That initial sip of alcohol can feel like a warm, loving embrace, a momentary reprieve from the day’s chaos. It’s no secret that alcohol has a unique ability to ease the grip of anxiety temporarily, offering a sense of relaxation and a mood lift. However, the relationship between alcohol and anxiety is well documented. This blog post will cover the relationship between alcohol and anxiety and alcohol’s impact on the body. It will also provide valuable insights derived from scientific research on the subject. So, let’s dive in.

What Is The Relationship Between Alcohol and Anxiety?

bar tender holding a beer - alcohol and anxiety

Anxiety and alcohol have a complex relationship. Alcohol can temporarily reduce stress by relaxing the nervous system and boosting mood. When alcohol enters your system, it has a soothing effect, calming your nervous system. It makes you feel relaxed and comfortable, providing a short peacefulness and a feel-good moment.

Your worries seem to fade, and social anxieties diminish. It’s like a temporary cloak of confidence, making social interactions smoother and worries less daunting. The world feels more manageable in these moments, and joy seems within reach.

Yet, this relief is fleeting. As the alcohol begins to wear off, anxiety often returns, sometimes with a vengeance. It’s a cruel cycle — seeking solace in a bottle only to be confronted by heightened anxiety later on. Understanding this cycle is crucial to breaking free from its grasp.

Over time, the brain and body become accustomed to this external source of calm, making it increasingly challenging to manage anxiety without it. The very elixir that once provided relief starts to fuel your anxiety. However, alcohol can alter brain chemistry and trigger withdrawal symptoms.

Experts say Moderation is the key. What does drinking alcohol in moderation mean? What about the difference between the genders? Or height and weight?  

It’s a personalised balance, not a one-size-fits-all formula. Gender can play a role — generally, women may metabolise alcohol differently than men. Weight and height matter, too; a petite person may feel the effects sooner than a larger counterpart. It’s not just about counting drinks but understanding your body’s cues.

Listen to your body. If one glass feels right, fantastic. If it’s affecting your well-being or interfering in your relationships or work, you need to reassess. Moderation isn’t about restriction; it’s about finding a pace that lets you enjoy life without sacrificing your health.

Does Alcohol Trigger Anxiety?

Alochol and anxiety

While moderate alcohol consumption may not pose significant risks for everyone, the line between moderation and excess is thin. It’s essential to recognise that the temporary relief offered by alcohol is not a sustainable solution for managing anxiety. In some cultures, alcohol is deeply ingrained in social rituals and celebrations. This normalisation can blur the lines between moderate consumption and excess, fostering an environment where unhealthy drinking habits may thrive.

What About The Effects Of Alcohol On The Body?

Alcohol can interfere with the normal functioning of the brain and body, causing physical and psychological stress. It can also exacerbate existing anxiety disorders or trigger new ones, such as social anxiety, generalised anxiety, or phobias. It lowers blood sugar levels, which can cause symptoms like shakiness, sweating, and nervousness. This can be particularly problematic for individuals with diabetes. Alcohol use can also impair coping skills and increase the likelihood of encountering stressful situations or lead to individuals experiencing panic attacks.

Chronic alcohol use is linked to an increased risk of depression. Alcohol is a central nervous system depressant, and its effects can contribute to feelings of sadness and hopelessness. Prolonged alcohol abuse can result in liver damage, cardiovascular issues, and other serious health problems, adding to overall physical stress.

Does Alcohol Fuel Anxiety?

Alcohol can fuel anxiety by creating a vicious cycle of dependence and withdrawal. Alcohol can temporarily relieve stress by providing a sense of calm and confidence. However, this effect wears off as the alcohol leaves the body, leaving the person feeling more anxious than before. This can lead to a pattern of drinking more alcohol to cope with the anxiety, which can worsen the anxiety. This can result in a downward spiral of addiction and mental health problems. Seeking professional help from a doctor or therapist can also help address the underlying causes and effects of alcohol anxiety.

Does Alcohol Anxiety Go Away?

The morning after indulging in alcohol often brings with it the unwelcome companion known as the hangover. This physiological feeling is the body expressing displeasure with the excessive intake.  Alcohol is a diuretic; it disrupts the body’s water balance. Nausea and dizziness often accompany this throbbing horrible sensation, creating much discomfort and pain. The stomach, irritated by alcohol’s acidic nature, rebels against the indulgence, leading to bouts of nausea and heartburn.

Despite a night of sleep, the quality is compromised, leaving the body drained and lethargic. Sleep patterns are disrupted, contributing to the overall sense of exhaustion. Sensitivity to light and sound also amplifies. In its full glory, the hangover transforms a bright room or a sudden noise into a source of torture. It’s a sensory overload that adds to the misery of the morning after.

The hangover effect is not just physical; it extends its reach to cognitive functions of the brain. Concentration becomes a challenge, and even simple tasks become difficult. Memory and reaction times are impaired, affecting mental acuity and physical coordination. Individuals can experience alcohol anxiety symptoms. They sometimes settle within 24-72 hours, or they may linger for months, sometimes years, depending on the severity, especially for those who are prone to anxiety or have an underlying mental health condition.

Alcohol anxiety can go away over time. Depending on the amount and frequency of alcohol consumption, the individual’s physical and mental health, and the availability of support and treatment. Alcohol anxiety can be reduced by limiting or avoiding alcohol intake, staying hydrated, eating healthy foods, and getting enough sleep. 

