Mental Health

Shortness of Breath: When Anxiety Literally Takes Your Breath Away

Shortness of Breath: Can Anxiety Cause It?

Shortness of breath is a terrifying symptom of anxiety. However, if you're experiencing it, there are a few things you can do to make it less awful.

Anxiety-induced shortness of breath can strike unexpectedly, leaving you gasping for air and feeling panicked. This unsettling symptom, known as dyspnea, can stem from various physical and psychological causes, including anxiety.

Find out why and how anxiety causes shortness of breath, and call us if you’ve been experiencing severe symptoms of anxiety.

What Is Shortness of Breath?

Shortness of breath, also known as dyspnea, is a condition where an individual experiences difficulty breathing or feels unable to get enough air. It can be caused by various factors, including respiratory conditions like asthma, chronic obstructive pulmonary disease (COPD), and pneumonia. Cardiovascular issues such as heart failure and arrhythmias can also lead to shortness of breath.

Anxiety and panic attacks are also common psychological causes that can trigger this symptom. Other potential causes include anemia, obesity, and high altitudes. If you experience persistent or severe shortness of breath, it is important to seek medical attention to determine the underlying cause and receive appropriate treatment.

Anxiety and Its Impact on Breathing

Anxiety has a profound impact on your breathing patterns. When you feel anxious, your body initiates its fight or flight response, an instinctual reaction designed to help you respond to perceived threats. This response is triggered by the release of stress hormones like adrenaline, which prepare your body for immediate action.

One of the immediate effects of this response is a change in your breathing pattern. You may begin to breathe more rapidly and shallowly, a state known as hyperventilation.

What Is Hyperventilation?

Hyperventilation occurs because your body is trying to take in more oxygen to fuel your muscles and organs in anticipation of either fleeing from danger or confronting it. However, this rapid breathing can lead to a decrease in the levels of carbon dioxide in your blood, resulting in various uncomfortable symptoms such as dizziness, lightheadedness, tingling in your extremities, and a feeling of breathlessness​​​.

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Shortness of Breath and Other Physiological Responses to Anxiety

When you experience anxiety, your sympathetic nervous system activates, releasing a surge of stress hormones including adrenaline and cortisol. These hormones increase your heart rate and elevate your breathing rate to prepare your body for a rapid response.

This physiological response is beneficial in actual danger, but in the context of anxiety, it often feels overwhelming and unnecessary. Here are some physiological responses that occur when anxiety strikes:

Increased Heart Rate

The heart pumps more blood to transport oxygen to your muscles, preparing you for quick movement. This can make you feel like your heart is racing or pounding in your chest.

Rapid, Shallow Breathing

To quickly supply oxygen to your bloodstream, your breathing becomes fast and shallow. This type of breathing can disrupt the balance of oxygen and carbon dioxide in your blood, contributing to feelings of lightheadedness and shortness of breath.

Muscle Tension

Your muscles may tense up, readying themselves for action. This can sometimes lead to a sensation of tightness in the chest, which further contributes to the feeling of breathlessness.

Sweating and Trembling

These are common physical responses intended to cool your body down and prepare it for intense activity. However, in an anxiety state, they can add to the discomfort and sense of being out of control.

Recognizing and managing the physiological effects of anxiety on breathing is an important step in reducing the overall impact of anxiety on your daily life, especially during your recovery journey.

Identifying Anxiety-Induced Shortness of Breath

Shortness of breath can be a distressing symptom of anxiety, but recognizing its characteristics and differentiating it from other medical conditions is essential for effective management.

Common Characteristics and Symptoms

Anxiety-induced shortness of breath often appears suddenly and is closely tied to feelings of panic or stress. You may experience a rapid heartbeat, dizziness, and a sense of suffocation, which can exacerbate the anxiety.

Differences From Other Medical Conditions

Anxiety-related breathlessness is typically situational and less linked to physical exertion. In contrast, shortness of breath due to heart or respiratory issues often occurs during physical activity and is accompanied by other symptoms like chest pain or wheezing. Recognizing these patterns helps in distinguishing anxiety-induced symptoms from those of other health conditions, ensuring appropriate treatment and peace of mind.

