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Fear vs. Anxiety: What’s the Difference?

Published: March 31, 2022 Updated: June 22, 2022
Published: 03/31/2022 Updated: 06/22/2022
Headshot of Lydia Angelica Antonatos, LMHC
Written by:

Lydia Antonatos

LMHC
Headshot of Naveed Saleh, MD, MS
Reviewed by:

Naveed Saleh

MD, MS
  • What Is Fear?Fear
  • What Is Anxiety?Anxiety
  • What Do Fear and Anxiety Feel Like?Symptoms
  • Key Differences in Anxiety vs. FearDifferences
  • How to Overcome Anxiety and Fear6 Tips
  • How Do I Know If I Have an Anxiety Disorder?Anxiety Disorder Signs
  • Getting Help for AnxietyGet Help
  • Final Thoughts on Fear & AnxietyConclusion
  • Additional ResourcesResources
Headshot of Lydia Angelica Antonatos, LMHC
Written by:

Lydia Antonatos

LMHC
Headshot of Naveed Saleh, MD, MS
Reviewed by:

Naveed Saleh

MD, MS

Anxiety and fear can feel the same and be easily confused, as fear and anxiety both produce a similar stress response to a real or a perceived threat.1 However, fear is an immediate response to a threat, while anxiety occurs in anticipation of an expected (or even unknown) threat. Examining these different emotions can help you determine what you are truly experiencing.

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Visit BetterHelp

What Is Fear?

Fear is an emotion believed to have evolved to increase our probabilities of staying safe when faced with a threatening situation. Fear automatically kicks in as a response to a real or perceived mental or physical menace to our well-being or safety. What follows is a series of biochemical reactions in our body where our sympathetic nervous system is activated, and stress hormones like cortisol and adrenaline are released priming us to either stay or escape the adverse or unexpected event. This reaction is known as the fight-or-flight response, which is deemed to be essential to life.1,2

Fear is a survival mechanism that plays a vital role in how we manage stress and detect hazards in our environment. Fear functions as an alerting system that can shield us from danger and provide us with some leeway to make appropriate decisions such as to stay or leave.1,2
However, feeling disproportionate levels of fear or having a heightened sensitivity to possible threats may be indicative of a chronic psychological condition like post-traumatic stress disorder (PTSD).3,4,5

What Is Anxiety?

Anxiety is a natural human emotion in response to a stressful or perceived threatening situation. Anxiety is thought to have evolved to protect us from future endangerment because it alerts us when there is a foreseen threat. This cue allows us to make the necessary adjustments and take appropriate measures to cope with the stressors, or risks in our environment.

Without anxiety, we would get into trouble, make poor decisions, or neglect life’s responsibilities and obligations. While anxiety may feel unpleasant, a reasonable amount can be useful and even healthy. Short spurts of anxiety can urge us to think through our choices and actions, solve day-to-day problems and remain productive within society.1,2

Anxiety can manifest differently in everyone. For many people, anxiousness surfaces in anticipation of an unclear threat or a future event. Sometimes, anxious feelings can emerge if you believe you are in danger. In other instances, higher levels of anxiety may be prompted by an overreaction to a threat you perceive as more serious than it really is.

These disproportionate reactions usually produce unwarranted, intense, and frequent feelings of anxiety. Consequently, these reactions are reflected in self-destructive behaviors such as avoidance of anxiety-provoking situations, obsessive worrying or overthinking, social isolation, or dependent behaviors like substance misuse or overeating.1,3,5

Is Anxiety Fear?

The answer to this question likely depends on who you ask. Many people would agree that there is tremendous overlap between anxiety and fear. Anxiety can certainly make people fearful, and fear can make people feel anxious, but they are different concerns with unique roots and consequences.

What Do Fear and Anxiety Feel Like?

Here is a list of physical and psychological symptoms that both fear and anxiety have in common:3,4

Physical Symptoms of Fear & Anxiety

Both fear and anxiety include physical symptoms including:

  • Rapid heartbeat and high blood pressure
  • Quick breathing or shortness of breath
  • Trembling and shaking
  • Nausea and upset stomach
  • Chest pain
  • Sweating or chills
  • Muscle tension
  • Dilated Pupils
  • Dry mouth

Psychological Symptoms of Fear & Anxiety

Fear and anxiety both can include psychological symptoms, such as:

  • Feeling overwhelmed
  • Feeling out of control
  • Feeling detached from your body
  • Inability to think clearly
  • Impending doom

Why do I feel like this when I’m not in any real danger?

The simplest explanation for this response is that your nervous system overreacts to a perceived danger. Rather than viewing a small concern at a level three, it interprets it as a level ten and responds in kind.

This overreaction can build and grow over time. It can also be reduced with hard work and practice using appropriate coping skills.

