The Physical Symptoms of Chronic Anxiety People Often Overlook

Medical Writer:
Reviewer:
Johnny Kim
Executive Psychotherapist
Medical Writer:
Reviewer:
Johnny Kim
Executive Psychotherapist
Anxiety has a sneaky way of overstaying its welcome. It doesn’t just spin thoughts at 2 a.m. or make your heart race before a meeting. It shows up in your body, too. And often, these signs are easy to dismiss. A stiff neck? Probably bad posture. Stomach issues? Must’ve been lunch. Trouble sleeping? Everyone’s tired and overworked.
But for many people, these are physical symptoms of anxiety quietly waving for attention. At White Oak Recovery Center in Hollywood, California, we often meet individuals who didn’t realize their bodies were reacting to chronic anxiety until it became impossible to ignore. Understanding these signals can be the first step toward real relief and better mental health overall.
Muscle Tension and Unexplained Aches
One of the most common physical symptoms of anxiety is persistent muscle tension. Anxiety keeps the body in a low-level fight-or-flight state, even when there’s no immediate danger. Over time, that constant readiness tightens muscles in the neck, shoulders, jaw, and back.
People often chalk this up to stress or aging, but chronic tension can lead to headaches, jaw pain, and even limited mobility. Massage and stretching may help temporarily, but unless the underlying anxiety is addressed, the discomfort often returns. This is especially common among those experiencing physical symptoms of generalized anxiety, where worry and tension are ongoing rather than situational.
Digestive Issues That Don’t Seem to Have a Cause
The gut and the brain are in constant conversation, which explains why anxiety often shows up as nausea, bloating, cramping, or changes in appetite. Many people spend years treating digestive symptoms without asking the bigger question. “What are the physical symptoms of anxiety, and could this be one of them?”
Chronic anxiety can disrupt digestion, speed it up, slow it down, or make eating feel like a chore. These symptoms can be frustrating and embarrassing, leading people to suffer in silence. When anxiety treatment addresses both emotional and physical health, digestive symptoms often ease as the nervous system calms.
Heart Palpitations and Chest Discomfort
Feeling your heart pound, skip, or race can be terrifying. Many people end up in urgent care convinced something is seriously wrong, only to be told their heart is healthy. Anxiety-related palpitations are common, but that doesn’t make them any less distressing.
Chest tightness, shallow breathing, and dizziness often accompany these sensations. It’s no surprise people ask, What are the worst physical symptoms of anxiety? For many, cardiac-like symptoms top the list because they feel so urgent and frightening. Learning to recognize anxiety’s role can reduce fear and help people seek appropriate support rather than living in constant alarm.
Fatigue That Rest Doesn’t Fix
Chronic anxiety is exhausting. Even when sleep happens, the body may never fully relax, leaving people drained before the day even starts. This type of fatigue isn’t solved by a weekend off or an extra cup of coffee.
Constant alertness burns through mental and physical energy, contributing to brain fog, low motivation, and irritability. Over time, this fatigue can interfere with work, relationships, and recovery from addiction. Addressing anxiety alongside mental health and substance use concerns is often essential for restoring energy and focus.
Skin, Sensory, and Random Physical Changes
This is the one section where anxiety really flexes its creativity. Some physical symptoms don’t seem connected at all, until you look at the bigger picture.
Less-talked-about physical symptoms of anxiety include:
- Tingling or numbness in hands and feet
- Excessive sweating or chills
- Skin breakouts, hives, or itching
- Sensitivity to light or sound
- Feeling on edge in your own body
These symptoms are often brushed off because they don’t fit neatly into one diagnosis. Yet they’re common in people with long-term anxiety and often improve with consistent anxiety treatment and nervous system regulation.
When Anxiety and Addiction Overlap in the Body
Anxiety and addiction frequently travel together. Some people use substances to cope with uncomfortable physical sensations, while others find anxiety worsens during withdrawal or early recovery. The body can feel unpredictable during this cycle, especially without proper support.
At White Oak Recovery Center, we understand how anxiety-related symptoms can intensify during medical detox and early residential care. Treating addiction without addressing anxiety, or vice versa, often leaves people stuck. Integrated care allows the body and mind to heal together, reducing physical distress and supporting long-term recovery.
Get Help at White Oak Recovery in California Today
Listening to your body is a form of strength. If you have ever wondered about how to get rid of physical anxiety symptoms, the answer usually isn’t to ignore them. Your body isn’t being dramatic. It’s being honest. Recognizing anxiety’s physical impact can be a powerful turning point, not a personal failure.
Whether anxiety stands alone or exists alongside addiction, help is available. The admissions team at White Oak Recovery Center offers compassionate guidance, evidence-based anxiety treatment, and comprehensive support for mental health and substance use challenges. When your body has been carrying the weight of anxiety for too long, it deserves real care, and so do you.

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- Banerjee, Niladri, “Neurotransmitters in Alcoholism: A Review of Neurobiological and Genetic Studies.” Indian Journal of Human Genetics, Mar. 2014.
- Gorka, Stephanie M. and Phan, Luan K., “Impact of Anxiety Symptoms and Problematic Alcohol Use on Error-related Brain Activity.” Int J Psychophsyciol., Jun. 2017.
- McHugh, Kathryn R. and Weiss, Roger D., “Alcohol Use Disorder and Depressive Disorders.” Alcohol Research, Oct. 2019.
- Akhouri, Shweta, et al., “Wernicke-Korsakoff Syndrome.” StatPearls, Jun. 2023.
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