New York · Anxiety

Anxiety in healthcare workers: caring for others while carrying constant worry

Nurses, doctors, techs, aides and therapists spend their days managing other people's worst moments. Anxiety often follows them home.

Need help now? If you’re thinking about suicide or feel unsafe, call or text 988, or call 911.

Quick Answer

Anxiety in healthcare workers is common and often tied to clinical pressure, fear of making errors, staffing strain, long or overnight shifts and exposure to suffering. Many clinicians delay care over time, stigma or licensing worries. Private treatment with therapy, medication or both can ease symptoms and support a sustainable career.

Understanding anxiety in Healthcare Workers

Healthcare work brings a steady stream of responsibility and uncertainty. A missed detail could matter, emergencies arrive without warning, and patients and families bring their fear and grief. Many clinicians handle this well for years, but anxiety can build quietly. It may show up as rechecking orders after a shift, replaying cases at night, dreading certain units, or feeling a racing heart on the drive to work. Some people notice they’ve stopped enjoying work they once loved. These reactions don’t mean you’re in the wrong field. They mean the load has become heavier than your current supports can carry. This guide is part of the NY anxiety resource center.

Staffing strain is a real part of the picture. The NYC Health Department‘s 2024 report noted that clinical staffing at New York State mental health clinics fell from 10.5 to 7.9 staff per 1,000 clients between 2009 and 2021, and many other healthcare settings describe similar pressure. Fewer hands means heavier workloads, more overtime and less time to recover between hard shifts. That’s a system problem, not a personal failing. Treating your own anxiety doesn’t fix staffing, but it can make the work more sustainable. Our guide on anxiety and shift work covers night and rotating schedules.

For New York’s hospital, clinic and home health workforce, anxiety often builds quietly behind the work of caring for others. According to the NYC Health Department, about a quarter of adult New Yorkers received any mental health treatment in the past year. Secure video visits anywhere in New York can make it easier to start care without a commute or a long search.

Clinical pressure and errors, staffing strain, and getting care as a clinician are the three issues this guide covers.

Exposure to suffering

Repeated exposure to illness, death and trauma can affect anyone who works in healthcare. Some people develop anxiety, some develop symptoms of traumatic stress, and many feel a mix of sadness, numbness and exhaustion. These responses are common and deserve attention rather than silence. Debriefing after difficult events, peer support and time off to recover all help. If intrusive memories, nightmares or strong avoidance appear, an evaluation can clarify whether trauma-focused treatment would help. Caring for patients doesn’t require ignoring what the work does to you.

Medication and alertness

Healthcare workers often need to stay alert and precise, so medication choices matter. SSRIs and SNRIs are commonly used for anxiety and usually don’t impair alertness once side effects settle. Sedating medications need careful timing, especially around night shifts or procedures. Benzodiazepines can affect memory and coordination and carry dependence risk with regular use. Your prescriber will consider your role, your schedule and any safety requirements. Planning medication around sleep rather than the clock often works better for shift workers.

The Bottom Line

Anxiety in Healthcare Workers is common and treatable, and careful care can make daily life feel more manageable.

Frequently Asked Questions

Is anxiety common among healthcare workers?

Yes, anxiety is common among nurses, doctors, techs, aides and other healthcare workers. Clinical responsibility, fear of errors, staffing strain, long shifts and exposure to suffering all contribute. Many clinicians manage well for years before anxiety builds. It can show up as rechecking, rumination, physical tension or dread before shifts. These reactions are understandable and treatable.

How can I manage fear of making mistakes at work?

Some vigilance keeps clinicians careful, but too much leads to rechecking, fatigue and dread. Talking with trusted colleagues and using peer support programs can help, especially after a near miss. Cognitive behavioral therapy can reduce rechecking and catastrophic thinking. Protecting sleep also lowers error risk. Treatment keeps healthy vigilance while reducing constant worry.

Will seeking anxiety treatment affect my license?

Seeking treatment is a responsible step, and psychiatric care is protected health information. Worry about licensing is a common reason clinicians delay care. If you have specific questions about licensing or credentialing forms, review them and discuss them with your clinician. Private telehealth visits away from your workplace can ease concerns about being seen. Getting care early usually supports a longer, healthier career.

Can anxiety medication affect alertness at work?

SSRIs and SNRIs are commonly used for anxiety and usually don't impair alertness once early side effects settle. Sedating medications need careful timing, especially around night shifts. Benzodiazepines can affect memory and coordination with regular use. Your prescriber will consider your role, schedule and safety needs. Medication timing is often planned around sleep rather than the clock.

What if difficult cases keep replaying in my mind?

Replaying hard cases is a common response to healthcare work, especially after deaths, emergencies or errors. Debriefing, peer support and time to recover can help. If intrusive memories, nightmares or strong avoidance continue for weeks, an evaluation can clarify whether trauma-focused treatment would help. These reactions are common among clinicians. They deserve attention rather than silence.

