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23 July 2025

Alcohol and anxiety: the vicious circle

Alcohol and anxiety: the vicious circle

After a difficult day, many people feel that a glass of wine or a beer helps them to relax. Alcohol seems to loosen the tension, calm a racing mind and make it easier to switch off. Yet behind that sense of immediate relief lies a more complex reality. The relationship between alcohol and anxiety is one of the most common and least understood vicious circles, and understanding it properly can make a great difference to the life of anyone who experiences it.

In this article we want to explain, rigorously and without drama, why alcohol calms anxiety in the short term but worsens it in the long term, how this circle forms and how it is possible to break it. If you tend to reach for a drink to manage your nerves, distress or tension, this information may help you see that habit through different eyes.

Alcohol and anxiety: why they appear to relieve each other

To understand the link between alcohol and anxiety, we have to start with what happens in the brain. Alcohol is a depressant of the central nervous system. This means it slows down brain activity and boosts the action of a neurotransmitter called GABA, which has a calming, sedative effect. At the same time, it reduces the activity of another neurotransmitter, glutamate, which is excitatory. The result is a feeling of relaxation, of thoughts slowing down and tension easing.

That is why, with the first few drinks, many people experience genuine relief from their anxiety. The heart settles, the muscles relax, worries seem smaller and it becomes easier to talk in social situations. This effect is real and explains why so many anxious people turn to alcohol almost intuitively: it works, at least for a while.

The problem is that the relief is brief and comes at a price. The brain is a system that tends towards balance, and when a substance pushes it artificially towards calm, it reacts by compensating in the opposite direction. This is where the vicious circle begins.

The rebound effect: when relief turns into anxiety

A few hours after drinking, when alcohol begins to be metabolised and leaves the body, the brain tries to recover its balance. Because it has been forced towards sedation, it responds with an excess of excitation. Glutamate activity increases, GABA activity decreases, and what is known as the rebound effect appears: anxiety returns, but more intensely than before.

This phenomenon is especially noticeable the following morning. Many people know the feeling of waking after a night of drinking with a diffuse distress, a racing heart, restlessness and disproportionate worry. The term "hangxiety" has become popular to describe that mixture of hangover and anxiety. It is not imagination: it is the brain's physiological response as it tries to rebalance itself.

In addition, alcohol disrupts sleep. Although it may help you fall asleep faster, it worsens the quality of sleep, especially the deep, restorative phase. You sleep worse, you rest less, and lack of rest is in itself a factor that triggers anxiety the next day. Added to this are the effects on blood sugar, dehydration and fatigue, which all contribute to that general sense of unease.

How the vicious circle forms

This is where the two pieces fit together to form a trap. The person feels anxiety, drinks to calm it, obtains fleeting relief and, hours later, anxiety rebounds more strongly. To calm that renewed anxiety, they drink again. And so the solution becomes the cause. Alcohol stops being an occasional resource and turns into the engine that maintains and amplifies the very problem it was meant to solve.

This cycle has several phases that feed one another:

  • Underlying anxiety, caused by stress, worries or a pre-existing anxiety disorder.
  • Drinking alcohol as a quick strategy to relieve it.
  • Brief relief that reinforces the association between drinking and calm.
  • A rebound effect that raises anxiety above its initial level.
  • Fresh consumption to calm that heightened anxiety.

Over time, the brain learns this sequence and makes it automatic. Drinking becomes the reflex response to any emotional discomfort. And as tolerance develops, more and more is needed to obtain the same calming effect, which worsens both the consumption and the rebound anxiety. The circle tightens and becomes harder to break.

When anxiety and consumption feed each other over the long term

Kept up over months or years, this pattern can have significant consequences. Regular alcohol consumption alters brain chemistry more lastingly, reducing the brain's natural ability to generate calm without external help. In other words, the person becomes less and less able to regulate their own anxiety, because they have delegated that function to the substance.

In many cases, what began as an attempt to relieve stress ends up becoming an alcohol use disorder that coexists with an anxiety disorder. Professionals then speak of dual pathology, a situation in which both problems intertwine and worsen each other. Treating only one of them, while ignoring the other, usually leads to relapse.

It is important to stress that this does not happen because of weakness or lack of willpower. It happens because alcohol is a tool that works in the short term, and the brain is designed to repeat whatever gives it immediate relief, even if it is harmful in the long run. Understanding this mechanism helps to let go of guilt and to approach the problem more clearly.

Signs that alcohol has become your way of managing anxiety

Recognising the pattern is the first step towards changing it. Some signs worth observing honestly are:

  • Drinking mainly to relax, calm your nerves or switch off from worries.
  • Feeling that you need a drink to face social or stressful situations.
  • Frequently waking with anxiety, restlessness or distress after drinking.
  • Noticing that you need to drink more and more to get the same calming effect.
  • Reaching for alcohol before other strategies when emotional discomfort appears.

If you recognise yourself in several of these situations, it does not mean you are trapped with no way out, but rather that you have identified a mechanism you can begin to change. The good news is that the brain has a remarkable capacity for recovery when given the right conditions.

Common myths about alcohol and anxiety

A number of beliefs circulate around this relationship that are worth reviewing, because many of them help to maintain the problem. One of the most widespread myths is that alcohol "helps you sleep". As we have seen, although it may make falling asleep easier, it worsens the quality of sleep and causes nocturnal awakenings and insufficient rest which, in the long run, increases daytime anxiety.

Another common myth is thinking that someone with anxiety "needs" to drink in order to socialise. In reality, what happens is that alcohol provides a fleeting disinhibition that the person interprets as confidence, but which prevents them from developing their own resources for relating to others. Over time, the person becomes more dependent on the substance to face social situations, and their underlying anxiety does not decrease but is instead reinforced.

It is also common to believe that, because anxiety returns when you stop drinking, "it is better to keep drinking". This reasoning overlooks a key point: the anxiety that returns is, to a large extent, a consequence of the consumption itself. By reducing or eliminating alcohol gradually and with support, the brain slowly recovers its balance and anxiety tends to decrease steadily, not increase. Dismantling these myths is a fundamental part of the recovery work.

How to break the vicious circle

Escaping this cycle is not simply about stopping drinking through willpower, because that does not resolve the anxiety underneath. It is about addressing both pieces at once: reducing or eliminating consumption while, at the same time, learning healthier and more lasting ways of managing anxiety. Some approaches that prove effective are the following.

First, understanding and validating the anxiety rather than silencing it with alcohol. Anxiety is an emotion that signals something, and learning to listen to it and regulate it is more useful than covering it up. Techniques such as mindful breathing, relaxation, regular physical exercise and good sleep hygiene help the brain recover its natural ability to calm itself.

Second, reviewing your relationship with drinking without judging yourself. Identifying the moments and emotions that trigger the urge to drink allows you to anticipate and look for alternatives. Sometimes a simple change of habits or setting greatly reduces consumption.

And third, having professional support. When the circle between alcohol and anxiety has become entrenched, trying to break it alone is very difficult, because each attempt runs into the rebound effect and learned patterns. Appropriate treatment helps to manage that process safely, to understand the origin of the anxiety and to build resources that make drinking unnecessary.

If you feel that alcohol has become the way you manage your nerves and you want to regain control without feeling judged, at Reconectar we can help. We are an outpatient addiction treatment centre in Las Palmas de Gran Canaria, where we work on an individual, personalised and confidential basis, addressing both the drinking and the anxiety that often lies at its root. Breaking this circle is possible, and you do not have to do it alone.

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