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5 Types of Optional Anxiety That May Be Running Your Life

Writer: Dr. Scott Eilers, PsyD, LP
Dr. Scott Eilers, PsyD, LP
3 days ago
10 min read

You solve one problem, and your brain immediately finds another.


You replay conversations that ended hours ago. Wait for perfect conditions before doing something you want. Try to predict what everyone thinks of you. Run on too little sleep and wonder why every minor problem feels enormous.


If your anxiety never fully goes away, that is not a personal failure. Anxiety is part of being a thinking, feeling human in a world that does not guarantee outcomes. Some uncertainty, fear, and stress are unavoidable.


But there may also be a second layer of anxiety created by habits that feel protective in the moment and make your life smaller over time.


I call this optional anxiety. It is not a diagnosis or a formal type of anxiety disorder. It is a practical way to describe anxiety that may be intensified by controllable patterns such as avoidance, impression management, inconsistent nutrition, sleep deprivation, or maintaining a stressful secret.


You cannot remove every source of anxiety. You may be able to stop supplying some of it.

Here are five common types of optional anxiety and what you can do about each one.


1. Control Anxiety: You Need Everything to Go According to Plan


Control anxiety develops when your ability to feel safe or content depends on specific conditions.


You tell yourself you can relax once everyone is happy, the work is finished, the weather improves, the house is clean, or the plan unfolds exactly as expected. These may sound like preferences, but they begin functioning as requirements.


Every requirement creates another way for the day to go wrong.


I grew up near a beautiful, clear lake and loved being on the water. On cloudy or windy days, I could not see as far beneath the surface. Something in my brain would tell me the conditions were wrong, so I would stay out.


The lake had not fundamentally changed. My willingness to experience it had become dependent on ideal conditions.


Why control anxiety grows

Avoiding imperfect situations gives you immediate relief. That relief teaches your brain that avoidance protected you from danger. The next imperfect situation can then feel even harder to approach.


Telling yourself to “let go” rarely changes this pattern. Your brain needs new evidence.


What to try

Choose one safe, mildly imperfect situation and enter it voluntarily. Attend the event without knowing exactly who will be there. Submit work that is good enough. Let someone else make a low-stakes decision.


Beforehand, write down what you predict will happen. Afterward, record what actually happened.


The goal is not to enjoy every imperfect experience. You are teaching yourself that discomfort and disaster are different things. You do not need ideal conditions to have a worthwhile life.


2. Nutrition-Related Anxiety: Your Body Is Running Without Reliable Fuel


Going long periods without eating can create physical sensations that overlap with anxiety, including shakiness, irritability, weakness, difficulty concentrating, and a racing heart. Hunger may also reduce your ability to handle an already stressful situation calmly.


This does not mean irregular eating causes every anxiety disorder. It means an under-fueled or inconsistently fueled body can make existing anxiety harder to regulate.


The original version of this article referred to dramatic brain-volume changes during calorie restriction. That claim is too broad to apply to ordinary missed meals and should not be used as general anxiety advice. The more defensible point is simpler: your brain and body need adequate, consistent nutrition to function well.


What this looks like in real life

You drink coffee instead of eating breakfast. Work through lunch. Reach late afternoon feeling shaky, tense, and overwhelmed. You interpret those sensations as evidence that something is seriously wrong, which increases your anxiety further.


For some people, anxiety also reduces appetite or causes digestive discomfort. That can create a cycle in which anxiety interferes with eating and inadequate intake makes physical distress more difficult to manage.


What to try

Notice whether your anxiety reliably intensifies after long gaps between meals, heavy caffeine use, dehydration, or inconsistent eating. Aim for regular, balanced meals and adequate hydration when you are able.


If eating is difficult because of food insecurity, digestive symptoms, medication side effects, an eating disorder, or another medical concern, generic meal advice is not enough. Talk with a qualified healthcare professional, registered dietitian, or eating disorder specialist.

Food will not fix every emotional problem. It can remove one preventable source of physical stress.


A good next step is learning which daily patterns are amplifying your symptoms.


3. Impression Management Anxiety: You Are Trying to Control Other People’s Opinions


Impression management anxiety happens when you spend large amounts of energy trying to engineer what other people think about you.


You edit your personality depending on who is present. Hide harmless interests. Rewrite a message several times. Monitor your facial expressions during conversations. Replay every word afterward, searching for evidence that you came across badly.


