Anxiety Fatigue: Symptoms, Causes and How to Overcome

Dorianne Green
Written by:
Dorianne Green
Medical Writer
Dr. Henry Bradford
Medical Reviewer:
Dr. Henry Bradford
MD

You’re tired and anxious at the same time, wondering if these symptoms are related, or if something else is going on. You’re having difficulty explaining the fatigue, it’s not only your body that feels drained, but your brain feels exhausted too.

In this article, you’ll find answers. We explore the relationship between anxiety and fatigue, as well as how to feel energized again.

Highlights

  • Anxiety makes you tired; in fact, fatigue is a common symptom of generalized anxiety disorder.
  • Tiredness makes you anxious; an exhausted brain copes poorly and can cause life to feel overwhelming.
  • Sleep difficulties are at the core of the anxiety-fatigue vicious cycle and should be a treatment priority.
  • Combined anxiety and fatigue could result from many mental and physical health conditions, so consult with a doctor to find out the real cause.
  • Seeking professional help is essential when anxiety or fatigue are impacting everyday life and relationships.

What Does Anxiety Do to Your Body?

Anxiety makes you feel worried and fearful; this might trigger your body’s “fight or flight” response, getting ready to save you from danger. The results are an alert brain, a racing heart, tense muscles, and fast breathing. But can this cause fatigue? In short, yes, but let’s explore this in more detail.

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Can Anxiety Make You Feel Tired and Exhausted?

Anxiety can definitely make you feel tired. In fact, “being easily fatigued” is a common symptom and one of the criteria[1] CloseTrusted SourceNCBIThe National Center for Biotechnology is a hub for biomedical literature, genomic data, and other related resources.Go to source for diagnosing generalized anxiety disorder (GAD). But it’s even more complicated than that because tiredness can trigger anxiety, too. Let’s get into the details.

1. Anxiety Can Lead to Fatigue

Physical Exhaustion

The first way anxiety causes tiredness comes into play through a natural stress response, also known as “fight-or-flight.”[2] CloseTrusted SourceNCBIThe National Center for Biotechnology is a hub for biomedical literature, genomic data, and other related resources.Go to source It causes physical symptoms, such as:

  • Muscle tension: so you are active and ready to run or defend.
  • Rapid breathing: lets your body get more oxygen.
  • Fast and powerful heartbeats: deliver oxygen to where it’s needed.

A panic attack is an extreme example of a stress reaction.

Sudden stress and anxiety activate fear and the release of stress hormones, like adrenaline, getting the body ready to escape the danger. This response needs fuel, so sugar is released from storage sites to keep energy levels up and the body going. And when it’s over and adrenaline levels drop, the body is exhausted because its organs have worked hard and depleted energy. This extreme fatigue is often referred to as a post-anxiety crash[2] CloseTrusted SourceNCBIThe National Center for Biotechnology is a hub for biomedical literature, genomic data, and other related resources.Go to source.

Mental and Emotional Exhaustion

A tired body can make everyday activities, like walking the dog, going to the shop, or making dinner, seem impossible. But it’s not only the body that’s affected; the brain is also left feeling exhausted. The reason is anxiety and constant worry cause a state of hyperarousal; the brain and senses are on high alert, constantly analyzing, overthinking, and having racing thoughts, which burn energy.

Sleep Disturbances

Anxiety can cause sleepiness due to fatigue, and yet people with anxiety often battle to sleep. 7 out of 10 people[3] CloseTrusted SourcePubMed Central (PMC)PubMed Central® (PMC) is a free full-text archive of biomedical and life sciences journal literature at the U.S. National Institutes of Health's National Library of Medicine (NIH/NLM).Go to source with GAD or panic disorder have sleep problems. This is thought to be because of the brain’s alertness[4] CloseTrusted SourceScienceDirectThe premier global hub for peer-reviewed scientific, technical, and medical research. Journals, books, and more than 19M articles and chapters.Go to source to danger. Restorative sleep is essential for mental and physical well-being; without it, the brain and body feel fatigued and don’t function properly.

