High-Functioning Anxiety in Men
- Dr Vernice Richards
- Jun 15
- 3 min read
It’s Men’s Mental Health Awareness Month, and while public conversations around men’s well-being are expanding, there’s one version of struggle that still hides in plain sight: high-functioning anxiety.
He’s the leader, the provider, the problem-solver. He shows up, calm under pressure and composed and consistent in crisis. On the outside, he looks in control.
On the inside, he’s constantly calculating, second-guessing, and bracing for the next fire to put out. Tense, even when things are going well.

Polished on the surface, Restless underneath
What Does High-Functioning Anxiety in Men Look Like?
Unlike more visible symptoms of anxiety, high-functioning anxiety often hides behind success, drive, and discipline. It isn’t chaotic. It doesn’t scream. It performs.
It's especially common in men who are high-performing professionals (executives, athletes, creatives, and entrepreneurs) who are rewarded for their ability to “push through.”
Men whose success is fueled by drive, discipline, and hyper-awareness. But underneath that performance is often an unrelenting mental loop that never quite shuts off.
But here’s what often goes unnoticed,,,
A relentless pressure to “stay ahead” even when there’s nothing left to prove
Overthinking everything, from minor comments to major decisions
Imposter syndrome hidden beneath perfectionism and ambition
Irritability, restlessness, or withdrawal when the illusion of control slips
Resistance to vulnerability even in safe relationships
Difficulty resting without guilt or a sense of falling 'behind'
These men are not falling apart. They’re functioning, but at a cost.
The Cost of High-Functioning Anxiety
It’s easy to miss because life works. But over time, high-functioning anxiety quietly chips away at what actually matters:
Sleep becomes shallow or fragmented
Intimacy feels risky, even with loved ones
Presence is rare, he’s often mentally ten steps ahead or replaying what went wrong
Fulfillment starts to fade because every win just resets the bar
Health suffers, chronic tension, fatigue, or gut issues become the norm
It’s not weakness. it’s misdirected pressure.
And the world often rewards it.
Why It Often Goes Unspoken
From an early age, many men and boys are taught that strength is in stoicism. That expressing emotion is a liability. That rest is laziness. That uncertainty means failure.
So when high-functioning anxiety creeps in, the natural instinct is to push harder, mask it better, or intellectualize it away.
Some cope by overworking. Others overtrain.
Some numb with screens, sex, or substances, basically with anything to avoid the internal pressure cooker and the vulnerability of asking for help.
But the cost of silence isn’t just emotional. It’s relational. Physical. Existential.
Here;s what they don't tell you. Anxiety that goes unspoken eventually becomes Identity.
And identity also gets tied to performance with its reinforced.

Centering men’s mental health doesn’t mean inviting breakdown. It means normalizing depth. It means making space for high-functioning men to be fully human, not just productive.
Centering Men’s Mental Health Isn’t About Softening
It’s About Strengthening
When I work with high-functioning anxiety in men, I don’t ask them to become someone else. I don’t make their drive the problem.
I help them recalibrate it.
I help them shift from white-knuckling their way through life to leading with clarity and calm, control, and confidence that doesn’t come from performing, but from alignment.
Here’s what that can look like:
Learning how to think clearly instead of overthink constantly
Redefining strength to include presence, calm, and mental spaciousness
Interrupting patterns of hyper-responsibility with intentional rest
Using anxiety as insight, not an enemy
Creating inner clarity and alignment so performance doesn’t come at the cost of peace
Because mental performance isn’t just about what you do. It’s about how clearly you can think, feel, and choose, especially when no one’s watching.
A Better Question to Ask The Men In Your Life (Or Yourself if you are HIM)
Instead of “Are you okay?” try asking:
“Is the way you’re coping actually sustainable?”
Because high-functioning anxiety often works...until it doesn’t. And by the time cracks appear, burnout, resentment, or disconnection have already taken root.
But it doesn’t have to get to that point. You can lead, win, and thrive without sacrificing peace of mind.
To the Men Reading This:
You don’t need to break to deserve support. You don’t have to choose between performance and peace. You don’t need to slow down, you need a better system that works with you, not against you.
This month is about more than awareness. It’s about permission
Permission to pause. Permission to reframe. Permission to trade silence for support.
If something about these messages and insights felt uncomfortably familiar, that’s your signal.
You’re not here to manage. You’re here to master. Through alignment.
Let’s make space for that.
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