14 Signs Your Anxiety Might Be Masking a Bigger Health Issue

3. Hormonal Imbalances That Trigger Anxiety

Fluctuating hormone levels can wreak havoc on your mood, leading to heightened anxiety. Conditions like thyroid disorders, polycystic ovary syndrome (PCOS), menopause, and adrenal fatigue can cause symptoms such as nervousness, rapid heartbeat, and panic attacks. For example, an overactive thyroid (hyperthyroidism) can mimic anxiety symptoms by speeding up metabolism and increasing heart rate, while adrenal dysfunction can lead to chronic stress responses. If your anxiety feels extreme, erratic, or worsens at certain times of the month, it’s worth checking your hormone levels with a medical professional.

4. Sleep Disorders and Anxiety: A Vicious Cycle

If you’re not sleeping well, your anxiety might be fueled by chronic exhaustion. Sleep disorders such as insomnia and sleep apnea can disrupt natural circadian rhythms, leading to increased stress hormones and heightened nervousness. At the same time, anxiety itself can make it difficult to fall or stay asleep, creating a cycle of mental distress and fatigue. Improving sleep hygiene—such as reducing screen time before bed, maintaining a consistent bedtime, and creating a relaxing nighttime routine—can help break the cycle and reduce anxiety levels.