Skip to content
  • Mental Health Issues
    • Anxiety
    • ADHD
    • Bipolar Disorder
    • Depression
    • Grief
    • Narcissism
    • OCD
    • Personality Disorders
    • PTSD
    • Anger
    • Burnout
    • Stress
  • Relationships
    • Dating
    • Marriage
    • Sex & Intimacy
    • Infidelity
    • Relationships 101
    • Best Online Couples Counseling Services
  • Quizzes
    • Anxiety Test
    • ADHD Test
    • Depression Test
    • Burnout Test
    • Stress Quiz
    • All Quizzes
  • Therapy
    • Starting Therapy
    • Types of Therapy
    • Best Online Therapy Providers
    • Online Therapy Reviews & Guides
    • Mindfulness
  • Medication
    • Anxiety Medication
    • Depression Medication
    • ADHD Medication
    • All Psychotropic Medications
    • Best Online Psychiatrist Options
  • Reviews
    • Best Online Therapy
    • Best Online Therapy with Insurance
    • Best Online Therapy for Teens
    • Best Online Therapy for Anxiety
    • Best Online Therapy for Depression
    • Best Online ADHD Treatments
    • Best Online Psychiatry
    • Best Mental Health Apps
    • All Reviews
  • Therapy Worksheets
    • ADHD Worksheets
    • Anxiety Worksheets
    • Depression Worksheets
    • CBT Worksheets
    • DBT Worksheets
    • Therapy Worksheets for Kids
    • Therapy Worksheets for Teens
    • Relationship Worksheets
    • All Therapy Worksheets
  • About Us
    • About Us
    • Editorial Policy
    • Advertising Policy
    • Find a Local Therapist
    • Join Our Free Directory

Join our Newsletter

Get helpful tips and the latest information

Choosing Therapy on Facebook
Choosing Therapy on Instagram
Choosing Therapy on Twitter
Choosing Therapy on Linkedin
Choosing Therapy on Pinterest
Choosing Therapy on Tiktok
Choosing Therapy on Youtube
ChoosingTherapy.com Logo

Newsletter

Search Icon
  • Mental Health Issues
    • Anxiety
    • ADHD
    • Bipolar Disorder
    • Depression
    • Grief
    • Narcissism
    • OCD
    • Personality Disorders
    • PTSD
    • Anger
    • Burnout
    • Stress
  • Relationships
    • Dating
    • Marriage
    • Sex & Intimacy
    • Infidelity
    • Relationships 101
    • Best Online Couples Counseling Services
  • Quizzes
    • Anxiety Test
    • ADHD Test
    • Depression Test
    • Burnout Test
    • Stress Quiz
    • All Quizzes
  • Therapy
    • Starting Therapy
    • Types of Therapy
    • Best Online Therapy Providers
    • Online Therapy Reviews & Guides
    • Mindfulness
  • Medication
    • Anxiety Medication
    • Depression Medication
    • ADHD Medication
    • All Psychotropic Medications
    • Best Online Psychiatrist Options
  • Reviews
    • Best Online Therapy
    • Best Online Therapy with Insurance
    • Best Online Therapy for Teens
    • Best Online Therapy for Anxiety
    • Best Online Therapy for Depression
    • Best Online ADHD Treatments
    • Best Online Psychiatry
    • Best Mental Health Apps
    • All Reviews
  • Therapy Worksheets
    • ADHD Worksheets
    • Anxiety Worksheets
    • Depression Worksheets
    • CBT Worksheets
    • DBT Worksheets
    • Therapy Worksheets for Kids
    • Therapy Worksheets for Teens
    • Relationship Worksheets
    • All Therapy Worksheets
  • About Us
    • About Us
    • Editorial Policy
    • Advertising Policy
    • Find a Local Therapist
    • Join Our Free Directory
  • FearFear
  • AnxietyAnxiety
  • Key DifferencesKey Differences
  • SymptomsSymptoms
  • 6 Tips6 Tips
  • How to TellHow to Tell
  • Seek HelpSeek Help
  • ConclusionConclusion
  • InfographicsInfographics
  • Additional ResourcesAdditional Resources
Anxiety Articles Anxiety Anxiety Treatment Anxiety Types Online Therapy for Anxiety

Fear vs. Anxiety: What’s the Difference?

Headshot of Lydia Antonatos, LMHC

Author: Lydia Antonatos, LMHC

Headshot of Lydia Antonatos, LMHC

Lydia Angelica Antonatos LMHC

Lydia has over 16 years of experience and specializes in mood disorders, anxiety, and more. She offers personalized, solution-focused therapy to empower clients on their journey to well-being.