Does Alcohol Affect Anxiety Medication?

Alcohol and anxiety

Alcohol can affect anxiety medication in various ways, depending on the type and dose of the medication, the amount and timing of alcohol consumption, and the individual’s metabolism and tolerance. Alcohol can interact with some anxiety medications, such as benzodiazepines, antidepressants, and beta-blockers, and cause adverse effects, such as increased drowsiness, impaired coordination, reduced effectiveness, or increased risk of overdose. Alcohol can also counteract the benefits of anxiety medication by worsening anxiety symptoms or triggering withdrawal.

What’s The Research?

Alcohol and anxeity

Research consistently highlights the complex relationship between alcohol and anxiety. Here are some key findings:

Temporary Relief: Alcohol can provide temporary relief from anxiety symptoms by depressing the central nervous system. This can lead to a sense of relaxation and mood elevation.

Increased Anxiety: While alcohol may offer short-term relief, long-term use can exacerbate anxiety. Chronic alcohol consumption can disrupt neurotransmitter balance, contributing to increased stress and even triggering anxiety disorders.

Individual Variability: Responses to alcohol vary widely among individuals. Factors such as genetics, gender, age, and overall health play crucial roles in how someone responds to alcohol and its impact on anxiety.

Gender Differences: Research suggests that women may be more vulnerable to the anxiety-inducing effects of alcohol than men. Women tend to experience higher levels of anxiety and mood disturbances during withdrawal.

Coping Mechanism: Individuals with anxiety disorders may be more prone to using alcohol as a coping mechanism. Understanding and addressing underlying mental health issues is crucial in breaking the cycle of anxiety and alcohol use.

Increased Risk of Dependency: Those using alcohol to cope with anxiety are at a higher risk of developing alcohol dependence. This dependency can, in turn, worsen anxiety symptoms.

Moderation is Key: Some studies emphasise that moderate alcohol consumption may not pose significant risks for everyone. However, defining what constitutes moderation is challenging and varies based on individual factors.

Treatment Implications: Effective treatment for co-occurring anxiety and alcohol use disorders often involves a comprehensive approach, including therapy, counselling, and, in some cases, medication.

Impact on Sleep: While alcohol may initially induce sleep, it often disrupts the sleep cycle, leading to poor-quality sleep. Sleep disturbances can contribute to increased anxiety levels.

Educational Interventions: Public health initiatives and educational programs are essential for raising awareness about the potential negative impact of excessive alcohol use on mental health. Below are 2 research papers on alcohol and anxiety. Check them out for yourself.

– [Underlying mechanisms in the relationship between stress and alcohol consumption in regular and risky drinkers (MESA)](^1^): This study investigates how stress affects the motivation to drink alcohol among regular and risky drinkers. It examines several biological and psychological factors that may mediate or moderate the stress-alcohol link, such as emotional distress, impulsivity, inhibitory control, and childhood maltreatment.

– [Alcohol use disorder with comorbid anxiety disorder: a case report and focused literature review](^2^): This report describes the case of a man with anxiety disorder and alcohol use disorder who experienced severe alcohol withdrawal episodes. It also reviews the current evidence and challenges for the treatment of co-occurring alcohol and anxiety disorders, highlighting the potential benefits of gabapentin, tobacco cessation, and integrated psychotherapy.

It’s crucial to note that research in this field is ongoing, and findings may evolve. Individuals facing challenges with anxiety and alcohol are encouraged to consult with healthcare professionals for personalised guidance and support.

black and white photo fo cocktails. Alcohol and anxiety

The relationship between alcohol and anxiety is a complex one. While that initial sip might offer a brief escape from life’s stresses, it’s crucial to recognize the potential pitfalls. Alcohol can momentarily calm the nervous system and lift your mood, providing a fleeting sense of relief. Yet, this relief is short-lived, and the vicious cycle of heightened anxiety can kick in as the effects wear off.

Moderation is key, but it’s not a one-size-fits-all solution. Factors like gender, weight, and overall health play roles in how alcohol affects individuals. Listen to your body’s cues, and if alcohol starts affecting your well-being or relationships, it’s time to reassess.

The morning-after hangover is not just a physical discomfort; it can impact cognitive functions, concentration, and memory. Alcohol’s disruptive effect on sleep can exacerbate anxiety symptoms, creating a cycle that’s hard to break.

Research highlights the individual variability in responses to alcohol, emphasizing that what might be moderate for one person could be excessive for another. It’s not just about counting drinks; it’s about finding a place to enjoy life without sacrificing your health.

Long-term alcohol use can worsen anxiety and even trigger anxiety disorders. Using alcohol as a coping mechanism may lead to dependency, making it crucial to address underlying mental health issues. Seeking professional help is essential for a comprehensive approach to treatment.

In essence, while that initial warm embrace of a drink may seem like a relief, it’s vital to understand that alcohol is not a sustainable solution for managing anxiety. Awareness, moderation, and seeking support when needed are critical steps towards breaking free from the cycle of alcohol and anxiety. Remember, your well-being is the priority; healthier ways exist to find solace and manage stress.

Just as a single sip offers a momentary reprieve, each act of kindness is a drop that creates an ocean of comfort, where the waves of compassion reach far beyond the shores of our existence.”


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