Stress, anxiety and fear

压力、焦虑与恐惧

Type
Concept
Also called
stress vs anxiety, fear vs anxiety, cognitive appraisal, primary appraisal, secondary appraisal

How do stress, anxiety and fear differ?

Fear is a brief response to a present, clearly identifiable threat; anxiety is a longer-lasting response to a future, diffuse or uncertain one.[1] Stress, in Lazarus and Folkman’s definition, is a relationship with the environment that a person appraises as taxing or exceeding their resources and endangering their well-being.[3]

Schematic curves: speed and duration only, not data

  • Harm or loss: already done
  • Threat: harm anticipated
  • Challenge: possible gain

Four sides of anxiety

The NHS groups symptoms as physical, mental and behavioral; here the mental group is split into thoughts and feelings.

Select a part of the figure for details.
Schematic. The timeline at top contrasts fear (a threat here now) with anxiety (a threat ahead and uncertain); the curves show only speed and duration, not measured data. The middle shows Lazarus and Folkman’s two appraisals; the bottom shows how anxiety appears in body, thoughts, feelings and behavior. Select a part for details. Select a part for details

Three-part schematic. At top, a left-to-right timeline is divided into already happened, now and ahead. Fear sits at now; its curve rises sharply when the threat appears and falls quickly once it is gone. Anxiety spans the future; its curve rises more slowly, stays up longer and falls slowly. In the middle, a balance weighs demands against resources, preceded by a primary appraisal (is this harm or loss, threat, or challenge) and a secondary appraisal (what can be done); when demands outweigh resources it is labeled stress. Harm or loss means damage already done, threat means harm anticipated, challenge means possible gain. At bottom, four boxes: body (racing heart, sweating, breathlessness), thoughts (worry about the future, fearing the worst, poor concentration), feelings (tense, unable to relax, tearful), behavior (avoiding places and situations that cause anxiety, repeated checking).

Schematic. The timeline at top contrasts fear (a threat here now) with anxiety (a threat ahead and uncertain); the curves show only speed and duration, not measured data. The middle shows Lazarus and Folkman’s two appraisals; the bottom shows how anxiety appears in body, thoughts, feelings and behavior. Select a part for details. Save as image (PNG)

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Key points

  • Their bodily symptoms are similar; what differs is the threat. Fear meets imminent danger, rising and fading quickly. Anxiety meets distant or unpredictable threat and lasts longer.[1][2]
  • Rats stay on sustained alert where a predator might be and fight or flee only when it strikes. People who cannot predict when shocks will come show more lasting increases in startle.[2]
  • Lazarus and Folkman separate a primary appraisal of what is at stake (harm, threat or challenge) from a secondary appraisal of what can be done; both shape how stressful an event is.[3]
  • Anxiety shows up in the body, thoughts, feelings and behavior: a racing heart and sweating, worry about the future, feeling tense or unable to relax, and avoiding places that trigger it.[4]

An example

Lin is juggling two projects and judges she lacks the time and staff for both: stress. Next week’s review could go wrong in ways she cannot pin down, and she lies awake over it: anxiety. Cycling home, a car swerves at her; she brakes hard, heart pounding, and calms down soon after it passes: fear.

Misreadings and limits

Everyday speech often uses fear and anxiety interchangeably.[1] Both are normal, adaptive states that can become pathological when extreme;[2] anxiety that will not go away and disrupts daily life may signal an anxiety disorder, which calls for a professional assessment, not self-diagnosis.[4]

Sources

  1. 1 American Psychological Association (2018). Anxiety. APA dictionary of psychology (updated April 19, 2018). View source
  2. 2 Davis, M., Walker, D. L., Miles, L., & Grillon, C. (2010). Phasic vs sustained fear in rats and humans: Role of the extended amygdala in fear vs anxiety. Neuropsychopharmacology, 35(1), 105–135. doi:10.1038/npp.2009.109
  3. 3 Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company. View source
  4. 4 NHS (2026). Anxiety, fear and panic. NHS website (last reviewed 13 July 2026). View source

Last checked against sources: October 27, 2026