Fear and anxiety are similar emotions that often co-occur and are easily mistaken for one another. Fear is a strong biological response to imminent danger. Anxiety is marked by apprehension and worry over things that may or may not occur. Both emotions can feel the same, but there are some important differences to note.
To fully understand the difference between fear and anxiety separately, you must review their similarities and their differences. You can start by exploring the physiological, psychological, and physical symptoms of both emotions. From there, you’ll know how to differentiate between the two as they occur. Finally, it’s also important to know when it might be time to seek professional help if you have a repetitive, extreme fear or a generalized anxiety disorder.
There’s a distinct, key difference between fear and anxiety. Fear results from a clear and present danger, while anxiety results from the anticipation of an unspecified threat. Each of these emotions is marked by unique expressions of mental and bodily effects.
“Fear and anxiety can feel like the same thing as the symptoms are quite similar. While it’s difficult to tease it out at the moment, gaining insight if one is experiencing fear over anxiety is important. Anxiety often stems from an unclear threat, while fear is based around a real and clear threat. It’s not to say that fear and anxiety don’t work together, but that they tap into different triggers.”
Expert Insight
Licensed Mental Health Counselor (LMHC), MS Minkyung Chung
Fear is an uncontrollable survival emotion that serves to protect us from real danger. Humans have evolved over time, with their sense of fear intact, to stay alive and safe from harm.
The limbic system is called your “emotional brain.” We experience fear when it’s a perceived threat, like when someone suddenly touches your back, or when you hear an animal running up toward you, or when you smell smoke coming from your child’s bedroom.
Fear can cause marked changes in smell, taste, hearing, touch, and vision — all the senses that provide information about the perceived threat you’re facing. Fear prepares you to either enter into battle or flee for your safety.
The sensation of fear is immediate and beyond your control. What you can control, however, is how you manage fear symptoms. That said, you can’t always stop them from occurring in the first place.
The purpose of fear is to fuel your flight-or-fight fear response to external stimuli. It causes multiple symptoms that are similar to those of anxiety. Let’s take a closer look at the symptoms that fear can cause.
As emotions go, fear causes some of the most noticeable changes in the brain and body. That’s because we’re forced to pay attention to our fear. Anxiety, on the other hand, is not imperative for survival. That’s why we sometimes don’t feel symptoms of anxiety quite as strongly or instantly as we might experience fear.
There are some common physiological, psychological, and physical symptoms of fear.
Physiological symptoms of fear:
Psychological symptoms of fear:
Physical symptoms of fear:
Anxiety is a sense of vague apprehension. It can be difficult to know how to diagnose anxiety disorders. It makes you feel unpleasant, negative thoughts and you often can’t understand why. What causes anxiety is imprecise threats that may or may not have any foundation. It’s a general sense of dis-ease, like how you might feel when walking down a dark, quiet city street in the middle of the night.
Anxiety is believed to have evolved in humans as a mechanism for protecting us against threats that may not even exist. Overwhelming anxiety gives us warnings that something dangerous might be about to happen.
For instance, you might get anxious because you believe that you could be attacked by a bear while walking in the woods. However, there may be no bears for miles around you. Anxiety isn’t completely useless though, because there actually could be a bear nearby. Ultimately, anxiety can serve to help keep you alert but causes harm when it goes too far.
Physiological symptoms of anxiety:
Psychological symptoms of anxiety:
Physical symptoms of anxiety:
Fear and anxiety both cause similar co-occurring physiological, psychological, and physical symptoms. Though the symptoms can overlap, it’s not uncommon if you experience an independent, unique experience, either.
Sometimes, it can be challenging to tell the difference between fear and anxiety, especially when you’re actively having symptoms. Still, if you’re experiencing fear or anxiety (or both), it’s not likely that you’ll even be questioning the differences at that time.
The differences in symptom expression between fear and anxiety are centered on several factors, including:
In short, the difference between fear and anxiety are:
Fear starts very suddenly as a fight-or-flight response to a well-defined threat.
Anxiety onsets in response to an unspecified, possibly non-existent threat.
“Working through and lowering levels of fear and anxiety are very similar. It’s about teasing out the stimuli that manifested those emotions. Understanding the stimuli reaction helps to define the next steps of working through those emotions.”
Expert Insight
Licensed Mental Health Counselor (LMHC), MS Minkyung Chung
Chronic anxiety and fear have both been linked to mental health conditions, including generalized anxiety disorder (GAD), social anxiety disorder (SAD), panic disorder, and specific phobias like agoraphobia or arachnophobia.
