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What is hangxiety? Anxiety after drinking explained

Written by Alastair Cassie, alcohol moderation coach and 30+ year wine trade veteran

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Hangxiety is the anxious, uneasy feeling some people wake up with after drinking: a racing mind, a vague sense of dread, or worry about something said the night before. It is an informal term rather than a diagnosis, and Drinkaware describes it as anxiety or low mood the morning after drinking. (Drinkaware)

Why it happens

Alcohol is a depressant, so the first drinks can feel calming. Drinkaware explains that as the effect wears off, the brain’s chemistry swings back and anxiety can return more strongly. Poor sleep, dehydration and low blood sugar after a bigger night add to it, and so does worrying about what you said or did once your inhibitions were lower.

A 2018 study from UCL and the University of Exeter followed almost 100 social drinkers at a gathering with friends. For the shyest participants, about six units slightly eased their anxiety that evening, and their anxiety rose significantly the next day. Those with the worst hangxiety also tended to score higher on the AUDIT test. (UCL)

Anxiety eases slightly while drinking, then rises above normal the next dayUsual levelSlightly calmerwhile drinkingMore anxious next dayEveningNightNext morning
An illustration of the pattern the UCL and Exeter study found in highly shy drinkers: a small drop in anxiety while drinking, then a bigger rise the next day.

Who gets it

Anyone who drinks can get hangxiety, though some people notice it far more than others. Drinkaware says people who already live with anxiety are more prone to it, and that drinking to feel more confident socially can leave the anxiety stronger the next day. Not every anxious morning is hangxiety, either. It can be anxiety that the alcohol was masking, or worry about the night before, and the Alcohol Reduction Coach™ guide to hangxiety looks at those differences in more depth.

What helps

If the anxiety lasts beyond the hangover, or you find yourself drinking to calm it, talk to your GP. Feeling shaky, sweaty or anxious whenever you go without a drink is different from hangxiety and can be a sign of withdrawal, so speak to your GP before cutting down.

About the author

Alastair Cassie spent more than 30 years in the wine trade before becoming an alcohol moderation coach. He is the founder of Alcohol Reduction Coach™ and the Alcohol Moderation Coaches Association™, a trained coach in alcohol moderation and behavioural science, and a CPD Approved Provider. He created Couch to Control™ from his work helping people cut back without giving up the drinks they enjoy.

Unusually in this field, he still enjoys wine himself, and the strategies he teaches are ones he either uses himself or saw work during his years in the wine trade.