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Why High Achievers Experience More Anxiety — And What to Do About It (SFBT and ACT Approach)

 

If you’re a high achiever, there’s a good chance you’ve asked yourself some of these questions:

“Why am I so anxious when I’m doing well?”

“Why can’t I just relax and enjoy my success?”

“Why do I feel so much pressure when everyone else thinks I’m coping perfectly?”

These are some of the most common questions I hear in my work as a psychotherapist.

Many people are successful, driven, conscientious individuals. They are students striving for top grades, athletes competing at high levels, professionals pursuing excellence, entrepreneurs building businesses, teachers supporting others, and leaders carrying significant responsibility.

From the outside, they often appear confident and capable.

On the inside, many are carrying a constant stream of worry, self-doubt, pressure, and anxiety.

If this sounds familiar, I want you to know something important:

In many cases, the very qualities that contribute to your success are also the qualities that make anxiety more likely.

High achievers tend to care deeply. They set high standards for themselves. They think ahead. They notice details. They anticipate problems before they happen. They want to do well, and they want to avoid mistakes.

These qualities can be tremendous strengths.

They can also create fertile ground for anxiety.

When we understand anxiety in this way, it begins to make more sense.

Anxiety fundamentally involves caring about outcomes and being sensitive to potential threats.

High achievers care deeply about outcomes.

They notice more.

They anticipate more.

They invest more.

So it should not surprise us that anxiety and achievement often travel together.

Research consistently supports this observation. Studies have found elevated levels of anxiety among elite athletes, high-achieving students, executives, entrepreneurs, and other high-performing populations. In many cases, anxiety rates are significantly higher than those found in the general population.

Before we talk about anxiety, pressure, or performance, I’d like to invite you to consider a different question.

If this newsletter were genuinely useful to you, what would be different in your life after reading it?

Not what would disappear. Not what you would stop feeling. But what would be happening instead.

Perhaps you would wake up feeling calmer and more focused. Perhaps you would trust yourself more. Perhaps you would spend less time worrying about whether you’re good enough and more time doing the things that matter to you. Perhaps you would still feel nervous before important events, but the anxiety would no longer be in charge.

As you continue reading, I invite you to become curious about the version of yourself you would most like to become. What would that version of you be doing more of? How would you approach challenges differently? What would others notice about you? How would you know that you were becoming more confident, more capable, or more at peace?

Imagine that six months from now, things have improved in exactly the way you hope. You are still ambitious. You still care deeply. You still have goals worth pursuing. But the pressure feels lighter, your confidence feels steadier, and your relationship with anxiety is healthier. What would be the first small signs that tell you things are moving in the right direction?

As you read this newsletter, notice which ideas resonate with you. Notice the strengths you are already using. Notice the moments in your life when you’ve handled challenges better than you sometimes give yourself credit for. Because one of the assumptions of Solution-Focused Brief Therapy is that people already possess many of the resources they need. Often, our task is not to create strengths from scratch, but to recognize, amplify, and build upon what is already working.

So before we begin, take a moment to reflect:

What would you like to experience more of in your life?

What would you like to worry less about?

What would greater confidence look like for you?

What would calm feel like?

What would happiness make possible?

And if a small step in that direction happened this week, what might you notice first?

 

One of the unfortunate realities is that high achievers are often the last people to seek support.

Many tell themselves:

“I should be able to handle this.”

“I just need to work harder.”

“I need to get myself together.”

“I shouldn’t be struggling.”

Yet these beliefs often increase suffering rather than reduce it.

One of the most damaging beliefs I encounter is this:

“I need to get rid of anxiety before I can perform well.”

At first glance, this sounds logical.

Unfortunately, it creates a trap.

Now you are dealing with two problems instead of one.

You are dealing with the anxiety itself and the constant struggle to eliminate it.

The more energy we spend fighting anxiety, the more attention we give it.

The more attention we give it, the more powerful it often becomes.

Many people spend years waiting to feel confident enough before acting.

They wait to feel ready.

They wait to feel calm.

They wait to feel certain.

They wait to feel fearless.

And while they wait, opportunities pass by.

Psychological flexibility is the ability to pursue what matters to you while making room for difficult thoughts, emotions, and experiences.

In other words, you do not need to eliminate anxiety before you can move forward.

You can learn to move forward with anxiety.

This shift can be profoundly liberating.

Many high achievers become trapped by thoughts that become so convincing that we treat them as facts.

“I’m going to fail.”

“Everyone can see how nervous I am.”

“I’m not good enough.”

“I can’t handle this.”

