When worry gets too much

February 2, 2021

Eight potential signs of an anxiety disorder

It is not unusual to experience feelings of anxiety or worry from time to time, but for some people these feelings can be ongoing and debilitating. Anxiety is a normal part of life, and so it may not always be simple to distinguish when it may have developed into an unhealthy preoccupation. 

Sindisiwe Mlotshwa, a counselling psychologist who practises at Akeso Parktown in Johannesburg, says that anxiety typically consists of physical, emotional and mental reactions, and in moderation these reactions are quite normal and may even be helpful. 

“In small doses, anxiety can help protect us from danger and help focus our attention when tasks need to be completed. However, when these reactions occur too frequently and are more severe, they can begin to affect our work performance, relationships and quality of life,” Mlotshwa says.

When worry and anxiety begin to manifest to the point where they are becoming unmanageable, the person could be suffering from an anxiety disorder.
According to Mlotshwa, while there are different types of anxiety disorders, if your anxious experiences are becoming intolerable there are certain signs you should take note of. These include:

1. Uncontrollable worry 
2. Excessive nervousness 
3. Sleep problems
4. Muscle tension 
5. Poor concentration
6. Increased heart rate
7. Upset stomach
8. Avoidance of situations that may cause fear, or the fear itself 

“When these symptoms become both too frequent and severe for those affected to manage, it is important to seek professional help,” Mlotshwa says.

“Anxiety disorders share elements of extreme fear and anxiety where the person’s behaviour changes because of these anxious thoughts and feelings.

Sindisiwe Mlotshwa

“For example, if a person has anxiety about driving in traffic, this may be helpful if it promotes more cautious driving behaviour. If anxiety is making you so cautious that you are a danger to other drivers by driving too slow, fast or indecisively for instance, or if you avoid driving at all, then the anxiety has become a problem. If the person’s anxiety leads them to stop going to work or visiting friends and family because they do not want to travel in a vehicle, then the anxiety is disrupting their life. It would suggest the possibility of an anxiety disorder, which may require professional mental health support to overcome,” she notes.


Mlotshwa says there are multiple types of anxiety disorders, including social anxieties or social phobia, separation anxieties and panic attacks. 


“Fortunately, professional help is available and there are various ways of treating and navigating anxiety, which may be useful either on their own or in combination,” she adds. 


“Exercise can be very helpful, as it promotes the healthy production of serotonin and endorphins to help regulate anxious feelings. These natural hormones promote feelings of calm and well-being, and can assist in managing the symptoms. Exercise is often recommended in conjunction with other interventions, such as psychotherapy or medication prescribed by a psychiatrist.”


Cognitive behavioural therapy (CBT) is one of the techniques psychologists most frequently use when treating anxiety disorders. “Through CBT, unhealthy thinking patterns that elevate anxiety levels are identified and challenged. Often, CBT will also include elements of exposure therapy and relaxation techniques.”


Exposure therapy, which should only ever be undertaken with a trained professional, involves slow and gradual exposure to whatever is triggering the client’s anxiety, with the aim of diminishing their distress. 


“Relaxation techniques can also assist in managing the symptoms of anxiety. These include practices such as deep breathing, progressive muscle relaxation, and mindful sensory engagements. Through focusing on external and physical experiences or senses, we can help the person to step out of their internal emotional experiences. Once the client is comfortable with relaxation techniques, they can be applied whenever needed, without the presence of a guiding professional.”


“Psychiatrists may prescribe anti-anxiety medication to help address the chemical causes of anxiety within the body. Medication should only ever be taken exactly as prescribed, and it is important not to stop taking psychiatric medicine without first consulting your treating doctor, even if you are feeling better,” Mlotshwa advises. 


“Anxiety disorders can be devastating, but the good news is that help is available. It is possible to overcome anxiety and reclaim your life.” 


In the event of a psychological crisis, emergency support can be reached on 0861 435 787, 24 hours a day.

If you need information about mental health services, accessing care, information about mental health issues, or are in an emotional crisis, Akeso is here to help.


You can contact us on info@akeso.co.za; visit www.akeso.co.za; or book psychologist and occupational therapist consultations via www.copetherapy.co.za and psychiatrist consultations through Netcare appointmed™, online at www.netcareappointmed.co.za or by calling 0861 555 565. The COPE Therapy website www.copetherapy.co.za also contains many useful blog posts on various issues and tips relating to mental health.

Alexis Chapell shares his personal journey of kidney failure
March 11, 2026
Alexis Chapell shares his personal journey of kidney failure and the life-sustaining dialysis therapy of National Renal Care that he has relied on since 2009.
HPV vaccination saves lives
March 4, 2026
Human Papillomavirus (HPV) Awareness Day is observed on 4 March and the Cancer Association of South Africa (CANSA) is highlighting the importance of early prevention of cervical cancer.
Clinical and radiation oncologist Dr Trenton Oliver
February 27, 2026
There is more to long-term health than keeping fit and eating right. Two oncologists are urging the public to become more aware of lesser known ways to reduce the risk of common cancers and how new technologies are improving the treatments available today.
Dr Mohamed Ghodhbani is an obstetrician and gynaecologist
February 16, 2026
Obstetrician and gynaecologist Dr Mohamed Ghodhbani explains how pre-pregnancy checks help address risks and optimise health. He shares seven key points.
Dr Miems Kleynhans, obstetrician and gynaecologist
February 6, 2026
Dr Miems Kleynhans, an obstetrician and gynaecologist, warns that misinformation on social media and opinion-based websites fuels anxiety in expectant parents and advises parents to seek guidance from a healthcare professional.
Dr Odwa Mazwai
January 28, 2026
Dr Odwa Mazwai says all South African skin tones face skin cancer risk and urges the public to practice sun‑safe habits daily.
Netcare uMhlanga Hospital
January 14, 2026
Africa’s first and only Cardio-Oncology Centre of Excellence at Netcare uMhlanga Hospital has once again been recognised by the International Cardio-Oncology Society (IC-OS), renewing its certification for a further three years.
Dr Stevens Hlahla
December 3, 2025
In this article, neurosurgeon Dr Stevens Hlahla explains how brain tumours can be accessed without opening the skull using endoscopic techniques.
Pertussis is also referred to as  whooping cough
November 24, 2025
Whooping cough (pertussis) is a contagious respiratory infection.While most people recover, Dr. Rubena Sathar warns it can lead to pneumonia and other complications.
Neurosurgeon Dr Denis Mutyaba
November 17, 2025
Detecting signs of head or brain injuries can be more challenging in older adults. Dr. Denis Mutyaba shares tips for promoting healthy brain ageing.
More Posts