Mental health library

Anxiety and constant worry

Anxiety is the body's alarm system going off when there is no fire. For many of us it gets called "tension", "BP", "ghabrahat" or simply being a worrier, and it goes untreated for years. These guides explain what is happening and what helps.

Common questions about anxiety

What is anxiety?

Anxiety is a feeling of worry, fear or unease, often with physical signs like a racing heart or tight chest. It becomes a problem when it is strong, frequent, and gets in the way of daily life.

What are the most common symptoms of anxiety?

Constant worry, restlessness, trouble sleeping, a racing heart, tight chest, stomach upset, headaches, irritability and finding it hard to concentrate.

Is anxiety a real illness or just stress?

Anxiety disorders are recognised health conditions. Everyday stress passes when the pressure lifts; an anxiety disorder tends to persist and can appear without an obvious cause.

Can anxiety be cured?

Many people recover fully, and most learn to manage anxiety so it no longer controls their life. CBT has strong evidence and its effects tend to last.

Can anxiety cause physical symptoms?

Yes. Anxiety releases adrenaline, which can cause palpitations, shaking, sweating, dizziness, nausea and chest tightness. Get new chest pain checked by a doctor first.

What is the best treatment for anxiety?

NICE recommends CBT and related therapies as first-line treatments. Some people also benefit from medication prescribed by a doctor.

Is anxiety common in South Asian communities?

Anxiety is common in every community. South Asian people often describe it in physical terms and seek help later because of stigma, which is why many cases go unrecognised.

Can I have therapy for anxiety in Urdu?

Yes. Therapy O'Clock lists professionals who work with anxiety in Urdu, Punjabi, Pashto and English.

Does prayer help anxiety?

Many people find prayer and dhikr calming and grounding. Faith and therapy can work together; a therapist can help with the worry patterns that prayer alone does not shift.

Should I avoid things that make me anxious?

Avoidance brings short-term relief but tends to make anxiety stronger over time. Therapy helps you face fears gradually and safely.

When should I get help for anxiety?

If worry is affecting your sleep, work, relationships or health for more than a few weeks, or you are avoiding places and people, it is time to talk to someone.

Need help right now?

If you might act on thoughts of harming yourself, or someone is in danger, call your emergency number now. Free, confidential support:

  • United Kingdom Samaritans 116 123 (free, any time) · NHS 111 · emergency 999
  • Ireland Samaritans 116 123 · text HELLO to 50808 · emergency 112 or 999
  • United Arab Emirates National support line 800 4673 · emergency 999 (ambulance 998)
  • Canada Suicide Crisis Helpline 988 (call or text) · emergency 911