Anxiety at work
A racing heart before a meeting doesn’t mean you can’t do your job. With a few skills and the right support, work can feel steadier.
By the numbers
How common anxiety and work stress are.
United States
World
Stress, worry or anxiety at work?
Everyday nerves, and when anxiety starts to take over.
Feeling anxious is a normal part of life, and work gives it plenty of chances: a big presentation, a tight deadline, a tense email. Some nerves can even help you focus and prepare.
For some people, the worry doesn’t go away when the task is done. It shows up in many situations and can get worse over time. Anxiety that strong can get in the way of daily life, including how you do your job.
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Job stress happens when a job’s demands don’t match a worker’s abilities, resources or needs. It often eases when the pressure lifts, like after a deadline.
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Worry is the “what if” voice: “What if I mess up?” “What if they’re annoyed with me?” A little worry can help you plan. A lot can keep you awake and make it hard to switch off.
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When anxiety is felt in many situations, doesn’t go away and starts to affect work, relationships or sleep, it may be more than everyday stress. That is a good time to talk with a professional.
Where work anxiety shows up
Common moments that set anxiety off. Tap any card.
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Many people feel tense on Sunday evenings as the workweek approaches. Planning something pleasant for Sunday evening, and writing down Monday’s first task, can help your mind let go.
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Feeling you must reply instantly has been linked to more tiredness and poorer sleep.
Ideas
- Check messages at set times, not constantly
- Read a worrying message, then pause before replying
- Remember: a short message is rarely as negative as anxiety reads it
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Speaking in meetings, presenting or being asked a question without warning can trigger a rush of nerves. Preparing a few notes and practising out loud can help.
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Heavy workloads are one of the main risks to mental health at work. Your manager may be able to help you agree priorities and realistic deadlines.
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Everyone makes mistakes at work. Anxiety can make one small slip feel like a disaster. See “Perfectionism & over-checking” below.
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Even mild criticism can trigger a strong body reaction. Pausing before you respond, then sorting what’s useful, can help.
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In 2025, 54% of U.S. workers said job insecurity was significantly affecting their stress at work.
How it shows up in body & behaviour
Signs in your body, and the habits anxiety can push you into.
Anxiety is a body reaction as much as a thought. When your brain senses a threat, your stress response speeds up your heart and breathing and tenses your muscles, getting you ready to act. That can happen before a meeting just as it would in real danger.
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You may notice
- A racing or pounding heart
- Fast, shallow breathing
- Stomach upset or butterflies
- Sweaty hands or feeling shaky
- Tight shoulders, jaw or chest
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Avoiding a call, a meeting or an email brings quick relief. But it can teach your brain that the thing was dangerous, so the anxiety grows next time. See “Avoidance & small brave steps” below.
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Some people cope with anxiety by working longer, saying yes to everything or checking work over and over. It can look like dedication, but over time it can lead to exhaustion.
Calming skills at your desk
Quick, quiet tools you can use without anyone noticing.
You can’t always leave the room when anxiety rises. These skills can be done at your desk, in a meeting or in a bathroom break.
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Try this
- Breathe in gently through your nose.
- Let your belly rise, not your shoulders.
- Breathe out slowly through your mouth.
- Repeat a few times.
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Instead of trying to force yourself calm, some people remind themselves that the rush is their body getting ready to perform. A 2024 review of 35 studies found this gave a small boost to performance. It is helpful and low-cost, but not a magic fix.
Things to tell yourself
- “A fast heart means I care about this.”
- “My body is getting ready.”
- “This is energy I can use.”
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Quiet ideas
- Press your feet into the floor and notice the feeling
- Hold something cool, like a glass of water
- Name five things you can see on your desk
- Slowly relax your shoulders and jaw
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A short walk, a stretch or a few minutes outside can help reset your body. Taking breaks is one of the NHS’s simple tips for coping with work stress.
Taming worried thoughts
Worry time, sorting worries and kinder thinking.
Work worries often loop: “What if I got it wrong? What if my boss is annoyed?” Simple techniques from cognitive behavioural therapy (CBT) can help you step back from those loops.
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Set aside 10 to 15 minutes a day to write down worries and look for solutions. When a worry pops up at another time, tell yourself: “I’ll save that for my worry time.”
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Some worries are practical problems you can act on. Others are “what if” worries about things you can’t control. For the first kind, make a plan: what you’ll do, how and when. For the second kind, notice the worry and gently shift your focus.
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Anxious thoughts often jump to the worst case. Try asking: “Is there another way to look at this?” and “What would I say to a friend in this situation?”
Examples
- “My boss didn’t smile, so I’m in trouble” → “She might just be busy.”
- “One typo means I’m terrible at this” → “Everyone makes small mistakes. I can fix it.”
- “I froze in the meeting, everyone noticed” → “Most people are thinking about their own part.”
Avoidance & small brave steps
Facing hard things gradually, at your own pace.
Avoiding scary tasks feels better in the moment, but it often keeps anxiety going. Cognitive behavioural therapy, including gradual “exposure”, has the most evidence for treating anxiety.
You can borrow the idea yourself. Break a scary task into small steps, start with the easiest one, and stay with each step until it feels a bit more manageable.
Example: speaking up in meetings
- Type one comment in the meeting chat.
