Outside factors
I just felt the need to say it somewhere and I think this is the best place...
Often I see articles / videos / etc. saying us that anxiety is just something inside, and that outer factors don't play a role. Well, they DO play a role - until certain threshold, then they become irrelevant. It is same like with the well-known "money don't make you happier" - after certain threshold it don't, but before that threshold it certainly has big impact, if you have to worry about how you are going to pay the rent or if you have to work crazy long hours to make the ends meet (again, we are not speaking about luxury items, just about basic survival) or if you have to wear shoes that don't fit / can't afford proper winter coat or to turn on heating, then it certainly has an impact on your emotional well-being.
Same goes for anxiety. Yes, I was wrong when I assumed that it is all just about outside factors (ignoring any self-care and not seeking professional help enough), and it took years to find out (until the outside factors were solved). But even professionals dismissed me, saying that I don't suffer from (whatever I thought I am suffering from), that I just need to get a quiet place to study (for example) or that I need to move out (which made it issue for someone else, like some scholarship advisor, who would send me back to psychologists or family advisors and it would be all just good for nothing).
But the factors totally add to the "inner" anxiety. I am still totally anxious when I need to make an important phone call, my mouth is dry and my heart is racing and so on, however, when I was expecting "maybe my sister will come home during the phone call and start babbling immediatelly, and when I tell her to wait, she will start screaming and crying" all the time, if was even worse.
So just saying it for everybody who has the same problem and keeps reading and hearing that the outer factors don't matter - they don't matter for people who have certain living standard (and they write from their own POV, so that's why it is ommited), but they can certainly contribute.
My immediate though is that OF COURSE outside factors matter.
Anxiety is a normal human emotion. Outside factors can be a reason it interfere's with one's life too much.
Quite a few people experience anxiety after a traumatic experience.
My issues with needles are described as normal on many needle phobia sites. It didn't have a negative impact on my life until I had to start doing IVs on myself.