You Can Beat The Challenge Of an Anxiety Attack After Drinking

Can you have an anxiety attack after drinking? The answer is yes. These attacks have become common in...

Anxiety
March 21, 2025

Can you have an anxiety attack after drinking?

The answer is yes. These attacks have become common in much of the population.

In addition, an underlying anxiety condition exacerbated by drinking can cause it, or it might occur entirely on its own due to drinking.

Many individuals use alcohol as a coping tool when they have anxiety symptoms. Doing this is dangerous and unhealthy.

Although taking alcohol after stress can bring about some relief, this is only temporary. It makes you ignore the underlying stressor and believe that all is well.

Alcohol does not remove any existing stressor or anxiety. The longer one depends on alcohol as a band-aid against trauma, fear, or untreated depression, the higher the risk that one could eventually succumb to anxiety attacks after drinking.

The ideal thing is to remove the underlying triggers of such anxiety. Otherwise, you might end up abusing alcohol or using it chronically.

Chronic alcohol use reduces the ability of your body to respond to stress or depression. In addition, it makes you dependent on alcohol because alcohol can affect the brain at the amygdala, the area of the brain that determines emotional responses.

Unfortunately, many persons have fallen into this vicious cycle posed by alcohol and become vulnerable to panic attacks and anxiety.

In addition, the need to take more and more alcohol makes them susceptible to anxiety attacks after drinking and alcohol hangovers due to this anxiety. This effect is called hangxiety.

The Relationship Between Anxiety Attacks and Alcohol

Many persons who have an anxiety attack after drinking alcohol wonder why it happens.

One research on alcohol and anxiety found that 25% of people treated for anxiety and panic disorder were dependent on alcohol. Alcohol causes anxiety and panic attacks through a chemical reaction with neurons and areas in the brain.

Alcohol can react with GABA, the primary neurotransmitter in the brain. It also reacts with serotonin and dopamine.

The reaction of alcohol with this neurotransmitter and chemicals destabilizes how the body reacts to situations.

For example, anxiety attacks after drinking alcohol are due to its negative effect on GABA, which is naturally a relaxant, b the reaction to alcohol causes increased tension and panic feelings.

After drinking, many persons who have this anxiety attack resort to self-help by drinking more alcohol. Unfortunately, drinking more and more alcohol eventually results in alcohol dependency. They will experience alcohol withdrawal when they attempt to stop drinking.

Because of this, they enter a vicious cycle where they have to drink to forestall anxiety. But the body has a tolerance threshold, and after crossing this threshold, anxiety attacks after drinking set in.

After drinking, the symptoms of anxiety attacks are shortness of breath or hyperventilation and detachment from reality. Fears and thoughts overload the individual's mind. They might even be afraid of innocent situations that pose no danger.

But alcohol is not the only drug that can cause these anxiety attacks after drinking. Drinking too much caffeine, sugar, or medications can cause the same reaction.

This anxiety can become intense. A popular name for it is hangxiety.

Hangover Anxiety (Hangxiety) and How Long It Lasts

Hangxiety, or hangover anxiety, is caused by drinking too much alcohol. A hangover is the physical and emotional consequences one experiences after drinking. This consequence is related to the metabolism of alcohol.

The body metabolizes alcohol to acetaldehyde, a compound that causes inflammation.

When there is inflammation and dehydration due to alcohol use, the individual feels sick. Eventually, the body rebalances after some time. But during that period of rebalancing, a mini-withdrawal from alcohol occurs.

Ultimately, it affects the nervous system and the mood of the individual. Hence, anxiety kicks in.

Symptoms of hangxiety tend to mimic typical anxiety. There will be nervousness, irritability, sweating, trembling, and fatigue. Sometimes, the individual will have trouble sleeping along with gastrointestinal problems.

These symptoms take a long time before they subside. They last for 24 hours or more than that. The peak of the symptoms is when anxiety sets in.

Hours after a hangover, anxiety attacks after drinking can set in. A study found that more than 22.6% of the world's population has experienced hangxiety.