The National Alliance on Mental Health (NAMI) reports that an estimated 20% of adults in the United States experience symptoms of anxiety conditions each year. Women are more likely to be affected than men.
If you’re experiencing repetitive, worsening symptoms like the ones we’ve discussed here, and they’re beginning to interfere with your functioning and daily life, it might be time to learn about how to treat anxiety or fear, as well as go in for a screening. You can reach out to a therapist or contact a doctor to start the process. Your doctor will review your medical history and try to discern a possible cause for your symptoms.
“The two are so similar it’s hard to figure out what a person is struggling with at that moment. A mental health professional can help with learning the differences and the coping skills necessary to be successful in managing both fear and anxiety.”
Expert Insight
Licensed Mental Health Counselor (LMHC), MS Minkyung Chung
If a diagnosis is made, you’ll likely be referred to different types of therapy for anxiety and fear such as online therapy. Then, you can begin treatment and learn new coping skills to better control the chronic fear or anxiety you’ve been experiencing. You don’t have to let fear or anxiety take over your life. Get the skills and coping tools you need to overcome your fear and anxiety, and you’ll begin on the path to a healthy, rewarding life.
Tovote, Philip et al. Nature reviews. Neuroscience vol. 16,6 (2015): 317-31. doi:10.1038/nrn3945. Accessed February 5, 2022.
Hilary Jacobs Hendel. NAMI org. Published 2021. Accessed February 5, 2022.
Minkyung Chung has over 10 years of experience and specializes in multicultural issues, specifically issues unique to the Asian American population. She enjoys working within the Asian American community to help reduce the stigma associated with seeking mental health services and normalize the process of it. Her passion for this topic has led her to focus her research efforts in examining how to help the Asian American community.
For low-income Collier County residents who are working but uninsured, access to the medications they need is not as easy as going to a regular chain pharmacy to pick them up. Thats where the Neighborhood Health Clinics expanded non-narcotic medication room comes in, giving patients managing chronic conditions including hypertension and diabetes timely access to medications at no cost. The 1,850-square-foot medication room, located at the clinic on Goodlette-Frank Road near Central Avenue, was built at a cost of $500,000 and is named for the late Stacy Forman, a Naples philanthropist who donated funding for the expansion.Keith Maples, CEO of Neighborhood Health Clinic, said the expanded medications facility enhances the clinics ability to serve patients faster and more efficiently. On a typical day, a patient can walk in and when they walk out, theyre walking out with thousands of dollars worth of medication that, if it were outside of the Clinic, they would not be able to fill those prescriptions because it would be outside of what they could afford, Maples said. He said the expanded space, equipped with updated technology and increased storage capacity, allows for a larger inventory of non-narcotic medications that enables the Clinic to fill prescriptions immediately to minimize delays in treatment. In 2024, the Clinic distributed $6.5 million in retail value of medications thanks to partnerships with Americares, Direct Relief, Dispensary of Hope and other pharmaceutical companies. The expansion allows us to work even more with our pharmaceutical partners to basically procure all of the medications necessary for our patients, Maples said. He said that many patients arriving at the Clinic for the first time have not previously received medical care for the condition needing treatment and may have vastly elevated blood pressure or blood sugar levels, for example. When they walk through the doors, theyre at such a heightened level that were trying to bring it back to a controlled number to where its manageable for them, Maples said. If their A1Cs are through the roof, their [blood] sugars are through the roof, were trying to get them back to an established number that helps them feel better. Well never cure them of all those illnesses, but well maintain that health for them, so they feel better and have a better quality of life.Clinic grows to meet patient demand The nonprofit Neighborhood Health Clinic was established in 1999 by Dr. Bill and Nancy Lascheid to provide medical care to low-income, working but uninsured Collier County adults. Their daughter, Leslie Lascheid, now serves as president of the organization. In 2024 the clinic saw more than 12,000 patient visits and delivered more than 30,000 patient procedures, Maples said, with all medications, primary care, specialty care, surgeries and outpatient procedures provided free of charge to patients.All funding is through philanthropy, as the Clinic does not receive any city, county, state or federal funding including Medicaid or Medicare. Over the years the clinic has expanded as the patient load has increased. The original 11,000-square-foot facility more than doubled in size with the completion of the Armstrong Medical Specialties Building in 2021, which expanded the campus to 23,000 square feet. The addition of the Van Domelen Education and Wellness Building, also in 2021, took the total to its current 32,000 square feet, and when the Bill and Candy Raveis Pathology Building is completed this summer, the total campus will be at 43,000 square feet, according to Marcie Berland, the Clinics director of development. Maples said the Clinic has expanded strategically over the years to meet the medical needs of patients many of whom work in hospitality, service or construction industries in Collier County and the growing volume of patient visits. When weve expanded, we didnt do it just to do it, he said. We based it on what were the patient needs and what do we need in-house on a daily basis to deliver the care, providing the opportunity for a patient to walk in the door, get all the care they need and not have to go to another location somewhere else, or come for another appointment. Because when our patients miss days of work, thats food on the table and the roof over their heads. Its not like if I call in sick: I get a sick day and still get paid. He said the campus expansions allow most procedures including lab work to be done in-house, creating opportunities for sustainable, uninterrupted patient care. When that patient walks through the doors, I never want them to wonder where theyre going to get their care or how theyre getting to their next appointment, Maples said. Many of our patients get rides here, or they walk or ride their bikes, because very few own cars that they can drive in. And while the Clinic does have a full-time paid staff of 14 and five part-time staff, no medical professionals are paid to deliver care, Maples said. More than 250 physicians, 50 dentists, 100 nurses and 300 non-medical personnel deliver care and provide patient education on a volunteer basis.
