Breaking Free: How To Overcome Paralyzing Anxiety

Medically reviewed by Paige Henry, LMSW, J.D.
Updated April 5, 2024by BetterHelp Editorial Team

Paralyzing anxiety is a severe form of anxiety where the sympathetic nervous system triggers a fight-or-flight response in a way that can significantly impact an individual's daily life. A person with anxiety paralysis is not necessarily physically paralyzed, but as the body responds to overwhelming fear, worry, and apprehension, it can become difficult for an individual to function normally and complete everyday tasks.

Paralyzing anxiety can manifest in different forms, such as panic attacks, obsessive-compulsive behaviors, and social anxiety, and it affects millions of people worldwide. Its impact can be profound, potentially affecting work, school, and personal relationships and frequently leading to feelings of isolation, negative self-talk, and depression. A person with paralyzing anxiety can seek professional help from licensed mental healthcare providers and make lifestyle changes to manage symptoms and regain control of one's life. 

Understanding anxiety paralysis

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Are you living with paralyzing anxiety?

Anxiety paralysis does not refer to physical paralysis so much as the triggering of a fight-or-flight fear response that causes an individual to feel “paralyzed” or frozen in place. This is generally a debilitating condition that can impact an individual’s daily life. The symptoms can vary significantly from person to person and may include panic attacks, obsessive behaviors, isolation, depression, and social anxiety.

Paralyzing anxiety can be incredibly overwhelming, with intense and uncontrollable feelings of fear and worry that can significantly disrupt an individual's life. While the causes and triggers of this type of anxiety can be varied and complex, it can be important to understand them to better manage and cope with the condition.

Potential causes of paralyzing anxiety

For some individuals, past experiences can contribute to the development of paralyzing anxiety. These experiences can create patterns of thinking and behavior that are often challenging to overcome. Ongoing stress and health conditions may also be factors in the development of paralyzing anxiety. 

Triggers for paralyzing anxiety can be specific, such as social gatherings or public speaking, but may also be more generalized, such as the stress of daily life or feelings of uncertainty about the future. Identifying triggers can be important in managing anxiety and developing effective coping strategies.

Symptoms of paralyzing anxiety

Paralyzing anxiety can be overwhelming and frequently causes both physical and psychological symptoms that may make it difficult for individuals to carry out their daily routines. Physically, this type of anxiety may manifest as a rapid heartbeat, sweating, trembling, and nausea. Psychologically, paralyzing anxiety can manifest as intense fear, panic attacks, and a sense of impending doom. These psychological symptoms can be equally distressing, as they can lead to worry, intrusive thoughts, and difficulty concentrating.

Many individuals with paralyzing anxiety may have trouble sleeping, which can intensify other symptoms. Catastrophic thinking, for example, is typically when individuals imagine the worst possible outcome of a situation. This can lead to overwhelm and an inability to cope with daily life. Individuals may also go to great lengths to avoid situations that trigger their anxiety, potentially leading to a cycle of avoidance that may worsen symptoms and disrupt daily life.

Lifestyle changes for reduction of anxiety symptoms

If you feel emotionally paralyzed by anxiety, making lifestyle changes can be beneficial. These changes might be difficult to make, but the benefits can be worth it. However, it can be important to remember that each person's anxiety is unique, and what works for one person may not work for another.

Exercise

Regular exercise is one element that can be effective in reducing anxiety symptoms. Exercise typically releases endorphins that can improve mood and decrease stress levels. Different types of physical movement, like aerobic exercise, yoga, and strength training, are believed to be effective in reducing anxiety and relieving muscle tension. Practicing yoga, in particular, can incorporate mindfulness and meditation into your routine, which can be helpful strategies for mitigating anxiety symptoms.

Proper nutrition and hydration

Attending to physical health through proper nutrition and hydration can be important in neutralizing anxiety levels. Reducing the intake of caffeine and alcohol is often recommended because they can trigger anxiety symptoms. Increasing the consumption of key nutrients found in fruits and vegetables may also be beneficial. 
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Quality sleep

Getting enough quality sleep can also be important in managing anxiety. Poor sleep can worsen anxiety symptoms, while a good night's rest can improve mental health. To improve sleep hygiene, individuals can create a relaxing sleep environment, limit caffeine intake and avoid electronic devices before bedtime, and establish a regular sleep routine.

Strategies and techniques to improve mental health

Facing anxiety triggers can feel overwhelming, but there may be many effective coping strategies that can help individuals manage their symptoms. 