Key Differences in Anxiety vs. Fear

Fear produces the most obvious effects because our attention is focused on staying safe. When we are frightened, we feel agitated due to the physical symptoms associated with the fight-or-flight response. This fight-or-flight response is usually extreme and easily recognizable, and thus is more aligned with fear rather than anxiety.1,3,4

When we experience fear, we can also feel a sudden surge of mental or emotional distress such as feeling shocked and overwhelmed, as well as different behavioral reactions including aggression or violence. Fear is a protective mechanism enabling us to manage adverse or unpredictable circumstances in the moment. However, once the threat is no longer present, our fear will usually dissipate.1,3

Anxiety can also produce similar physiological and emotional effects as fear, which is why it is challenging to differentiate between them sometimes.

Fear is an automatic neurophysiologic response rooted in the present. It is a feeling of alarm that is induced by perceived or imminent danger—whether real or perceived. Anxiety is linked to fear, and is a future-oriented mood state that prepares your body for anticipated and perceived threats. It comprises complex biopsychosocial responses. Importantly, anxiety can present even when the stressor is no longer present.1,4

Another way anxiety differs from fear is that enduring severe and extended periods of anxiousness can have long-lasting physical, mental, and emotional implications. These implications include fatigue, migraines, digestive issues, sleep disturbances, restlessness, irritability, difficulty concentrating, inability to control worries and overthinking.3,4

How to Overcome Anxiety and Fear

Having anxiety and fear is an uncomfortable situation, but when people make small and consistent changes, they can find ways to move forward and overcome their fear and anxiety.

Here are six ways to overcome anxiety and fear:

1. Get to Know Your Emotions & Triggers

To achieve any wanted changes, a person must first have a better understanding of where they are now. Knowing what triggers anxiety, stress, fear, and tension will put them in a position of power and control.

2. Avoid What You Need To

Once they understand their triggers, a person can begin to avoid the people, places, and things that cause their symptoms. As long as avoidance does not increase the unwanted symptoms, people can feel free to stay away and calm their anxiety.

3. Confront What You Can’t Avoid

If the anxious triggers cannot be avoided, people can take steps to shift the impact of exposure to these sources. Start by gradually gaining exposure to the discomfort and practice healthy self-talk to remind yourself that the situation may be uncomfortable, but it is not dangerous.

4. Focus on Physical Health

The way you feel physically will have a tremendous impact on the way you feel mentally. Eating well, getting plenty of exercise, and leaving yourself enough time for restful sleep can drastically improve your anxiety and fear. All of these options are generally low risk and good for your overall well being, so feel free to try options that work for you.

5. Try Relaxation Exercises

Relaxation techniques are any cognitive or behavioral techniques used to decrease stress, anxiety, and physical tension. There is a wide variety of relaxation techniques with some working better for some than others.

At the beginning of the process, be open and willing to new styles of relaxation and commit to practicing – you could try meditation, progressive muscle relaxation, or breathwork. No techniques work instantly, and consistency is key.

6. Avoid Negative Coping Mechanisms

The above are all positive coping skills because they may be hard in the short-term, but they always yield beneficial results in the long-term. Negative coping skills work in the opposite way by being easy at first but with poor consequences later on. Drinking alcohol, using drugs, overspending money, playing video games excessively, and having risky sex are all negative coping skills. Avoid these whenever possible.

How Do I Know If I Have an Anxiety Disorder?

Fear and anxiety symptoms can feel similar and can co-occur. Although these emotions overlap, every person undergoes a different experience. These differences can be attributed to several factors such as the nature of the triggering event, a person’s mental or emotional endurance and their resources. Nevertheless, many experts believe that there are clear distinctions behind these emotions.

In sum, fear develops suddenly and is related to a known and well-defined threat, whereas anxiety arises in anticipation of an unspecified and unclear threat.1

Learning more about how you respond to various stressors in your environment can help you determine whether you are experiencing fear, anxiety or a psychiatric condition that shares common features with fear and anxiety like anxiety disorders, post-traumatic stress disorder (PTSD), and obsessive-compulsive disorder.3

Ask yourself the following questions to determine whether you are experiencing fear or anxiety:

  • Is my fear/anxiety connected to something happening right now?
  • Does my fear/anxiety subside once the threat/stress is gone?
  • Is my fear/anxiety caused by a non-threatening situation or does it emerge unexpectedly?
  • Does my fear/anxiety seem out of proportion to the actual circumstance?
  • Do I experience recurrent episodes of sudden feelings of intense anxiety and fear or terror that reach a peak within minutes?
  • Do I frequently experience intrusive uncontrollable thoughts that cause me fear/anxiety?
  • Does my fear/anxiety keep me constantly mentally preoccupied?
  • Are there certain actions that I need to perform over and over to ease my anxiety/fear?
  • Does my fear/anxiety stem from a past stressful/traumatic event? If so, has it been persistent?
  • Does a specific object, situation, or place almost always provoke a fear/anxiety response?
  • Am I frequently avoiding certain people, places, or things that cause me fear/anxiety?
  • Is my fear or anxiety persistent and interfering with my ability to enjoy life and function effectively?