Beyond the Surface: Naples Cancer Advisors Spotlight Melanoma During Awareness MonthMay 1, 20256 Min ReadBy Jillian Hunt, CNP Executive Director of Clinical Operations at Naples Cancer AdvisorsMay is Melanoma Awareness Month, and in sun-drenched Collier and Lee Counties, its more than a calendar observance. Its a call to action. The sunny environment increases exposure to ultraviolet (UV) rays, which are a significant risk factor for skin cancer, including melanoma. Understanding the risks and adopting preventive measures can help residents enjoy the sun safely while minimizing their skin cancer risk.At NCA, we specialize in delivering second opinions and expert oncology guidance at no cost to patients. Our team, including nationally recognized oncologist Dr. Philip Leming, believes that no one should face a cancer diagnosis alone. This month, we want to shine a light on reshaping melanoma prevention, detection, and awarenessso you can stay protected and proactive.Prevention: A Daily Practice, Not Just a Summer ChecklistMost people know the basics: use sunscreen, avoid tanning beds, cover up when outside. But melanoma doesnt just show up where the sun shines. It can develop under your fingernails, between your toes, even on your scalp or eyes. We educate patients to look everywhere, not just the obvious spots.One powerful (and often overlooked) fact: a single blistering sunburn in childhood doubles your lifetime risk of melanoma. Thats why prevention is a family affair. We urge parents to build sun safety habits early and keep them consistent all year.Detection: A Watchful Eye is The Best ToolThe front line of defense against skin cancer is early detection. Identifying skin changes especially changes in moles is the easiest way to catch skin cancer earlier.What is a mole?A mole is a benign (non-cancerous) growth on the skin that develops when melanocytes, the cells responsible for producing pigment, cluster together instead of being evenly distributed. Moles can be present from birth or develop later in life.ABCDEs of Moles and Melanoma Detection Asymmetry: One half of the mole doesnt match the other. Border irregularity: The edges of the mole are uneven, ragged, or notched. Color variation: The mole has multiple shades of brown, black, or other colors like red, white, or blue. Diameter: The mole is larger than 6 millimeters (about the size of a pencil eraser). Evolving: The mole has changed in size, shape, or color, or has new symptoms like itching, bleeding, or crusting.The ABCDEs are a helpful tool for self-examination and can prompt individuals to seek professional medical advice if any of these signs are present.Dermatologists remain the front line in detection and diagnosis. However, emerging technologies are offering exciting backup. Artificial intelligence skin scanners and total body imaging are improving the speed and accuracy of diagnosis.Whether its through advanced tools or a trained eye, one truth remains: catching melanoma early saves lives.The NCA Difference: Compassionate, Cost-Free Cancer GuidanceNaples Cancer Advisors was founded to be a bridge for patients who feel lost, overwhelmed, or unsure where to turn after a cancer diagnosis. We offer a second set of expert eyes, help explain treatment options, connect people to top-tier providers, and support them throughout their journey.Melanoma may be aggressive, but its also highly preventable and treatable when caught early. This May, we urge everyone in our community to schedule a skin check, learn your ABCDEs (Asymmetry, Border, Color, Diameter, Evolving), and take sun safety seriously.And if you ever need clarity or support after a diagnosis, Naples Cancer Advisors is herefree, local, and fully focused on you.Jillian Hunt, CNP BioJillian has been caring for cancer patients since 2004. In that time, she has set the benchmark for her patient-centric approach in Cincinnati, Southwest Florida, and beyond.Her professional journey began at Cincinnati Childrens Hospital Medical Center in 1999 on the hematology/oncology/bone marrow transplant unit and later the emergency department.After spending five years caring for children, Jillian found her passion in caring for the adult oncology patient. Starting as a chemotherapy infusion nurse in private practice with Dr. Philip Leming at Cincinnati Hematology Oncology, she then pursued an advanced degree to offer a higher level of care to her cancer patients.Jillian has been an oncology nurse practitioner since 2011 and is passionate about patient care, education and staying current on research opportunities available for the patients she cares for.Jillian is a national speaker traveling to educate clinicians on the use and management of toxicities of medications that are used in cancer treatments. She has spoken at national nursing conferences and sits on several advisory boards. Jillian feels strongly about staying on the front lines to improve patient care and expert advice on cancer.Jillian was born and raised in Cincinnati and graduated from Lakota High School. She and her husband have five children. Outside of her love and passion for oncology, Jillian and her husband are licensed foster parents and have participated in global mission trips to serve orphaned children around the world.Naples Cancer Advisors239-846-2273 (CARE)3201 Tamiami Trail N, Suite 112, Naples, FL 34103