- Say “I agree with that” out loud.
- Ask one short question.
- Share one prepared idea.
- Lead a short agenda item.
Perfectionism & over-checking
When “just one more check” never ends.
Anxiety often teams up with perfectionism. You may re-read an email ten times, redo work that was already fine, or stay late “just to be sure”. Each check brings brief relief, then the urge comes back.
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For example: read an email once for meaning, once for typos, then send. At first, sending will feel uncomfortable. Over time, the urge usually gets weaker.
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Ask your manager which tasks need extra polish and which just need to be done. Knowing what “good” looks like can quiet the urge to perfect everything.
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When something goes wrong, try speaking to yourself the way you’d speak to a coworker you like. Fix what you can, learn what you can, and let the rest go.
Telling work & getting adjustments
Whether to share, and changes that can help.
You don’t have to tell work about anxiety. But if it is affecting your job, sharing some information can open the door to support. In the U.S., it is illegal to discriminate against you because of a mental health condition, and your medical information must be kept confidential.
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Examples
- Extra time to complete tasks
- Flexible working hours
- Regular supportive check-ins with your manager
- Time off for health appointments
- Changes to tasks to reduce stress
You may have a legal right to reasonable accommodations like these. The Job Accommodation Network (JAN) gives free, confidential advice at askjan.org or 1-800-526-7234.
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Examples
- “I’m dealing with a health issue that affects my focus when things change last minute. More notice would really help.”
- “I do my best work when I can prepare. Could I get meeting agendas a day ahead?”
- “I’d like to talk about some changes that would help me work at my best.”
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Many employers offer an Employee Assistance Program (EAP). It provides free, confidential counseling and referrals for personal and work problems.
How community helps
Coworkers, peers and supporting someone else.
Anxiety can make you feel like the only one struggling. In fact, anxiety is very common, and many of your coworkers have felt it too. Connection and kindness at work can make anxious days lighter.
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Talking to a trusted colleague, or a workplace wellbeing team, can help you feel less alone and get practical support.
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Some workplaces have mental health champions or employee groups. Outside work, peer support groups and online communities can help you share tips and feel understood.
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Ideas
- Share agendas and notes ahead of meetings
- Check in privately: “You seemed stressed earlier. Want a coffee?”
- Don’t put them on the spot in front of others
- Listen without rushing to fix
Try to avoid
- “Just relax.”
- “There’s nothing to worry about.”
- Sharing what they told you with others
When and where to get help
Signs it’s time to reach out, and where to turn.
It is a good idea to talk to a professional if anxiety lasts two weeks or more, or gets in the way of your work or home life. Anxiety is very treatable. Talk therapies such as CBT can help, and their benefits can last.
Reach out if you notice
- Avoiding parts of your job you used to manage
- Calling in sick because of dread
- Panic attacks at or before work
- Trouble sleeping because of work worries
- Worry that fills most of your day
Where to start
- A therapist or counselor (ask about CBT)
- Your primary care provider, who can refer you and talk with you about all treatment options
- Your workplace Employee Assistance Program (EAP), free and confidential
📝 Worksheets for this guide
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Sources
- National Institute of Mental Health (NIMH). Any Anxiety Disorder (statistics)
- National Institute of Mental Health (NIMH). Anxiety Disorders
- World Health Organization (WHO). Anxiety disorders (fact sheet)
- World Health Organization (WHO) (2026). Mental health at work (fact sheet)
- American Psychological Association (APA) (2025). 2025 Work in America Survey: The Experience of Working in America During Times of Change
- Gallup (2026). State of the Global Workplace: United States Country-Level Data
- National Institute for Occupational Safety and Health (CDC/NIOSH) (2026). Stress and Work
- National Institute for Occupational Safety and Health (CDC/NIOSH) (2023). Social Connection and Worker Well-being
- Journal of Work and Organizational Psychology (peer-reviewed) (2019). Disconnecting to Detach: The Role of Impaired Recovery in Negative Consequences of Workplace Telepressure (Hu, Santuzzi & Barber)
- Harvard Health Publishing (Harvard Medical School). Understanding the stress response
- NHS Every Mind Matters. Work-related stress
- NHS (UK National Health Service). Breathing exercises for stress
- Bosshard & Gomez, Scientific Reports (peer-reviewed) (2024). Effectiveness of stress arousal reappraisal and stress-is-enhancing mindset interventions on task performance outcomes: a meta-analysis of randomized controlled trials
- NHS Every Mind Matters. Tackling your worries
- NHS Every Mind Matters. Reframing unhelpful thoughts
- van Dis et al., JAMA Psychiatry (peer-reviewed) (2020). Long-term Outcomes of Cognitive Behavioral Therapy for Anxiety-Related Disorders: A Systematic Review and Meta-analysis
- U.S. Equal Employment Opportunity Commission (EEOC). Depression, PTSD, & Other Mental Health Conditions in the Workplace: Your Legal Rights
- Job Accommodation Network (JAN). Mental Health Conditions (accommodation ideas)
- U.S. Department of Labor. Where can I get information about making workplace accommodations?
- U.S. Office of Personnel Management (OPM). What is an Employee Assistance Program (EAP)?
- National Institute of Mental Health (NIMH) (2026). Caring for Your Mental Health
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

