Can Anxiety Cause Dizziness? It Can — Why And How
By Mary Garcia-Kumirov, MD
Board-certified psychiatrist specializing in anxiety and mental health treatment
Medical Disclaimer: This content is for educational purposes only and does not substitute professional medical advice. Always consult a healthcare provider for personal health concerns.
Yes, anxiety can cause dizziness through mechanisms like hyperventilation, adrenaline release, and cortisol increase, leading to sensations of lightheadedness or spinning.
Understanding How Anxiety Causes Dizziness
Many individuals with anxiety experience disorienting sensations such as feeling unsteady, lightheaded, or like the room is spinning. These symptoms can occur during acute anxiety episodes or as a chronic issue.
Mechanisms Behind Anxiety-Induced Dizziness
Several physical changes in response to anxiety contribute to dizziness:
- Hyperventilation: Rapid, shallow breathing reduces oxygen to the brain, causing dizziness or faintness.
- Adrenaline Release: The fight-or-flight response increases heart rate and blood pressure, which can deprive the brain of oxygen and induce dizziness.
- Cortisol Elevation: Stress hormones like cortisol are released during anxiety, affecting brain function and balance.
Why Anxiety Disorders Lead to Dizziness
Different anxiety disorders, including generalized anxiety disorder (GAD), phobias, OCD, and PTSD, often involve physical symptoms like dizziness. These symptoms can be exacerbated by triggers such as crowded spaces, visual overload, or inner ear problems.
Additional Causes of Dizziness Beyond Anxiety
While anxiety is a common cause, dizziness can also stem from:
- Inner Ear Disorders: Conditions like BPPV, labyrinthitis, or Ménière’s disease affect balance sensors and can cause vertigo.
- Circulatory Issues: Low blood pressure, arrhythmias, or heart attacks impair blood flow to the brain.
- Medications: Sedatives, antidepressants, or blood pressure drugs can cause dizziness as a side effect.
- Other Factors: Dehydration, heat stroke, hypoglycemia, and visual strain also contribute to dizziness episodes.
Effective Strategies to Manage Dizziness from Anxiety
Managing dizziness involves addressing the underlying anxiety and employing self-help measures:
- Immediate Actions: Sit or lie down to prevent falls; support yourself with furniture or walking aids if needed.
- Breathing Techniques: Practice slow, deep breaths to reduce hyperventilation.
- Stress Reduction: Engage in yoga, meditation, or mindfulness exercises to lower anxiety levels.
- Avoid Triggers: Limit caffeine, nicotine, and visual overload.
Medical Treatments for Anxiety-Related Dizziness
Professional interventions include:
- Cognitive Behavioral Therapy (CBT): Helps reframe negative thoughts and develop coping skills.
- Psychotherapy: Provides emotional support and education about anxiety management.
- Physical Therapy: Improves vestibular function and balance through targeted exercises.
- Medications: Anti-anxiety drugs like benzodiazepines or beta-blockers (e.g., propranolol) can lessen physical symptoms such as dizziness and rapid heartbeat.
Recognizing When to Seek Medical Help
Consult a healthcare professional if:
- Symptoms persist despite self-help measures
- Dizziness worsens or is accompanied by chest pain, difficulty breathing, or severe headache
- You experience suicidal thoughts or behaviors
- Medication side effects cause significant discomfort
Additional Symptoms of Anxiety Disorders
Other signs include:
- Difficulty concentrating
- Persistent worry or obsessive thoughts
- Sweating, trembling, or restlessness
- Nausea, abdominal discomfort, or insomnia
- Rapid heartbeat or irritability
Take Action: Find Help for Anxiety and Dizziness
If you’re experiencing persistent dizziness linked to anxiety, professional treatment can help. On Klarity Health, licensed providers offer virtual consultations and personalized care. Appointments are often available within 24 hours, and treatments include therapy, medication management, and support for managing symptoms effectively.
Remember, managing anxiety and dizziness is possible with proper care. Seek help today to regain control over your mental and physical health.
Important Safety Notice
This information is for educational purposes only and not a substitute for professional medical advice. If you experience severe symptoms or a medical emergency, seek immediate help from emergency services or go to the nearest emergency room.
Connect with Qualified Providers
Visit Klarity Health for accessible, confidential mental health support, including anxiety treatment in as little as 24 hours. Our licensed practitioners are ready to help you manage dizziness and underlying anxiety effectively.