Mental Health

How To Tell if Shortness of Breath Is From Anxiety

shortness-of-breath

Learn about the causes of shortness of breath, from heart and respiratory conditions to anxiety, and how to recognize and manage this distressing symptom.

Shortness of breath can be a distressing symptom with various underlying causes, from heart and respiratory conditions to anxiety. You may have experienced it before and wondered whether it’s just temporary discomfort, anxiety, or a more critical health issue to address. By knowing what to look out for, you can seek out proper treatment and gain some much-needed peace of mind. 

Gain the knowledge to recognize whether your short breath is anxiety-related or indicative of another medical situation, so that you can seek help when you need it. And if you or a loved one find yourselves weighed down by feelings of anxiety, call The Edge Treatment Center. Our team of mental health professionals is ready and available to assist you.

Understanding Shortness of Breath

Shortness of breath, medically known as dyspnea, is the sensation of being unable to get enough air into your lungs. It can range from mild discomfort to severe difficulty in breathing. This symptom can be acute (sudden and severe) or chronic (persistent over time), and may signal an underlying health issue that requires attention.

Common Physical Causes

Several physical conditions can lead to shortness of breath, from heart conditions and respiratory issues to anemia, obesity, and more. Here’s a rundown of common physical causes:

  • Heart Conditions: Diseases such as heart failure, coronary artery disease, and arrhythmias can reduce the heart's efficiency in pumping blood, leading to reduced oxygen delivery to the body and resulting in breathlessness.

  • Respiratory Issues: Conditions like asthma, chronic obstructive pulmonary disease (COPD), pneumonia, and pulmonary embolism can obstruct or impair the lungs' ability to take in and utilize oxygen, causing shortness of breath.

  • Other Causes: Anemia (low red blood cell count), obesity, and deconditioning from lack of exercise can also contribute to this symptom by reducing the body's capacity to transport or use oxygen effectively.

Psychological Causes, with a Focus on Anxiety

Anxiety is a common psychological cause of shortness of breath. When you experience anxiety, your body activates its fight-or-flight response, which prepares you to face or escape danger. This response includes increased heart rate, rapid breathing, and muscle tension, all of which can contribute to the sensation of breathlessness.

In anxiety-induced shortness of breath, there are no physical obstructions or diseases affecting the lungs or heart. Instead, the rapid breathing (hyperventilation) caused by anxiety decreases the levels of carbon dioxide in the blood, leading to symptoms like lightheadedness, tingling in the extremities, and a feeling of not being able to breathe deeply. 

Recognizing that anxiety can manifest physically in this way is important, especially for individuals in recovery from addiction, for whom anxiety symptoms may be heightened. Seeing as mental health issues can be exacerbated by substance use, and vice versa, knowing when a symptom signals a deeper issue is key in effectively managing symptoms and seeking appropriate care.

When you experience anxiety, your body reacts in ways that can cause shortness of breath. This response is not merely a feeling but a complex interaction of physiological changes that occur when you are anxious. 

Anxiety can lead to rapid, shallow breathing, making you feel like you’re not getting enough air. This can be especially alarming if you’re not aware that anxiety can trigger such symptoms.

The Physiological Response to Anxiety (Fight or Flight Response)

Your body’s fight or flight response is designed to protect you in dangerous situations. When you’re anxious, your brain signals the release of stress hormones like adrenaline. These hormones prepare your body to either face a threat or run from it. 

One of the immediate changes is an increase in your breathing rate, known as hyperventilation. This rapid breathing reduces the carbon dioxide levels in your blood, causing your blood vessels to constrict. As a result, you might feel dizzy, lightheaded, and short of breath.

In addition to shortness of breath, anxiety can cause a variety of other physical symptoms. You might notice a rapid heartbeat, sweating, trembling, or a feeling of tightness in your chest. These symptoms can be frightening, especially if you’re unsure whether they are caused by anxiety or another health issue. Recognizing that these are common reactions to anxiety can help you manage your symptoms more effectively.

Understanding how anxiety affects your body is a crucial step in learning to manage it. By recognizing the signs and understanding the physiological processes at play, you can take steps to alleviate your symptoms and seek the appropriate support and care on your path to recovery.

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Symptoms of Anxiety-Induced Shortness of Breath

When shortness of breath is induced by anxiety, it often has distinct characteristics. You might feel like you can't take a full, deep breath or that you're suffocating, even though there is no physical obstruction. This sensation can come on suddenly and may be accompanied by a sense of panic or dread. The feeling can be overwhelming and may cause you to become more anxious, perpetuating the cycle of breathlessness and anxiety.

Symptoms of Shortness of Breath Vs. Other Conditions

Shortness of breath from anxiety differs from that caused by other medical conditions in several ways. For instance:

  1. Heart Conditions: Breathlessness from heart problems often comes with chest pain, swelling in the legs, or fatigue. It tends to worsen with physical exertion.

  2. Respiratory Issues: Conditions like asthma or COPD may cause wheezing, coughing, and a persistent tightness in the chest. These symptoms are usually chronic or triggered by specific allergens or irritants.

  3. Anxiety-Induced: The breathlessness related to anxiety typically comes on quickly, especially in stressful situations. It is less likely to be associated with physical exertion and more with emotional stress.

