Man with eyes closed on a couch, experiencing anxiety tremors.

Shaking with Anxiety? Here’s Why Tremors Occur and How to Manage Them

Have you ever felt so anxious that your hands started shaking uncontrollably? You're not imagining it—this is a real physical response known as anxiety tremors. In this article, we’ll explore how anxiety triggers tremors, delve into the science behind this response, and provide practical steps to help you calm both your mind and body.

What Are Anxiety Tremors?

Anxiety tremors, sometimes referred to as psychogenic tremors, are involuntary muscle movements that occur as a direct response to anxiety or stress. These tremors can range from subtle, like a slight shake in your hands, to more noticeable symptoms such as trembling in your arms or legs. For some individuals, anxiety tremors might even affect their head or voice, making daily activities more challenging.

While anxiety tremors can be alarming, it's important to understand that they are generally not harmful. However, these tremors can significantly impact your quality of life, especially if they occur frequently or interfere with your daily tasks.

Can Anxiety Really Cause Tremors?

The short answer is yes, anxiety can cause tremors. To understand how this happens, let’s take a closer look at the body’s response to anxiety.

When you feel anxious, your body triggers what’s known as the “fight or flight” response. This is an evolutionary mechanism designed to protect you from danger. In a truly threatening situation, this response prepares your body to either confront the danger or flee from it. To do this, your body releases stress hormones like adrenaline and cortisol.

These hormones have several effects on the body:

Increased Heart Rate

Your heart pumps more blood to your muscles, giving you the energy to react quickly.

Rapid Breathing

Your breathing rate increases to supply more oxygen to your body.

Muscle Tension

Your muscles tense up, ready to spring into action if needed.

These physiological changes can lead to the development of anxiety tremors as your muscles react to the increased levels of stress hormones.

Anxiety's Silent Tremors

Psychogenic tremors are particularly interesting because they are not caused by any underlying neurological condition or physical illness. Instead, they are triggered by psychological factors such as stress, anxiety, or emotional trauma.

One of the defining characteristics of psychogenic tremors is that they tend to vary in intensity and can come and go. For example, you might notice your hands trembling during a particularly stressful meeting, but once you’re distracted or relaxed, the tremors may lessen or even disappear.

This variability is one of the ways doctors differentiate psychogenic tremors from other types of tremors, such as those caused by Parkinson’s disease or essential tremor. In conditions like Parkinson’s, tremors are often more consistent and don’t fluctuate based on the person’s mental state.

Another characteristic of psychogenic tremors is that they often worsen with stress or anxiety. If you’re already feeling anxious and you start to notice your hands shaking, this can lead to a cycle of increased anxiety and more pronounced tremors. It’s easy to become hyper-aware of your symptoms, which can make them feel even more intense.

Anxiety and Tremors: A Vicious Cycle

The relationship between anxiety and tremors can create a challenging cycle. Here’s how it often plays out:

Initial Anxiety

You begin to feel anxious, experiencing common anxiety symptoms like restlessness or worry, whether it’s due to a stressful situation, a social interaction, or a general feeling of unease.

Physical Symptoms

Your body responds to the anxiety with physical symptoms, including anxiety tremors. You might notice your hands shaking, your legs feeling weak, or a trembling sensation in your chest.

Increased Anxiety

The physical symptoms of anxiety can be alarming, leading to increased concern about what’s happening to your body. This added anxiety can exacerbate both your anxiety symptoms and tremors.

Hyperawareness

As you become more focused on your anxiety symptoms, especially the tremors, you might start to anticipate them, which can lead to even more anxiety and, consequently, more tremors.

How to Calm Anxiety-Related Tremors

If you’re experiencing anxiety-related tremors, it’s important to know that you’re not powerless. There are several strategies you can use to manage these symptoms and reduce their impact on your life. Let’s explore some of the most effective approaches:

1. Relaxation Techniques

Relaxation techniques can help reduce overall anxiety levels, which in turn may decrease the occurrence and intensity of tremors. Some of the most effective techniques include:

Deep Breathing

Slow, deep breaths can calm your nervous system and reduce the physical symptoms of anxiety. Try inhaling for a count of four, holding for a count of four, and exhaling for a count of four.

Progressive Muscle Relaxation

This involves tensing and then slowly releasing each muscle group in your body, starting from your toes and working your way up. This technique helps release the tension that contributes to tremors.

Mindfulness Meditation

Practicing mindfulness can help you stay grounded in the present moment and reduce the impact of anxious thoughts on your physical body.

2. Cognitive Behavioral Therapy (CBT)

CBT is a highly effective form of therapy for managing anxiety. It helps you identify and challenge negative thought patterns that contribute to anxiety and replace them with more balanced, realistic thoughts. By addressing the underlying thought processes that fuel your anxiety, CBT can help reduce both the emotional and physical symptoms, including tremors.

