What is the psychiatric problem characterized by painful uneasiness about impending problems?

The psychiatric problem characterized by painful uneasiness about impending problems is anxiety. Anxiety disorders typically involve feelings of worry, fear, and uneasiness about future events, even when there is no specific threat present. This can manifest as sensations of tension and apprehension about what is to come, which can significantly impact daily functioning and quality of life.

Individuals experiencing anxiety may find themselves unable to concentrate, may avoid certain situations due to fear, and often have physical symptoms such as increased heart rate or sweating. This condition can arise from various factors, including genetic predispositions, environmental influences, or traumatic experiences.

In contrast, conditions like depression primarily involve persistent feelings of sadness or hopelessness rather than the anticipation of future problems. Bipolar disorder encompasses mood swings that include both depressive and manic episodes but does not focus solely on the anxiety stemming from potential issues. Paranoia, on the other hand, specifically relates to irrational and persistent feelings of being persecuted or harmed by others, which is distinct from the generalized worry characteristic of anxiety. Thus, anxiety is the most accurate descriptor for the scenario presented in the question.