Anxiety disorders can be both frustrating and exhausting. Anyone who suffers from anxiety disorders, whether they be acute or chronic, will tell you just how terrible they can be. What can be so frustrating for people with anxiety disorders is that they know their symptoms come as a result of brain signal misfires; they know the reasons behind their anxiety, but are still powerless to reverse the effects.

Fighting anxiety takes a great deal of energy, energy that could be put forth toward something more productive. Medical professionals and psychologists alike are baffled by the roots of the anxiety that people feel, and it’s almost impossible to pinpoint a specific moment, trauma, or reason behind the anxiety that people feel. If you think you suffer from anxiety, here are four signs of chronic anxiety that shouldn’t be ignored.

1. Fatigue or Exhaustion

As was stated before, anxiety forces a person to utilize a great deal of energy simply to fight off its often overwhelming effects.

This can leave you feeling exhausted even when you’ve had a full night’s rest. Anxiety can also be worsened by stress, which makes it difficult to sleep or stay asleep. In fact, many people feel anxious about the amount of stress they feel and how little they can sleep; it’s a vicious cycle that can be incredibly hard to break.

2. Muscle Aches and Pains

Anxiety has the power to manifest itself in physical ways, including aches and pains. People who suffer from anxiety often feel it in their bodies as much as in their emotions.

Chronic anxiety takes its toll overtime, and the body will feel pain as the disorder worsens. If you start to feel muscle aches as well as an increasing amount of anxiety, you could be suffering from a chronic disorder.

3. Inability to Concentrate

Anxiety and stress go hand in hand; when you feel stressed out, it can be almost impossible to concentrate on any one task. Instead of devoting your time and energy to one thing, you feel overwhelmed by the amount of responsibilities that need taken care of.

Chronic anxiety, often coupled with stress, will make it hard to concentrate on the things you normally enjoy doing.

4. Digestive Issues

Medical experts understand that there is a direct link between the brain and the digestive system. When people feel anxious or suffer from chronic anxiety, they often have digestive problems as well. People suffering from chronic anxiety typically suffer from irritable bowel syndrome, or IBS. In fact, 80 to 90 percent of serotonin, the brain’s “feel good” chemical, is created in the gastrointestinal tract, so the link between the two is obvious.

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