When we are fused with these thoughts, they feel true.

Instead of saying:

“I’m going to fail.”

You might practice saying:

“I’m having the thought that I’m going to fail.”

Instead of:

“I’m not ready.”

You might say:

“My mind is telling me I’m not ready.”

This may sound simple, but it creates important psychological distance.

The thought is still there.

But you no longer must obey it.

Another common challenge among high achievers is avoidance.

When anxiety shows up, it can be tempting to avoid situations that trigger discomfort.

Avoid the presentation.

Avoid the competition.

Avoid the conversation.

Avoid the opportunity.

Avoidance often creates temporary relief.

But over time, it narrows our lives.

The things we avoid become increasingly frightening.

Our world becomes smaller.

– Courage is not the absence of fear.

Courage is the willingness to move toward what matters even when fear is present.

Many high achievers become so focused on outcomes that they lose sight of why they started.

The exam becomes more important than learning.

The promotion becomes more important than the contribution.

The performance becomes more important than the love of the craft.

One of the most powerful questions we can ask ourselves is:

“Why does this matter to me?”

Not because of the outcome.

Not because of what other people will think.

But because of what it represents.

Values give us something meaningful to move toward.

They provide direction even when confidence is absent.

This is where Solution-Focused Brief Therapy (SFBT) offers another valuable perspective.

SFBT asks questions that many anxious people rarely ask themselves.

Instead of focusing exclusively on problems, it asks:

“When has this already gone better?”

“When have you succeeded despite anxiety?”

“What was different?”

“What strengths were you using?”

Most high achievers can identify moments when they performed well despite feeling anxious.

The athlete who competed brilliantly despite nerves.

The student who delivered a presentation despite shaking.

The executive who led effectively despite uncertainty.

The entrepreneur who launched the business despite fear.

These moments matter.

They remind us that anxiety and competence can exist at the same time.

They remind us that confidence is not always a prerequisite for action.

They remind us that we already possess resources we often forget about.

“What would you be doing differently if you trusted yourself just 5% more?”

Even a small answer can reveal a meaningful next step.

Another important shift involves how we interpret anxiety itself.

Many people assume anxiety is a sign that something is wrong.

But what if anxiety is information?

What if anxiety is saying:

“This matters.”

“I care.”

“I want to do well.”

Seen this way, anxiety is not necessarily the enemy of performance.

In many cases, it is evidence of investment.

Research has even found that people who reinterpret pre-performance anxiety as excitement often perform better.

The physical sensations are remarkably similar.

Increased heart rate.

Adrenaline.

Activation.

Energy.

Instead of saying:

“I’m anxious.”

Try experimenting with:

“I’m excited.”

The physiological experience may be similar.

The meaning you assign to it can make a significant difference.

So what can you do when anxiety shows up?

Ask yourself:

“Why does this matter to me beyond the outcome?”

Second, look for evidence.

Ask yourself:

“When have I handled something similar before?”

Notice your thoughts without treating them as facts.

Fourth, take one small action.

Instead of asking:

“How do I get rid of this anxiety?”

Ask:

“What is one thing I can do right now that moves me toward what matters?”

Because confidence often follows action.

It rarely arrives beforehand.

You do not need to become fearless.

You do not need to become perfectly confident.

You do not need to eliminate every anxious thought.

You can learn to make room for anxiety while continuing to build a meaningful life.

You can learn to move toward your goals while carrying uncertainty.

You can learn to perform well without demanding that anxiety disappear first.

The goal is not a life without anxiety.

The goal is a life that is bigger than anxiety.

A life guided by values rather than fear.

A life built on courage rather than avoidance.

A life where anxiety may come along for the journey, but it no longer gets to decide where you go.

Warmly,

Aygül Tatlıcı

 

high achiever anxiety, anxiety and success, performance anxiety, ACT therapy, Acceptance and Commitment Therapy, SFBT, Solution-Focused Brief Therapy, psychological flexibility, anxiety management, exam anxiety, student stress, athlete anxiety, executive stress, entrepreneur anxiety, perfectionism, self-doubt, confidence building, values-based living, committed action, cognitive defusion, performance psychology, sports psychology, anxiety treatment, emotional resilience, mental wellbeing, stress management, overcoming fear, personal growth, professional development, psychotherapist Aygül Tatlıcı

 

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Coaching is not psychotherapy; coaching does not diagnose or treat mental health conditions. Coaching focuses on personal development, goal achievement, and mindset shifts. It is not a substitute for a serious mental health treatment, diagnosis, or psychotherapy.