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They Called It Laziness, But It Was Anxiety All Along

Anxiety mistaken for laziness
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Written by Andrew Le, MD.
Medically reviewed by
Last updated July 16, 2025

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Have you ever been called lazy because you couldn’t get out of bed or struggled to focus on simple tasks? For many people, this kind of judgment feels familiar. But what if the real reason isn’t laziness at all?

Sometimes, what looks like a lack of motivation is a hidden condition, like anxiety or even a sleep disorder. People living with anxiety may appear unmotivated, tired, or “checked out,” but inside, they are battling thoughts that feel overwhelming and nonstop. Similarly, those with narcolepsy often feel an uncontrollable urge to sleep during the day, no matter how hard they try to stay awake.

These conditions are often misunderstood. Instead of support, many people hear words like “lazy,” “weak,” or “undisciplined.” But these labels ignore the deeper truth: struggling with your brain and body is not a character flaw. It’s a sign that something important is happening beneath the surface.

Before we judge someone—or ourselves—for not doing enough, maybe we should ask a different question: What’s going on underneath?

What Anxiety Can Look Like

Anxiety doesn’t always show itself in obvious ways. Often, it hides behind behaviors that people mislabel as laziness or lack of effort. But when you take a closer look, these signs often point to an overwhelmed nervous system.

Here are some ways anxiety can appear in daily life:

  • Trouble starting tasks, even simple ones
  • Feeling stuck or frozen when faced with decisions
  • Extreme fatigue despite sleeping enough
  • Constant restlessness or the urge to move without reason
  • Avoiding responsibilities out of fear of failure
  • Struggling to concentrate or remember things
  • Overthinking every choice or social interaction
  • Sleep problems—like racing thoughts at night or waking up too early

According to studies, anxiety can impair executive function, making it harder to focus, plan, and follow through. This mental load can lead to exhaustion and shutdown.

When you see these signs in yourself or others, pause before judging. What looks like laziness might be a brain working overtime just to stay calm.

When the Brain Won’t Let You Function

Sometimes, the problem isn’t a lack of willpower—it’s the brain not working the way it should. For people with narcolepsy, this is their daily reality. Narcolepsy is a neurological disorder that affects how the brain controls sleep and wake cycles. Even after a full night’s sleep, people with narcolepsy often feel an overwhelming urge to sleep during the day.

This condition isn’t just about being tired. It’s about the brain skipping normal sleep stages. Instead of slowly moving into deep sleep, the brain jumps straight into REM sleep. That sudden shift causes unexpected sleep attacks, making people fall asleep during conversations, while eating, or even in class.

Here are some common symptoms of narcolepsy:

  • Sudden “sleep attacks” during the day
  • Memory gaps or confusion after waking
  • Moving or talking without knowing it during sleep episodes
  • Feeling unable to move right after waking up (sleep paralysis)
  • Vivid dreams or hallucinations while falling asleep or waking up

These symptoms often go unseen or misunderstood. Many people with narcolepsy spend years being misjudged as lazy, careless, or undisciplined—when the truth is their brain is working against them. According to experts, narcolepsy stems from the loss of neurons that produce hypocretin, a chemical that keeps you awake.

You can try your hardest to stay alert, but when your brain doesn’t cooperate, effort alone isn’t enough.

Invisible Battles: Emotional Triggers and Physical Collapse

For some, strong emotions don’t just cause tears or laughter—they can make the body collapse. This is what happens during cataplexy, a symptom found in people with narcolepsy type 1. It’s a sudden loss of muscle control that’s often triggered by feelings like joy, fear, or stress.

Imagine telling a joke and then falling to the ground because your legs suddenly gave out. That’s what cataplexy can do. Some people only feel their knees buckle or their facial muscles go weak. Others lose control of their whole body and collapse while staying fully awake.

Common emotional triggers for cataplexy include:

  • Laughing
  • Feeling surprised
  • Getting angry
  • Being nervous or embarrassed
  • Feeling excited or overwhelmed

According to research, cataplexy happens because the brain briefly shuts off muscle control, just like it does during REM sleep. But unlike sleep, the person stays completely aware of their surroundings.