This leads us to the next point: how being tired causes anxiety.

2. Fatigue Can Exacerbate Anxiety

When the brain is exhausted, it doesn’t always function properly either, and has:

  • Reduced coping ability, e.g., being unable to handle multiple tasks or feeling crushed by deadlines.
  • Impaired emotional regulation, e.g., bursting into tears or getting aggressive for no good reason.
  • Decreased willpower, e.g., agreeing to host a dinner party even though you know you’re not up to it.
  • Poor decision-making, e.g., making everyday decisions, such as what to eat for lunch, feels impossible.

When people are not functioning to the best of their ability at work, in relationships, and in daily activities, life seems overwhelming; the person feels worried or fearful, and this causes or exacerbates existing anxiety.

See a licensed medical provider from home to have a mental health assessment and get personalized treatment.

The Resulting Anxiety-Fatigue Vicious Cycle

So, now you can see how a vicious cycle starts; not only is anxiety exhausting, but exhaustion causes more anxiety. It’s important to notice the signs of both anxiety and fatigue and deal with them timely to prevent a significant impact on your day-to-day life.

"Anxiety often activates the body's fight-or-flight response. While this reaction is essential in true emergencies, when it becomes chronic, it places substantial strain on the body and can lead to profound fatigue. To make matters worse, that heightened stress response can keep someone in an alert state, inhibiting the restorative sleep they need."
Dr. Henry Bradford, MD
Medical provider at MEDvidi

What Does Anxiety Fatigue Feel Like?

Anxiety exhaustion symptoms might not only include feeling tired all the time, but also manifest in other ways, such as:

Importantly, co-existing mental health problems and other physical medical conditions can also cause fatigue and similar symptoms; a few examples are:

That is why it is essential to chat to a doctor to narrow down the diagnosis.

Taking this online anxiety test might help you identify anxiety as a possible cause of your tiredness.

Next, let’s look at how you can calm your anxiety and get your energy levels back.

How to Overcome Fatigue From Anxiety?

Below are a few tips on how to manage anxiety tiredness and focus on reducing stress.

Improve Sleep Hygiene

The body and brain need quality sleep, so addressing sleep issues is essential to break the anxiety-fatigue vicious cycle. You can do this with good sleep hygiene[5] CloseTrusted SourceCenters for Disease Control and PreventionNation's top service organization for public health working on protecting people from health threats through science and health awareness.Go to source:

  • Keep a regular bedtime schedule.
  • Ensure your bedroom is dark, quiet, and cool.
  • Avoid screens for at least 30 minutes before bedtime.
  • Avoid caffeine after lunchtime.
  • Avoid large meals and alcohol at dinnertime.

Healthy Lifestyle Habits

Lifestyle changes like regular exercise and a balanced diet are a great self-help strategy for improving anxiety and fatigue:

  • Many studies[6] CloseTrusted SourcePubMed Central (PMC)PubMed Central® (PMC) is a free full-text archive of biomedical and life sciences journal literature at the U.S. National Institutes of Health's National Library of Medicine (NIH/NLM).Go to source have shown that physical activity reduces anxiety, and healthy nutrition and hydration are essential for physical and mental well-being. 
  • Certain elements, like omega-3, B vitamins, probiotics, magnesium, and zinc, are considered anxiety-reducing[7] CloseTrusted SourceHarvard Health PublishingA publisher committed to providing trustworthy, scientifically sound health information, including articles, blogs, and newsletters.Go to source.

Mindfulness and Relaxation Techniques

Deep breathing exercises[8] CloseTrusted SourceDigital Object IdentifierDOI is a non-profit organization governing the Digital Object Identifier, which guarantees persistent access and legitimate linking.Go to source, meditation, yoga, and other relaxation techniques might help calm the stress and anxiety response; there are many online tutorials you can follow from the comfort of your home.

