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😰Anatomy

Anxiety · Threat circuitry, worry loops and avoidance — how brains over-predict danger and how care can recalibrate risk.

Reviewed 2026-08·Sources & research·Methodology·Media credits

Anxiety
AnxietyEdvard Munch · Public domain · Wikimedia Commons

Anxiety anatomy emphasises amygdala-centered threat circuits, extended amygdala (BNST), insula interoception and prefrontal regulators.

Educational neuroscience context only — not medical advice, diagnosis or a substitute for emergency or clinical care. If you are in crisis, seek local emergency services or a licensed clinician.

Structures

Amygdala (BLA / CeA)

Associative threat learning and output to arousal systems.

BNST (extended amygdala)

Sustained anxiety and unpredictable threat monitoring.

Insula

Interoceptive awareness of bodily arousal.

Anterior cingulate / dACC

Conflict, error and affective pain signals.

Ventromedial / lateral PFC

Regulation, reappraisal and extinction support.

Periaqueductal grey / LC

Defensive behaviours and noradrenergic arousal.

Pathways

Thalamo-amygdala “low road”

Fast coarse threat signals to amygdala.

PFC–amygdala regulation

Top-down dampening and contextual safety.

Insula–ACC interoceptive loop

Maps bodily prediction errors that fuel worry.

HPA / autonomic effector paths

Cortisol and autonomic cascades under threat.

Landmarks

Fear conditioning

Lab model of associative threat learning.

Extinction / exposure sessions

Clinical window onto new safety learning.

CO₂ / lactate panic probes

Interoceptive challenge paradigms (research).

Worry induction tasks

Probe verbal perseveration under uncertainty.

Open atlas neighbours: amygdala, insula, ACC, prefrontal cortex.

Sources & research

  1. Anxiety disordersCraske MG; et al. · 2017 · Nature Reviews Disease PrimersPrimer on anxiety disorders and mechanisms.DOI
  2. Using Neuroscience to Help Understand Fear and Anxiety: A Two-System FrameworkLeDoux JE; Pine DS · 2016 · American Journal of PsychiatryTwo-system framing of fear vs anxiety circuits.DOI
  3. Epidemiology of anxiety disorders in the 21st centuryBandelow B; Michaelis S · 2015 · Dialogues in Clinical NeuroscienceEpidemiology of anxiety disorders.DOI

Media credits

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