In addition to the questions above, consider your risk factors when trying to determine what may be going on with you. Things to factor in include, environmental stressors, any traumatic life events, family history of mental illness, a medical condition, and your gender.

Researchers have found that a combination or the presence of any of these risk factors can make you more vulnerable for developing certain psychiatric conditions linked to anxiety and fear.3,4,6

Getting Help for Anxiety

Fear and anxiety are related to various clinical conditions and are strongly associated with anxiety disorders. Anxiety disorders represent the most common psychiatric conditions in the United States, affecting approximately 18.1% of the population every year.6

High levels of fear/anxiety can cause substantial distress by interfering with different life domains and could potentially develop into a chronic mental illness. If you feel like your emotions go beyond the normal feelings of nervousness and slight dread, talk to your doctor or find a therapist who can help you work through these tough feelings. Using an online therapist directory is a great way to find the right fit, since you can filter for specific concerns and needs.3

Final Thoughts on Fear & Anxiety

The struggles you are experiencing with fear or anxiety can take an emotional toll on your overall well-being. But you are not alone in this battle; speaking with a therapist or a trustworthy person in your life can help you manage and confront these intense emotions. Don’t let fear or anxiety get in the way of living your life to the fullest.

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for referrals by the companies mentioned below.

BetterHelp (Online Therapy) – BetterHelp has over 20,000 licensed therapists who provide convenient and affordable online therapy. BetterHelp starts at $60 per week. Complete a brief questionnaire and get matched with the right therapist for you. Get Started

Online-Therapy.com – Receive help for anxiety. The Online-Therapy.com standard plan includes a weekly 45 minute video session, unlimited text messaging between sessions, and self-guided activities like journaling. Recently, they added Yoga videos. Get Started

Brightside Health (Online Psychiatry) – If you’re struggling with anxiety, finding the right medication can make a difference. Brightside Health treatment plans start at $95 per month. Following a free online evaluation and receiving a prescription, you can get FDA approved medications delivered to your door. Free Assessment

Headspace (Meditation App) – Headspace is the leading mindfulness and meditation app with over 70 million members. Headspace offers guidance and exercises for all skill levels, including beginners. Free Trial

Choosing Therapy’s Directory – Find an experienced therapist specialising in anxiety. You can search for a therapist by specialty, availability, insurance, and affordability. Therapist profiles and introductory videos provide insight into the therapist’s personality so you find the right fit. Find a therapist today.

Choosing Therapy partners with leading mental health companies and is compensated for referrals by BetterHelp, Online-Therapy.com, Brightside, and Headspace

For Further Reading

  • Mental Health America
  • ADAA
  • MentalHealth.gov
6 sources

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Sadock, B. J., Sadock, V. A., Ruiz, P., & Ovid Technologies, Inc. (2017). Kaplan & Sadock’s concise textbook of clinical psychiatry. Wolters Kluwer.

  • Mobbs, D., Hagan, C. C., Dalgleish, T., Silston, B., & Prevost, C. (2015). The ecology of human fear: survival optimization and the nervous system. Frontiers in Neuroscience, 9. https://doi.org/10.3389/fnins.2015.00055

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th Ed). American Psychiatric Association.

  • Chand, S. P., & Raman Marwaha. (2020, November 29). Anxiety. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470361/

  • Fight Or Flight Response – Psychology Tools. (2021, January 28). Psychology Tools. https://www.psychologytools.com/resource/fight-or-flight-response/

  • Facts & Statistics | Anxiety and Depression Association of America, ADAA. (2021). Adaa.org. https://adaa.org/about-adaa/press-room/facts-statistics

update history

We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

  • Originally Published: February 12, 2021
    Original Author: Lydia Antonatos, LMHC
    Original Reviewer: Naveed Saleh, MD, MS

  • Updated: March 31, 2022
    Author: No Change
    Reviewer: No Change
    Primary Changes: Updated for readability and clarity. Reviewed and added relevant resources. Added “Why do I feel like this when I’m not in any real danger?” and “How to Overcome Anxiety and Fear”. New material written by Eric Patterson, LPC and reviewed by Dena Westphalen, PharmD.

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Headshot of Lydia Angelica Antonatos, LMHC
Written by:

Lydia Antonatos

LMHC
Headshot of Naveed Saleh, MD, MS
Reviewed by:

Naveed Saleh

MD, MS
  • What Is Fear?Fear
  • What Is Anxiety?Anxiety
  • What Do Fear and Anxiety Feel Like?Symptoms
  • Key Differences in Anxiety vs. FearDifferences
  • How to Overcome Anxiety and Fear6 Tips
  • How Do I Know If I Have an Anxiety Disorder?Anxiety Disorder Signs
  • Getting Help for AnxietyGet Help
  • Final Thoughts on Fear & AnxietyConclusion
  • Additional ResourcesResources
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