> are you using anxiety with a bit of hyperbole here, or is it really making you anxious?

Depends on the setting. Sometimes they're for things that have greater than usual effects, like getting locked into a subscription payment or agreeing to additional charges for Spirit Airline flights. Other times they're for things that I have difficulty taking the initiative to address, like notification/unsubscribe settings, for which my ADHD only allows me occasional "windows" of time where I'm able to initiate or follow-through on changing the settings.

Sometimes it doesn't really matter and I just scoff at the bad UI and it's not a problem.