"Anxiety and insomnia frequently present together. Since restorative sleep enhances our capacity to regulate emotional stress, treating a patient’s insomnia alone can often lead to a significant reduction in anxiety symptoms."
Dr. Henry Bradford, MD
Medical provider at MEDvidi

Support Groups

Other people with anxiety fatigue in the community, as well as online support groups, may offer helpful advice about coping skills from their own experiences.

Professional Support

Unfortunately, sometimes you just can’t manage anxiety on your own and will need to see a healthcare provider. Your treatment plan may include therapy, medication, or both.

But, how will you know if you need to see a doctor for an opinion?

When to Seek Professional Help

It is time to see a professional if your tiredness or anxiety impacts daily functioning; for example, you’re:

  • Not performing at work.
  • Having relationship difficulties.
  • Neglecting essential activities of daily living, e.g., shopping, hygiene, and household chores.
  • Isolating yourself.

Remember that other health conditions may have a similar impact, so consulting with a doctor is critical.

How MEDvidi Can Support You

If you are battling the cycle of anxiety and fatigue and feeling lost and overwhelmed, you don’t have to be. These symptoms are manageable once a diagnosis is made, and the MEDvidi team is here to support you. So, book an online consultation for your mental health assessment and get a personalized treatment plan in 24 hours.

Frequently Asked Questions

Anxiety can often make you feel exhausted and sleepy; however, it usually leads to insomnia rather than oversleeping.

How long anxiety fatigue lasts depends on the trigger. Long-term anxiety causes chronic fatigue that might last months, whereas a sudden panic attack can cause intense tiredness for a few hours or days.

Yes, tiredness can cause anxiety attacks; an exhausted brain struggles to cope, regulate emotions and willpower, and make decisions. This can result in overwhelming stress, worry, fear, and possible anxiety attacks.

Yes, feeling tired after a panic attack is normal, and is also called a post-anxiety crash[2] CloseTrusted SourceNCBIThe National Center for Biotechnology is a hub for biomedical literature, genomic data, and other related resources.Go to source. The adrenaline spike during a panic attack causes the body and brain to burn energy; when it’s over, the body is exhausted.

The best way to recover from anxiety fatigue or tiredness is to reduce the stress and anxiety. You can do this with sleep hygiene strategies, healthy lifestyle changes, and relaxation techniques, but sometimes, professional help is needed.

Sources

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8 sources
  1. Munir S, Takov V. Generalized anxiety disorder. National Library of Medicine. Published 2022.
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  2. Chu B, Marwaha K, Ayers D, Sanvictores T. Physiology, Stress Reaction. PubMed. Published 2024.
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  3. Carbone EA, Menculini G, de Filippis R, et al. Sleep Disturbances in Generalized Anxiety Disorder: The Role of Calcium Homeostasis Imbalance. International Journal of Environmental Research and Public Health. 2023;20(5):4431.
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  4. Palagini L, Miniati M, Caruso V, et al. Insomnia, anxiety and related disorders: A systematic review on clinical and therapeutic perspective with potential mechanisms underlying their complex link. Neuroscience Applied. 2024;3:103936-103936.
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  5. CDC. About Sleep. Sleep. Published 2024.
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  6. Anderson E, Shivakumar G. Effects of Exercise and Physical Activity on Anxiety. Frontiers in Psychiatry. 2013;4(27).
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  7. Naidoo U. Nutritional strategies to ease anxiety - harvard health blog. Harvard Health Blog. Published April 13, 2016.
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  8. Hopper SI, Murray SL, Ferrara LR, Singleton JK. Effectiveness of Diaphragmatic Breathing for Reducing Physiological and Psychological Stress in Adults. JBI Database of Systematic Reviews and Implementation Reports. 2019;17(9):1855-1876.
    Source link
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Dorianne Green
Written by:
Dorianne Green
Medical Writer
Dr. Henry Bradford
Medical Reviewer:
Dr. Henry Bradford
MD
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