Does Alcohol, as a Depressant, Increase Anxiety?
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Does Alcohol, as a Depressant, Increase Anxiety?
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Does Alcohol, as a Depressant, Increase Anxiety?

Does Alcohol, as a Depressant, Increase Anxiety?
Written by Seth Fletcher on November 4, 2024
Medical editor Dr. Karina Kowal
Last update: November 4, 2024

There is a general belief that alcohol is used to unwind and relax yourself. As a depressant, however, alcohol may increase anxiety over the long term rather than reduce it. Did you know that roughly 20% of those who have anxiety disorders are battling alcohol use? Although it may seem like a quick fix for stress, alcohol actually disrupts brain chemistry, often heightening anxiety the day after drinking. Most people are familiar with this as “hangxiety”, and it may make you feel more anxious than before.

Key Takeaways

  • Alcohol's Dual Effect: Alcohol may initially calm but eventually increases anxiety due to its depressant effects.
  • Worsening Anxiety: Regular alcohol use can lead to dependency and exacerbate anxiety symptoms over time.
  • Sleep Disruption: Alcohol disrupts sleep, increasing next-day anxiety and irritability.
  • Mental Health Risks: Chronic use heightens the risk of anxiety disorders, often requiring professional help.
  • Healthier Alternatives: CBT, mindfulness, exercise, and support are effective, sustainable ways to manage anxiety without alcohol.

It’s essential to understand the relationship between alcohol and anxiety. Alcohol may have a short-term calming effect, but over time, it tends to increase anxiety symptoms. When consumed regularly, alcohol can lead to addiction and further deteriorate mental health.

short-term anxiety

If you have ever wondered whether your drinking habits may be contributing to your anxiety, then you are not alone. In this article, we will find out how alcohol affects anxiety and what one can do for the better management of both. Ready to learn how to break the cycle? Let’s dive in!

Understanding Alcohol as a Depressant

To answer the question, “is alcohol a depressant?” — Yes, alcohol is a depressant. This implies that this substance depresses the central nervous system, which deals with brain activity and the system through which information is processed in the body. When consumed, alcohol slows down brain communication pathways, affecting feelings, movement, and thought. When alcohol first starts to take effect, it creates a feeling of relaxation, which is what makes many people turn to it when things get stressful.

However, as the depressant-alcohol continues to take its toll on the brain, its effects related to mood can turn around. It reduces your brain's capacity to handle stress, anxiety, and other emotions. Although alcohol may initially create a sense of calm, it later disrupts mood-regulating neurotransmitters, like serotonin and dopamine, leading to mood swings and anxiety. This can lead to mood swings, irritability, and high levels of anxiety once the effects of the substance wears off.

help for alcoholics

Long-term use of alcohol manipulates the chemistry in the brain such that, over time, the ability of the body to self-regulate mood diminishes. As a result, individuals often feel more anxious once the immediate effects of drinking wear off. In fact, understanding alcohol’s properties as a depressant can be said to explain a lot about its complex relationship to mood and behaviour — especially for those suffering from anxiety.

The Relationship Between Alcohol and Anxiety

The impact of alcohol on anxiety is complex. Many people turn to alcohol as a quick method of eliminating stress or calming the nerves, so to say — a sort of self-medication. Initially, the depressant action of alcohol appears to calm anxiety by blunting the emotional responses and producing a temporary sensation of relaxation; that is why it is used at social gatherings or after a stressful day. The relief does not stay for long, though, and it does not come without significant consequences.

Although alcohol may briefly relieve stress, long-term use actually worsens anxiety. As the alcohol’s effects wear off, the body rebounds with increased quantities of those very hormones linked to stress; thus, feelings of anxiety are magnified-a condition often described as “hangxiety”. This increased anxiety from drinking can leave someone feeling more anxious than they were before they drank.

alcohol-induced anxiety

Moreover, regular consumption of alcohol for the purpose of managing anxiety will lead to dependence, becoming a vicious circle. The moment resistance increases, more alcohol is needed in order to produce the effect expected for calming, thus further damaging a brain that would otherwise regulate stress and emotions on its own. Over time, this dependence increases anxiety disorders, making it challenging to cope without alcohol..

Understanding the effects of alcohol on anxiety is crucial for breaking this cycle and finding healthier, long-term solutions for managing stress and anxiety.

How Alcohol Increases Anxiety

Three main factors explain why alcohol increases anxiety: rebound effects, sleep disturbances, and chemical changes in the brain. The wearing off of this initial calmness induced by alcohol is called a “rebound effect”, where the anxiety and stress levels go through the roof. While alcohol depresses the central nervous system, when being cleared out of the body, the brain tries to balance itself by overproducing stress hormones and in effect  increases anxiety.

Another major influencer is the effect of alcohol on sleep. While alcohol may expedite falling asleep, it disrupts the deeper stages of sleep, particularly REM sleep, which is important for recovery on both mental and emotional levels. Poor quality sleep or insomnia while drinking generally causes irritability and anxiety in a person the following day. This disruption of your natural pattern of sleep creates stress by also causing fatigue and furthering anxiety.

