
 

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