Anxiety Attack After Drinking

How to Manage Hangxiety

An anxiety attack after drinking and due to drinking can cause stress to the body and make one susceptible to more stress from other sources. That is why it is essential to manage anxiety. In addition, it is crucial that someone who is managing anxiety attacks after drinking refrain from drinking more alcoholic beverages.  

Find Some Relief in Pain Relievers

Anxiety attacks can cause stress and pain. However, you can find relief from the pain by using over-the-counter pain relievers. Pain relievers are especially helpful when the pain triggers anxiety.

Rehydrate Often

Alcohol does cause dehydration, and dehydration induces anxiety and mood swings. Drink plenty of water as a habit. It helps with rehydrating. Mixing water and beverages that contain electrolytes is particularly helpful. Be careful not to consume any alcohol at this stage.

Sleep Well

One of the best remedies to an anxiety attack after drinking is sleep. It helps repair your body after the stress due to the reaction between alcohol with GABA, serotonin, and dopamine in the brain.  

Do Self-Care Activities

Meditation and breathing exercises can play some part in relieving anxiety. Many persons have also found yoga to be effective. Meditation and yoga can lower your heart rate, ease other symptoms, and steady your breathing.

Above all, if you are susceptible to anxiety attacks after drinking, stay clear of alcohol. That is the best way to stay healthy.

Conclusion

You can win the fight against hangxiety. Having an anxiety attack after drinking is nerve-wracking. But it doesn't happen to everyone. The effects of drinking vary in the population. One research has shown a close relationship between anxiety attacks after drinking and shyness. Also, preexisting anxiety tends to trigger it. So, try to practice moderation in drinking if you are shy or already feel anxious.

If none of the above techniques for managing anxiety from hangovers works for you, it is advisable to seek professional help. They could help with your drinking and offer advice on how you can stay healthy.

Author
Jennifer Luttman, LPC, ACS

I am a Licensed Professional Counselor, and owner of Overcomers Counseling. I'm dedicated to helping individuals find strength and healing through life’s challenges. With a deep understanding of mental health and years of professional experience, I specialize in fostering hope and resilience while equipping her clients with tools to thrive. Passionate about empowering others, she creates a safe, supportive space where everyone feels seen, valued, and capable of overcoming obstacles on their path to well-being.

Common Questions about Anxiety

Are there specific therapy services for anxiety and depression covered by Medicaid?

Yes, Medicaid provides insurance coverage for therapy services specifically designed to help individuals struggling with anxiety, depression, and other mental health conditions. Access to licensed therapists who specialize in these areas is available within the Medicaid network.

What other activities are beneficial for reducing anxiety symptoms?

Other activities which have been found helpful in reducing both immediate feelings of anxiousness and long-term anxieties associated with chronic disorders include yoga, journaling, nature walks, art therapy, volunteering, and other low-stress activities. Additionally, developing a healthy lifestyle incorporating adequate sleep, physical activity, and nutritious meals can help reduce overall stress levels.

How do I know if my therapist is a good fit for me?

It's important that you feel comfortable discussing personal matters with your therapist in order to open up and get more out of therapy sessions; therefore finding someone who meets certain criteria like experience level, expertise areas, and personality is key when selecting a therapist who can give meaningful feedback about how best handle issues related to anxiety or other mental health concerns.

Will medication help with my anxiety?

Medication is often prescribed for anxiety due to the fact that it works quickly to ease symptoms of distress or panic attacks in some cases. However, this should always be discussed with your doctor so they can provide guidance on what's right for you and the type of medication best suited for your needs.

How long does anxiety counseling typically take?

The duration of anxiety counseling varies for each individual, depending on the severity of their anxiety and their progress in therapy. Our therapists will regularly assess your progress and adjust your treatment plan as needed.

What can happen if I don't seek help for my anxiety?

Ignoring anxiety can exacerbate symptoms and make it more challenging to manage over time. This can result in a negative impact on your personal, professional, and social life, leading to feelings of isolation and even depression.