Recognizing the complex relationship between anxiety and alcohol use disorder, We Level Up Washington delivers a comprehensive treatment approach designed to treat both conditions together for effective and sustained recovery.
Clinically Reviewed by Lauren Barry, LMFT, MCAP, QS
Medically Reviewed by Ali Nikbakht, PsyD
Updated on January 26, 2026 — Editorial Policy | Research Policy
By We Level Up WA | Author Leslie Lugo, MS, RPh, BCPP | Editorial Policy | Research Policy
Many people drink alcohol to relax. Some drink to feel calm or forget stress. At first, alcohol may seem to help with anxiety. But over time, alcohol can make anxiety worse. This is called the alcohol and anxiety link.This article explains the alcohol and anxiety link in very simple words. It covers how alcohol affects anxiety, alcohol anxiety symptoms, alcohol-induced anxiety causes, and ways to feel better. The goal is to help you understand what is happening and how support can help.
Understanding the Alcohol and Anxiety Link
Because of the alcohol and anxiety link, drinking alcohol frequently makes people feel uneasy. Alcohol alters brain function. It has an effect on mood, sleep, and stress levels.
Alcohol may slow down the brain initially. This can help someone feel better for a little while. But as the booze wears off, anxiety frequently comes back even worse. This can make you drink more to feel better, which makes you feel worse again.

Why People Drink When They Feel Anxious
Many people drink alcohol to cope with stress or worry. They may feel:
- Nervous in social settings
- Overwhelmed by work or life
- Unable to relax or sleep
Alcohol may seem like a quick fix. But it does not treat anxiety. It only hides it for a short time.
How Alcohol Affects Anxiety
When you know how alcohol affects anxiety, you can better understand why symptoms get worse over time.
Short-Term Effects
Right after drinking, alcohol can:
- Lower stress
- Reduce fear
- Make people feel relaxed.
This is why some people drink when they feel anxious.
Long-Term Effects
Over time, alcohol:
- Changes brain chemicals
- Disrupts sleep
- Increases stress hormones
- Weakens coping skills
These changes make anxiety stronger, not better.
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Alcohol Anxiety Symptoms
Mood and worry problems can happen while drinking or after you stop. A lot of people start to feel sick the next day.
Common Alcohol Anxiety Symptoms
- Racing thoughts
- Feeling nervous or on edge
- Fast heartbeat
- Shaking or sweating
- Trouble sleeping
- Panic feelings
- Fear for no clear reason
These symptoms can feel scary. They are real and common.
Alcohol-Induced Anxiety Causes
There are several causes of alcohol-induced anxiety. There is a link between alcohol and nervousness for these reasons.
Brain Chemical Changes
Alcohol affects chemicals that control calm and stress. When alcohol leaves the body, these chemicals drop. This can cause anxiety.
Poor Sleep
Alcohol disrupts deep sleep. Poor sleep increases anxiety and makes stress harder to handle.
Withdrawal Effects
When someone drinks often, the body gets used to alcohol. When alcohol is not present, anxiety can rise quickly.
Loss of Coping Skills
People who drink to deal with stress may not be able to learn good ways to deal with it.
Anxiety After Drinking: Why It Happens
A lot of people feel stressed the day after they drink. This is known as “hangxiety” at times.
It happens because:
- Alcohol leaves the body.
- Stress hormones increase
- Sleep was poor
- Dehydration affects the brain.
Even small amounts of alcohol can trigger anxiety in some people.

Can Alcohol Cause Anxiety Disorders?
Alcohol does not cause anxiety disorders by itself. But it can:
- Make existing anxiety worse.
- Trigger panic attacks
- Increase social anxiety
- Delay proper treatment
Anxiety makes people more likely to have problems with drinking, and heavy drinkers are more likely to feel anxious. The alcohol and anxiety link can be very strong, as this shows.
Reducing Anxiety Related to Drinking
Being aware is the first step to lowering the stress that comes from drinking. A few small steps can change a lot.
Helpful Steps to Try
- Drink less or stop drinking.
- Avoid alcohol before bed.
- Stay hydrated
- Eat regular meals
- Practice deep breathing
- Get enough sleep
These steps support both the body and the mind.
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What Happens When You Stop Drinking
At first, getting sober may make people feel more anxious. This is fine. To get back on track, the brain needs time.
Early Changes May Include
- Temporary anxiety
- Mood changes
- Trouble sleeping
With time and support, many people feel calmer, clearer, and more stable.
When Alcohol and Anxiety Become a Bigger Problem
It may be time to seek help if:
- Anxiety feels constant
- Drinking increases anxiety
- Alcohol is used daily to cope.
- Panic attacks happen often.
- Life feels out of control.
Support can help break the cycle.
How Therapy Helps With Alcohol and Anxiety
The alcohol and anxiety link is better understood with therapy. It teaches better ways to deal with things.
Therapy can help with:
- Stress management
- Anxiety skills
- Emotional control
- Triggers for drinking
- Building confidence
Therapy treats the root problem, not just the symptoms.
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Support for Alcohol and Anxiety Together
Most of the time, you need to treat both alcoholism and nervousness at the same time. It might not work to treat just one.
Support may include:
- Therapy
- Medical care
- Support groups
- Structured routines
- Mental health treatment
This combined approach helps people feel safer and stronger.

Healthy Ways to Cope With Anxiety Without Alcohol
Learning new coping skills reduces the need for alcohol.
Simple Coping Tools
- Walking or light exercise
- Slow breathing
- Listening to calm music
- Writing thoughts down
- Talking to someone you trust
- Mindfulness practices
These tools reduce anxiety naturally.
Long-Term Healing Is Possible
The alcohol and anxiety link can be too much to handle. But a lot of people get better and get better.
With time, support, and care, people often notice:
- Less anxiety
- Better sleep
- Clearer thinking
- Improved mood
- Stronger coping skills
Healing is possible.
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FREE 24/7 Dual Diagnosis Mental Health Services HotlineFrequently Asked Questions
What is the alcohol and anxiety link?
Alcohol may feel calming at first, but it often makes anxiety worse after it wears off, according to the alcohol and anxiety link.
How does alcohol affect anxiety?
Alcohol may feel calming at first, but it can make anxiety worse as it wears off, according to the alcohol and anxiety link. Over time, drinking can make your worries worse and happen more often.
What are alcohol anxiety symptoms?
They include worry, panic feelings, a fast heartbeat, poor sleep, and nervousness.
What causes alcohol-induced anxiety?
Brain changes, poor sleep, withdrawal effects, and stress hormone changes.
Can reducing drinking lower anxiety?
Yes. Reducing or stopping alcohol often lowers anxiety over time.
Should I get help for alcohol and anxiety?
Yes. Professional support can help treat both safely and effectively. We Level Up Washington offers professional support and treatment options for alcohol and anxiety detox.
Take the First Step Toward Feeling Better
The alcohol and anxiety link can make life feel hard and confusing. You may drink to feel calm, but end up feeling more anxious. You are not alone, and help is available.
Support can help you understand how alcohol affects anxiety, reduce anxiety related to drinking, and build healthier coping skills. With the right care, anxiety can ease, and life can feel more balanced again.
If you or someone you love is struggling, reach out today. Call We Level Up Washington: (509) 348-4077 to learn about alcohol and anxiety withdrawal.
Further Readings
- Drinkware: Alcohol and Anxiety
- NIH: Alcohol, Anxiety & Depressive Disorders
- Mental Health Foundation: Alcohol & Mental Health
- Cleveland Clinic: Anxiety and Alcohol
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