Alcohol and anxiety

What you need to know

Drinking alcohol can have a negative effect on your mood, thoughts and feelings. Over time it can contribute to the development, or worsening of, mental health conditions such as anxiety. Cutting back or cutting out alcohol can boost your energy, improve your mood and build positive mental health.  

The link between alcohol and anxiety

Alcohol is a depressant that disrupts the chemical balance in your brain. It slows down the brain and central nervous system. 

In the short-term, this can make you feel less inhibited and more relaxed. These effects wear off quickly and can leave you feeling worse than before.  

Good brain function relies on a balance of chemicals and processes that help regulate thoughts and feelings. 

Over time, alcohol use can reduce the chemicals in our brains that helps ease anxiety and manage stressful situations 

There is a complex relationship between drinking alcohol and mental health.  

Each person responds differently to alcohol, and social changes caused by drinking can lead to mental health concerns. We know that some people are more likely to develop mental health concerns, such as anxiety, or problems with alcohol.
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What is ‘hangxiety’?

Hangxiety refers to feelings of increased worry that many people have after drinking alcohol.  

Alcohol can reduce feelings of stress in the very short term. But after these effects wear off, a ‘rebound’ occurs. A chemical imbalance in the brain can spark stronger feelings of stress and anxiety. 

These feelings of anxiety are more likely after a period of excessive drinking. 

Your brain needs time to restore the balance of chemicals it needs for proper function.  

Hangxiety can be a sign of dependence on alcohol, as the brain becomes accustomed to alcohol being used as a tool to manage stress. 

About anxiety

Feeling anxious is something everyone experiences from time to time. It is one way the body tries to keep you safe. 

Feelings of anxiety usually come and go, but for some people these feelings can remain for a long time. They might also arise in situations where you wouldn’t expect to feel anxious. 

If this starts to happen, it can have a big impact on our everyday lives and may be an indicator of an anxiety disorder.

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Ways alcohol can affect anxiety

Whether you already experience anxiety or feelings of anxiety are new to you, alcohol can make things worse. Alcohol can worsen anxiety symptoms by causing: 

  • Sleep problems. 
  • Feelings of worry and/or panic. 
  • Feelings of guilt or remorse. 
  • Low moods. 
  • Lack of energy or motivation. 
  • Withdrawal from social activities and/or hobbies. 

Reducing your risk of harm

The Australian guidelines to reduce health risks from drinking alcohol  advise that to reduce the risk of harm from alcohol-related disease or injury:

  • Healthy men and women who drink alcohol should have no more than 4 standard drinks on any one day and no more than 10 standard drinks a week.

  • The less you drink, the lower your risk of harm.

  • Children and young people under age 18 should not drink alcohol.

  • Women who are pregnant or planning a pregnancy should not drink alcohol. For women who are breastfeeding, not drinking alcohol is safest for the baby. 
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Seeking help for anxiety

If feelings of anxiety remain for some time and interfere with your everyday life, seeking support early can help to stop symptoms getting worse. 

Tips for managing anxiety

The support of health professionals is key to treating anxiety. There are also things you can do which can ease anxiety and help you to feel better.

Some changes that help ease anxiety and build positive mental health include:  

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