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Are You Secretly Struggling With Adult Separation Anxiety? The Signs No One Talks About

Adult separation anxiety
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Written by Andrew Le, MD.
Medically reviewed by
Last updated July 6, 2025

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​​When people think about separation anxiety, they often picture young children who feel scared to be away from their parents. But did you know that adults can experience separation anxiety too? Many people quietly struggle with this condition without even realizing it.

Adult Separation Anxiety Disorder (SAD) is a real mental health issue. It happens when someone feels extreme fear or worry about being separated from someone they are deeply attached to—like a partner, family member, or close friend. This fear is not just a small worry. It can be so strong that it affects daily life, relationships, and even work.

Sadly, many adults don’t realize they have separation anxiety. They may think their feelings are just part of being caring or loving. Others may believe their anxiety is just stress or another common worry. This misunderstanding often stops people from getting the help they need.

You might be wondering—how do you know if what you’re feeling is actually separation anxiety? In this article, you will learn what adult separation anxiety really looks like, what causes it, and how you can manage it. If you’ve ever felt a deep fear of being alone or away from someone you care about, this might help you understand yourself better.

What is Adult Separation Anxiety

Separation anxiety is not just something that happens to children. Adults can suffer from it too, but it often goes unnoticed. Adult Separation Anxiety Disorder (SAD) happens when someone feels an extreme fear of being apart from someone they are emotionally close to. This could be a partner, parent, child, or even a close friend.

This fear is not the same as general anxiety. General anxiety is when someone feels worried about many things, like work, health, or money. But separation anxiety is focused on one thing—the fear of being away from someone important. The worry can be so intense that it causes emotional pain, stress, and even physical problems.

Some people confuse separation anxiety with being overly attached or even codependent. But they are not the same. Codependency is when someone depends on another person to meet most of their emotional needs, often in unhealthy ways. Separation anxiety, however, is driven by a deep fear of losing someone or being left alone, even if the relationship itself is healthy.

Many adults don’t realize they have this condition. They often believe their worries are just a sign of love or caring. Others may think it’s just stress or part of their personality. But when the fear of separation starts to affect daily life, relationships, or work, it may be more than just worry—it could be adult separation anxiety.

Signs of Adult Separation Anxiety

Separation anxiety in adults can show up in different ways. Some signs are obvious, while others are harder to notice. Here are the most common signs:

Emotional and mental signs include:

  • Constant fear or worry about being separated from loved ones
  • Scary thoughts like “What if something bad happens to them?”
  • Feeling panic, dread, or deep sadness when thinking about separation
  • Trouble focusing because of intrusive worries about loved ones

For behavioral signs:

  • Avoiding work, trips, or social activities to stay close to loved ones
  • Frequently calling or texting for reassurance
  • Staying in unhealthy relationships out of fear of being alone
  • Struggling to set healthy boundaries with family or friends
  • Feeling unable to move out of a family home or leave someone’s side
  • Becoming overly strict, protective, or controlling—especially as a parent

Lastly for physical signs:

  • Headaches when facing or thinking about separation
  • Stomachaches, nausea, or dizziness during moments of anxiety
  • Rapid heartbeat or palpitations linked to fear of being alone
  • Trouble sleeping, especially before a planned separation

If you notice these signs affecting your life, it could be adult separation anxiety. Understanding the signs is the first step toward finding support and help.

Causes and Risk Factors

Separation anxiety in adults does not happen without reason. Several factors can lead to this condition. Some come from the past, while others are triggered by life events or even changes in the brain.

  • Childhood Experiences: Many adults with separation anxiety went through trauma, loss, or neglect during childhood. Losing a caregiver, going through a painful separation, or not feeling emotionally safe while growing up can make it harder to handle separation later in life.
  • Major Life Changes: Sometimes, separation anxiety starts in adulthood after a big life event. Things like divorce, the death of a loved one, moving far from family, or losing a job can suddenly trigger deep fears of being left alone.
  • Attachment Styles: According to studies, people who grew up with insecure attachment—like having parents who were emotionally distant or unpredictable—may be more likely to develop separation anxiety as adults. This makes it harder to feel safe when apart from loved ones.
  • Co-Occurring Mental Health Conditions: Separation anxiety often appears alongside other mental health issues like depression, generalized anxiety disorder, panic disorder, PTSD, or even eating disorders. These conditions can make the fear of separation feel even stronger.
  • Biological Factors: Researchers found possible links between separation anxiety and brain chemicals like oxytocin, the hormone that helps people form bonds and trust others. Some studies show that people with separation anxiety may have lower levels of oxytocin, which can increase feelings of fear and distress. Genetics may also play a role in how likely someone is to develop this condition.

Everyone’s experience is different. For some, separation anxiety starts early. For others, it shows up later in life after difficult changes or losses. Understanding these causes can help you realize that this condition is not your fault—and it is something that can be managed with the right help.

Why It Often Goes Undiagnosed

Many adults live with separation anxiety without knowing it. This happens for several reasons. The signs are often misunderstood or mistaken for something else.

  • Normalizing the Behavior: People often believe that worrying about loved ones is simply a sign of love or care. They may think it is normal to check on someone constantly or feel upset when apart. This belief can hide the fact that the worry has become unhealthy.
  • Mistaking It for Other Conditions: Separation anxiety can look like other mental health problems. Some people believe they have generalized anxiety, panic disorder, or even obsessive-compulsive disorder because the symptoms overlap. For example, someone who fears harm coming to a loved one might think it is just general anxiety when it’s really rooted in separation fears.
  • Lack of Awareness in Healthcare: Many doctors and therapists are trained to spot separation anxiety in children but may not always recognize it in adults. This gap in understanding can lead to missed diagnoses or the wrong kind of help.
  • Hiding the Symptoms: Some adults are good at masking their struggles. They might push through work, attend social events, or take care of others while hiding their deep fears of being alone. On the outside, they seem fine. But inside, they constantly feel stressed and worried about being separated from someone important.

Because of these reasons, separation anxiety often goes untreated for years. People may feel confused about why they struggle so much, not realizing that there is a name for what they are feeling—and that help is available.

Conclusion

Separation anxiety in adults is real and more common than most people think. It can cause fear, stress, and problems in relationships, work, and daily life. If you often feel upset, worried, or scared when away from someone you love, it could be a sign of separation anxiety. The good news is that help is available. Therapy, medication, and simple coping skills can make a big difference. You deserve to feel safe, confident, and at peace—even when apart from those you care about. Why not take the first step today?

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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References

  • Eapen, V., Dadds, M., Barnett, B., Kohlhoff, J., Khan, F., Radom, N., & Silove, D. M. (2014). Separation anxiety, attachment and inter-personal representations: Disentangling the role of oxytocin in the perinatal period. PLOS ONE, 9(9), e107745. https://doi.org/10.1371/journal.pone.0107745
  • Hazan, C., & Shaver, P. R. (1992). Broken attachments: Relationship loss from the perspective of attachment theory. In T. L. Orbuch (Ed.), Close relationship loss (pp. 91–121). Springer. https://doi.org/10.1007/978-1-4613-9186-9_5
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