La angustia de no saber qué hacer lo mantenía despierto por la noche.
The anguish of not knowing what to do kept him awake at night.
Sentí una profunda angustia al recibir la noticia.
I felt deep distress upon receiving the news.
La angustia de perder el trabajo era evidente en su cara.
The distress of losing the job was evident on his face.