I recently wrote about the complex relationship between chronic pain and mental health.

We explored how physical pain can often lead to emotional distress and vice versa.

So, this week I am going to take a closer look at the physical signs and symptoms of anxiety.

While anxiety is often associated with emotional symptoms, it can also present itself physically in ways that may surprise you.

Recognising these bodily cues can be the first step towards understanding and managing your anxiety.

Here are seven physical signs to watch out for:

1. Rapid heartbeat: When anxiety strikes, your body’s 'fight-or-flight' response kicks in. This can lead to a racing heart, often accompanied by palpitations or chest discomfort.

2. Sweating: Excessive sweating, even in cool environments, can be a sign of anxiety. This is due to the body’s increased blood flow and heightened arousal.

3. Shakiness: Trembling hands, legs, or even your entire body can be a physical symptom of anxiety. This often results from the release of adrenaline.

4. Shortness of breath: Anxiety can trigger hyperventilation, leading to feelings of breathlessness or shortness of breath. This can sometimes be accompanied by chest tightness.

5. Stomach upset: Anxiety can disrupt the digestive system, leading to symptoms like nausea, diarrhoea, or constipation.

6. Muscle tension: Chronic anxiety can cause muscle tension, especially in the shoulders, neck, and jaw. This can lead to headaches or a feeling of being constantly on edge.

7. Fatigue: While anxiety can initially make you feel energised, prolonged stress can lead to exhaustion and fatigue.

The physical signs of anxiety can be unpleasant, they are meant to be! Anxiety serves as a warning of potential danger.

It’s what makes us look both ways before we cross a busy road. Anxiety can also motivate us.

If you’ve ever had a pressing deadline to meet and started to feel anxious as it approaches, those feelings of anxiety may have prompted you into getting it finished.

It can however, become a real problem, if we are in a constant state of anxiety.

For example, because we live somewhere we feel unsafe, or there is a perceived constant danger, then we may experience some of these physical symptoms on an ongoing basis.

This chronic anxiety can then lead to other health issues, or even an anxiety disorder.

If you are concerned about feeling anxious then your first port of call should be your GP, who can offer expert advice.

Martin Furber is a therapist qualified in various modalities and an Instructor Member of Mental Health First Aid England wellbeing@martinfurber.com

Please note: If you feel you are in a mental health crisis or emergency and may be in danger of causing harm to yourself or others then please contact your GP, go to A&E, call NHS 111, the Samaritans on 116 123 or text SHOUT to 85258.