See My Bio Editorial Policy
Headshot of Naveed Saleh MD, MS

Medical Reviewer: Naveed Saleh, MD, MS Licensed medical reviewer

Headshot of Naveed Saleh MD, MS

Naveed Saleh MD, MS

Dr. Saleh is an experienced physician and a leading voice in medical journalism. His contributions to evidence-based mental health sites have helped raise awareness and reduce stigma associated with mental health disorders.

See My Bio Editorial Policy
Published: November 10, 2022
  • FearFear
  • AnxietyAnxiety
  • Key DifferencesKey Differences
  • SymptomsSymptoms
  • 6 Tips6 Tips
  • How to TellHow to Tell
  • Seek HelpSeek Help
  • ConclusionConclusion
  • InfographicsInfographics
  • Additional ResourcesAdditional Resources
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 a threat. Examining these different emotions can help you determine what you are truly experiencing.

ADVERTISEMENT

Personalized Treatment for Anxiety

Talkiatry can match you with a real psychiatrist who accepts insurance. Talkiatry psychiatrists can evaluate you for anxiety and implement a personalized treatment plan, including medication. If appropriate for you and allowed by your state, this can include controlled substances. Get started with a short online assessment.

Visit Talkiatry

What Is Fear?

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 a hazardous situation.1, 2 Fear automatically kicks in as a response to a real or perceived mental or physical threat to our well-being or safety. It plays a vital role in how we manage stress and detect hazards in our environment.

Fear is an emotion believed to have evolved to increase our probabilities of staying safe when faced with a threatening situation. When someone experiences fear, the sympathetic nervous system is activated, and stress hormones like cortisol and adrenaline are released, priming us to either stay and address the concern or escape the event. This reaction is known as the fight-or-flight response, which is deemed to be essential to survival.1, 2

If someone feels a disproportionate level of fear or has a heightened sensitivity to possible threats, that may indicate 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 threat in the future. 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

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. 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, 2, 3

Is Anxiety Fear?

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.

Fear vs Anxiety: Key Differences

Fear produces the most obvious, immediate 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

Fear Goes Away After the Fear-Inducing Event

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

Fear & Anxiety Feel Similar in Your Body

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

Fear Is Immediate, Anxiety is Future-Oriented

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

Chronic Anxiety Has Long-Lasting Effects

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

ADVERTISEMENT

Options for Anxiety Treatment

Talk Therapy – Get help from a licensed therapist. Betterhelp offers online therapy starting at $60 per week and is FSA/HSA eligible by most providers. Free Assessment

Psychiatry for Anxiety – Looking for anxiety treatment that prioritizes you? Talkiatry can help. Find an in-network psychiatrist you can see online. Get started with our short assessment. Visit Talkiatry

What Do Fear and Anxiety Feel Like?

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

Physical Symptoms of Fear & Anxiety

Both fear and anxiety include physical symptoms like:

  • 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 (dissociation)
  • 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.

How to Overcome Anxiety and Fear

Experiencing fear and anxiety is an uncomfortable situation, but when you make small and consistent changes, you can find ways to move forward and deal with your fear and anxiety.

Here are six ways to overcome anxiety and fear:

1. Get to Know Your Emotions & Triggers

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

2. Avoid What You Need To

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

3. Confront What You Can’t Avoid

If the anxiety triggers cannot be avoided, you 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.

Anxiety Workbook

Anxiety Workbook

Our workbook contains our best anxiety worksheets,  designed to help you understand your anxiety, develop effective coping skills, and better manage challenging moments.

Download

How Do I Know If I Have an Anxiety Disorder?

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 an anxiety disorder, 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. Things to factor in include environmental stressors that may be causing chronic stress, 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.3, 4, 6

Getting Help for Anxiety

High levels of 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 manageable dread, talk to your doctor or consider finding 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

Anxiety is common and you should not feel any shame for experiencing anxiety symptoms, but if they’re interfering with your life it’s time to talk to a professional. Anxiety disorders represent the most common psychiatric conditions in the United States, affecting approximately 18.1% of the population every year.6

ADVERTISEMENT

Personalized Treatment for Anxiety

Talkiatry can match you with a real psychiatrist who accepts insurance. Talkiatry psychiatrists can evaluate you for anxiety and implement a personalized treatment plan, including medication. If appropriate for you and allowed by your state, this can include controlled substances. Get started with a short online assessment.

Visit Talkiatry

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.

