Here's something I notice a lot: people are more keyed up than they realize.

Not anxious in an obvious way, not falling apart, not particularly stressed by any one thing. Just running. All the time. And often they don't notice it until something starts to break down — they hit a wall of burnout, start having physical symptoms that don't have a clear explanation, or find that things that used to feel good just don't land the same way anymore. Sometimes it's someone who knows themself well enough to come in and say "I just don't feel right. I'm not depressed, but something is off and I can't put my finger on it." Sometimes it's someone having moments of panic or anxiety that don't quite make sense, no obvious cause or pattern they can point to.

What they usually haven't considered is that their nervous system might have been running on high for so long that it has just started to feel normal.

Think You Have Anxiety? Many of the clients I work with come in describing some version of the same thing: they're anxious, they're hard on themselves, they struggle in relationships. They've often tried therapy before. They're working on their communication, their reactions, their patterns. What they haven't usually considered is that their needs might actually be fine. That what feels like a personal failing might be a completely logical response to a relationship that taught them their needs were wrong.