When Nerves Take Over: Understanding The Tremors Of Anxiety

If you’re feeling panicky and find yourself trembling, it might be because of underlying anxiety. Anxiety affects millions of people around the world and can present itself in many different ways. While trembling may not be the most obvious symptom, it’s an incredibly common one, so it’s important to figure out if your trembling is related to anxiety.

In this article, we’ll look at some ways to determine whether or not is trembling a sign of anxiety. We’ll also discuss how best to manage anxiety-induced trembling so that you can move forward with greater peace of mind.

Is Trembling A Sign Of Anxiety

Yes, trembling can be a sign of anxiety. It is one of many symptoms associated with the condition, and it usually occurs when someone is feeling especially overwhelmed or worried by a specific event or situation. People may also experience trembling in moments of panic or intense fear. 

There have been several studies that suggest that trembling is closely linked to anxiety problems.

For example, a study by the University of Chieti-Pescara examined the relationship between stress and anxiety among university students and found that trembling was one of the most common physical symptoms reported when people were exposed to stressful situations or felt overwhelmed with their workload.

More recently, research conducted at the University of Toronto used neuroimaging techniques to identify physiological changes in brain activity associated with trembling. The results showed that increased activity in certain areas of the brain is related to higher levels of fear and stress experienced by individuals undergoing tests for various mental health disorders such as generalized anxiety disorder (GAD).

This suggests that there is an underlying neural mechanism that underlies trembling during periods of high anxiety and stress. 

Other studies have also looked into the relationship between physical symptoms like trembling and psychological states such as depression, particularly among postpartum women who often exhibit both types of symptoms. One study published in Frontiers in Psychology indicated that postpartum women who experienced more severe bouts of depression were more likely to report trembling as a symptom than those with milder forms of depression. 

Overall, these findings support the idea that tremors can be linked to higher levels of psychological distress such as anxiety and depression. However, further research is needed to confirm these results and better understand how different types of psychological distress produce different physical responses in individuals.

5 Causes Of Anxiety And Trembling

Trembling is a common symptom of anxiety and can be triggered by a variety of factors. Stressful events, negative thought patterns, past traumas, and certain medical conditions can all contribute to an increase in anxiety levels and subsequent trembling.

Understanding the potential causes of your anxiety-induced trembling can help you better manage it and reduce its impact on your life. Here are five of the most common causes of anxiety and trembling.

1. Fear Of The Unknown:

Most people experience fear of the unknown at some point in their lives, and this can lead to anxiety-induced trembling. When faced with a situation or event that we can’t predict, our bodies may react by producing physical symptoms like trembling.

This type of fear is usually triggered by an uncertain situation or event that one lacks full control over, such as a job interview or public speaking engagement. This kind of fear can be particularly difficult to manage because it’s often accompanied by feelings of uncertainty and doubt about how things will turn out.

2. Stressful Situations:

Stressful situations are often unavoidable and can easily trigger feelings of anxiety. This type of stress may be related to work, school, relationships, or any other area that requires sustained effort or attention. When we feel overwhelmed, our bodies may react with trembling as a sign of distress and fear.

For example, if you’re in a situation where you feel overwhelmed or unable to cope with the demands of the moment, your body may respond by producing physical symptoms such as trembling. This can be especially common when one is faced with challenging tasks such as taking a test or presenting a project at work.

3. Social Anxiety:

Social anxiety is an intense fear and discomfort when interacting with other people in public or social settings. This type of fear can be caused by a variety of factors, including low self-esteem, shyness, and overly sensitive nature.

When faced with social situations like talking to strangers or attending events, our bodies may react by trembling as a sign of distress and fear. This type of anxiety can cause trembling due to the heightened sense of self-awareness that comes from worrying about what others think or the fear of being judged.

4. Panic Attacks:

Panic attacks are sudden episodes of intense fear and anxiety that can be accompanied by physical symptoms such as trembling. Panic attacks usually occur without warning, and they can last anywhere from several minutes to an hour. During a panic attack, the body releases hormones like adrenaline and cortisol, which can lead to physical reactions such as trembling as a result of being in a heightened state of fight-or-flight.