Emotional control

Emotional control may be helpful for some people with paralyzing anxiety. Forbes cites a review paper published in the Journal of Psychopathology and Behavioral Assessment, which reaffirms, “Emotional control— or understanding, controlling, and responding to emotions — is a useful method to combat anxiety disorders. Emotion control techniques can alter emotional responses, and this can be seen at the cognitive, behavioral, and neural levels. These techniques can temper the behavioral, cognitive, and physiological signs of anxiety.”

Mindfulness

Mindfulness may be another strategy that can help individuals reduce anxiety symptoms by focusing on the present moment without judgment. Mindfulness meditation can look different for everyone, but it commonly includes practices like body scanning, breathing exercises, and thought awareness.

Deep breathing

Taking deep breaths can be a helpful technique for managing anxiety triggers. Time suggests slowing anxiety down with deep breathing: “[D]iaphragmatic breathing stimulates the vagus nerve, which triggers the body’s relaxation response. When this happens, stress hormones like cortisol decrease, and we feel immediate relief, say researchers.” Incorporating deep breathing exercises into a daily routine, especially during times of stress or anxiety, can also provide long-term benefits for managing anxiety symptoms.

Therapies

There are multiple therapeutic treatment options for managing anxious thoughts and calming an active nervous system.

  • Exposure therapy can be an effective strategy for some individuals when coping with anxiety triggers. In exposure therapy, individuals might be gradually exposed to situations that trigger their anxiety symptoms in a safe and controlled environment. This therapy aims to help individuals become less sensitive to their anxiety triggers, which can reduce the severity of their symptoms and potentially increase their distress tolerance over time.
  • Eye-movement desensitization and reprocessing therapy (EMDR) is a technique that uses bilateral stimulation of the body or brain to help process distressing memories or traumatic events. The intention of EMDR is to heal trauma in a relatively short period of time.
  • Acceptance and commitment therapy (ACT) is based in mindfulness practices that alleviate psychological distress by encouraging an individual to accept difficult thoughts and take action in alignment with their personal values.
  • Dialectical behavioral therapy (DBT) combines elements of cognitive behavioral therapy (CBT) and concepts of mindfulness and acceptance, teaching individuals coping skills to manage emotions, improve interpersonal relationships, and control behaviors.

These therapies can be used to treat multiple disorders, including generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), and social anxiety disorder (SAD), among others. Throughout the therapy process, individuals may also learn other helpful coping strategies, such as deep breathing, progressive muscle relaxation, and other grounding techniques that decrease the likelihood of triggering a freeze response.

Medication

Working with a healthcare provider to determine the proper medication can be an effective strategy for managing anxiety triggers. Anti-anxiety medications or antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs), may be prescribed to help individuals manage their symptoms and improve their daily lives. Medication often works best in combination with other coping strategies, such as therapy and lifestyle changes. Consulting a medical professional or primary care provider is essential to determine the best treatment plan for an individual's needs.

Seeking professional support to overcome severe anxiety

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Are you living with paralyzing anxiety?

Online therapy can be a beneficial treatment option for individuals experiencing paralyzing anxiety because it typically offers a convenient opportunity for individuals who may have difficulty getting traditional in-person therapy. This can be especially beneficial for individuals with paralyzing anxiety symptoms that may make it challenging to leave their homes or interact with others. Online therapy can also provide a safe space for individuals to discuss their symptoms with a licensed professional. For individuals with paralyzing anxiety, it may provide a more comfortable space to discuss their condition.

One study analyzed behavioral activation (BA) outcomes through a teletherapy program for depression and anxiety. It found that “[p]rimary care patients demonstrated improvements in depressive and anxious symptoms throughout BA-based teletherapy. BA teletherapy is feasible and associated with improved outcomes as an adjunct or alternative intervention for primary care providers and in low-income, charity populations.” Overall, online therapy can offer a convenient, flexible, and comfortable treatment option for individuals experiencing paralyzing anxiety. Through online therapy, individuals can learn effective coping strategies and receive the support they deserve to manage their symptoms, regardless of location.

Takeaway

Paralyzing anxiety can be common and may affect millions of people across the world. Its symptoms can negatively impact an individual’s work, school, and personal relationships. While it can be challenging to live with, seeking support and making lifestyle changes can help individuals manage their symptoms effectively and regain control. Seeking professional help can be a valuable step in managing paralyzing anxiety, as mental health professionals can provide effective coping strategies and support to those struggling with this condition. With the right tools and resources, individuals can learn to manage their symptoms effectively and live a fulfilling life.
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