# The Terrebonne Group Psychologists & Therapists in New Orleans > A WordPress-powered website. Language: en URL: https://terrebonnepsychology.com/ All pages on this site are available as clean Markdown by adding the header `Accept: text/markdown` to any HTTP request. REST API: https://terrebonnepsychology.com/wp-json/mescio-for-agents/v1/markdown?url={page_url} ## Pages - [Our Privacy Policy](https://terrebonnepsychology.com/our-privacy-policy/): Privacy Policy Effective Date: November 7, 2025 Our Commitment to Your Privacy At The Terrebonne Group, we are committed to protecting your privacy and maintaining the confidentiality of your personal information. This Privacy Policy explains how we collect, use, and - [Dr. Lisa Legeaux](https://terrebonnepsychology.com/dr-lisa-legeaux/): Lisa Legeaux, DNP, PMHNP-BCPSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER Dr. Lisa Legeaux is a Board Certified Psychiatric Mental Health Nurse Practitioner who provides psychiatric medication management for children, adolescents, and adults at The Terrebonne Group. Drawing on experience across inpatient, community, - [Carolyn Mikulencak](https://terrebonnepsychology.com/carolyn-mikulencak/): Carolyn Mikulencak GRADUATE CLINICIAN INTERN Carolyn Mikulencak is a graduate clinician intern completing her Master of Science in Counseling (Marriage and Family Therapy track) at Loyola University New Orleans. She provides psychotherapy under the direct clinical supervision of Dr. Leigh - [Grief Therapy in New Orleans](https://terrebonnepsychology.com/grief-therapy-in-new-orleans/): Compassionate, evidence-based grief counseling for individuals, teens, and children navigating loss, trauma, and life transitions — in person and via teletherapy throughout Louisiana. Grief is one of the most profound human experiences. Our licensed grief therapists in New Orleans understand - [Anxiety Therapy in New Orleans](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/): Expert Anxiety Treatment for Lasting Relief Compassionate, evidence-based anxiety treatment from licensed professionals serving the Greater New Orleans area and throughout Louisiana. Request an Appointment Meet Our Therapists Request an Appointment Meet Our Therapists What Are Anxiety Disorders? Anxiety disorders - [Trauma Therapy in New Orleans](https://terrebonnepsychology.com/trauma-therapy-in-new-orleans/): You may not have the words for what you’ve been through—and that’s okay. Trauma doesn’t always show up as a clear memory. It has a way of living in the body, in the silences, in the moments when everything feels - [Child & Teen Therapy in New Orleans](https://terrebonnepsychology.com/child-teen-therapy-in-new-orleans/): Expert therapy for children and adolescents—helping young people manage emotions, develop healthy behaviors, and thrive at home, school, and with peers Our licensed therapists provide evidence-based child therapy and teen therapy in Greater New Orleans and throughout Louisiana through both - [Couples Therapy in New Orleans](https://terrebonnepsychology.com/couples-therapy-in-new-orleans/): Expert counseling to help you rebuild connection, resolve conflict, and create a stronger, more fulfilling relationship Our experienced therapists and family therapist associates provide compassionate couples counseling for partners seeking to heal their relationships, improve communication, and rediscover joy together. - [ADHD Treatment in New Orleans](https://terrebonnepsychology.com/adhd-treatment-in-new-orleans/): You've probably spent more time than you'd like to admit wondering why certain things feel so much harder for you than they seem to for everyone else. Maybe you've sat through meetings or classes watching your focus drift no matter - [Executive Burnout Therapy in New Orleans](https://terrebonnepsychology.com/executive-burnout-therapy-in-new-orleans/): Specialized Care for High-Achieving Professionals When your professional life is demanding more than you have left to give, our licensed therapists provide evidence based, trauma informed therapy to help you recover, rebuild, and move forward — at your own pace.At - [Parenting Therapy](https://terrebonnepsychology.com/parenting-therapy/): Evidence-based therapy to help parents address behavioral and emotional challenges with their children and teens We offer parenting support to families struggling with their child's behavioral and emotional challenges, including behavior problems at home and school, sibling/familial/peer conflict, and everyday - [About Us](https://terrebonnepsychology.com/about-us/): About The Terrebonne GroupProfessional Care, Personal Growth Compassionate, evidence-based psychological services in New Orleans—helping individuals, couples, and families achieve meaningful change through deep understanding and lasting growth. Request an Appointment Meet Our Clinicians Request an Appointment Meet Our Therapists Founded - [Dr. Leigh Anne Terrebonne](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/): Leigh Anne B. Terrebonne, Ph.D.LICENSED PSYCHOLOGIST Dr. Leigh Anne Terrebonne is a licensed psychologist with over 25 years of experience providing psychotherapy to individuals in the Greater New Orleans area and throughout Louisiana. She founded The Terrebonne Group in 2025 - [Dr. Monica Stevens](https://terrebonnepsychology.com/dr-monica-stevens/): Monica Stevens, Ph.D.LICENSED PSYCHOLOGIST Dr. Monica Stevens is a licensed psychologist who provides psychotherapy for children, adolescents, adults, couples, and families in New Orleans. With postgraduate training in the Department of Psychiatry at Tulane University Medical Center, she offers compassionate, - [Dorian Rolston, LCSW](https://terrebonnepsychology.com/dorian-rolston-lcsw/): Dorian