Panic attacks also often cause rapid breathing, sweating, heart palpitations, nausea, and chest tightness or pain. Individuals may experience trembling due to their body’s reaction to the surge of stress hormones. This type of physical response is caused by the surge of hormones released in your body during a panic attack.

5. Post-Traumatic Stress Disorder:

Post-traumatic stress disorder (PTSD) is a mental health condition triggered by experiencing a traumatic event or series of events in the past. PTSD can lead to persistent feelings of fear, anxiety, and hyperarousal that can cause physical symptoms such as trembling. This type of trembling may also be caused by flashbacks and nightmares related to the traumatic event, which can trigger intense emotions that can lead to physical reactions like trembling.

Individuals with PTSD often experience difficulty sleeping and concentration problems which can further increase stress levels in their bodies and cause tremors.

Essential Tremors And Trembling

Essential tremors are a type of neurological disorder that causes an individual to experience trembling or shaking of the hands, arms, head, legs, and even their voice. This trembling can be mild at times, but it can also become more intense over time. In addition to physical tremors, essential tremors may also cause anxiety or stress in those affected.

Is trembling a sign of anxiety

Causes of this condition include genetics, environmental factors, and certain medical conditions.

Essential tremor is an involuntary, rhythmic shaking or trembling of the hands and arms that can also affect other parts of the body such as the head, jaw, vocal cords, tongue, and legs. Essential tremors usually begin gradually, in one hand or arm but eventually spread to other areas. It is sometimes mistaken for Parkinson’s disease due to similarities in symptoms.

Mental health disorders that can lead to trembling include:

  1. Generalized Anxiety Disorder (GAD) – GAD is characterized by persistent and excessive worry about everyday life situations such as work, school, or relationships. This is a disorder characterized by persistent and excessive worry or fear about everyday activities that interfere with an individual’s ability to function normally. People with GAD often experience physical symptoms like trembling due to increased levels of stress and anxiety. 
  2. Panic DisorderPanic disorder is an anxiety disorder characterized by panic attacks that involve intense fear, physical symptoms such as trembling, and fear of when the next attack may occur. The body releases hormones like adrenaline and cortisol during a panic attack which can lead to physical reactions like trembling due to being in a heightened state of fight-or-flight.
  3. Post-Traumatic Stress Disorder (PTSD) – This is an anxiety disorder caused by exposure to a traumatic event, which can cause persistent feelings of fear, anxiety, and hyperarousal that may lead to trembling. Individuals with PTSD often experience difficulty sleeping and concentration problems which can further increase stress levels in their bodies and cause tremors. 
  4. Social Anxiety Disorder – This is intense fear or distress when interacting with other people in public settings, often accompanied by physical symptoms like trembling.
  5. Obsessive-Compulsive Disorder (OCD)OCD is characterized by intrusive and unwanted thoughts or intrusive behaviors that are often repeated compulsively in order to reduce the feeling of anxiousness related to the obsessions. Physical symptoms such as trembling may occur due to the intensity of this disorder’s anxiety and fear-inducing aspects. This can lead to trembling due to the heightened sense of self-awareness caused by worrying about what others think or fear of being judged.
  6. Depressive Disorders – This is a mental disorder characterized by persistent feelings of sadness and hopelessness, which may lead to trembling due to difficulty in managing emotions.
  7. SchizophreniaSchizophrenia is a mental health disorder characterized by hallucinations, delusions, disorganized speech, and impaired thinking processes. Individuals with schizophrenia may experience tremors due to an underlying medical condition such as seizures or Parkinson’s disease, or from the intense emotional difficulties that accompany this disorder. This is a type of psychosis that causes changes in thinking, behavior, and emotion, including physical symptoms such as trembling.
  8. Hyperthyroidism –  Hyperthyroidism is a disorder in which the body produces too much thyroid hormone. This can lead to physical symptoms such as trembling, due to the overactivity of muscles in the body and an elevated heart rate. This is an overactive thyroid gland that can lead to tremor-like shaking due to increased levels of hormones in the body.
  9. Huntington’s Disease–  This is a genetic disorder that causes the degeneration of nerve cells in the brain. This is a hereditary condition that affects muscle coordination and control, often leading to tremors and shaking. Symptoms can include physical tremors due to muscle contraction, as well as cognitive and emotional changes.
  10. Neurodegenerative Diseases – This is a group of diseases that cause the progressive loss of nerve cells in the brain which can lead to physical symptoms such as trembling. Examples include Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, and amyotrophic lateral sclerosis (ALS). Symptoms vary depending on the type of disease, but they often involve changes in movement or coordination which can cause tremors. These diseases affect the nervous system, causing uncontrolled trembling or shaking, such as Parkinson’s disease or multiple sclerosis (MS).

