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Anxiety in women

If anxiety is affecting your daily life, recognising the symptoms specific to women can help guide you toward effective treatment.

Start your journey to recovery with Priory and learn more about our evidence-based mental health treatments, delivered by expert clinicians.

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Page last updated:
Written by: Anna Drescher
Mental health & addictions writer
Clinically reviewed by: Dee Johnson
Addiction Therapist at Priory Hospital Chelmsford

While anxiety can affect anyone, research shows women are more likely than men to be affected for a variety of reasons, including hormones and social influences. 

On this page, we explore what anxiety can look like in women, why it can sometimes go unnoticed, and when it might be helpful to seek professional support.

Signs and symptoms of anxiety in women

Anxiety in women isn’t always obvious, and it can often run in the background of everyday life without being recognised for what it is.

You might notice changes in your thoughts, emotions, body or behaviour, often accompanied by a sense of restlessness. Even during calmer moments, there may still be an underlying tension or sense of anticipation.

Mental and emotional symptoms of anxiety

While some signs of anxiety are more obvious, for many women it can show up in more subtle but persistent ways.

  • Constant overthinking or replaying conversations
  • Finding it difficult to ‘switch off, especially at night
  • Feeling on edge, restless, or unable to relax
  • Irritability or tearfulness that feels disproportionate to the situation
  • A strong fear of making mistakes or letting other people down
  • Feeling overwhelmed by decisions that once felt manageable
  • Being highly self-critical or perfectionistic

Physical symptoms of anxiety

Anxiety also has physical effects on the body. Many women initially worry that something is medically wrong before considering whether anxiety might be contributing.

  • A tight chest or racing heart
  • Muscle tension, jaw clenching or headaches
  • Digestive discomfort or nausea
  • Feeling shaky, lightheaded or breathless
  • Ongoing fatigue but struggling to relax
  • Sleep problems, including difficulty falling or staying asleep

common symptoms and causes of anxiety in women

‘High functioning’ anxiety

Although ‘high functioning’ anxiety isn’t a clinical term, there are many women who continue to function very well in their daily life, despite experiencing symptoms of anxiety.

You might: 

  • Keep up with work, family and social commitments
  • Appear calm and capable to others
  • Respond quickly to messages and tasks
  • Rarely ask for help

But internally, you may feel tense, overwhelmed and close to your limit. It’s often minimised as being ‘just stress’ but this can stand in the way of getting support.

How anxiety can present differently in women and men 

Research (for example, McLean et al., 2011) suggests that anxiety can be expressed differently in women and men. 

Women may be more likely to:

  • Internalise anxiety as worry, rumination or self-criticism 
  • Feel pressure to manage others’ emotions alongside their own 
  • Experience anxiety with low mood or emotional exhaustion 
  • Seek support and talk about how they’re feeling 

Men may be more likely to:

  • Express anxiety through irritability or frustration
  • Focus on physical symptoms, such as chest pain or tension, rather than emotional distress 
  • Use distraction, overwork or avoidance to cope 
  • Delay seeking support or describe it as stress rather than anxiety 

Why anxiety is more common in women

Statistics from the Office of National Statistics (ONS) suggest that women are significantly more likely to experience anxiety than men. This difference reflects a combination of biological, psychological and social influences. 

Hormonal changes

Some women experience symptoms of anxiety more noticeably during certain life stages or at certain times in their cycle due to shifts in hormones. 

Fluctuations in hormone levels due to menstruation, pregnancy, postnatal periods and menopause can affect mood and stress responses. 

Emotional and social factors

Women are often socialised to be more attuned to others’ needs, manage relationships, and carry the bulk of responsibility, especially when it comes to childcare and home life.

Ongoing pressure to balance work, family and expectations can increase stress and anxiety, as can experiences in gender equality, discrimination or trauma. 

Thinking patterns

Research suggests that women may be more likely to engage in rumination, which involves repeatedly thinking about worries, problems or difficult experiences.

While reflecting on emotions can sometimes be helpful, persistent rumination can make it harder to move past worries and may increase the likelihood of anxiety developing or continuing.

Safety and life experiences

Women are more likely to experience certain forms of trauma or threat, such as harassment, abuse or gender based violence.

Even the need to remain vigilant about personal safety in everyday situations can contribute to higher levels of underlying anxiety for some women.

Reporting symptoms

Women are more likely to recognise and report symptoms of anxiety or seek professional support than men, which may influence the higher prevalence rates of anxiety in women. 

Life stages and anxiety in women 

Anxiety can show up at any point in life, but certain life stages can increase the likelihood of women experiencing anxiety.

Puberty

Hormonal changes during puberty can increase emotional sensitivity and self-consciousness.

For girls in particular, shifts in hormones such as oestrogen can affect mood and stress responses. Combined with other challenges such as peer relationships, social media and school expectations, it can increase the likelihood of experiencing anxiety.

Periods

Women go through hormonal shifts throughout each month.

Some women experience pre-menstrual syndrome (PMS), which can negatively impact mood and cause irritability or exhaustion. PMS is fairly common, but some women can experience more serious symptoms as part of disorder known as premenstrual dysphoric disorder (PMDD), which can significantly affect mood and may cause anxiety.

Pregnancy and the postnatal period

Pregnancy and the months after birth involve major physical, emotional and lifestyle changes. Hormonal fluctuations, disrupted sleep, recovery from childbirth and the adjustment to caring for a newborn can all affect emotional wellbeing.

Many women experience new responsibilities, worries about their baby’s health and pressure to adapt quickly to their new role, which can increase vulnerability to anxiety.

Perimenopause and menopause

Many women experience anxiety as well as other mental health problems during menopause due to hormonal changes.

Perimenopause and menopause involve major hormonal shifts that can affect mood, sleep and overall wellbeing. Fluctuating hormone levels can influence how the brain regulates stress and emotions.

Watch: what causes women's mental health issues?

What environmental and biological challenges do women face that make them more at risk of mental health challenges? Join our panel of experts on Perspectives, as they answer this key question.

When to seek help 

You do not need to wait until anxiety feels overwhelming to get support. Reaching out early can help stop symptoms from getting worse and make them easier to manage.

It may be time to seek professional help if your anxiety is lasting for weeks, affecting your sleep, work or relationships, causing panic or physical symptoms, leading you to avoid everyday situations, or feeling too difficult to cope with alone.

Have you noticed you’ve turned to alcohol, drugs or compulsive behaviours like gambling as a means of regulating anxiety? 

Leaning on these maladaptive coping strategies can be emotionally draining over time – and therefore be a sign you might need support.

Treatment and support for anxiety in women

There are effective treatments for anxiety, and support can be tailored to your needs. A GP or psychiatrist can help you understand your options and find the right approach.

Treatment may include:

  • Therapy, such as CBT or counselling, to help you understand your thoughts and develop coping strategies
  • Medication, if symptoms are severe or having a big impact on daily life
  • Lifestyle changes, such as improving sleep, managing stress, being active and staying connected to others

Getting support 

Living with anxiety can be exhausting, especially if you’ve been coping alone for a long time.

If you recognise yourself in the experiences on this page, it’s important to know that anxiety is treatable and support is available. Many women find that speaking to a professional brings both relief and a better understanding of what they’re going through.

At Priory, our confidential mental health assessments explore your symptoms and circumstances in detail, helping identify the right support and treatment options for you. Reaching out is not a sign of weakness, it’s a positive step towards feeling more supported and better able to manage your anxiety.

Contact us to make an enquiry or for more information

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