This can be frightening and embarrassing, especially when it happens in public. Others might not understand and assume the person is acting strangely or seeking attention. But in truth, they’re fighting a real, invisible battle their body has already lost control over.

Sleep Is Not Always Restorative

People often assume that if someone sleeps a lot, they must feel well-rested. But for many with narcolepsy or anxiety, sleep doesn’t bring relief. Even after hours in bed, they may wake up feeling just as tired as before.

In narcolepsy, the brain skips normal sleep stages and enters dream sleep (REM) too quickly. This leads to fragmented, shallow sleep that fails to restore energy. According to studies, people with narcolepsy can fall asleep quickly but stay in light sleep or wake up often throughout the night.

Signs of non-restorative sleep include:

  • Waking up still tired despite sleeping long hours
  • Struggling to stay asleep through the night
  • Feeling foggy, heavy, or slow in the morning
  • Needing frequent naps just to function
  • Having intense, vivid dreams that leave you drained

Anxiety can also disturb sleep. Racing thoughts keep you up, and fear wakes you early. The result is the same: a tired mind in a tired body.

When rest doesn’t feel restful, it’s hard to function during the day. People may look like they oversleep out of laziness, but they’re often just trying to recover from nights when their brain never let them rest.

The Toll of Being Misunderstood

Being told you're lazy when you're struggling is painful. For people with anxiety or narcolepsy, these labels can cause lasting harm. Instead of getting help, many are blamed for what they cannot control.

This misunderstanding can lead to:

  • Low self-esteem from repeated criticism
  • Shame about needing rest or taking breaks
  • Withdrawal from social life due to fear of judgment
  • Poor performance at school or work from untreated symptoms
  • Delayed diagnosis and missed treatment opportunities

People with narcolepsy often wait years before receiving a correct diagnosis. In that time, they may be misunderstood by teachers, employers, or even family. The same happens with anxiety, especially when it shows up as tiredness, irritability, or indecision.

These silent struggles create more than just exhaustion. They cause emotional wounds—wounds that grow deeper when others dismiss what you're going through. Without the right support, people begin to believe the labels placed on them.

But the problem was never laziness. It was being unseen and unheard.

Diagnosis Delays and Misinterpretation

Getting the right diagnosis isn’t always quick or easy. Both anxiety and narcolepsy are often misread as other problems, like depression, ADHD, or simply poor habits. This confusion leads to delays in treatment and years of unnecessary struggle.

Many people go through:

  • Being told to “try harder” or “just focus”
  • Misdiagnosis with behavioral or mood disorders
  • Multiple doctor visits without clear answers
  • Feeling dismissed or not believed
  • Trying treatments that don’t work because the cause is misunderstood

Narcolepsy symptoms often overlap with other conditions, making it hard for doctors to identify right away. Sleepiness, poor concentration, and mood changes are not unique to one disorder, so without the right tests, the real issue can stay hidden.

Anxiety, too, is often overlooked—especially when it appears as tiredness, indecisiveness, or avoidance. People might be told they’re just lazy, unmotivated, or “not trying hard enough.”

But the truth is: until we understand what’s happening underneath the surface, we risk blaming people for symptoms they don’t choose.

It Was Never Laziness

What if the problem was never about effort, but about energy that couldn’t be seen? Anxiety drains the mind. Narcolepsy disrupts the brain’s control over sleep. Both make it hard to function in ways that others expect.

People with these conditions often face:

  • Guilt for not meeting daily responsibilities
  • Fear of being judged or misunderstood
  • Pressure to hide their symptoms
  • Shame when comparing themselves to others

Even children with narcolepsy struggle to keep up with school and friendships—not because they don’t care, but because their bodies betray them. The same happens with anxiety. It can freeze motivation, block clear thinking, and make simple tasks feel impossible.

When the world demands constant productivity, those who slow down are quickly labeled as lazy. But slowness is not weakness. And needing rest is not failure. What people often call laziness is someone doing their best while carrying a weight no one else can see.

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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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