Dr. Carolynn Shalom

High-Functioning Anxiety: Calm on the Outside, Turbulent on the Inside

You get things done.
People rely on you.
You appear confident, organized, and capable.

Except internally… there’s a constant hum of worry.

What is high-functioning anxiety?

It’s when anxiety motivates you rather than paralyzes you — but still drains you beneath the surface.

Signs

  • Over-preparing
  • People-pleasing
  • Fear of disappointing others
  • Trouble relaxing
  • Constant internal tension

Why people don’t notice

Because you’re good at performing competence.
You’ve built a life around masking the discomfort.

What helps

  • Self-compassion practices
  • Setting boundaries
  • Recognizing your limits
  • Challenging perfectionism

High-functioning anxiety is real — and you don’t have to manage it alone.

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