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Many people assume that anxiety looks like avoidance, panic attacks, or visible distress. But for countless high-achieving adults—especially in fast-paced cities like New York—anxiety can hide behind success, productivity, and exceptional performance. This is known as high-functioning anxiety, and while it’s often invisible to others, it can take a powerful toll on a person’s emotional, physical, and relational well-being.

From the outside, people with high-functioning anxiety seem to “have it all together.” They excel in their careers, keep up appearances socially, and often appear organized, reliable, and successful. But beneath the surface, they may feel overwhelmed, restless, and constantly driven by worry or fear of failure.