RolstonLICENSED CLINICAL SOCIAL WORKER Dorian Rolston is a Licensed Clinical Social Worker who provides psychodynamic psychotherapy for individuals and couples in New Orleans. He brings a unique combination of clinical expertise, philosophical insight, and creative depth to his therapeutic - [Individual Therapy for Adults](https://terrebonnepsychology.com/individual-therapy/): Individual TherapyProfessional Therapy For Adults Professional psychotherapy to help you understand yourself, overcome challenges, and create lasting change Our experienced psychologists and therapists provide personalized, evidence-based individual therapy for adults facing anxiety, depression, trauma, life transitions, and more. Psychotherapy Tailored - [Contact Us](https://terrebonnepsychology.com/contact-us/): Contact UsTake the First StepWe understand that reaching out for therapy takes courage, and we're here to make the process as comfortable and straightforward as possible.Whether you're seeking individual psychotherapy, couples therapy, family therapy, or Parent-Child Interaction Therapy (PCIT), we - [The Terrebonne Group Psychologists & Therapists in New Orleans](https://terrebonnepsychology.com/): Compassionate Psychological Care in New OrleansExpert therapy and medication management services for adults, couples, children, and families—helping you navigate life's challenges and achieve meaningful growth. Compassionate Psychological Care in New OrleansExpert therapy and medication management services for adults, couples, children, - [Depression Therapy in New Orleans](https://terrebonnepsychology.com/depression-therapy-in-new-orleans/): Comprehensive, Compassionate Care for Depressive Disorders Depression can feel like you're carrying a weight that no one else can see — one that follows you into every room, every relationship, and every quiet moment. You may have tried to push - [Psychiatric Medication Management](https://terrebonnepsychology.com/psychiatric-medication-management/): When mental health challenges persist despite your best efforts, the right support can make a meaningful difference. At The Terrebonne Group, psychiatric medication management is provided in close coordination with our psychotherapy services — bringing together two powerful forms of - [Terms and Conditions](https://terrebonnepsychology.com/terms-and-conditions/): Effective Date: November 7, 2025 Acceptance of Terms By accessing and using the website terrebonnepsychology.com (the "Website"), you agree to be bound by these Terms and Conditions. If you do not agree to these terms, please do not use this - [Substance Use Therapy](https://terrebonnepsychology.com/substance-use-therapy-in-new-orleans/): Compassionate, Evidence-Based Psychotherapy for Lasting Change At The Terrebonne Group, we understand that struggling with substance use can affect every part of a person's life — relationships, work, physical health, and sense of self. Reaching out for help takes courage, ## Blog Posts - [What Anxiety Feels Like: The Physical Symptoms of Anxiety](https://terrebonnepsychology.com/article/what-anxiety-feels-like-the-physical-symptoms-of-anxiety/) (2026-07-22): Learn how anxiety affects the body—heart palpitations, muscle tension, sleep issues—and what the physical symptoms of anxiety mean. - [Should My Child See a Therapist? A Parent’s Guide](https://terrebonnepsychology.com/article/should-my-child-see-a-therapist-a-parents-guide/) (2026-07-22): Should my child see a therapist? Here's what to watch for — school changes, mood shifts, and more — plus when it's time to reach out. - [Therapy vs Medication for Anxiety: Finding the Right Path Forward](https://terrebonnepsychology.com/article/therapy-vs-medication-for-anxiety/) (2026-06-30): Therapy vs medication for anxiety doesn't have to be a hard choice. See how each helps, when both work together, and how to find the right path forward. --- # Full Content --- title: "What Anxiety Feels Like: The Physical Symptoms of Anxiety" url: "https://terrebonnepsychology.com/article/what-anxiety-feels-like-the-physical-symptoms-of-anxiety/" lang: "en-US" type: "post" description: "Learn how anxiety affects the body—heart palpitations, muscle tension, sleep issues—and what the physical symptoms of anxiety mean." last_modified: "2026-07-23T19:46:32+00:00" categories: [Anxiety] custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_post_layout_conditional: "default" mb_post_single_type_layout: 3 mb_single_apply_animation: 1 mb_featured_image_conditional: "default" mb_featured_image_type: "off" post_format_video_style: "bg_video" start_video: 0 mb_blog_show_r: "default" mb_blog_title_r: "Related Posts" mb_blog_column_r: 6 mb_blog_number_r: 2 mb_blog_carousel_r: 1 mb_page_sidebar_layout: "none" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 --- # What Anxiety Feels Like: The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Should My Child See a Therapist? A Parent’s Guide" url: "https://terrebonnepsychology.com/article/should-my-child-see-a-therapist-a-parents-guide/" lang: "en-US" type: "post" description: "Should my child see a therapist? Here's what to watch for — school changes, mood shifts, and more — plus when it's time to reach out." last_modified: "2026-07-22T20:11:57+00:00" categories: [Child Therapy] custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_post_layout_conditional: "default" mb_post_single_type_layout: 3 mb_single_apply_animation: 1 mb_featured_image_conditional: "default" mb_featured_image_type: "off" post_format_video_style: "bg_video" start_video: 0 mb_blog_show_r: "default" mb_blog_title_r: "Related Posts" mb_blog_column_r: 6 mb_blog_number_r: 2 mb_blog_carousel_r: 1 mb_page_sidebar_layout: "none" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 --- # Should My Child See a Therapist? A Parent’s Guide [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Substance Use Therapy" url: "https://terrebonnepsychology.com/substance-use-therapy-in-new-orleans/" lang: "en-US" type: "page" description: "Compassionate, Evidence-Based Psychotherapy for Lasting Change At The Terrebonne Group, we understand that struggling with substance use can affect every part of a person's life — relationships, work, physical health, and sense of self. Reaching out for help takes courage," last_modified: "2026-07-22T18:21:41+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Substance Use Therapy [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Therapy vs Medication for Anxiety: Finding the Right Path Forward" url: "https://terrebonnepsychology.com/article/therapy-vs-medication-for-anxiety/" lang: "en-US" type: "post" description: "Therapy vs medication for anxiety doesn't have to be a hard choice. See how each helps, when both work together, and how to find the right path forward." last_modified: "2026-07-22T19:52:59+00:00" categories: [Anxiety] custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_post_layout_conditional: "default" mb_post_single_type_layout: 3 mb_single_apply_animation: 1 mb_featured_image_conditional: "default" mb_featured_image_type: "off" post_format_video_style: "bg_video" start_video: 0 mb_blog_show_r: "default" mb_blog_title_r: "Related Posts" mb_blog_column_r: 6 mb_blog_number_r: 2 mb_blog_carousel_r: 1 mb_page_sidebar_layout: "none" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 1 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_featured_image_replace: 4060 --- # Therapy vs Medication for Anxiety: Finding the Right Path Forward [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Executive Burnout Therapy in New Orleans" url: "https://terrebonnepsychology.com/executive-burnout-therapy-in-new-orleans/" lang: "en-US" type: "page" description: "Specialized Care for High-Achieving Professionals When your professional life is demanding more than you have left to give, our licensed therapists provide evidence based, trauma informed therapy to help you recover, rebuild, and move forward — at your own pace.At" last_modified: "2026-07-04T15:38:49+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Executive Burnout Therapy in New Orleans [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Grief Therapy in New Orleans" url: "https://terrebonnepsychology.com/grief-therapy-in-new-orleans/" lang: "en-US" type: "page" description: "Compassionate, evidence-based grief counseling for individuals, teens, and children navigating loss, trauma, and life transitions — in person and via teletherapy throughout Louisiana. Grief is one of the most profound human experiences. Our licensed grief therapists in New Orleans understand" last_modified: "2026-07-04T15:40:45+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Grief Therapy in New Orleans [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Carolyn Mikulencak" url: "https://terrebonnepsychology.com/carolyn-mikulencak/" lang: "en-US" type: "page" description: "Carolyn Mikulencak GRADUATE CLINICIAN INTERN Carolyn Mikulencak is a graduate clinician intern completing her Master of Science in Counseling (Marriage and Family Therapy track) at Loyola University New Orleans. She provides psychotherapy under the direct clinical supervision of Dr. Leigh" last_modified: "2026-07-04T15:23:13+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Carolyn Mikulencak [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Dr. Lisa Legeaux" url: "https://terrebonnepsychology.com/dr-lisa-legeaux/" lang: "en-US" type: "page" description: "Lisa Legeaux, DNP, PMHNP-BCPSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER Dr. Lisa Legeaux is a Board Certified Psychiatric Mental Health Nurse Practitioner who provides psychiatric medication management for children, adolescents, and adults at The Terrebonne Group. Drawing on experience across inpatient, community," last_modified: "2026-07-04T15:34:59+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Dr. Lisa Legeaux [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Psychiatric Medication Management" url: "https://terrebonnepsychology.com/psychiatric-medication-management/" lang: "en-US" type: "page" description: "When mental health challenges persist despite your best efforts, the right support can make a meaningful difference. At The Terrebonne Group, psychiatric medication management is provided in close coordination with our psychotherapy services — bringing together two powerful forms of" last_modified: "2026-07-04T15:44:50+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Psychiatric Medication Management [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "ADHD Treatment in New Orleans" url: "https://terrebonnepsychology.com/adhd-treatment-in-new-orleans/" lang: "en-US" type: "page" description: "You've probably spent more time than you'd like to admit wondering why certain things feel so much harder for you than they seem to for everyone else. Maybe you've sat through meetings or classes watching your focus drift no matter" last_modified: "2026-07-04T15:20:13+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # ADHD Treatment in New Orleans [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Trauma Therapy in New Orleans" url: "https://terrebonnepsychology.com/trauma-therapy-in-new-orleans/" lang: "en-US" type: "page" description: "You may not have the words for what you’ve been through—and that’s okay. Trauma doesn’t always show up as a clear memory. It has a way of living in the body, in the silences, in the moments when everything