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Insomnia is often described in practical terms — screen exposure, poor routine, racing thoughts. But for many, these explanations don’t go far enough. Even when the conditions are perfect, sleep refuses to arrive.

Social anxiety is more than shyness. It can feel like being under constant scrutiny — a fear of saying the wrong thing, being judged, or taking up too much space. For some, even speaking in a small group can feel exposing, or unbearable.

Health anxiety often involves more than just worry. It can take the form of obsessive checking, persistent fear of serious illness, or the need for constant reassurance — from doctors, search engines, or loved ones. Symptoms are felt in the body, but the disturbance reaches further.

Panic often arrives abruptly — a surge of dread, shortness of breath, a racing heart, a feeling that something is catastrophically wrong. Many describe it as coming from nowhere, with no identifiable trigger.

Anxiety can be immediate and physical — a quickening heart, shallow breath, a sense of dread. But beneath these sensations is often something more difficult to name. In psychoanalytic work, we take seriously the idea that anxiety has a structure — that it’s not random, even when it feels that way.