Headaches, sickness, dehydration and fatigue are all common side effects of a hangover, but some people also wake up feeling worried and emotionally overwhelmed. What’s more, these mental symptoms can often linger for a few days.

Here, we look at alcohol-related anxiety in more detail so you can understand why it happens and make better-informed decisions about your drinking habits and mental wellbeing.

 

Can Alcohol Cause Anxiety for Days?

In short, yes. Alcohol can cause anxiety that lasts several days after drinking. While the alcohol itself leaves the body relatively quickly, the effects on the brain, sleep, emotional regulation and hormones can last much longer. This also depends on:

  • How much alcohol was consumed
  • Individual brain chemistry
  • Existing mental health conditions
  • Sleep quality
  • Stress levels
  • Frequency of alcohol use

 

Why Does Alcohol Affect Anxiety?

Alcohol is often viewed as a way to relax and unwind because initially it affects neurotransmitters in the brain that promote feelings of calmness and reduced inhibition. This is why some people experience reduced social anxiety and increase confidence shortly after consuming alcohol. However, these effects are temporary.

As alcohol leaves the system, the brain has to go into overdrive to restore balance. This can lead to an increase in excitatory brain activity which is why some people feel restless and anxious.

 

What Is Hangxiety and How Long Can It Last?

The term hangxiety has become popular in recent years and describes the feelings of anxiety that occur during a hangover. During this, you may notice:

  • Excessive worry
  • Nervousness
  • Racing thoughts
  • Feelings of dread
  • Increased self-criticism
  • Social embarrassment about events that occurred while drinking

These side effects can vary from person to person. Some people find they feel better in a day, while others experience lasting anxiety for several days.

 

Why Do Some People Experience Anxiety for Longer Than Others?

Not everyone reacts to alcohol in the same way, and several factors can influence how someone feels after drinking. This includes:

  • Drinking patterns
  • Quantity consumed
  • Existing mental and physical health conditions
  • Sleep quality
  • Stress levels
  • Overall wellbeing

In the same way that people experience different physical hangover symptoms, some people will suffer with more severe anxiety after drinking alcohol.

 

Could Alcohol Make an Existing Anxiety Disorder Worse?

Studies show that alcohol and anxiety can create a difficult cycle. For example, someone might drink alcohol to feel more comfortable but as alcohol leaves the body, the anxiety can return and become more intense.

What’s more, many people struggle to recognise the connection between alcohol and their emotional wellbeing.

Potential warning signs include:

  • Feeling anxious after drinking
  • Mood swings following alcohol use
  • Increased irritability
  • Persistent low mood
  • Difficulty managing stress
  • Panic attacks after drinking
  • Needing alcohol to relax
  • Feeling emotionally dependent on alcohol

Physical symptoms can also occur including:

  • Racing heart
  • Sweating
  • Restlessness
  • Difficulty sleeping
  • Fatigue

 

When Does Post-Drinking Anxiety Become a Concern?

Occasional anxiety after drinking isn’t usually anything to worry about but if symptoms are frequent, severe and disrupt your daily life, you may want to get in touch with a professional.

Some warning signs include:

  • Anxiety lasting several days after drinking
  • Repeated panic attacks
  • Avoiding social situations due to anxiety
  • Declining mental wellbeing
  • Problems at work or home
  • Increased alcohol consumption to manage symptoms

This is because recurring anxiety can contribute to broader mental health challenges as well as the fact that an underlying alcohol use problem is developing.

 

Can Reducing or Stopping Alcohol Improve Anxiety?

Yes, many people notice improvements in the way they feel when they reduce or stop drinking alcohol. This includes:

  • More stable moods
  • Improved sleep quality
  • Better emotional regulation
  • Reduced stress levels
  • Improved concentration
  • Greater overall wellbeing

Remember, though, everyone’s experiences will be different and it’s important to have realistic expectations. Anxiety might not disappear immediately, especially if there is an anxiety disorder. But for many people removing alcohol allows them to better understand their relationship with it and how they can support their mood.

Unfortunately many people drink because they believe it helps their anxiety but this is not true. Instead, you may find it beneficial to explore healthy coping strategies and professional support.

 

Support for Alcohol Misuse and Anxiety

If you are using alcohol to manage your anxiety, or you find your anxiety is worsening after alcohol use, there is help available. In fact, that’s where we come in providing information and guidance for those in search of support with alcohol misuse, addiction treatment, and recovery services across the UK.

Above all, understanding the connection between alcohol and mental health and recognising the warning signs is the most important step towards making a positive change.

References

  • [1] Alcohol can cause anxiety - https://www.drinkaware.co.uk/facts/health-effects-of-alcohol/mental-health/alcohol-and-anxiety
  • [2] Alcohol - https://www.bupa.co.uk/newsroom/ourviews/alcohol-and-mental-health
  • [3] hangxiety - https://www.nuffieldhealth.com/article/hangxiety-the-link-between-alcohol-and-anxiety