feels" last_modified: "2026-07-04T15:48:09+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Trauma Therapy in New Orleans [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Depression Therapy in New Orleans" url: "https://terrebonnepsychology.com/depression-therapy-in-new-orleans/" lang: "en-US" type: "page" description: "Comprehensive, Compassionate Care for Depressive Disorders Depression can feel like you're carrying a weight that no one else can see — one that follows you into every room, every relationship, and every quiet moment. You may have tried to push" last_modified: "2026-07-04T15:30:34+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Depression Therapy in New Orleans [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Anxiety Therapy in New Orleans" url: "https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/" lang: "en-US" type: "page" description: "Expert Anxiety Treatment for Lasting Relief Compassionate, evidence-based anxiety treatment from licensed professionals serving the Greater New Orleans area and throughout Louisiana. Request an Appointment Meet Our Therapists Request an Appointment Meet Our Therapists What Are Anxiety Disorders? Anxiety disorders" last_modified: "2026-07-22T20:09:08+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Anxiety Therapy in New Orleans [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Terms and Conditions" url: "https://terrebonnepsychology.com/terms-and-conditions/" lang: "en-US" type: "page" description: "Effective Date: November 7, 2025 Acceptance of Terms By accessing and using the website terrebonnepsychology.com (the \"Website\"), you agree to be bound by these Terms and Conditions. If you do not agree to these terms, please do not use this" last_modified: "2026-07-03T19:26:38+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Terms and Conditions [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Child & Teen Therapy in New Orleans" url: "https://terrebonnepsychology.com/child-teen-therapy-in-new-orleans/" lang: "en-US" type: "page" description: "Expert therapy for children and adolescents—helping young people manage emotions, develop healthy behaviors, and thrive at home, school, and with peers Our licensed therapists provide evidence-based child therapy and teen therapy in Greater New Orleans and throughout Louisiana through both" last_modified: "2026-07-22T20:06:25+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Child & Teen Therapy in New Orleans [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Contact Us" url: "https://terrebonnepsychology.com/contact-us/" lang: "en-US" type: "page" description: "Contact UsTake the First StepWe understand that reaching out for therapy takes courage, and we're here to make the process as comfortable and straightforward as possible.Whether you're seeking individual psychotherapy, couples therapy, family therapy, or Parent-Child Interaction Therapy (PCIT), we" last_modified: "2026-07-04T15:26:39+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Contact Us [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Dorian Rolston, LCSW" url: "https://terrebonnepsychology.com/dorian-rolston-lcsw/" lang: "en-US" type: "page" description: "Dorian RolstonLICENSED CLINICAL SOCIAL WORKER Dorian Rolston is a Licensed Clinical Social Worker who provides psychodynamic psychotherapy for individuals and couples in New Orleans. He brings a unique combination of clinical expertise, philosophical insight, and creative depth to his therapeutic" last_modified: "2026-07-16T17:23:13+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Dorian Rolston, LCSW [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Dr. Monica Stevens" url: "https://terrebonnepsychology.com/dr-monica-stevens/" lang: "en-US" type: "page" description: "Monica Stevens, Ph.D.LICENSED PSYCHOLOGIST Dr. Monica Stevens is a licensed psychologist who provides psychotherapy for children, adolescents, adults, couples, and families in New Orleans. With postgraduate training in the Department of Psychiatry at Tulane University Medical Center, she offers compassionate," last_modified: "2026-07-04T15:36:55+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Dr. Monica Stevens [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Dr. Leigh Anne Terrebonne" url: "https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/" lang: "en-US" type: "page" description: "Leigh Anne B. Terrebonne, Ph.D.LICENSED PSYCHOLOGIST Dr. Leigh Anne Terrebonne is a licensed psychologist with over 25 years of experience providing psychotherapy to individuals in the Greater New Orleans area and throughout Louisiana. She founded The Terrebonne Group in 2025" last_modified: "2026-07-04T15:33:51+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Dr. Leigh Anne Terrebonne [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Parenting Therapy" url: "https://terrebonnepsychology.com/parenting-therapy/" lang: "en-US" type: "page" description: "Evidence-based therapy to help parents address behavioral and emotional challenges with their children and teens We offer parenting support to families struggling with their child's behavioral and emotional challenges, including behavior problems at home and school, sibling/familial/peer conflict, and everyday" last_modified: "2026-07-04T15:43:33+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Parenting Therapy [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Couples Therapy in New Orleans" url: "https://terrebonnepsychology.com/couples-therapy-in-new-orleans/" lang: "en-US" type: "page" description: "Expert counseling to help you rebuild connection, resolve conflict, and create a stronger, more fulfilling relationship Our experienced therapists and family