Unfortunately, the same drugs that many people use to try and boost their confidence, help them relax, and lower their inhibitions are the ones most prone to causing substance-induced anxiety disorder or panic attacks. In some cases, people don’t even realize that it is alcohol, drugs, or medications that are causing anxiety because they only associate those substances with feeling good.
Diagnosis
When your doctor gives a diagnosis of substance/medication-induced anxiety disorder, they check to make sure that the anxiety wasn’t there before the use of alcohol, drugs or medications thought to be responsible. This is because there are several different types of anxiety disorders, and if the symptoms were there before the substance use, it isn’t diagnosed as substance/medication-induced anxiety.
When Anxiety Begins After Taking the Drug
In some cases, anxiety or panic can occur straight away. There is even a category “with onset during intoxication,” which means that the anxiety episode actually started when the individual was drunk or high on the drug. It can also occur during or shortly after withdrawal, during which symptoms of anxiety are common. However, with anxiety which is simply a symptom of withdrawal, the person’s symptoms will generally resolve within a few days of discontinuing alcohol or drug use, while with substance-induced anxiety disorder, the panic and anxiety symptoms are sufficiently severe to warrant independent clinical attention. Generally, the diagnosis isn’t given if the person has a history of an anxiety disorder without substance use, or if the symptoms continue for more than a month after the person becomes abstinent from alcohol, drugs, or medication.
Drugs That Cause Substance/Medication-Induced Anxiety Disorder
A wide variety of psychoactive substances can cause substance-induced anxiety, including:
Alcohol-induced anxiety disorderCaffeine-induced anxiety disorderCannabis-induced anxiety disorderPhencyclidine-induced anxiety disorderOther hallucinogen-induced anxiety disorderInhalant-induced anxiety disorderAmphetamine-induced anxiety disorderOther stimulant-induced anxiety disorderCocaine-induced anxiety disorderOther substance-induced anxiety disorderUnknown substance-induced anxiety disorder
Several medications are known to cause substance/medication-induced anxiety including:
AnestheticsAnalgesicsSympathomimeticsAnticholinergicsThyroid medicationsAntihistaminesAntiparkinsoniansCorticosteroidsAnticonvulsantsMood stabilizersAntipsychoticsAntidepressants
Specific heavy metals and toxins that can cause panic or anxiety symptoms include organophosphate insecticide, nerve gases, carbon monoxide, carbon dioxide, and volatile substances such as gasoline and paint.