These are just some of the mental health disorders where individuals may experience trembling; there are many other conditions that can also cause this symptom, including medical conditions and side effects of medications.

Is Trembling Hands A Sign Of Anxiety

Yes, trembling hands can be a sign of anxiety. In fact, feeling shaky or having trembling hands is one of the most common physical symptoms associated with anxiety. It is also known as a “psychogenic tremor”, which is a sign that the nervous system is under stress. 

Here are some key things to keep in mind: 

  • Trembling hands can be an outward sign of inner agitation or stress caused by anxiety.
  • Anxiety-related trembling can occur in any part of your body.
  • Trembling can be triggered by specific situations or feelings.
  • Trembling from anxiety may be accompanied by other physical symptoms such as sweating, rapid heartbeat, and difficulty breathing
  • Trembling from anxiety typically abates once the stressful situation or emotion passes

Though trembling due to anxiety can feel scary and embarrassing, it’s important to remember that this is a very common symptom and nothing to be ashamed of. If you find that your tremors are interfering with day-to-day activities like writing or speaking, it may be worth talking to your doctor about possible treatments such as medications or therapy.

Psychogenic Tremors And Anxiety Symptoms

Psychogenic tremors, also known as psychosomatic or functional tremors, are tremors that people experience as a result of psychological stress. They can be caused by anxiety, depression, post-traumatic stress disorder (PTSD), and other emotional issues. The symptoms may include shaking or trembling in the hands or arms, difficulty with motor coordination, and feeling shaky on the inside. 

Psychogenic tremors are involuntary and rhythmic movements of body parts, caused by an underlying psychological or emotional problem, such as anxiety and depression. They may occur in any part of the body but usually appear in the arms, legs, or hands. The tremors can be fine or coarse, intermittent or continuous, and can vary in intensity from mild to severe.

Anxiety symptoms associated with psychogenic tremors vary from person to person but typically include:

  • Irritability
  • Restlessness
  • Excessive worry
  • Difficulty concentrating
  • Restlessness
  • Insomnia
  • Trouble breathing and fatigue

Physical symptoms may include:

  • Muscle tension
  • Sweating
  • Trembling
  • Palpitations (feeling like your heart is racing)
  • Shaking and shortness of breath
  • Headaches

These symptoms can lead to further anxiety which may worsen the overall condition.

Anxiety Tremors At Night

Anxiety tremors at night are a symptom of anxiety that can be particularly distressing and disruptive. These tremors often occur when you’re trying to sleep, which can make it difficult to rest or fall asleep. Anxiety tremors are caused by stress hormones released in response to fear or worry, and they can cause shaking throughout your body, particularly in the hands and arms.

Other common symptoms include shortness of breath and an increased heart rate.

Anxiety may even interrupt sleep for few

Tremors due to anxiety may also manifest during the day but nighttime tremors tend to be more intense because our bodies are relaxed while we sleep and cortisol, a hormone associated with stress, rises naturally at night. Additionally, some people may find that their existing worries become amplified when there’s nothing else to distract them from their thoughts.

It is important to address anxiety tremors at night in order to improve your sleep quality and overall well-being.

Why Do I Feel Like I’m Shaking Inside

If you are feeling like you’re shaking on the inside, it could be a sign of anxiety or stress. This symptom is often referred to as “internal trembling” and can manifest in a variety of ways, such as feeling shaky, having tremors in your limbic system (the part of your brain that governs emotion), or experiencing an increased heart rate.

