Question: I recently graduated from college and began a job in an accounting firm. Although the job is working out well and I get along with everyone there, I have been feeling increasingly anxious as time goes on. I can't put my finger on what is bothering me because nothing else in my life has changed. 

In school I was always a relaxed, happy, popular person. I have good relationships and I am happy with my career, but I can't seem to shake the anxiety. What can I do to help pinpoint the cause?

 Yes, this is indeed intriguing. Everything seems to be going well and yet something is bothering you. Generally speaking, worrying is normal and expected. Everyone worries both about everyday concerns (like money, children, and work) or about more serious things (such as health problems or other major life events). Typically, an increase in anxiety is thus a side effect of whatever is going on in your life. If you can’t pinpoint it immediately, try to monitor your anxiety level over time and notice the pattern. This can provide clues to help you pinpoint the source.  

There is also a second type of anxiety that affects people without any apparent reason. This type of anxiety may be a manifestation of Generalized Anxiety Disorder (GAD). GAD involves worrying more than warranted considering what is happening in real life, worrying about a number of different things, and being unable to control the worrying. It is usually accompanied by physical symptoms such as headaches, muscle tension, nausea, trouble sleeping, tiredness, and overall edginess. Typically, GAD symptoms come on slowly, usually between childhood and middle age. Although the exact cause of GAD is unknown, there is evidence that it is a combination of genetics, family background, and life experiences, especially stressful ones. 

In your situation, your anxiety level seems mild, which allows you to do well socially and occupationally despite these challenges. However, it may be wise to consult with an anxiety specialist to determine if this is standard worrying or something that may benefit from treatment. Generalized Anxiety Disorder is both highly treatable and common. As with many mental health issues, some people respond to psychotherapy (especially cognitive behavioral therapy), others are helped with medication, and some do well with a combination. Changes in lifestyle factors (nutrition, exercise, and establishing a routine) have also shown to be helpful.

Appeared originally in the Yated Neeman