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Techniques to Manage Anxiety-Induced Shortness of Breath

Breathing techniques such as diaphragmatic breathing, as well as relaxation exercises like guided imagery, can help with managing anxiety-induced shortness of breath. Let’s take a closer look at these techniques:

Breathing Techniques

  • Diaphragmatic Breathing: Focus on deep breaths using your diaphragm to promote relaxation.

  • Box Breathing: Inhale for four counts, hold for four counts, exhale for four counts, and hold for four counts again.

Relaxation Exercises

  • Progressive Muscle Relaxation: Tense and relax different muscle groups to release physical tension.

  • Guided Imagery: Visualize calming scenes to reduce stress and anxiety.

Cognitive Behavioral Techniques

  • Reframing Negative Thoughts: Identify and challenge negative thoughts, replacing them with more realistic and positive ones.

Anxiety-related shortness of breath can feel like a tightening in the chest, difficulty taking deep breaths, or a sensation of not getting enough air. It may also be accompanied by rapid breathing, dizziness, or a feeling of being suffocated.

People experiencing anxiety-related shortness of breath may feel like they need to gasp for air or may hyperventilate. The physical symptoms can exacerbate feelings of panic and fear, making it important to address the underlying anxiety to alleviate the shortness of breath.

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Shortness of Breath: How To Deal With Anxiety

Anxiety can be managed, and its symptoms can be reduced by using various strategies and approaches. Here are a few suggestions for overcoming anxiety:

  • Determine Triggers: Determine what causes your anxiety to start with. Knowing the specific circumstances or ideas that make you anxious might help you deal with them more effectively.

  • Practicing Breathing: Do deep breathing techniques to reduce stress's effects on your body. Take a slow, deep breath with your nose, hold it for a moment, and slowly let it out through your mouth.

  • Meditation and mindfulness: You may calm your racing or worried thoughts and stay in the present moment by using mindfulness practices and meditation. These techniques help people unwind and feel in control.

  • Physical Exercise: A good technique to relieve anxiety is through regular exercise. Endorphins, which are naturally uplifting chemicals, are released when you exercise. Even a little daily walk can have a big impact.

  • Limit Alcohol and Caffeine: Alcohol and coffee may also make anxiety worse. If you discover they contribute to or worsen your anxiety, cut back on your consumption or avoid them entirely.

  • Healthy Diet: Consume a well-balanced diet rich in fruits, vegetables, and whole grains. Foods high in nutrients can improve your overall health and help you feel more stable.

  • Get Enough Sleep: Sleep deprivation can make anxiety symptoms worse. Establish a pleasant sleeping environment and strive for a regular sleep pattern.

  • Maintain Contact: Tell your loved ones and friends how you're feeling. Speaking with a trustworthy person might provide emotional support and make you feel less alone.

  • Set Realistic Goals: Establish attainable goals and divide work into doable, smaller segments. This can help people feel less anxious and stressed.

  • Cognitive-behavioral therapy (CBT): Think about receiving therapy from a mental health specialist, specifically CBT. CBT enables you to recognize and alter unhelpful thinking and behavior patterns that fuel anxiety.

  • Anxiety Medication: A doctor's prescription for medicine could be required in specific circumstances. Severe anxiety symptoms can be managed with the help of antidepressants and anti-anxiety medications.

  • Restorative Practices: Use relaxation techniques like guided imagery or progressive muscle relaxation to relieve physical tension and stress.

  • Limit Media Exposure: If news and social media tend to cause anxiety or worsen, limit your exposure to them. Maintain knowledge, but establish boundaries.

  • Self-Care: Give your favorite self-care activities, like reading, baths, or hobbies, a top priority. These have the potential to be powerful stress relievers.

  • Time Management: Organize your time efficiently, set priorities, and avoid overloading yourself with tasks.

Panic Attack vs Anxiety Attack

Panic attacks and anxiety attacks share some common features but are distinct experiences.