Some concern about social perception is normal. It becomes costly when your attention shifts away from participating in your life and toward constantly observing yourself from someone else’s perspective.


Why this creates more anxiety

You cannot access another person’s mind, so you never receive enough certainty to complete the task. Someone can misunderstand you. Dislike you. Form an inaccurate opinion. You may be able to clarify important misunderstandings, but you cannot maintain permanent control over every interpretation of you.


Trying usually creates more monitoring, rehearsing, reassurance-seeking, and post-conversation analysis.


What to try

Before a social interaction, choose a goal that you can control. Instead of “Make them like me,” try “Ask one sincere question,” “State my opinion clearly,” or “Stay present for ten minutes.”


Afterward, assess whether you acted according to your values. Do not attempt to calculate your approval rating.


You can also practice revealing one safe, honest preference without explaining or defending it. Let people respond as themselves. Your job is to communicate honestly and behave responsibly. Their private interpretation still belongs to them.


The Light Between the Leaves book by The Depression Doctor, Clinical Psychologist Dr. Scott Eilers

4. Exhaustion Anxiety: Sleep Loss Is Reducing Your Emotional Resilience


A mildly stressful situation can feel like an emergency when you are exhausted.


Sleep supports attention, decision-making, memory, emotional regulation, and your ability to cope with change. Insufficient or poor-quality sleep may increase emotional reactivity and make negative experiences feel harder to place in context.


The idea that emotional resilience drops by exactly 10 percent for every hour of lost sleep is not an established clinical rule. People have different sleep needs, and the effects of sleep loss are not that mathematically precise. The useful point remains: an under-rested brain often has a harder time regulating anxiety.


What this looks like in real life

After a poor night’s sleep, an unanswered email feels like rejection. A small mistake feels professionally catastrophic. A change of plans feels impossible to manage. You may respond by attempting more mindset work while ignoring the physical condition making that work unusually difficult.


What to try

Focus on the conditions surrounding sleep rather than ordering yourself to fall asleep on demand.


Keep your wake time reasonably consistent. Reduce late-night work when possible. Create a brief wind-down routine. Make the room dark, quiet, and comfortable. Notice whether caffeine, alcohol, scrolling, or irregular hours affect your sleep.


If you repeatedly cannot sleep, wake frequently, snore heavily, wake gasping, or remain exhausted despite allowing enough time for rest, talk with a healthcare professional. Sleep disorders and mental health conditions can reinforce each other. You cannot outthink every consequence of chronic exhaustion.


5. Deception Anxiety: You Are Using Enormous Energy to Hide Something


Keeping a significant secret can turn daily life into a surveillance operation. You monitor what you say, remember which version of the story you told, anticipate questions, and imagine what will happen if the truth becomes known. Even during calm moments, part of your attention remains assigned to preventing discovery.


The longer this continues, the more complicated it can become. One omission may require another. Avoiding one conversation creates several new conversations to avoid.


This does not apply to private information that you are entitled to keep private. Privacy and deception are not the same thing. You do not owe everyone access to your history, identity, health information, or trauma.


Deception anxiety involves hiding something in a way that creates ongoing fear, conflicts with your values, harms someone, or prevents you from receiving necessary help.


What to try

Start by telling one safe, appropriate person. That may be a therapist, doctor, sponsor, attorney, financial professional, or trusted person who is equipped to help.


Do not disclose impulsively when doing so could place you at risk of abuse, violence, homelessness, retaliation, or other serious harm. Develop a safety plan and seek professional guidance first.


If the secret involves addiction, disordered eating, compulsive behavior, financial harm, or another clinical or high-risk concern, willpower and confession alone may not resolve it. You may need structured treatment and practical support.


Disclosure may initially increase anxiety because it makes consequences real. It can also end the exhausting job of pretending the problem does not exist. Shame grows in secrecy. Help usually begins with one honest conversation.


How to Identify Your Biggest Source of Optional Anxiety


You may recognize yourself in all five patterns. Trying to fix everything at once will probably create a sixth type of anxiety.


Start with the pattern that consumes the most time or makes your life significantly smaller.

Ask yourself:

  • What am I repeatedly trying to control?

  • What safe situations am I avoiding until conditions feel perfect?

  • Am I eating and sleeping consistently enough to evaluate my anxiety clearly?