Fear vs. Anxiety Infographics

What Is Fear? What Is Anxiety? How to Overcome Anxiety and Fear

Getting Help for Anxiety

Additional Resources

To help our readers take the next step in their mental health journey, ChoosingTherapy.com has partnered with leaders in mental health and wellness. ChoosingTherapy.com is compensated for marketing by the companies included below.

Personalized Treatment for Anxiety

Talkiatry – can match you with a real psychiatrist who accepts insurance. Talkiatry psychiatrists can evaluate you for anxiety and implement a personalized treatment plan, including medication. If appropriate for you and allowed by your state, this can include controlled substances. Get started with a short online assessment.

Therapy for Anxiety & Medication Management

Brightside Health – develops personalized plans that are unique to you and offers 1 on 1 support from start to finish. Brightside Health accepts United Healthcare, Anthem, Cigna, and Aetna. Appointments in as little as 24 hours. Start Free Assessment

Learn Mindfulness, Meditation, & Relaxation Techniques

Mindfulness.com – Change your life by practicing mindfulness. In a few minutes a day, you can start developing mindfulness and meditation skills. Free Trial

Anxiety Newsletter

A free newsletter from the experts at ChoosingTherapy.com for those impacted by anxiety. Get helpful tips and the latest information. Sign Up

ChoosingTherapy.com Directory 

Find local therapists that offer online and in-person therapy. Search for therapists by specialty, experience, insurance, and location. Find a therapist near you.

Anxiety Quiz

Online Anxiety Test

Answering a few questions can help you understand your symptoms and give you a recommendation for what to do next.

Take Test
Best Online Therapy for Anxiety of 2024

Best Online Therapy for Anxiety

Anxiety is one of the most prevalent mental health issues in the world. To find the best online therapy for anxiety, we reviewed over 50 providers. Our evaluation focused on their geographic coverage area, cost, convenience, extra features, and more. Our top recommendations are based on more than three years of research and over 250 hours of hands-on testing. Read on to see our top picks for the best online anxiety counseling platforms.

Read more
Best Online Psychiatry Services

Best Online Psychiatry Services

Online psychiatry, sometimes called telepsychiatry, platforms offer medication management by phone, video, or secure messaging for a variety of mental health conditions. In some cases, online psychiatry may be more affordable than seeing an in-person provider. Mental health treatment has expanded to include many online psychiatry and therapy services. With so many choices, it can feel overwhelming to find the one that is right for you.

Read more

Find a therapist in your state

Get the help you need from a therapist near you

City or zip Search

California
Connecticut
Colorado
Florida
Georgia
Illinois
Indiana
Kentucky
Maryland
Massachusetts
Michigan
New Jersey
New York
North Carolina
Ohio
Pennsylvania
Texas
Virginia

Are you a Therapist? Get Listed Today

Anxiety newsletter

A free newsletter for those impacted by anxiety. Get helpful tips and the latest information

Sources Update History

ChoosingTherapy.com 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

Show more Click here to open the article sources container.

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.

April 24, 2025
Author: No Change
Reviewer: No Change
Primary Changes: Added Anxiety Workbook with nine worksheets.
November 10, 2022
Author: No Change
Reviewer: No Change
Primary Changes: Updated for readability and clarity. Reviewed and added relevant resources.
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.
February 12, 2021
Author: Lydia Antonatos, LMHC
Reviewer: Naveed Saleh, MD, MS
Show more Click here to open the article update history container.

Your Voice Matters

Can't find what you're looking for?

Request an article! Tell ChoosingTherapy.com’s editorial team what questions you have about mental health, emotional wellness, relationships, and parenting. Our licensed therapists are just waiting to cover new topics you care about!

Request an Article

Leave your feedback for our editors.

Share your feedback on this article with our editors. If there’s something we missed or something we could improve on, we’d love to hear it.

Our writers and editors love compliments, too. :)

Leave Feedback
ChoosingTherapy.com Logo White
  • About Us
  • Contact Us
  • Write for Us
  • Careers
  • Editorial Policy
  • Advertising Policy
  • Privacy Policy
  • Terms of Service

FOR IMMEDIATE HELP CALL:

Medical Emergency: 911

Suicide Hotline: 988

View More Crisis Hotlines
Choosing Therapy on Facebook
Choosing Therapy on Instagram
Choosing Therapy on X
Choosing Therapy on Linkedin
Choosing Therapy on Pinterest
Choosing Therapy on Tiktok
Choosing Therapy on Youtube

© 2025 Choosing Therapy, Inc. All rights reserved.

X