Additionally, alcohol alters the brain’s chemical balance. It affects neurotransmitters like serotonin and dopamine, which regulate mood. Over time, regular drinking can deplete these chemicals, making it harder for the brain to naturally manage anxiety. In more severe cases, when someone stops drinking after prolonged use, alcohol withdrawal can trigger intense anxiety and panic attacks, making professional help from an alcohol rehab program essential. Managing the long-term effects of alcohol requires a focus on breaking this cycle and restoring healthy brain function.

Long-term Effects of Alcohol on Mental Health

The long-term effects of alcohol on mental health can be profound, contributing to the development of anxiety disorders and other psychological issues. Alcohol may seem like a way to cope with stress or anxiety, but over time, it usually worsens mental health. Over time, the negative effects of alcohol start to outweigh any temporary relief it provides.

A major concern with alcohol is its impact on the brain’s natural mood regulation. Chronic drinking leads to an imbalance of neurotransmitters, including serotonin and dopamine, which are needed to maintain a stable mood. The result is heightened anxiety and depression, which might be difficult for an individual to cope with without alcohol. In most instances, it becomes a vicious circle of dependence on alcohol and increased anxiety.Moreover, long-term alcohol use increases the risk of developing alcohol-induced anxiety. This condition can manifest as intense feelings of panic and stress that occur even when not drinking. Over time, these psychological effects can become more severe, leading to anxiety disorders, depression, and other mental health issues. Addressing the long-term effects of alcohol on mental health requires professional intervention, often involving therapy and support from addiction specialists, to break the cycle and restore emotional balance.

panic attacks

How to Manage Anxiety Without Alcohol

It is important to manage anxiety healthily without always reverting to alcohol. While alcohol may seem like a shortcut, there is a much better way to handle anxiety in the long term. Here are some effective ways:

  1. Therapy: One of the most successful treatments for anxiety is Cognitive Behavioural Therapy (CBT). It can help you learn to identify such thought patterns and develop ways of coping with them. Therapy can teach you how to handle stress and anxiety more healthily and sustainably.
  2. Mindfulness and meditation: The practice of either mindfulness or meditation can reduce levels of short-term anxiety by making an individual stay in the present and manage stressful thoughts. Deep breathing and guided meditation have been observed to calm the mind, hence reducing the level of stress without using alcohol.
  3. Exercise: Anxiety is most naturally remedied through physical activities. Physical exercises, from merely a walk, release endorphins and reduce the stress hormones to balance your mental state.

If you find yourself relying on alcohol to manage anxiety, seeking professional help is crucial. An alcoholism treatment program can provide the guidance and support needed to break free from dependency. Professionals at an alcohol recovery centre can offer specialized care, combining therapy, medical support, and coping techniques. Don’t hesitate to explore help for alcohol dependency if you or someone you love struggles with managing anxiety through alcohol. Taking this step will lead to healthier, more effective ways of managing both anxiety and alcohol dependence.

FAQ

Is alcohol a depressant, and how does it affect anxiety?

Yes, alcohol is a depressant. It depresses the central nervous system, which initially gives one the feeling of relaxation. As it wears off, alcohol interferes with the chemistry of the brain and raises stress hormones, which result in more anxiety, especially on the morning afterward.

Why does alcohol seem to reduce anxiety temporarily?

Alcohol’s short-term calming effect explains why some people use it for relief, but this feeling is temporary. The feeling is short-lived, and when the alcohol wears off completely, it tends to lead to even more extreme anxiety and emotional instability due to a rebound effect.

Can long-term alcohol use cause anxiety disorders?

Yes, chronic alcohol ingestion can lead to the development of alcohol-induced anxiety and increase the severity of anxiety disorders. Chronically, alcohol interferes with neurotransmitter activity, ultimately making it more difficult for the brain to regulate stressful situations and emotions naturally, leading to chronic anxiety.

What are healthier ways to manage anxiety instead of using alcohol?

Healthy anxiety reducers include therapy, such as cognitive-behavioural therapy (CBT); mindfulness practices; and regular exercise. These methods of relief are sustainable without the negative side effects of alcohol. If anxiety and use of alcohol are linked, then seeking professional help may be in order, perhaps even an alcohol treatment program.

When should I seek professional help for alcohol-related anxiety?

If you find yourself using alcohol to hold anxiety at bay, or if anxiety worsens after drinking, then it's time you went to an alcohol recovery centre. Such centres offer personalized treatment programs related to both anxiety and alcohol dependence, and they focus on the holistic development of their clients for long-term recovery.

Certified Addiction Counsellor

Seth brings many years of professional experience working the front lines of addiction in both the government and privatized sectors.

Medicolegal Litigation Strategist/ Mediator

Dr. Karina Kowal is a Board Certified Physician specializing in insurance medicine and medicolegal expertise, holding certifications from the American Medical Association as a Certified Independent Medical Examiner. 

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