therapist associates provide compassionate couples counseling for partners seeking to heal their relationships, improve communication, and rediscover joy together." last_modified: "2026-07-04T15:28:16+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Couples Therapy in New Orleans [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Individual Therapy for Adults" url: "https://terrebonnepsychology.com/individual-therapy/" lang: "en-US" type: "page" description: "Individual TherapyProfessional Therapy For Adults Professional psychotherapy to help you understand yourself, overcome challenges, and create lasting change Our experienced psychologists and therapists provide personalized, evidence-based individual therapy for adults facing anxiety, depression, trauma, life transitions, and more. Psychotherapy Tailored" last_modified: "2026-07-04T15:42:03+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Individual Therapy for Adults [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "Our Privacy Policy" url: "https://terrebonnepsychology.com/our-privacy-policy/" lang: "en-US" type: "page" description: "Privacy Policy Effective Date: November 7, 2025 Our Commitment to Your Privacy At The Terrebonne Group, we are committed to protecting your privacy and maintaining the confidentiality of your personal information. This Privacy Policy explains how we collect, use, and" last_modified: "2026-07-03T19:26:36+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8DB7A1" mb_theme-secondary-color: "#457D7E" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8DB7A1" mb_button-border-secondary-idle: "#457D7E" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#457D7E" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#8db8a2" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # Our Privacy Policy [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "The Terrebonne Group Psychologists & Therapists in New Orleans" url: "https://terrebonnepsychology.com/" lang: "en-US" type: "page" description: "Compassionate Psychological Care in New OrleansExpert therapy and medication management services for adults, couples, children, and families—helping you navigate life's challenges and achieve meaningful growth. Compassionate Psychological Care in New OrleansExpert therapy and medication management services for adults, couples, children," last_modified: "2026-07-23T19:46:25+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_cart_overlay_color: "rgba(24,24,24,0.3)" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8088E6" mb_theme-secondary-color: "#FFD2BF" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8088E6" mb_button-border-secondary-idle: "#FFD2BF" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#304049" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#FFD2BF" mb_customize_header_layout: "custom" mb_header_content_type: "custom" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "off" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" mb_customize_header: 685 --- # The Terrebonne Group Psychologists & Therapists in New Orleans [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) --- --- title: "About Us" url: "https://terrebonnepsychology.com/about-us/" lang: "en-US" type: "page" description: "About The Terrebonne GroupProfessional Care, Personal Growth Compassionate, evidence-based psychological services in New Orleans—helping individuals, couples, and families achieve meaningful change through deep understanding and lasting growth. Request an Appointment Meet Our Clinicians Request an Appointment Meet Our Therapists Founded" last_modified: "2026-07-04T15:18:20+00:00" custom_fields: mb_body_switch: "default" mb_body_lines_switch: "default" mb_body_lines_color: "rgba(185,185,185,0.4)" mb_overlay_full: "default" mb_cart_overlay_color: "rgba(24,24,24,0.3)" mb_page_sidebar_layout: "default" mb_page_sidebar_def_width: 9 mb_sticky_sidebar: 0 mb_sidebar_gap: 40 mb_page_colors_switch: "default" mb_theme-primary-color: "#8088E6" mb_theme-secondary-color: "#FFD2BF" mb_theme-tertiary-color: "#FFFFFF" mb_theme-quaternary-color: "#181818" mb_theme-content-color: "#444444" mb_theme-headings-color: "#181818" mb_form-bg-color: "#F3F3F3" mb_button-color-idle: "#181818" mb_button-border-idle: "#8088E6" mb_button-border-secondary-idle: "#FFD2BF" mb_button-color-hover: "#FFFFFF" mb_button-bg-hover: "#304049" mb_button-border-hover: "#304049" mb_button-border-secondary-hover: "#304049" mb_scroll_up_arrow_color: "#181818" mb_scroll_up_arrow_color_bg: "#FFD2BF" mb_customize_header_layout: "default" mb_header_content_type: "default" mb_header_sticky: 1 mb_sticky_header_content_type: "default" mb_page_title_switch: "default" mb_page_title_bg_switch: 1 mb_page_title_tag: "def" mb_page_title_height: 400 mb_page_title_align: "center" mb_page_title_parallax: 0 mb_page_title_parallax_speed: 0.3 mb_page_title_breadcrumbs_switch: 1 mb_page_title_breadcrumbs_align: "center" mb_page_title_breadcrumbs_block_switch: 1 mb_page_title_resp_switch: 0 mb_page_title_resp_resolution: 1200 mb_page_title_resp_breadcrumbs_switch: 1 mb_customize_side_panel: "default" mb_side_panel_building_tool: "widgets" mb_side_panel_title_color: "#ffffff" mb_side_panel_text_color: "#181818" mb_side_panel_bg: "rgba(24,24,24,1)" mb_side_panel_text_alignment: "left" mb_side_panel_position: "right" mb_customize_soc_shares: "default" mb_soc_icon_style: "standard" mb_soc_icon_offset: 250 mb_soc_icon_offset_units: "pixel" mb_soc_icon_facebook: 0 mb_soc_icon_twitter: 0 mb_soc_icon_linkedin: 0 mb_soc_icon_pinterest: 0 mb_soc_icon_tumblr: 0 mb_footer_switch: "default" mb_footer_building_tool: "elementor" mb_footer_add_border: 0 mb_footer_border_color: "#e5e5e5" mb_copyright_switch: "default" mb_copyright_editor: "Copyright © 2025 Mindy by WebGeniusLab. All Rights Reserved" mb_copyright_text_color: "#ffffff" mb_copyright_bg_color: "#223037" --- # About Us [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) rarely stays confined to the mind. Most people who live with it will tell you that what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like isn’t just racing thoughts or constant worry—it’s a pounding heart, a tight chest, a knotted stomach, and a body that feels like it’s bracing for something bad to happen, even when nothing is actually wrong. Understanding why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) shows up in the body, and what those physical symptoms mean, is often the first step toward feeling more in control of it. This article walks through the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), why they happen, how they differ from a passing worry, and what tends to help. ## Anxiety Is Both a Mental and a Physical Experience Occasional [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a normal part of being human. Most people feel anxious before a big presentation, a first date, or a difficult conversation. But [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) commonly causes more than just nerves—it can produce persistent worry, restlessness, irritability, muscle tension, and trouble sleeping that lingers well beyond the moment that triggered it. The difference between everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder generally comes down to two things: persistence and impact. Everyday [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) tends to pass once the stressful situation resolves. An [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder, on the other hand, involves fear or worry that doesn’t go away, shows up across many everyday situations, and interferes with work, school, relationships, or daily activities. ## Why Anxiety Feels So Physical: The Stress Response To understand what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body, it helps to understand the stress response—commonly known as the fight or flight response. This reaction was first described in the 1920s by Dr. Walter B. Cannon, a physiologist at [Harvard Medical School](https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response), and it remains one of the most well-documented biological reactions in the body. When the brain perceives a threat—real or imagined—it triggers a cascade of stress hormones that prepare the body to either fight the danger or flee from it. That cascade causes very real, very physical changes: the heart pounds, breathing quickens, muscles tense, and the body becomes flooded with adrenaline. This reaction evolved to protect us from genuine physical danger. The trouble is, the body’s alarm system doesn’t always distinguish between a real threat, like an oncoming car, and a perceived one, like an upcoming deadline or a difficult conversation. When [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is triggered by everyday situations rather than actual danger, the same fight or flight response still occurs, which is why [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel so intense even when there’s no real threat present. ## The Physical Symptoms of Anxiety [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can manifest physically in a wide range of ways. Not everyone experiences the same signs, and symptoms can vary from mild discomfort to intense, panic-level sensations. Common physical symptoms include: **Increased heart rate and heart palpitations.** One of the most recognizable signs of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is a heart that suddenly feels like it’s racing or skipping beats. This happens because the stress response sends extra blood to the muscles and brain, increasing heart rate to prepare the body for action. **Chest pain and shortness of breath.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause the chest to feel tight or achy, along with shortness of breath or a sense that it’s difficult to get a full breath. This occurs because rapid, shallow breathing during a stress response can lead to a temporary imbalance in oxygen and carbon dioxide. Chest pain related to [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can feel alarming, and because it can resemble a cardiac issue, it’s always reasonable to have new or unexplained chest pain evaluated by a doctor. **Muscle tension.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) frequently causes tightness in the shoulders, neck, jaw, and back. Chronic muscle tension can also contribute to tension headaches, which are common in people experiencing ongoing stress or worry. **Headaches.** Along with muscle tension, headaches are a frequent physical symptom of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), particularly during periods of prolonged stress. **Sweating.** Excessive sweating can be triggered by [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) in everyday situations, even when there’s no physical exertion or heat involved. This is part of the body’s effort to cool itself down as it prepares for a fight or flight reaction. **Digestive issues.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the digestive system are closely connected through what’s sometimes called the gut-brain axis. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can cause an upset stomach, stomach pain, nausea, or diarrhea, and ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) has been linked to conditions like [irritable bowel syndrome](https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016), a common digestive disorder in which stress and mental health issues are recognized risk factors that can also worsen symptoms once the condition develops. **Fatigue.