  • How much time do I spend managing other people’s perceptions?

  • Is there something important I am afraid to admit to a safe person?

  • Which behavior gives me short-term relief and creates more anxiety later?


Choose one experiment rather than a complete life overhaul.


Enter one imperfect but safe situation. Eat before your usual anxiety spike. Stop rewriting one low-stakes message. Protect one additional hour for sleep. Tell one qualified person what has been happening.


Small experiments give your brain evidence. Evidence is often more useful than another hour spent arguing with yourself.


When Anxiety Is More Than a Habit


Calling some anxiety optional should never be used to blame someone for having an anxiety disorder.


Anxiety can be influenced by genetics, trauma, medical conditions, medication effects, chronic stress, substance use, sleep disorders, eating disorders, and other mental health conditions. Severe anxiety is not something you can always remove by changing routines or deciding to worry less.


Talk with a qualified mental health professional if your anxiety:

  • Persists across many situations

  • Is getting worse over time

  • Causes panic attacks

  • Interferes with work, school, sleep, relationships, or daily responsibilities

  • Leads you to avoid large parts of your life

  • Feels impossible to manage alone


Professional treatment may include psychotherapy, medication, behavioral strategies, or a combination based on your needs. Lifestyle changes can support treatment, but they are not a replacement for appropriate care.


You do not have to figure this out from scratch. My weekly newsletter provides practical mental health tools for people dealing with anxiety, depression, emotional numbness, and symptoms that refuse to respond to shallow advice.


You Do Not Need to Eliminate Anxiety to Reclaim Your Life


The goal is not to create a life where you never feel anxious. That life does not exist. The goal is to identify which parts of your anxiety are giving you useful information and which parts are being repeatedly fed by avoidable patterns.


You may need to prepare for a difficult conversation. You probably do not need to rehearse it for four hours. You may prefer ideal conditions. You do not need to postpone your life until they arrive.


You may care what other people think. You do not need to make their approval your full-time job. Start with whichever type of optional anxiety felt most familiar. Reduce one behavior that keeps it alive and observe what happens.


You may discover that anxiety has been controlling far more of your life than necessary. You may also discover that it gives up territory when you stop obeying every demand it makes.


(If this post hit home, you’ll probably connect with my new book, The Light Between the Leaves. It’s a practical guide for the days when “try harder” stops working.


-Scott

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FAQ

Q. What are the most important mental health lessons for 2026?

The most useful lessons involve understanding your emotional needs, reducing avoidance, protecting your attention, and turning insight into behavior. Consistent sleep, nutrition, movement, meaningful connection, and realistic routines may support mental health, although they do not replace professional treatment. Start with the lesson connected to the problem that most affects your daily functioning.


Q. How can I become more mentally resilient?

Mental resilience can be strengthened by developing repeatable coping skills, maintaining supportive relationships, protecting basic health needs, and practicing valued actions during difficult periods. It does not require remaining calm or positive all the time. If stress or mental health symptoms are overwhelming your ability to function, talk with a qualified mental health professional.


Q. Why is self-awareness not enough to change behavior?

Self-awareness explains a pattern, while behavior change requires practicing a different response. You may understand why you avoid conflict and still need to rehearse, tolerate discomfort, and have the conversation. Attach every meaningful insight to one small, observable action. Repetition helps turn intellectual understanding into a usable skill.


Q. How do I build motivation when I feel mentally exhausted?

Reduce the effort required to begin. Prepare materials in advance, remove distractions, define a minimum version of the task, and add an immediate reward or accountability. Motivation may increase after starting, although that will not happen every time. Persistent exhaustion can also have mental or physical health causes and should be discussed with a qualified healthcare professional.


Q. Is escapism always bad for mental health?

No. Temporary distraction can provide rest, enjoyment, and relief. It becomes concerning when escape is your primary coping strategy, repeatedly prevents you from addressing important problems, or makes ordinary life feel intolerable by comparison. Notice what you are avoiding and pair restorative distraction with one action that returns you to your life.


Q. When should I seek professional mental health support?

Seek professional support when distress is severe, persists for two weeks or longer, worsens, or interferes with sleep, work, relationships, self-care, or everyday responsibilities. You do not need to wait until you are in crisis. A qualified mental health professional can assess your symptoms and help determine which treatment or support options fit your needs.





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