Can anxiety cause dizziness?

Dizziness is often a physical symptom of anxiety. About 30 percent of people who experience dizziness also have symptoms of anxiety. For some people, anxiety precedes feeling dizzy, and for others, they notice dizziness first, which leads to anxiety.

Anxiety is thought to cause dizziness in a few ways:

• Sudden changes in blood pressure caused by the stress response cycle in the body can result in dizziness and confusion. These blood pressure changes can happen due to anxiety.
• Feeling emotionally unsteady may cause a feeling of dizziness. Some research has shown that having an anxious temperament is a risk factor for developing dizziness related to periods of anxiety.
• Anxiety can also result in hyperventilation, and during hyperventilation, rapid breathing may deprive the brain of oxygen and cause dizziness.

Dizziness can increase the risk of experiencing anxiety. When feeling dizzy, someone is likely to begin worrying about their physical health or even fearing the possibility of fainting. This can intensify anxiety. Research has shown a connection between dizziness and anxiety.

Anxiety symptoms differ for each person, and even if you are used to a certain presentation of anxiety, it can change over time. Some common symptoms of anxiety include:

• Difficulty focusing or concentrating
• Physiological symptoms like muscle tension or upset stomach
• A sense of impending doom
• Feelings of frustration

Treatment for anxiety-related dizziness begins with an evaluation of the dizziness. It’s important to rule out other potential underlying medical conditions. Once it’s determined that anxiety is the cause of dizziness, treating the anxiety can help. Some of the most effective treatment options for anxiety are therapy, medication, or a combination of the two.

Therapy for anxiety may include cognitive behavior therapy, which has received research support as an effective therapy for anxiety. Your therapist will work with you to determine an approach that best suits your needs and is tailored to your specific situation.

There are lifestyle changes and preventive or protective measures that are also usually recommended. This may include relaxation techniques like meditation or progressive muscle relaxation, getting regular exercise, and ensuring that you get plenty of sleep.