** Living with ongoing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is exhausting. The body isn’t designed to stay in a heightened stress response for long periods, and the physical toll of constant tension and worry often leads to persistent fatigue. **Trouble sleeping.** [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, particularly when racing thoughts and physical restlessness make it hard for the body to relax at night. **Trembling, dizziness, or a sense of unreality.** Some people notice shaking hands, lightheadedness, or a floating, disconnected feeling during periods of intense [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). ## Panic Attacks: When Physical Symptoms Peak [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are sudden episodes of intense fear accompanied by strong physical symptoms, and they represent one of the most extreme physical expressions of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). During a [panic attack](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), someone might experience a racing heart, chest pain, shortness of breath, sweating, trembling, and an overwhelming sense of danger, even though there’s no actual threat present. [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) typically peak within minutes, but the intensity of the physical symptoms often leads people to believe something is seriously wrong with their body, which understandably makes the experience even more frightening. ## Emotional and Behavioral Signs of Anxiety While this article focuses on the physical symptoms of [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), it’s worth noting that [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) also shows up emotionally and behaviorally. Emotional symptoms can include fear, dread, apprehension, constant worry, and a general sense of unease that’s hard to shake. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can also affect thinking, contributing to racing thoughts, difficulty concentrating, and heightened self-consciousness in social or performance situations. Behaviorally, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) often leads to avoidance—skipping events, canceling plans, or steering clear of situations that feel triggering—as well as reassurance-seeking, restlessness, and social withdrawal. These behavioral changes can create a vicious cycle: avoiding a feared situation provides short-term relief, but it can reinforce the underlying fear and make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse over time. ## When Anxiety Becomes an Anxiety Disorder Everyone experiences [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) from time to time, but for some people, [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) becomes persistent, disproportionate, and disruptive enough to be classified as an [anxiety disorder](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/). Several distinct [anxiety disorders](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) exist, each with its own pattern of symptoms: - **Generalized [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** involves excessive, hard-to-control worry about everyday issues—health, work, finances, relationships—that occurs more days than not. - **Panic disorder** involves recurrent, unexpected [panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) along with ongoing fear of having another one. - **Social [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is characterized by an intense fear of social or performance situations, often driven by a fear of being judged, embarrassed, or negatively evaluated by others. - **Specific phobias** involve an intense, often irrational fear of a particular object or situation, such as heights, flying, or certain animals. - **Separation [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder** is common in children and involves excessive fear or worry about being separated from a parent or caregiver, though it can also affect adults. - **Obsessive-compulsive disorder (OCD)** involves persistent, unwanted intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) aimed at reducing the distress those thoughts cause. While OCD is now classified separately from [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders in clinical diagnostic criteria, it shares a close relationship with [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and often produces similar physical symptoms, since the underlying fear response is much the same. According to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/topics/anxiety-disorders), [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders can start in childhood or adolescence and, without treatment, often persist into adulthood. Recognizing the difference between typical worry and a disorder is important, because the level of persistence, intensity, and interference with daily life is what generally distinguishes the two. ## The Vicious Cycle Between Anxiety, Sleep, and the Body [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and physical health tend to feed into each other. