Is It Anxiety or Something Else? How to Recognise the Signs Early

Manchester Counselling Editorial Team

Jun 9, 2025

Jun 9, 2025

INTRODUCTION

Anxiety is one of the most common mental health challenges in the UK — but it often goes unrecognised. That’s because anxiety doesn’t always present as nervousness or panic. In fact, it can look like tiredness, irritability, stomach problems, or even physical pain. For many people, the signs of anxiety are easy to miss or mistake for something else.

In 2025, as more people seek support for stress-related issues, it's essential to understand how anxiety manifests — and how it can disguise itself. Knowing what to look for can help you take early, meaningful steps toward feeling better.

This article will explore the early signs of anxiety, the difference between normal worry and clinical anxiety, and when it’s time to seek support. If you’ve been feeling "off" but can’t quite explain why, this guide is for you.

Anxiety is one of the most common mental health challenges in the UK — but it often goes unrecognised. That’s because anxiety doesn’t always present as nervousness or panic. In fact, it can look like tiredness, irritability, stomach problems, or even physical pain. For many people, the signs of anxiety are easy to miss or mistake for something else.

In 2025, as more people seek support for stress-related issues, it's essential to understand how anxiety manifests — and how it can disguise itself. Knowing what to look for can help you take early, meaningful steps toward feeling better.

This article will explore the early signs of anxiety, the difference between normal worry and clinical anxiety, and when it’s time to seek support. If you’ve been feeling "off" but can’t quite explain why, this guide is for you.

Anxiety is one of the most common mental health challenges in the UK — but it often goes unrecognised. That’s because anxiety doesn’t always present as nervousness or panic. In fact, it can look like tiredness, irritability, stomach problems, or even physical pain. For many people, the signs of anxiety are easy to miss or mistake for something else.

In 2025, as more people seek support for stress-related issues, it's essential to understand how anxiety manifests — and how it can disguise itself. Knowing what to look for can help you take early, meaningful steps toward feeling better.

This article will explore the early signs of anxiety, the difference between normal worry and clinical anxiety, and when it’s time to seek support. If you’ve been feeling "off" but can’t quite explain why, this guide is for you.

PHYSICAL SYMPTOMS THAT OFTEN GO UNRECOGNISED

Anxiety affects the body as much as the mind. Often, people experience physical symptoms for months or even years without realising anxiety is the root cause.

Common physical signs include:

  • Tight chest or rapid heartbeat

  • Persistent stomach upset, IBS-like symptoms

  • Muscle tension or jaw clenching

  • Frequent headaches or migraines

  • Trouble sleeping or waking early with dread

  • Fatigue that doesn’t improve with rest

These symptoms are caused by the body's stress response, which releases adrenaline and cortisol. Over time, this can wear down your immune system and lead to chronic issues if left untreated.

Because these signs can also indicate physical illness, anxiety is often misdiagnosed or overlooked — especially in busy adults who put their wellbeing last.

A persStressed individual during a counselling session in Manchester, showing signs of emotional distress while seated on a therapy couch.on sitting on a couch, holding their head in frustration or stress, with a distressed expression.
A persStressed individual during a counselling session in Manchester, showing signs of emotional distress while seated on a therapy couch.on sitting on a couch, holding their head in frustration or stress, with a distressed expression.

BEHAVIOURAL AND EMOTIONAL CLUES

Beyond the physical, anxiety also influences our behaviour and thinking patterns. You may find yourself:

  • Overthinking small issues or replaying conversations in your head

  • Avoiding certain places, people, or tasks

  • Feeling easily irritated or overwhelmed

  • Constantly needing reassurance from others

  • Struggling to focus or complete routine tasks

  • Feeling detached from reality or unable to relax

These behaviours often become coping strategies — but they can make anxiety worse over time. What starts as "being extra cautious" or "just needing time alone" can spiral into withdrawal, social anxiety, or burnout if not addressed.

Anxiety can also mimic or overlap with conditions like depression, ADHD, or even physical illnesses, making early recognition all the more important.

ANXIETY VS. EVERYDAY WORRY — WHAT’S THE DIFFERENCE?

It’s normal to feel anxious before a big life event or when under pressure. But clinical anxiety goes further. The key differences include:

  • Duration: Everyday worry is temporary; anxiety lasts weeks or months

  • Intensity: Anxiety causes significant distress and may feel out of proportion to the situation

  • Impact: Anxiety interferes with your sleep, work, relationships, or health

  • Control: With anxiety, you often feel powerless to stop the cycle of worry

When anxiety starts to shape your decisions, daily routines, or sense of identity, it’s time to take it seriously. This is especially true if symptoms have persisted for more than two weeks or are worsening.

Distressed person in a Manchester counselling setting, seated with head in hands during a therapy session, plant visible in the background.
Distressed person in a Manchester counselling setting, seated with head in hands during a therapy session, plant visible in the background.

WHEN AND HOW TO SEEK HELP

You don’t need to be in crisis to benefit from therapy. In fact, early support can prevent anxiety from becoming more entrenched.

Signs it’s time to reach out include:

  • Your symptoms are getting worse or interfering with life

  • You’re using alcohol, food, or distractions to cope

  • Loved ones have noticed a change in your behaviour

  • You’re tired of feeling stuck, disconnected, or out of control

Therapy provides a space to understand what’s driving your anxiety, develop emotional regulation tools, and make lasting changes. Cognitive Behavioural Therapy (CBT) is one of the most effective treatments, but integrative approaches and mindfulness-based therapy can also be powerful, depending on your needs.

Whether your anxiety is new or something you’ve managed alone for years, support is available — and recovery is possible.

Takeaway Advice

Takeaway Advice
Takeaway Advice

At Manchester Counselling, we know that anxiety can creep in slowly — often masked as physical illness, irritability, or exhaustion. If you’re unsure whether what you’re feeling is anxiety, talking to a therapist can bring clarity and relief.

We’ll help you understand your symptoms and match you with a therapist who fits your needs, lifestyle, and goals. In-person and online options are available to suit your preferences.

If something feels off, trust that instinct — and take the next step toward support. Explore our therapist options or book your first session today.

The Sources
The Sources
The Sources

NHS. (2024). Recognising signs of anxiety. https://www.nhs.uk

Mind. (2023). Physical effects of anxiety. https://www.mind.org.uk

Anxiety UK. (2023). What does anxiety feel like? https://www.anxietyuk.org.uk

Mental Health Foundation. (2023). Understanding anxiety symptoms. https://www.mentalhealth.org.uk

BACP. (2024). When to seek therapy. https://www.bacp.co.uk

Subject Areas
Subject Areas
Subject Areas
  • early signs of anxiety

  • anxiety symptoms checklist

  • physical symptoms of anxiety

  • is it anxiety or something else

  • how to recognise anxiety

  • therapy for anxiety UK

  • anxiety diagnosis UK

  • CBT Manchester

  • online counselling for anxiety

  • therapist for anxiety near me

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