In CBT, you might work with a therapist to explore situations that trigger your anxiety, learn new coping strategies, and gradually face situations that you’ve been avoiding due to fear of tremors or other symptoms.

3. Medication

In some cases, medication may be recommended to help manage anxiety and related tremors. Medications commonly prescribed for anxiety include:

Beta-Blockers

These medications are often used to manage the physical symptoms of anxiety, such as rapid heart rate and tremors. They work by blocking the effects of adrenaline, helping to calm your body’s response to anxiety.

Anti-Anxiety Medications

Benzodiazepines and other anti-anxiety medications can help reduce the overall feelings of anxiety, which may also decrease tremors. However, these medications are typically used for short-term relief due to the risk of dependence.

Antidepressants

Some antidepressants, particularly SSRIs and SNRIs, can be effective in treating anxiety over the long term.

It’s important to consult with a healthcare professional before starting any medication, as they can help determine the best treatment plan for your specific situation.

4. Regular Exercise

Exercise is a powerful tool in managing anxiety. Physical activity releases endorphins, the body’s natural mood lifters, and can help reduce overall stress levels. Regular exercise can also improve your sleep, boost your self-esteem, and provide a healthy outlet for pent-up energy and tension.

Even moderate exercise, like a daily walk, can make a significant difference in how you feel. The key is consistency—making exercise a regular part of your routine can help keep anxiety and its physical symptoms, like tremors, at bay

5. Diet and Lifestyle Changes

What you eat and how you live can also influence your anxiety levels and the physical symptoms you experience. Here are a few lifestyle changes that may help:

Reduce Caffeine and Sugar

Both caffeine and sugar can increase anxiety levels and may make tremors worse. Try cutting back on coffee, energy drinks, and sugary snacks to see if it makes a difference in your symptoms.

Stay Hydrated

Dehydration can exacerbate anxiety and its physical symptoms. Make sure you’re drinking enough water throughout the day.

Get Enough Sleep

Lack of sleep can increase anxiety and make your body more sensitive to stress. Aim for 7-9 hours of sleep per night to help keep your anxiety in check.

6. Seek Support

Dealing with anxiety and tremors can be isolating, but you don’t have to go through it alone. Talking to a therapist can provide a safe space to explore your feelings and develop coping strategies. Support groups, either in person or online, can also offer a sense of community and understanding from others who are experiencing similar challenges.

Sometimes, just knowing that others have gone through the same thing and come out the other side can be incredibly reassuring.

When to See a Doctor

If you’re experiencing tremors and aren’t sure whether they’re related to anxiety, it’s important to consult with a healthcare provider. Tremors can be caused by a variety of factors, including neurological conditions like Parkinson’s disease or essential tremor, metabolic issues, and certain medications.

A doctor can help rule out other potential causes and provide guidance on the best course of treatment. If your tremors are linked to anxiety, a mental health professional can work with you to develop a treatment plan that addresses both the anxiety and the physical symptoms.

Conclusion

Anxiety tremors can be tough, but they don't have to define your everyday life. With a better understanding of why they happen and simple steps to manage them, you can find your balance again. Remember, you're not alone in this—there are ways to soothe both your mind and your body, helping you take back control and move forward with confidence.

 



Certain vitamins may support nervous system health and potentially reduce anxiety tremors. Vitamins B1 (thiamine), B6 (pyridoxine), and B12 (cobalamin) are particularly important for maintaining a healthy nervous system. Additionally, Vitamin D has been linked to reduced tremor activity, especially in individuals with deficiencies. Maintaining a balanced diet rich in these vitamins can help manage anxiety tremors effectively.

Anxiety tremors can be both visible and internal. You may notice visible shaking or trembling in your hands, legs, or other parts of your body. Alternatively, you might feel an internal tremor—a sensation of shaking or vibrating inside your body that others cannot see. Both types of anxiety tremors are common, and their intensity can vary depending on your stress levels.

Anxiety tremors typically do not last for days continuously. However, if you are in a prolonged state of stress or anxiety, you may experience recurring tremors over several days. The tremors themselves usually subside once the stress response ends, but chronic anxiety can cause them to reappear repeatedly until the underlying anxiety is addressed.

If anxiety tremors are significantly impacting your daily life, consider seeking professional help. A mental health professional can work with you to develop a comprehensive treatment plan that may include therapy, medication, and lifestyle changes. Cognitive Behavioral Therapy (CBT) is particularly effective in helping individuals manage anxiety and reduce the physical symptoms associated with it, including tremors.

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