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) can make it difficult to fall asleep or stay asleep, and poor sleep, in turn, can make [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worse. Research published in the journal _SLEEP_, and highlighted by the [American Academy of Sleep Medicine](https://aasm.org/new-study-in-the-journal-sleep-finds-that-chronic-insomnia-can-lead-to-anxiety-and-depression/), found that chronic insomnia increases the risk of developing an [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorder over time, based on data from more than 25,000 adults tracked over an 11-year period. This creates a difficult cycle: anxious thoughts disrupt sleep, and the resulting exhaustion leaves the body less equipped to regulate stress the next day, which can trigger [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) all over again. A similar dynamic plays out in the digestive system. [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and gut symptoms often move together, which is part of why conditions like irritable bowel syndrome are so closely tied to stress and [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) for many people. ## When to Seek Help [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and recognizing when it’s time to reach out for support is an essential first step. Consider talking to a doctor or mental health professional if: - [Anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) worsens over time rather than improving. - Worry feels constant, difficult to control, or disproportionate to the situation. - Physical symptoms—chest pain, digestive issues, sleep problems, or fatigue—are affecting daily life. - Fear or [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is leading to avoidance of activities, places, or people that used to feel manageable. - [Panic attacks](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) are becoming more frequent or intense. This applies to children as well as adults. The [U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents) recommends that children ages 8 to 18 be screened for [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders, given how common [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is in this age group and how significantly it can affect a child’s development, schoolwork, and relationships if left unaddressed. A doctor can also help rule out medical conditions that can mimic [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) symptoms, since physical signs like chest pain, a racing heart, or shortness of breath can sometimes be caused by other conditions and shouldn’t be assumed to be [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) without an evaluation. ## Techniques to Relieve Stress and Manage Physical Symptoms Because [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) and the body are so closely linked, many of the most effective techniques for managing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) work by calming the physical stress response directly: **Deep breathing exercises.** Slow, controlled breathing helps counteract the rapid, shallow breathing associated with the fight or flight response, signaling to the body that it’s safe to relax. **Regular exercise.** Physical activity helps reduce muscle tension, burns off excess stress hormones, and can improve sleep quality, making it easier to fall asleep and stay asleep. **Mindfulness and meditation.** These practices can help interrupt racing thoughts and reduce overall [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) levels by training attention to stay in the present moment rather than looping through worry. **Distraction and grounding techniques.** Shifting attention to a specific task, sensation, or activity can interrupt the cycle of increasing [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) before it escalates into a more intense physical reaction. **Other techniques**, such as progressive muscle relaxation, journaling, and limiting caffeine or alcohol, can also support the body’s ability to return to a calmer baseline. While these strategies can help manage day-to-day stress and reduce the intensity of physical symptoms, they aren’t a substitute for professional support when [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) is persistent or severe. ## Anxiety Disorders Are Treatable It’s worth repeating: [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) disorders are very treatable, and there are multiple effective approaches available, including therapy, medication, or a combination of both. No one has to simply live with constant worry, chest tightness, digestive issues, or sleepless nights as a permanent state. Understanding what [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/) feels like in the body—and recognizing that these physical symptoms have a clear, biological explanation—can make the experience feel less confusing and less isolating. With the right support, it’s possible to break the cycle between anxious thoughts and physical symptoms and build a greater sense of calm and control. _This article is for informational purposes only and is not a substitute for professional medical or mental health advice. If you’re experiencing persistent or severe [anxiety](https://terrebonnepsychology.com/anxiety-therapy-in-new-orleans/), please consult a licensed healthcare provider._ ![Dr. Leigh Anne Terrebonne, licensed psychologist and founder of The Terrebonne Group](https://terrebonnepsychology.com/wp-content/uploads/2025/09/leigh_anne_terrebonne.webp) About the Author Dr. Leigh Anne Terrebonne, Ph.D. Dr. Leigh Anne Terrebonne is a licensed psychologist and founder of The Terrebonne Group, a private-pay psychological services practice in Mid-City New Orleans. With more than 20 years of experience providing psychotherapy, she has served as clinical faculty in LSUHSC's Department of Psychiatry and holds a Ph.D. in Counseling Psychology from Auburn University. Dr. Terrebonne is dedicated to helping individuals, couples, and families build greater self-understanding and lasting well-being. [ Learn more about Dr. Terrebonne → ](https://terrebonnepsychology.com/dr-leigh-anne-terrebonne/) ---