Can healthcare workers get anxiety care by video in New York?

Yes, evaluations and follow-ups happen by secure video anywhere in New York and can be scheduled around shifts. You need to be physically in New York during each visit. Visits away from your workplace keep care private. The practice is in-network with Aetna and Cigna; confirm your New York plan with the office. Prescriptions go electronically to your pharmacy.

Key Takeaways

Dr. Gabby Farkas, MD PhD, board-certified psychiatrist
  • Clinical responsibility and fear of errors can drive constant worry.
  • Staffing shortages increase workload and strain in many settings.
  • Clinicians often delay their own care over time, stigma or career concerns.
  • Private, flexible treatment can fit around shifts.

Anxiety in Healthcare Workers at a glance

How anxiety can show up for clinicians
PatternExample
RecheckingReviewing orders or charts repeatedly after shifts
RuminationReplaying a difficult case at night
Physical tensionHeadaches, stomach upset, racing heart on the way to work
AvoidanceDreading certain units, procedures or patients
IrritabilityShort temper with coworkers or family

Fear of errors

Worry about making a mistake is one of the most common drivers of anxiety in healthcare workers. A small amount keeps people careful. Too much leads to rechecking, slower work, trouble sleeping and dread before shifts, which can paradoxically raise the risk of errors through fatigue. After an actual error or near miss, anxiety can spike and linger for weeks. Talking with trusted colleagues, using peer support programs where available, and seeking therapy help. Cognitive behavioral therapy can reduce rechecking and catastrophic thinking while keeping healthy vigilance intact.

Getting care as a clinician

Clinicians often put their own health last. Common barriers include long hours, feeling they should be able to handle it, stigma among colleagues and worry about licensing or credentialing. The NYC Health Department found about 12% of adults in distress who went without care they wanted cited worry that treatment could affect their job. Seeking treatment is a responsible step, and care is protected health information. If you have specific questions about licensing forms, it’s reasonable to review them and discuss them with your clinician. Private telehealth visits away from your workplace can ease concerns about being seen. Our guides on anxiety and shift work and anxiety in professionals and executives cover related topics.

Healthcare worker anxiety care for New York patients

Video visits can be scheduled around shifts, including early mornings or afternoons after sleep. Visits run by secure video anywhere in New York, while you’re physically in the state. The practice is in-network with Aetna and Cigna; confirm your New York plan with the office, and see self-pay fees on the Good Faith Estimate page.

Sustaining a career

Many clinicians find that treating anxiety helps them stay in work they value. Setting boundaries around overtime, protecting days off, keeping routines for sleep and exercise, and staying connected to people outside work all help. Some people adjust their role, unit or schedule for a period to recover. Others find meaning in mentoring or teaching. There’s no single right path. The goal is a career you can sustain without sacrificing your health.

When to seek help

Consider an evaluation if worry is constant, you’re having panic attacks, sleep is poor for weeks, you’re dreading work most days, or you’re relying on alcohol or other substances to cope. Nightmares or intrusive memories after difficult events also deserve attention. Thoughts of suicide need immediate help through 988, which is available around the clock. Healthcare workers often wait until they’re burned out before seeking care. Earlier treatment is usually simpler and more effective.

If you’d like help sorting this out, you can request an evaluation by secure video anywhere in New York.
Middle-aged adult talking with a mental health clinician during an appointment
Close-up portrait of a woman with brown hair
Depression doesn't always look like sadness from the outside.

Where to go from here

Right now, if you're not safe
Call or text 988, or call 911.
If you'd like an evaluation
See how scheduling and telehealth work on the new patient page.
If you want to keep reading
Return to our anxiety care hub for New York adults for more guides. For more help preparing and finding care, see NIMH’s tips for talking with your health care provider and FindTreatment.gov.

How We Reviewed This Page

Written by Steven Lockhart of Health Marketing Group and clinically reviewed by Gabriella I. Farkas, MD PhD, a board-certified psychiatrist. Clinical information comes from the sources listed below, and the page is reviewed every 180 days or when guidance changes.

What’s new: September 29, 2026. Page published.

References

  1. NYC Health Department. The State of Mental Health of New Yorkers (2024). https://www.nyc.gov/assets/doh/downloads/pdf/mh/state-of-mental-health-new-yorkers.pdf
  2. National Institute of Mental Health. Anxiety Disorders. https://www.nimh.nih.gov/health/topics/anxiety-disorders
  3. 988 Suicide & Crisis Lifeline. https://988lifeline.org/
  4. Tips for talking with your health care provider. https://www.nimh.nih.gov/health/publications/tips-for-talking-with-your-health-care-provider
  5. FindTreatment.gov. https://findtreatment.gov/
Medical Disclaimer This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Only an evaluation can tell you what is going on. Gabriella I. Farkas, MD PhD, is licensed in South Carolina and New York; patients must be physically located in one of those states during telehealth visits.
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