Internal trembling can also be accompanied by other physical symptoms such as sweating and difficulty breathing.

Shaking inside is a feeling that can be caused by a variety of factors. It can indicate feelings of fear, anxiety, stress, or other strong emotions. Here is a list of reasons why you might be feeling this way: 

  • You are anxious about something – This could be related to work, school, relationships, or any number of other issues that cause you to feel overwhelmed and stressed out. 
  • You are experiencing physical symptoms – Physical manifestations of anxiety such as trembling muscles and rapid heart rate can cause your body to shake from the inside out. 
  • You are under a lot of pressure – Whether it’s due to an upcoming deadline or an emotionally charged situation, pressure can often lead to feelings of anxiety and an overwhelming need to flee or hide. 
  • You are having difficulty expressing yourself – People often struggle to express their thoughts and feelings in difficult situations which can lead to intense internal turmoil and shaking on the inside. 
  • You have experienced trauma – Experiences such as abuse or neglect may lead to long-term mental health issues including trembling on the inside. 

Internal trembling typically occurs when we are faced with situations that make us feel anxious or stressed, and it is our body’s way of preparing for the perceived threat. It is important to understand that this sensation is perfectly normal and doesn’t necessarily mean there is something wrong with you.

Do Anxiety Tremors Go Away

Anxiety tremors can go away, but it is important to understand the causes of these symptoms in order to make sure they don’t come back. Anxiety and stress can often be managed with lifestyle changes such as exercising, eating well, getting adequate rest, and finding ways to relax. Additionally, it may be beneficial to seek professional help from a mental health practitioner if you feel like your anxiety is out of control or too overwhelming to manage on your own.

Medication or therapy may also help reduce the intensity of anxiety-related tremors.

Cognitive Behavioral Therapy (CBT) has been proven to help people manage their anxiety by addressing thought patterns that can lead to irrational fears and worries. Certain medications such as anti-anxiety drugs and antidepressants can help reduce the intensity of anxiety tremors.

Although anxiety tremors can be a frightening experience, it is important to know that they are not permanent and there are ways to manage them. It is important to take care of your mental health by seeking professional help if necessary, as well as making lifestyle changes to reduce stress and fear. With proper treatment and self-care, you can regain control over your body’s responses and lead a healthier life overall.

How To Stop Shaking From Anxiety Naturally: 7 Simple Ways

In order to stop shaking from anxiety, it is important to recognize triggers and make lifestyle changes that will help manage the symptoms. Natural remedies such as mindfulness, breathing exercises, physical activity, and positive self-talk can be effective tools for managing anxiety. Here are a few tips to help you take charge of your mental health:

  1. Practice mindful breathing – Taking deep breaths and focusing on the present moment can help calm anxious thoughts and reduce tension in the body.
  2. Engage in physical activity – Exercise releases endorphins which can help reduce stress levels and improve overall mood.
  3. Talk positively to yourself – It is important to have an encouraging dialogue with yourself rather than being overly critical. Positive affirmations can help boost confidence and reduce anxious thoughts.
  4. Get enough rest – Adequate sleep can help replenish your energy stores and allow the body to reset itself.
  5. Reach out for support – Having a strong support system can help you feel less alone during difficult times. Talking to trusted friends, family members or mental health professionals can be beneficial in managing anxiety.
  6. Take breaks when needed – Taking regular breaks from work or other activities can help reduce stress levels and restore focus.
  7. Avoid stimulants – Caffeine, nicotine, and other stimulants can increase feelings of anxiety so it is important to limit intake when dealing with stress.

By making these lifestyle changes, you will be able to better manage your anxiety symptoms and take back control of your life. With patience and determination, you can learn to cope with stress in healthier ways and eventually reduce the intensity of your anxiety tremors.