Symptoms of a Panic Attack

A panic attack is a quick, strong wave of fear or great discomfort that often peaks in minutes. Physical signs include a pounding heart, sweating, shaking, and shortness of breath. A panic attack can start suddenly, feel like a wave of terror, and happen for no apparent reason.

Symptoms of an Anxiety Attack

On the other hand, an anxiety attack is a more continuous and progressive condition of increased concern or stress. Various mental and physical symptoms may be present, although they are often less severe than those of a panic attack. Anxiety attacks are often linked to a specific stressor or ongoing life situation and may continue for a more extended period.

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Social Anxiety Disorder and Shortness of Breath

An extreme fear of social or performance situations is the hallmark of social anxiety disorder, also called social phobia. People with the condition commonly experience extreme self-consciousness and worry about being criticized or ashamed in front of others. These social settings can also cause physical sensations, including flushing, sweating, shaking, a beating heart, and possibly anxiety-induced shortness of breath.

If I’m Feeling Shortness of Breath When I’m Anxious, What Should I Do?

If you are feeling shortness of breath when you are anxious, it is important to try to stay calm and focus on your breathing. Take slow, deep breaths in through your nose and out through your mouth. Try to breathe from your diaphragm rather than shallow breathing from your chest. Find a quiet place to sit or lie down if possible, and practice relaxation techniques such as meditation or visualization to help calm your mind.

If the shortness of breath persists or is accompanied by other concerning symptoms, seek medical help immediately. Remember, it is normal to feel anxious at times, but taking steps to manage your breathing can help alleviate some of the physical symptoms associated with anxiety.

How Can I Find Help for My Anxiety?

If you are seeking help for your anxiety, there are several options available to you. One common approach is to seek therapy from a licensed mental health professional, such as a psychologist or counselor.

Cognitive behavioral therapy (CBT) is a popular and effective treatment for anxiety disorders. Medication prescribed by a psychiatrist can also be helpful in managing symptoms. Additionally, practicing relaxation techniques, such as deep breathing exercises or mindfulness meditation, can help reduce anxiety levels.

It's important to reach out for support and not try to manage anxiety alone. Remember, you are not alone in this journey, and there are resources available to help you.

Experiencing Shortness of Breath While Anxious? We Can Help

Recognizing the signs of anxiety-induced shortness of breath and differentiating them from other medical conditions is essential for effective management. Techniques such as diaphragmatic breathing, progressive muscle relaxation, and cognitive behavioral strategies can help alleviate symptoms, however, seeking professional help is always advised.

With a mental health professional to guide you, you can better understand the symptoms you’re experiencing and receive targeted support.

The Edge Treatment Center provides expert care for mental disorders, including anxiety disorders. We'll help you safely explore the roots of your anxiety, identify and manage your triggers, and ultimately build a happy life for yourself that's worth living.

Reach out to us today to learn more.

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Written by

brian-mooreBrian Moore

Content Writer

Reviewed by

jeremy-arztJeremy Arzt

Chief Clinical Officer

Mental Health

October 14, 2024

FAQ

Frequently Asked Questions

Seek medical attention if your shortness of breath is sudden, severe, or accompanied by chest pain, fainting, nausea, or a bluish tinge to your lips or nails. Persistent symptoms that interfere with daily activities also warrant a doctor's visit.

Diagnosis involves a physical exam, medical history, and possibly tests like chest X-rays, blood tests, lung function tests, or cardiopulmonary exercise testing to determine the underlying cause of your symptoms.

Yes, anxiety can cause shortness of breath by triggering rapid, shallow breathing, known as hyperventilation. This can lead to symptoms like dizziness, chest tightness, and a feeling of suffocation.

Home treatments include diaphragmatic breathing exercises, maintaining a healthy weight, staying hydrated, and avoiding allergens or pollutants. Simple physical activities like walking or stretching can also help manage symptoms.

Treatment depends on the underlying cause. Options include medications for heart or lung conditions, supplemental oxygen, pulmonary rehabilitation, and lifestyle changes like quitting smoking and exercising regularly.