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Can Alcohol Cause Anxiety?

Experience clinician-run addiction treatment at Red Oak Recovery® in the pristine Blue Ridge Mountains
Woman looks at empty wine glass and wonders if alcohol can cause anxiety

Women may turn to alcohol to help manage emotional obstacles or stressors. It can lead to the opposite. It can lead to feelings of stress, worry, or even a racing heart. Physical symptoms compounded with mental stress can make for a troublesome mix. The Willows at Red Oak Recovery ® helps women develop tools for managing their anxiety in our anxiety treatment for women. 

Alcohol and Anxiety: How They’re Connected 

Many people know that alcohol and anxiety are linked, but it’s not always easy to understand how. Alcohol is a depressant, meaning it slows down the brain and nervous system. This is why people often feel relaxed or even happy after drinking. But those feelings don’t last long. When the alcohol wears off, anxiety can actually get worse. The more someone drinks, the stronger this cycle becomes. Over time, the body starts to rely on alcohol to hide emotions, which can lead to a bigger problem. 

People who already struggle with anxiety or depression are more likely to feel worse after drinking. Since alcohol helps them feel calm at first, they might think it’s a good way to handle stress. But when the relaxed feeling disappears, they may drink more to feel better again. This can turn into a habit, which is why it’s important to recognize the warning signs. 

Anxiety After Drinking 

Many people feel more anxious in the hours or days after drinking alcohol. This is sometimes called “hangxiety.” It happens because alcohol increases serotonin in the brain, which creates a temporary sense of calm. But once the alcohol is gone, serotonin levels drop, leading to even stronger feelings of anxiety. 

Alcohol also dehydrates the body, which can cause dizziness, a fast heartbeat, and other symptoms that make anxiety feel worse. This can lead to even higher stress levels. 

Signs of Alcohol-Induced Anxiety 

Some common symptoms of anxiety after drinking include: 

  • Restlessness – Feeling on edge and unable to relax 
  • Excessive worry – Overthinking or stressing about things that wouldn’t normally bother you 
  • Irritability – Feeling easily annoyed or extra sensitive 
  • Trouble sleeping – Having a hard time falling or staying asleep, even when tired 
  • Overanalyzing social interactions – Replaying conversations and feeling embarrassed or regretful 
  • Difficulty concentrating – Struggling to focus or feeling mentally foggy 
  • Panic attacks – Sudden feelings of fear, shortness of breath, or tightness in the chest 

These symptoms can show up the next day or even while you’re still drinking. 

Women and Anxiety: Why Many Self-Medicate 

Women tend to face unique stressors, such as societal pressures, and caregiving responsibilities, which can add to feelings of anxiety. Because of this, many women turn to alcohol as a way to cope. 

Self-medicating with alcohol might seem like an easy way to relax, but it can quickly become a harmful pattern. Women’s bodies process alcohol differently than men’s, meaning they may feel the negative effects sooner and more intensely. Over time, drinking to manage stress or anxiety can lead to dependence, making anxiety even worse in the long run.  

Breaking the Stigma 

Many people feel ashamed or embarrassed to talk about their struggles with alcohol and anxiety, especially women. Society often sends mixed messages—encouraging drinking as a way to “unwind” while judging those who struggle with it. This can make it hard for people to reach out for help. 

The truth is, anxiety and alcohol use are common issues, and there’s no shame in needing support. Acknowledging the problem is the first step toward healing. Whether it’s talking to a trusted friend, seeking therapy, or joining a support group, there are many ways to take control of your mental health. No one should feel alone in this journey. 

Enroll in Anxiety Treatment for Women Today at The Willows at Red Oak RecoveryⓇ 

Drinking responsibly isn’t always easy, but healthy habits can make a big difference. If you or someone you know is struggling with anxiety and alcohol, support is available. The Willows offers treatment for women who need help managing anxiety. Reach out online or call 828.518.6941 to learn more.