Online Mental Health TherapyMental health support from anywhere, available fast Talkspace provides mental health support privately and conveniently online. Receive live video therapy appointments from a highly qualified licensed therapist covered by your Medicare or Medicare Advantage plan with little wait. Individual therapy, psychiatry, or couples counseling covered by your private insurance plan is also readily available.Talkspace provides:A private space to discuss relationships, retirement, grief, health conditions, financial concerns, life changes, and anything thats on your mindLive one-on-one therapy sessions from your computer or phoneTreatment for over 150 mental health conditions including anxiety, stress, grief, depression, OCD, BPD, and moreMessaging therapy allows you to share with your therapist 24/7 and receive feedback and advice, and is proven to be as effective as traditional therapy..Connect with a therapist within daysTalkspace will match you with a therapist who is licensed in your state and should be a good fit for your needs. Start communicating with your therapist in 1-2 days.Receive care on your scheduleTalkspace removes all the scheduling hassles so you can get mental health support anytime, anywhere. Send your therapist text, voice, or video messages through the secure Talkspace platform and hear back daily, 5 days / weekStart your care journey with Talkspace today, visit www.talkspace.com
Online Mental Health TherapyMental health support from anywhere, available fast Talkspace provides mental health support privately and conveniently online. Receive live video therapy appointments from a highly qualified licensed therapist covered by your Medicare or Medicare Advantage plan with little wait. Individual therapy, psychiatry, or couples counseling covered by your private insurance plan is also readily available.Talkspace provides:A private space to discuss relationships, retirement, grief, health conditions, financial concerns, life changes, and anything thats on your mindLive one-on-one therapy sessions from your computer or phoneTreatment for over 150 mental health conditions including anxiety, stress, grief, depression, OCD, BPD, and moreMessaging therapy allows you to share with your therapist 24/7 and receive feedback and advice, and is proven to be as effective as traditional therapy..Connect with a therapist within daysTalkspace will match you with a therapist who is licensed in your state and should be a good fit for your needs. Start communicating with your therapist in 1-2 days.Receive care on your scheduleTalkspace removes all the scheduling hassles so you can get mental health support anytime, anywhere. Send your therapist text, voice, or video messages through the secure Talkspace platform and hear back daily, 5 days / weekStart your care journey with Talkspace today, visit www.talkspace.com
Online Mental Health TherapyMental health support from anywhere, available fast Talkspace provides mental health support privately and conveniently online. Receive live video therapy appointments from a highly qualified licensed therapist covered by your Medicare or Medicare Advantage plan with little wait. Individual therapy, psychiatry, or couples counseling covered by your private insurance plan is also readily available.Talkspace provides:A private space to discuss relationships, retirement, grief, health conditions, financial concerns, life changes, and anything thats on your mindLive one-on-one therapy sessions from your computer or phoneTreatment for over 150 mental health conditions including anxiety, stress, grief, depression, OCD, BPD, and moreMessaging therapy allows you to share with your therapist 24/7 and receive feedback and advice, and is proven to be as effective as traditional therapy..Connect with a therapist within daysTalkspace will match you with a therapist who is licensed in your state and should be a good fit for your needs. Start communicating with your therapist in 1-2 days.Receive care on your scheduleTalkspace removes all the scheduling hassles so you can get mental health support anytime, anywhere. Send your therapist text, voice, or video messages through the secure Talkspace platform and hear back daily, 5 days / weekStart your care journey with Talkspace today, visit www.talkspace.com