February 18, 2026

Anxiety vs Stress: How to Tell the Difference and Find the Right Support

Anxiety vs stress: how to tell the difference, symptoms, causes, and treatment explained clearly.

Created By:
Ryan Sultan, MD
Ryan Sultan, MD
Dr. Ryan Sultan is an internationally recognized Columbia, Cornell, and Emory trained and double Board-Certified Psychiatrist. He treats patients of all ages and specializes in Anxiety, Ketamine, Depression, ADHD.
Created Date:
February 18, 2026
Reviewed By:
Reviewed By:
Ryan Sultan, MD
Ryan Sultan, MD
Dr. Ryan Sultan is an internationally recognized Columbia, Cornell, and Emory trained and double Board-Certified Psychiatrist. He treats patients of all ages and specializes in Anxiety, Ketamine, Depression, ADHD.
Reviewed On Date:
Estimated Read Time
3
minutes.

Key Takeaways

  • Stress is usually tied to a specific situation and resolves when it ends.
  • Anxiety persists and may occur without a clear trigger.
  • Chronic stress can increase risk of anxiety disorders.
  • Anxiety commonly overlaps with depression, ADHD, trauma, and eating disorders.
  • Evidence-based therapies like CBT, DBT, ACT, and EMDR are effective.

Anxiety vs Stress: How to Tell the Difference

Table of Contents

  1. Introduction: Why This Question Matters
  2. What Stress Actually Feels Like
  3. What Anxiety Feels Like
  4. Anxiety vs Stress: How to Tell the Difference
  5. When Stress Turns Into Something More
  6. How Anxiety Connects to Other Mental Health Conditions
  7. The Nervous System: Why Your Body Feels Stuck
  8. Treatment: What Actually Helps
  9. When to Reach Out for Support
  10. About Integrative Psych

1. Introduction: Why This Question Matters

You might have experienced thoughts like, “Am I just feeling stressed out... or is it anxiety?If it’s any consolation, you’re not the only one who suffers from anxiety and stress. Anxiety vs stress: how to tell the difference is one of the most searched mental health question in the US. It’s understandable why.  They can be intense. If you sleep more than 8 hours, it might negatively impact your mood, relationships, and ability to focus. Stress and anxiety both can be present in your body as tight shoulders, racing thoughts, or a sense that you are always “on.” However they are not the same and understanding the difference can give you more helpful options in getting support. From an integrative psychiatry perspective, clarity is empowering. The information will help you understand what’s going on and help you become more engaged in your care.

2. What Stress Actually Feels Like

Stress is your body’s natural response to pressure.

It usually has a clear cause:

  • A deadline at work
  • A difficult conversation
  • Financial strain
  • A move, a breakup, a medical concern
  • Parenting demands

Your nervous system engages when something feels like a challenge or threat. You are getting excited. Muscles tense. Stress can help you feel alert, focused, and even sharp in small amounts. Stress can help you prepare, perform and troubleshoot. Above all, stress usually improves when the situation changes. After a stressful event, when this is completed or resolved, your body tends to settle down once again. However, when stress is chronic – when there’s always something – your mind and body start to wear down. As time goes on, stress can contribute to conditions like depression, sleep disorders, and anxiety disorders. If you are experiencing stress that manifests as a consistent low mood, it may be worth looking into depression treatment like https://www.integrative-psych.org/nyc/depression.

3. What Anxiety Feels Like

Anxiety is different.

Anxiety doesn’t always need a clear trigger. It often shows up as ongoing, excessive worry — even when things are objectively okay.

It can sound like:

  • “What if something goes wrong?”
  • “What if I mess this up?”
  • “What if something happens to someone I love?”

Anxiety can feel like:

  • A constant hum of dread
  • Restlessness or inability to relax
  • Difficulty falling or staying asleep
  • Trouble concentrating
  • Physical symptoms like nausea or chest tightness

Anxiety can stick around after the stress goes away. When worry gets out of control or feels constant for weeks or months most days, it might not be a reaction but a pattern. When this happens, it is often under a clinical anxiety condition like Generalized Anxiety Disorder. You may ask yourself how to stop worrying if you feel symptoms like these.  If you want evidence-based care, click over to https://www.integrative-psych.org/nyc/anxiety to learn about the comprehensive anxiety treatment offered.

