According to Osho, anguish is not just anxiety; it is a deeper, objectless unease felt only by the most conscious. Anxiety is common and tied to specific indecisions—this or that, to do or not—but anguish has no particular object and no choice involved. It is an existential pressure arising at the peak of intelligence, beyond situational problems.
Anguish is a deep, vague unease with no clear cause, while anxiety is worry about a specific choice.