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Pathological Anxiety vs. Adaptive Anxiety: Why You Don’t Have to “Fix” Yourself to Feel Better

  • Ali Iverson (Schilling), Psy.D.
  • Oct 14, 2016
  • 3 min read

Updated: Jun 16


Graph depicting arousal vs. performance. Shows a curve indicating optimal performance at moderate arousal, impaired performance at high arousal.

Anxiety gets a bad rap. But here’s the truth: anxiety isn’t always a problem. In fact, it’s a natural, biological response designed to help us survive. It’s only when anxiety becomes pathological - chronic, overwhelming, or disruptive - that it needs to be addressed more deeply.


At Brain Body Wellness and Biofeedback, PLLC, we provide holistic counseling in Arizona to help you understand the difference, so you can stop fighting yourself and start healing.


What Anxiety Actually Is

Let’s clear something up. Anxiety is not the same thing as fear. Fear is your body’s response to an immediate threat - like spotting a rattlesnake on a trail. Your fight-or-flight response kicks in: your heart races, muscles tense, and stress hormones surge so you can react quickly.


Anxiety, however, is the anticipation of a future threat. It’s the racing heart before a big meeting. It’s the stomachache you get days before a confrontation. It’s your body reacting to something that hasn’t even happened - yet.


And while that might sound like a flaw in our wiring, it actually evolved to help us prepare, avoid danger, and survive.


Adaptive Anxiety: The Helpful Kind

This is where the concept of adaptive anxiety comes in. Adaptive anxiety is the healthy, functional version—it helps you stay focused before an exam, motivates you to prep for an interview, or pushes you to leave a relationship that no longer feels safe.


There’s even science to back this up: The Yerkes-Dodson Law shows that performance improves with moderate levels of anxiety. It sharpens attention and energy - up to a point.

We need some anxiety to grow, stay alert, and succeed.


When Anxiety Becomes Pathological

Pathological anxiety is when anxiety stops being helpful and starts interfering with your life. It might look like:

  • Avoiding places or people you care about

  • Constant worry you can’t turn off

  • Panic attacks that feel out of the blue

  • Trouble sleeping or concentrating

  • Physical symptoms like muscle tension or nausea


This type of anxiety can leave you feeling stuck, exhausted, or even ashamed. You may begin to think something is “wrong” with you. But there’s nothing broken—you’re just operating with a nervous system that’s on high alert.

At Brain Body Wellness, we specialize in helping adults, teens, and children understand the root of pathological anxiety - and how to manage it without shame.


Why the Goal Isn’t “Getting Rid” of Anxiety

A lot of people come to therapy thinking the goal is to eliminate anxiety. But here’s the truth: trying to get rid of all anxiety is neither realistic nor necessary.

You don’t need to be anxiety-free to live a full, joyful life. Instead, we focus on helping you:

  • Recognize the difference between adaptive and pathological anxiety

  • Build skills to manage and respond to anxiety in healthy ways

  • Regulate your nervous system through holistic strategies like mindfulness, breathwork, and biofeedback

  • Gain insight into unhelpful patterns or beliefs that keep you stuck


This is what holistic counseling in Arizona can offer - a way to work with your anxiety, not against it.


You’re Not Alone - And You’re Not “Too Much”

If you’ve ever been told you’re “too sensitive,” “too nervous,” or “too emotional,” you may have learned to hide your anxiety or push through it silently. But ignoring anxiety doesn’t make it go away - it just buries it deeper.

We want you to know:

You are not too much.

You are not broken.

You are not alone.

You just need support - and the right tools to help your system feel safe again.


How We Can Help

At Brain Body Wellness and Biofeedback, PLLC, we offer in-person counseling in Scottsdale, Arizona, and statewide telehealth therapy. Our integrative, trauma-informed team works with:

  • Adults dealing with burnout, anxiety, or past trauma

  • Teens navigating school stress, social pressure, or panic

  • Children struggling with fears, transitions, or emotional overwhelm


Through holistic counseling in Arizona, we help clients reconnect with themselves and their capacity to thrive—not by erasing anxiety, but by transforming their relationship with it.


Take the First Step Toward Relief

You don’t need to figure it out alone - and you don’t have to stay stuck in pathological anxiety. Healing is possible, and it starts with understanding your nervous system, not fighting it.

Let’s walk this path together.



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