  4. Identifying Patterns: Sudden Onset, Situational Triggers, and Accompanying Anxiety Symptoms

Recognizing patterns in your symptoms can help you determine if anxiety is the cause of your shortness of breath. Here are some key indicators:

  • Sudden Onset: Anxiety-induced shortness of breath often begins suddenly, coinciding with feelings of anxiety or panic.

  • Situational Triggers: You might notice that your breathlessness occurs in specific situations, such as during public speaking, in crowded places, or when facing stressful events. These situational triggers are strong indicators that anxiety might be the cause.

  • Accompanying Anxiety Symptoms: Along with breathlessness, you may experience other symptoms of anxiety like a racing heart, sweating, trembling, dizziness, or a feeling of impending doom. These symptoms collectively suggest that anxiety is at the root of your breathlessness.

Managing Anxiety-Induced Shortness of Breath

Managing anxiety-induced shortness of breath involves adopting practical strategies that can help calm your mind and body. By incorporating these techniques into your daily routine, you can reduce the frequency and intensity of your symptoms, making it easier to navigate stressful situations.

Breathing Techniques

Diaphragmatic breathing, also known as belly breathing, helps you engage your diaphragm, allowing for deeper and more efficient breaths. Here’s how to do it:

  • Sit or lie down in a comfortable position.

  • Place one hand on your chest and the other on your abdomen.

  • Inhale deeply through your nose, ensuring that your abdomen rises while your chest remains relatively still.

  • Exhale slowly through your mouth, feeling your abdomen fall.

  • Repeat for several minutes until you feel more relaxed.

Relaxation Exercises

Progressive Muscle Relaxation is an exercise that involves tensing and then relaxing different muscle groups in your body to release physical tension and promote relaxation. Here are some tips to get started:

  • Find a quiet place where you won’t be disturbed.

  • Start at your feet and work your way up to your head, tensing each muscle group for a few seconds before slowly releasing the tension.

  • Pay attention to the contrast between the tension and relaxation, and focus on the sensations of relaxation spreading through your body.

Guided Imagery is another technique that involves visualizing calming and peaceful images to reduce stress and anxiety. Here’s the process:

  • Close your eyes and take a few deep breaths.

  • Imagine a peaceful scene, such as a beach, forest, or mountain.

  • Focus on the details of this scene—what you see, hear, smell, and feel.

  • Spend several minutes immersed in this visualization, allowing it to bring a sense of calm and relaxation.

Cognitive-Behavioral Techniques

Cognitive-behavioral techniques can also help you identify and change negative thought patterns that contribute to anxiety. Keep these tips in mind if you try CBT with a therapist:

  • Notice when you’re experiencing negative or anxious thoughts.

  • Challenge these thoughts by asking yourself if they are based on facts or assumptions.

  • Replace negative thoughts with more balanced and realistic ones. For example, instead of thinking, "I can’t handle this," try thinking, "I’m doing my best, and I can manage this situation step by step."

  • Practice this regularly to build a habit of thinking more positively and realistically.

Incorporating these strategies into your daily routine can significantly reduce anxiety-induced shortness of breath. By practicing these techniques, you can empower yourself to manage your anxiety more effectively, supporting your overall well-being and recovery journey if you’re struggling with alcohol or substance use. 

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Shortness of Breath & Anxiety: Closing Thoughts

Understanding the causes of shortness of breath, whether physical or psychological, is crucial for effective management and peace of mind. By recognizing the signs and knowing when to seek help, you can take proactive steps towards better health. If you or a loved one are struggling with anxiety, substance use disorders, or both, remember that help is available. Reach out to a mental health professional or a trusted local treatment center for support.

Struggling with Anxiety or Substance Use? We Can Help.

Whether you’re struggling with anxiety, substance use, or both, The Edge Treatment Center has the team and resources to guide you toward a stable recovery. And with a community of peers and staff members to support your journey, you’ll feel encouraged every step of the way. Don’t hesitate to reach out and take the first step toward healing.

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If you or a loved one is struggling with addiction, there is hope. Our team can guide you on your journey to recovery. Call us today.

Written by

brian-mooreBrian Moore

Content Writer

Reviewed by

jeremy-arztJeremy Arzt

Chief Clinical Officer

Mental Health

December 3, 2024

FAQ

Frequently Asked Questions

Diaphragmatic breathing, also known as belly breathing, is effective for managing anxiety-induced shortness of breath. This technique involves deep breathing into the abdomen rather than the chest, helping to slow your breathing rate and promote relaxation​​​​.

While anxiety-induced shortness of breath can be distressing, it is generally not harmful and will subside once the anxiety diminishes. However, persistent or severe symptoms should be evaluated by a healthcare professional to rule out other underlying conditions​​.

Common triggers include stressful situations, such as public speaking, crowded places, or personal conflicts. Identifying these triggers can help you manage your anxiety more effectively by preparing for or avoiding these situations​​​​.

Seek immediate medical attention if shortness of breath is accompanied by chest pain, fainting, nausea, or a bluish tinge to your lips or nails. These symptoms could indicate a serious medical condition requiring urgent care​​.

Relaxation exercises, such as progressive muscle relaxation and guided imagery, can help reduce anxiety levels, thereby alleviating shortness of breath. These techniques work by promoting overall relaxation and reducing the physical symptoms of anxiety​​​​.