Anxiety and Substance Abuse: Understanding the Link and Treatment Options

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Anxiety is one of the most common mental health challenges, affecting over 40 million adults in the United States each year (Anxiety and Depression Association of America, 2022). While anxiety itself can be overwhelming, its effects often extend beyond emotional distress, contributing to the development of anxiety and substance abuse. Many individuals turn to drugs or alcohol as a temporary escape from anxiety’s grip, unknowingly stepping into a cycle of dependency.

At Legacy Recovery Center, we understand the complex relationship between anxiety and substance abuse, offering comprehensive, personalized care to help break this cycle and restore balance to your life.

Understanding Anxiety

Anxiety disorders encompass a broad spectrum of conditions, from generalized anxiety disorder (GAD) to panic disorder, social anxiety, and post-traumatic stress disorder (PTSD). While occasional stress is a normal part of life, anxiety disorders cause persistent, overwhelming feelings of fear or dread that interfere with daily activities.

These feelings often manifest through physical symptoms such as:

  • Rapid heartbeat or palpitations
  • Shortness of breath
  • Restlessness or insomnia
  • Difficulty concentrating or racing thoughts

 

For many, anxiety isn’t just a mental burden—it’s a full-body experience that can feel isolating and exhausting. Understanding PTSD and its link to substance abuse is crucial, as trauma often plays a significant role in the development of anxiety disorders.

woman overwhelmed with anxiety and substance abuse

The Link Between Anxiety and Substance Abuse

Individuals experiencing anxiety often turn to substance use as a way to self-medicate. Substances like alcohol, marijuana, prescription medications, or illicit drugs may provide temporary relief from anxious feelings. However, this short-term escape can quickly spiral into long-term dependency, exacerbating anxiety symptoms and leading to addiction.

This cycle of self-medication and increased anxiety is a significant factor in the development of co-occurring disorders, where both anxiety and substance abuse exist simultaneously. The stigma of seeking help for addiction can prevent individuals from getting the support they need, making it even more challenging to break free from this cycle.

How Substance Abuse Worsens Anxiety

While substances might provide momentary relief, they often lead to a vicious cycle of dependency. Over time, the brain adapts to these substances, requiring higher doses to achieve the same calming effect. This process not only increases the risk of addiction but also worsens anxiety symptoms, especially during withdrawal periods.

For example:

  • Alcohol can initially reduce social inhibitions, but heavy drinking disrupts the brain’s natural chemistry, leading to heightened anxiety when sober—a condition known as alcohol-induced anxiety (Substance Abuse and Mental Health Services Administration, 2020).
  • Marijuana may temporarily ease feelings of tension, but regular use can result in increased anxiety sensitivity and even panic attacks in some individuals (Mayo Clinic, 2022).
  • Stimulants, like those prescribed for ADHD, can trigger anxiety symptoms as a side effect, leading some individuals to misuse other substances to counterbalance these effects.

 

The cycle of using substances to manage anxiety, only to have anxiety worsen as a result, presents a significant challenge in treatment. Additionally, factors like nutrition’s impact on mental health can influence anxiety levels and should not be overlooked in a comprehensive treatment plan.

Causes of Anxiety and Substance Abuse

Several factors can increase the likelihood of substance abuse among individuals with anxiety disorders:

  1. Self-Medication: Using substances to manage or alleviate anxiety can lead to reliance on these substances for coping.
  2. Biological Factors: Shared neurological pathways and brain chemistry may predispose individuals to both anxiety and substance abuse.
  3. Psychological Impact: The ongoing cycle of anxiety and self-medication reinforces both conditions, making recovery more challenging without professional intervention.
  4. Social and Environmental Factors: Stressful life events, trauma, or environments can exacerbate anxiety and increase substance use risk. For example, family support for addicts plays a crucial role in recovery, offering a foundation of stability and encouragement.

 

a man struggling with anxiety and substance abuse with alcohol and pills

Dual Diagnosis Treatment for Anxiety and Substance Abuse

At Legacy Recovery Center, we recognize that anxiety and substance abuse often coexist, creating complex challenges that require specialized care. This condition, known as a dual diagnosis or co-occurring disorder, demands an integrated treatment approach that addresses both mental health and substance use simultaneously.

Our dual diagnosis program combines:

  • Evidence-Based Therapies: Techniques like Cognitive Behavioral Therapy (CBT) help individuals identify and challenge thought patterns contributing to both anxiety and substance use.
  • Medication-Assisted Treatment (MAT): When appropriate, medications can help stabilize mood and reduce cravings, supporting long-term recovery.
  • Holistic Interventions: Practices like mindfulness, meditation, and exercise therapy promote overall well-being and resilience.

 

Without addressing both conditions simultaneously, individuals are more likely to experience relapse in one or both areas. Our integrated approach ensures that underlying causes are treated, not just the symptoms. If you’re ready to begin your recovery journey, you can get started today with our expert team.

Seeking Help for Anxiety and Substance Abuse

Struggling with anxiety and substance abuse can feel overwhelming, but you’re not alone—and help is within reach. At Legacy Recovery Center, we offer compassionate, personalized treatment designed to address the root causes of both anxiety and substance use disorders.

Whether you’re seeking support for yourself or a loved one, taking the first step can be life-changing. Contact us today to learn more about our dual diagnosis programs, evidence-based therapies, and how we can help you reclaim control over your life.

For those navigating recovery, understanding how to overcome addiction and manage ongoing anxiety is key to maintaining long-term health and well-being. Additionally, if you’re looking for specific local resources, our anxiety treatment options in Mesa, AZ provide tailored support to meet your unique needs.

You deserve a future free from anxiety and addiction. Let us help you find it.

External References:

Anxiety and Depression Association of America. (2022). Facts & Statistics. https://adaa.org/understanding-anxiety/facts-statistics

Mayo Clinic. (2022). Marijuana: What you need to know. https://www.mayoclinic.org/drugs-supplements-marijuana/art-20364974

Substance Abuse and Mental Health Services Administration. (2020). Alcohol and Anxiety: Understanding the Connection. https://www.samhsa.gov/find-help/national-helpline

author avatar
Dr. Roland Segal MD Medical Director / Founding Member
Dr. Segal completed his medical school education at the University of Arizona, College of Medicine, in Tucson, Arizona. He continued training in a general psychiatry residency at Banner Good Samaritan Medical Center in Phoenix, Arizona. Then Dr. Segal completed a forensic psychiatry fellowship at the University of Southern California, Keck School of Medicine, in Los Angeles. Dr. Segal is double board certified in General and Forensic Psychiatry. Dr. Segal is the Chief Medical Officer at the Valley Hospital in Phoenix, Arizona. Read More