Why Anxiety at Night Causes Physical Symptoms and How to Cope

A woman unable to sleep, lying in bed, lost in contemplation, her head resting on the pillow.

Understanding Anxiety Disorders

Anxiety, fear, and panic are emotions that most people experience at some point in their lives.
However, when these emotions start affecting daily life and become overwhelming, it may be a sign of an anxiety disorder. Anxiety disorders are characterized by persistent and excessive worry or fear that interferes with daily functioning. In this section, we will explore the characteristics of anxiety, fear, and panic, as well as the symptoms associated with these conditions.

Symptoms of Anxiety

Anxiety can manifest in various ways and affect individuals both physically and mentally. Some common physical symptoms of anxiety include a faster or irregular heartbeat, lightheadedness, headaches, chest pains, loss of appetite, sweating, breathlessness, feeling hot, and shaking.
On the other hand, mental symptoms may include feeling tense or nervous, being unable to relax, constant worrying about the past or future, feeling tearful, difficulty sleeping, trouble concentrating, fear of the worst happening, intrusive traumatic memories, and obsessive thoughts.
Additionally, changes in behavior, such as difficulty enjoying leisure time, struggling with self-care, maintaining relationships, and avoiding anxiety-inducing situations, may also be observed.

Symptoms of a Panic Attack

In some cases, individuals with anxiety disorders may experience panic attacks. A panic attack is characterized by sudden and intense anxiety and fear. Symptoms of a panic attack may include a racing heartbeat, feeling faint or lightheaded, feeling a loss of control, sweating, trembling or shaking, shortness of breath or rapid breathing, tingling in the extremities, and nausea. It is important to note that although panic attacks can be frightening, they are not dangerous and should not cause harm.

Coping Strategies for Anxiety and Panic

If you are experiencing anxiety, fear, or panic, there are several strategies you can try to alleviate these symptoms. First and foremost, reaching out for support is crucial. Talking to a friend, family member, health professional, or counselor can provide an outlet for expressing your feelings and concerns. Organizations like Samaritans offer a helpline that you can call or email if you need someone to talk to.
Additionally, engaging in calming breathing exercises can help regulate your breathing and promote relaxation. Physical exercise, such as running, walking, swimming, or yoga, is also known to reduce anxiety levels. Ensuring a healthy diet with regular meals can help stabilize energy levels. Peer support, where individuals with similar experiences come together to support one another, can also be beneficial. Listening to mental well-being audio guides can provide guidance and support as well.

On the other hand, it is important to avoid certain behaviors that may exacerbate anxiety. Trying to do everything at once can be overwhelming, so setting small, achievable goals is recommended. Focusing on things that can be changed and dedicating time and energy to self-improvement can contribute to feeling better. It is important not to avoid situations that make you anxious but rather gradually expose yourself to them to reduce anxiety. Remind yourself that you are not alone in experiencing anxiety or fear, as these are common emotions. Finally, avoid using substances like alcohol, cigarettes, gambling, or drugs as a way to relieve anxiety, as they can contribute to poor mental health.

Seeking Help for Anxiety and Panic

If you find that your anxiety, fear, or panic is interfering with your daily life and the coping strategies mentioned earlier do not provide sufficient relief, it may be time to seek professional help. The NHS offers various avenues for obtaining support. You can refer yourself directly to an NHS talking therapies service without needing a referral from a general practitioner. It is important to note that this service is available for individuals 18 years and above. For those under 18, specific mental health support is available for children and young people.

If your symptoms are non-urgent but still require attention, you can make an appointment with your GP. They will be able to assess your situation and provide appropriate guidance and referrals. In urgent cases where immediate help is needed but it is not a life-threatening emergency, it is recommended to ask for an urgent GP appointment or call the NHS 111 helpline. They can direct you to the most appropriate place to receive the necessary assistance. In the event of a mental health emergency, where you or someone you know requires immediate help or has harmed themselves, it is important to call 999 or go to the Accident and Emergency (A&E) department.

Causes of Anxiety, Fear, and Panic

Anxiety disorders can have various causes, and these causes can differ from person to person. When individuals experience anxiety, fear, or panic, the body releases stress hormones such as adrenaline and cortisol. While these hormones can be useful in certain situations, they can also lead to physical symptoms like increased heart rate and sweating. Sometimes, regular anxiety, fear, or panic can be the primary symptom of an underlying health condition. It is important not to self-diagnose, and if you are concerned about your symptoms, it is advisable to speak to a GP or healthcare professional.

Identifying the cause of anxiety, fear, or panic can help in effectively managing these emotions. Some common causes may include work-related pressure, family issues, financial problems, health concerns, and past traumatic experiences. Significant life events such as buying a house, having a baby, or planning a wedding can also contribute to feelings of stress and anxiety. Explaining your feelings to someone you trust can potentially lead to finding solutions and receiving support. The five steps to mental well-being, as outlined by the NHS, can provide guidance on maintaining good mental health.

FAQs

  1. What causes anxiety at night?
    Anxiety at night can be caused by various factors. Some individuals may experience heightened anxiety due to the quiet and stillness of nighttime, which allows intrusive thoughts and worries to surface.
    Additionally, certain individuals may have nighttime anxiety related to traumatic experiences or a specific fear or phobia. Understanding the underlying cause can help develop strategies to manage anxiety at night effectively.

  2. How can anxiety be managed during nighttime?
    Managing anxiety at night requires implementing strategies that promote relaxation and a sense of calm. Establishing a bedtime routine that includes activities such as reading, taking a warm bath, or practicing relaxation techniques like deep breathing can help prepare the body and mind for sleep. Creating a comfortable sleep environment by ensuring a quiet and dark space can also contribute to reducing nighttime anxiety.

  3. What are common symptoms of nighttime anxiety?
    Common symptoms of nighttime anxiety may include difficulty falling asleep, waking up frequently during the night, feeling restless and on edge, racing thoughts, and vivid or disturbing dreams. Physical symptoms such as rapid heartbeat, sweating, and shortness of breath may also be present. It is important to address these symptoms to ensure a restful night's sleep.

  4. When should I seek professional help for nighttime anxiety?
    If nighttime anxiety persistently disrupts your sleep and impairs your daily functioning, it may be beneficial to seek professional help. A healthcare professional can evaluate your symptoms, provide a proper diagnosis, and suggest appropriate treatment options.
    Additionally, if nighttime anxiety is accompanied by thoughts of self-harm or suicide, immediate professional assistance is necessary.

In conclusion, anxiety, fear, and panic are experienced by many individuals. While occasional feelings of anxiety are normal, if these emotions start affecting daily life, it is important to seek support and guidance. Coping strategies such as talking to others, engaging in relaxation techniques, and adopting a healthy lifestyle can help manage anxiety and panic. Seeking professional help is advisable if symptoms persist or worsen. By understanding the causes and symptoms of anxiety disorders, individuals can take steps towards improved mental well-being.

Reference

  1. Get help with anxiety, fear or panic - NHS

  2. Anxiety Disorders - National Institute of Mental Health (NIMH)

  3. Anxiety disorders - Symptoms and causes - Mayo Clinic

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