Anxiety and addiction
Last Updated:
January 12th, 2024
We all experience anxiety in certain situations, such as before an important job interview or preparing for a first date. This type of anxiety is a completely normal part of the human experience. Anxiety disorders, however, are a different matter entirely, severely impacting a person’s health, happiness and overall quality of life. One of the most challenging aspects of anxiety disorders is their frequent co-occurrence with addiction. This dual diagnosis creates a complex and debilitating cycle which can feel inescapable. However, with proper knowledge, treatment and support, it is possible to regain control and build a happier and healthier life.
What is anxiety?
Anxiety, in its most basic form, is a natural reaction to stress. In the face of threats, anxiety triggers the body’s ‘fight or flight’ response, heightening our senses and readiness for action. It is an emotion that has played a crucial role in human survival, alerting us to dangers and preparing us for challenges.
However, it’s crucial to distinguish between normal anxiety and anxiety disorders. Normal anxiety is typically short-lived and connected to specific situations or stressors. It can manifest as nervousness before an important event or worry over a significant life change, but it subsides once the situation is resolved or the stressor is removed.
In contrast, anxiety disorders are marked by persistent, excessive worry that does not go away, even in the absence of a stressor. These disorders can take various forms, including:
- Generalised anxiety disorder
- Panic disorder
- Social anxiety disorder
- Specific phobias
They are characterised by symptoms that are more intense, frequent and enduring than normal anxiety. These symptoms can significantly interfere with daily activities and relationships and can enormously impact your overall quality of life.
What are common anxiety symptoms and signs?
There is a wide array of anxiety symptoms – both psychological and physical – that people experience. Recognising these signs of anxiety disorders is one of the first ways you can identify a serious issue in yourself or a loved one. Common anxiety symptoms include:
These anxiety symptoms can impact various aspects of normal life, including work performance, academic achievement and personal relationships, turning ordinary tasks and interactions into overwhelming challenges. If you notice these signs of anxiety disorders in yourself or someone you know, you should consider seeking professional help.
How does dual diagnosis anxiety and addiction develop?
The development of a dual diagnosis of anxiety and addiction usually develops in stages, with each deepening the impacts of the co-occurring conditions. While everyone’s path is slightly different, this process usually looks something like this:
1. Initial anxiety disorder
Dual diagnosis often starts with an underlying anxiety disorder, which may be undiagnosed or untreated. The individual experiences symptoms like excessive worry, restlessness or panic attacks, significantly impacting their daily life.
2. Substance use as a coping method
In an attempt to manage these overwhelming anxiety symptoms, the individual turns to alcohol, drugs or other addictive behaviours. Initially, these substances may seem to offer relief, reducing anxiety symptoms or helping the individual to feel more at ease in social situations.
3. Growing tolerance and dependency
Over time, the body develops tolerance, requiring more substance to achieve the same effect. This escalation can quickly lead to physical and psychological dependency, where the person needs the substance or behaviour to function at all.
4. Worsening anxiety symptoms
Once dependency is established, any reduction or cessation of addictive substances or behaviours can lead to an intensification of anxiety. This can lead to increased substance use in a mistaken attempt to manage these heightened symptoms, further fueling the cycle.
5. A destructive cycle
This cycle can lead to significant health issues, strained relationships, financial problems and a decline in overall quality of life. The individual may feel trapped, with both anxiety and addiction feeding into each other, making it challenging to break free without professional help.
What forms do dual diagnosis addiction and anxiety take?
Different forms of anxiety disorders can pair with various types of addiction, creating unique challenges in each case. Understanding these specific manifestations is vital in providing targeted treatment. Some of the most common forms we see at UKAT include:
Social anxiety and addiction
Social anxiety disorder, characterised by an intense fear of social situations and a worry about being judged or embarrassed, can lead individuals to substances as a coping mechanism. However, this can lead to a reliance on substances every time you need to take part in a social event, eventually resulting in addiction.
Anxiety and alcohol addiction
Alcohol is a common substance used to self-medicate for anxiety disorders due to its initial calming effects. While this may work initially, alcohol use can exacerbate anxiety symptoms over time and lead to dependence, creating a cycle where more alcohol is needed to relieve the increasing anxiety symptoms.
Anxiety and drug addiction
Individuals with anxiety may also turn to drugs (prescription or illicit) to relieve their symptoms. This can range from the use of cannabis to prescription medications like benzodiazepines, often prescribed for anxiety but themselves highly addictive. The misuse of these drugs can lead to addiction, compounding the anxiety they were meant to alleviate.
Anxiety and porn addiction
Anxiety can drive some individuals towards compulsive behaviours like porn addiction, particularly if social addiction is preventing them from making real-world connections. This form of addiction often serves as an escape mechanism from anxiety symptoms, but as with other addictions, it only provides temporary relief and ultimately increases anxiety levels.
How are anxiety and addiction treated?
The presence of an anxiety disorder can significantly affect the course of addiction treatment. Anxiety disorders can increase the difficulty of withdrawal, intensify cravings and make it challenging to engage fully in the treatment process. The coping strategies and skills needed to manage anxiety are also often underdeveloped in individuals with dual diagnosis, requiring a more specialised and comprehensive approach to treatment.
UKAT recognises these challenges, and so our rehab centres provide comprehensive addiction rehab treatment while also helping clients manage anxiety symptoms. Our new UKAT London Clinic can go further and offer treatment for anxiety disorders themselves and dual diagnosis of anxiety and addiction.
Some of our proven therapy and treatment approaches include:
Begin your journey to recovery and healing
Embarking on recovery from a dual diagnosis of anxiety and addiction is a courageous step towards a healthier, more fulfilling life. At UKAT, we understand the complexities of these intertwined conditions, and our comprehensive treatment programmes offer the expertise, support and care necessary to navigate this journey. With a focus on individual needs and a commitment to holistic recovery, we are here to help you reclaim control and embark on a path to a happier and healthier future. Contact UKAT today to get started.