Financial Anxiety: The Cost of Living and Mental Health in The Triangle

If you’ve found yourself lying awake at night worried about money, you’re not alone. 

Here in the Triangle—where Raleigh, Durham, and Chapel Hill are booming with growth—the rising cost of living is becoming more than just an inconvenience.

It’s a mental health crisis for many people.

Between skyrocketing housing prices, increasing grocery bills, higher gas prices, and job insecurity, it’s easy to feel like you’re barely keeping up.

Financial anxiety isn’t just about the numbers in your bank account—it’s the stress, fear, and shame that come with feeling like you’re not doing enough, no matter how hard you try.

Real Life Stories of Financial Stress

Let me introduce you to a few fictionalized stories based on real situations I often see in my office:

Amber is a single mom in Durham who works full-time and still struggles to afford rent in a rapidly gentrifying neighborhood. She feels constant guilt that she can’t provide more for her kids and lies awake worrying about what will happen if her car breaks down.

Brian and Tasha, a young couple in Cary, both have steady jobs, but rising childcare costs and student loan debt leave them living paycheck to paycheck. They love each other, but lately, money arguments have filled their evenings. They feel like they’re failing at “adulting.”

Luis, a recent college grad in Raleigh, landed his dream job at a tech startup—but it came with unexpected costs. The city is more expensive than he thought, and keeping up with his friends’ social lives leaves him feeling pressured to spend beyond his means. Underneath the surface, he’s drowning in anxiety and credit card debt.

Each of these people is doing their best—and each of them is suffering under invisible pressure that wears down their mental and emotional health.

How Financial Anxiety Affects Mental Health

When you constantly feel like there’s not enough—money, time, stability—it activates your body’s stress response. Over time, that stress builds up in ways that deeply impact your mental health:

• Anxiety and Panic Attacks: Worrying about making ends meet can cause physical symptoms like racing thoughts, chest pain, or difficulty breathing.

• Depression: Long-term stress can make people feel hopeless, unmotivated, or stuck. When every decision feels like a financial trap, it’s hard to feel joy.

• Shame and Isolation: Many people feel embarrassed about their financial situation and pull away from friends or family. Shame convinces us we’re the only ones struggling—but we’re not.

• Relationship Strain: Money problems can lead to frequent arguments, resentment, or disconnection in marriages and partnerships.

How to Deal with Financial Anxiety

As a therapist, I want you to know: you don’t have to reach a certain income level to start feeling better. Healing from financial anxiety isn’t about winning the lottery—it’s about learning to regulate your nervous system, challenge unhelpful thoughts, and develop healthier patterns of coping.

Here’s how therapy can help:

• Building awareness of how financial stress is impacting your emotions, relationships, and self-worth.

• Developing practical tools for managing anxiety—like grounding exercises, breathing techniques, or journaling prompts.

• Identifying and replacing negative thoughts like “I’m a failure” or “I’ll never get ahead” with more accurate, helpful beliefs.

• Setting realistic goals for budgeting, boundaries, and self-care.

• Exploring your money story—how your past experiences shape your current fears and habits.

Sometimes the best first step is just naming the problem. Talking about it. Saying, “This is hard, and I don’t want to carry it alone anymore.”

Finding Practical Support for Financial Challenges

While therapy is a powerful tool for emotional healing, there are also professionals who can help you get a handle on your actual finances. Therapists often recommend connecting with a:

• Financial counselor or coach to help you build a budget, reduce debt, and set financial goals.

• Nonprofit financial education services like the Triangle Family Services or The Consumer Credit Counseling Service of Durham, which offer free or low-cost advice.

• Community resources like local churches, community centers, or housing nonprofits, which sometimes offer emergency help with rent, food, or utility bills.

As therapists, we often work alongside financial experts to help our clients feel more in control—both emotionally and practically. It’s not about “fixing” everything at once. It’s about making one step feel manageable.

Redefining Self-Worth Away From Finances

It’s easy to tie our worth to our income. 

But your value isn’t measured by your paycheck, your zip code, or your credit score. It’s measured by your humanity—your courage to show up, even when things are hard.

If you’re overwhelmed by financial stress, please don’t wait until you’re at a breaking point. 

At MCC, we offer a safe, non-judgmental place to talk about the things that feel too heavy to carry alone.

You don’t need to be perfect. You just need support.

If you’re ready to take that first step, reach out for a free 15-minute consultation. 

You deserve relief. You deserve peace. And we’re here to help you find it.