Few changes can have a lasting effect

​How Do I Stop Anxiety Tremors: 8 Practical Tips

Anxiety tremors can be frightening and overwhelming, but with the right tools and strategies they can be managed. Here are 8 practical tips to help you stop anxiety tremors:

  1. Breathe deeply and slowly: This simple exercise can help to reduce tension and relax your body. Take a few deep breaths in through your nose for 4 seconds, hold for 7 seconds, and exhale slowly for 8 seconds. Do this several times until you feel the anxiety pass. 
  1. Engage in calming activities: Doing something that is both calming and enjoyable can help to take your mind off of anxious thoughts. Examples include taking a hot bath, listening to soothing music, reading a book, or painting. 
  1. Practice progressive muscle relaxation: Start by tensing up all of the muscles in one area of your body like your toes or forearms for 5-10 seconds, then release the tension and allow your muscles to relax completely for 10-15 seconds before moving on to another area of the body. 
  1. Use grounding techniques: Grounding techniques can help to bring you back into the present moment when you start to feel anxious or overwhelmed by focusing on specific sensory details like counting objects around you or listing items from memory that are related to a certain color or texture. 
  1. Exercise regularly: Regular physical activity helps reduce stress hormones in the body and releases endorphins which have an overall calming effect on the mind and body. Aim for at least 30 minutes of moderate activity per day like going on a walk or doing some light stretching exercises such as yoga or pilates. 
  1. Get enough sleep: Being well rested is essential for managing stress levels since lack of sleep has been linked with higher levels of anxiety symptoms so aim for at least 7-8 hours of sleep each night if possible. 
  1. Eat regular meals: Eating regular nutrient-rich meals throughout the day helps maintain healthy blood sugar levels which can ward off feelings of anxiety so try to make sure you’re eating three balanced meals per day plus snacks as needed. 
  1. Talk it out with someone you trust: Sharing your anxieties with someone close who understands can be incredibly helpful in managing them so don’t be afraid to reach out if you need support from someone else during difficult times. 

Psychogenic Tremor Anxiety Treatment

Psychogenic tremors (also known as conversion tremors) are physical symptoms of psychological distress, usually caused by a feeling of intense fear or panic. Although the exact cause is unknown, it is believed to be related to chronic stress and emotional trauma. Fortunately, there are several treatments available for psychogenic tremor anxiety that can help you manage your symptoms and move forward on the path to recovery.

Here are five treatments that can be helpful in treating psychogenic tremor anxiety:

  1. Cognitive Behavioral Therapy – CBT is a form of talk therapy that focuses on identifying thought patterns and behaviors associated with anxious feelings and teaching new ways of responding to them.
  2. Exposure Therapy – This type of therapy encourages you to gradually confront feared situations and gain control over your anxious thoughts.
  3. HypnosisHypnosis is a trance-like state in which a person becomes deeply relaxed and responsive to suggestions that are intended to help manage physical symptoms related to anxiety.
  4. Meditation or Mindfulness Practices – Practicing mindfulness or meditation can help bring awareness and acceptance to difficult emotions, allowing you to better cope with the tremor sensations associated with psychogenic tremors.
  5. Relaxation Techniques – Simple relaxation techniques such as deep breathing exercises, progressive muscle relaxation, guided imagery, and yoga can be effective for relieving stress and calming the body’s physical response to anxiety.

By investing time and effort into these treatments, you can learn to manage your psychogenic tremor anxiety and lead a healthier, more balanced life.


All-in-all, trembling can be a sign of anxiety and there may be other causes as well. It is important to understand the root of this symptom and to take the necessary steps for relief. If trembling is intense or lasts for long periods of time, it may be worth seeking professional help from a mental health specialist in order to identify your individual needs and create a plan for managing anxiety.


Lundervold, D. A., Ament, P. A., & Holt, P. R. (2013c). Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures. Psychiatry Journal, 2013, 1–5. https://doi.org/10.1155/2013/257459

Huang, H., Yang, X., Zhao, Q., Chen, Y., Ning, P., Shen, Q., Wang, H., An, R., & Xu, Y. (2019). Prevalence and Risk Factors of Depression and Anxiety in Essential Tremor Patients: A Cross-Sectional Study in Southwest China. Frontiers in Neurology, 10. https://doi.org/10.3389/fneur.2019.01194

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