4. Anxiety vs Stress: How to Tell the Difference

So how do you really distinguish anxiety vs stress: how to tell the difference in everyday life?

Ask yourself:

  • Is there a clear external cause?
  • Does this feeling improve when the situation resolves?
  • Is my response proportional to what’s happening?
  • Has this been going on for weeks or months?

Stress tends to be situational and time-limited.
Anxiety tends to be persistent and internally driven.

Stress says: “This situation is hard.”
Anxiety says: “Something bad is going to happen.”

If your body feels stuck in “threat mode” long after a stressor has passed, anxiety may be present.

5. When Stress Turns Into Something More

Chronic stress can gradually reshape how the brain interprets danger.

Over time, your nervous system may become more reactive. Neutral situations may start to feel threatening. You may notice:

  • Increased irritability
  • Trouble sleeping
  • Avoidance of situations
  • Heightened emotional sensitivity

Stress can also intensify symptoms of other conditions.

For example:

What begins as stress does not always stay that way — which is why early evaluation matters.

6. How Anxiety Connects to Other Mental Health Conditions

Anxiety often overlaps with other diagnoses, including:

  • Depression
  • ADHD
  • Borderline personality disorder (BPD)
  • Eating disorders
  • Psychosis spectrum conditions, including schizophrenia
  • Addiction

People who have concerns about their body image or limit their eating may feel strong anxiety around food and control. Programs such as https://www.integrative-psych.org/nyc/eating-disorder provide specialized care. Sometimes the anxiety becomes so unbearable, that people drink or use substances to manage their symptoms.  Despite providing temporary relief, it often makes anxiety worse in the long run. Understanding the entirety of the clinical picture, not just presenting symptoms, is a basic of integrative psychiatry.

7. The Nervous System: Why Your Body Feels Stuck

Both stress and anxiety activate the sympathetic nervous system.

But with anxiety disorders, the system may have difficulty turning off.

You might feel:

  • On edge even during quiet moments
  • Physically tense without realizing it
  • Startled easily
  • Mentally unable to “shut down” at night

From a whole-person perspective, contributors such as sleep deprivation, hormonal shifts, blood sugar instability, thyroid imbalance, inflammation, or trauma history may intensify symptoms.

An integrative psychiatric evaluation looks at both psychological and biological factors to understand why symptoms are persisting.

8. Treatment: What Actually Helps

Treatment depends on whether you’re experiencing short-term stress or a clinical anxiety disorder.

For situational stress:

  • Lifestyle adjustments
  • Sleep regulation
  • Mindfulness and relaxation techniques
  • Short-term therapy

For anxiety disorders:

Care can also be delivered virtually across the United States through https://www.integrative-psych.org/nyc/virtual-therapy, increasing accessibility for individuals outside major metropolitan areas.

The goal is not just symptom reduction — but long-term resilience and stability.

9. When to Reach Out for Support

If you feel like you cannot stop worrying, if you have experienced symptoms on most days for several weeks, if you are having trouble sleeping on a consistent basis, if you are having panic attacks, if you have started avoiding things you normally do, if you are feeling anxious and you also think you may be depressed, trauma-affected, or mood unstable, consider reaching out.

It is not a sign that you “can’t handle the stress.” It is a sign that you are ready for some clarity and support. You can find out more about their highly integrated psychiatric and therapeutic services at https://www.integrative-psych.org/.

10. About Integrative Psych

Integrative Psych runs a national integrative psychiatry practice. They can help clients anywhere in the United States with in-person and virtual care. The clinic offers a comprehensive approach to diagnosing and managing patients. They offer a combination of psychotherapy and medication based on evidence and whole-person assessment. Moreover, the clinic team has expertise in conditions including anxiety, depression, ADHD, trauma/PTSD, bipolar disorder, OCD, eating disorders, psychosis, and complex mood conditions. Finally, treatment is designed to address and enhance the mind-body connection. Finally, learn more at the link on the clinical team.

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