Does Quitting Alcohol Cause Anxiety?

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Afeefa Rafath
Practicing Psychologist | EAP Counsellor | Content Writer
8 Oct 20244 min read
Man rejecting alcohol - Does Quitting Alcohol Cause Anxiety?

Introduction: Does It Lead to Anxiety?

Quitting alcohol can lead to temporary anxiety due to withdrawal, especially for heavy drinkers. 

Alcohol alters brain chemistry, and its removal may initially cause heightened anxiety. However, long-term cessation often reduces anxiety as the brain heals and mood stabilises. 

The impact varies based on individual factors like alcohol dependence and mental health. With proper support, the benefits of quitting - improved mood, reduced anxiety, and better overall well-being - outweigh the initial challenges.

Understanding Alcohol Dependence and Anxiety

Alcohol Dependence: Alcohol dependence, commonly referred to as alcoholism, is a chronic disease characterised by an inability to control or stop drinking despite negative consequences. Individuals with alcohol dependence often develop a tolerance to alcohol and may experience withdrawal symptoms when not drinking.

Anxiety: characterised by excessive worry, tension, and physical symptoms such as increased heart rate and sweating. It often manifests in various forms, including Generalized Anxiety Disorder (GAD), panic attacks, and social anxiety disorder. Anxiety can be a normal reaction to stress but becomes problematic when it interferes with daily life.

Does Quitting Alcohol Cause Anxiety?

Yes, alcohol withdrawal syndrome (AWS) can cause a range of symptoms, from mild anxiety and fatigue to severe hallucinations and seizures. In extreme cases, it can be life-threatening.

Research Findings on the Connection Between Alcohol Drinking and Anxiety

  • Increased risk: 2019 studies have shown that people diagnosed with an anxiety disorder have a significantly higher risk of developing an alcohol use disorder compared to those without anxiety. 
  • Bidirectional relationship: Evidence suggests a cyclical pattern where anxiety can lead to alcohol abuse, and alcohol abuse can exacerbate anxiety symptoms, creating a complex interplay between the two conditions. 

Factors Influencing the Connection of Anxiety and Alcohol Consumption

Short-term Relief: Alcohol initially relaxes by enhancing GABA activity in the brain, appealing to those with anxiety.

Exacerbated Anxiety: Chronic alcohol use worsens anxiety and panic attacks, especially during withdrawal.

Social Coping: Individuals with social anxiety may drink to cope, creating a cycle of dependence.

Self-Medication: Anxiety sufferers often self-medicate with alcohol, leading to potential dependence.

Genetic Predisposition: Genetic factors increase vulnerability to both anxiety and alcohol use disorders.

Symptoms of Anxiety to check. This will help you understand when to seek help:

Emotional Symptoms:

•⁠ ⁠Excessive Worry: Constantly feeling anxious or uneasy about various things, feeling on edge, as if something bad is about to happen.

•⁠ ⁠Overwhelming Fear: Experiencing intense fear, often irrational, in everyday situations.

•⁠ ⁠Feeling Overwhelmed: Struggling to manage emotions, leading to a sense of being unable to cope, feelings of hopelessness and helplessness.

Physical Symptoms:

•⁠ ⁠Rapid Heartbeat: A noticeable increase in heart rate, often described as pounding or racing.

•⁠ Shortness of Breath: Difficulty breathing or tightness in the chest.

•⁠ Muscle Tension: Stiffness or pain, particularly in the neck, shoulders, or back.

•⁠ Trembling or Shaking: Involuntary muscle movements, especially in the hands or legs.

•⁠ ⁠Stomach Issues: Nausea, diarrhoea, or stomach cramps linked to anxiety.

Cognitive Symptoms

•⁠  ⁠Difficulty Concentrating: Trouble focusing, making decisions, or remembering things.

•⁠  ⁠⁠Irrational Thoughts: Persistent negative or catastrophic thinking.

•⁠  ⁠⁠Derealization: A feeling of disconnection from reality or oneself, often described as a dream-like state.

Behavioural Symptoms 

•⁠ Avoidance: Steering clear of situations, places, or people that trigger anxiety.

•⁠ ⁠Compulsive Behaviours: Engaging in repetitive actions or rituals to alleviate anxiety.

•⁠ ⁠Restlessness: Inability to sit still, often fidgeting or pacing, habits like nail-biting, hair-pulling, or skin-picking.

•⁠ ⁠Social Withdrawal: Isolating oneself from friends, family, or social activities.

•⁠ ⁠Procrastination: Delaying tasks due to overwhelming anxiety about performance or outcomes.

Managing Anxiety and Alcohol

Managing anxiety and alcohol requires awareness of their relationship. Alcohol may provide temporary relief but can exacerbate anxiety over time. Limiting intake, seeking healthier coping strategies, and engaging in activities like exercise, meditation, or therapy can promote better mental health and reduce reliance on alcohol as a coping mechanism.

Consult your healthcare provider for personalised advice, and consider exploring the Mave Health Program for a tailored approach to mental well-being. 

Do Read More About Anxiety

  1. How to Help Someone with Anxiety: A Guide for Supportive Friends and Family
  2. Reduce Anxiety immediately with other 12 Effective ways along with 333 Rule
  3. How to Treat Anxiety Without Medication?
  4. How Do Psychiatrists Treat Anxiety Disorders?
  5. 5-4-3-2-1 Grounding Technique Exercise
  6. tDCS Device For Anxiety
  7. Foods to Fight Anxiety

Conclusion

The complex relationship between quitting alcohol and managing anxiety underscores the importance of professional guidance. Take the next step - discuss quitting alcohol with your doctor for optimal treatment options.

Citation

  1. Alcohol withdrawal syndrome. (2018, April 23). Retrieved 7 October 2024, from Healthline website: https://www.healthline.com/health/alcoholism/withdrawal
  2. Anker, J. J., & Kushner, M. G. (2019). Co-occurring alcohol use disorder and anxiety: Bridging psychiatric, psychological, and neurobiological perspectives. Alcohol Research: Current Reviews, 40(1). doi:10.35946/arcr.v40.1.03
  3. Anxiety. (1998a). Mental Health and Behavior. Retrieved from https://medlineplus.gov/anxiety.html
  4. Anxiety. (1998b). Mental Health and Behavior. Retrieved from https://medlineplus.gov/anxiety.html
  5. Anxiety disorders. (n.d.). Retrieved 7 October 2024, from Mayo Clinic website: https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961
  6. Anxiety disorders. (n.d.). Retrieved 7 October 2024, from https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders
  7. Anxiety disorders. (n.d.). Retrieved 7 October 2024, from WebMD website: https://www.webmd.com/anxiety-panic/anxiety-disorders
  8. Signs, symptoms & effects of anxiety. (2017, July 24). Retrieved 7 October 2024, from Valley Behavioral Health System website: https://www.valleybehavioral.com/anxiety/signs-symptoms-causes/
  9. Smith, J. P., & Randall, C. L. (2012). Anxiety and alcohol use disorders: comorbidity and treatment considerations. Alcohol Research: Current Reviews, 34(4), 414–431. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23584108
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