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does anxiety make you tired

Does Anxiety Make You Tired? The Link Between Stress and Fatigue

Picture this: you go to bed early, log a solid eight hours of sleep, and wake up feeling like you ran a marathon in your dreams. Your arms and legs feel heavy, your mind’s foggy, and even after that first coffee, you can’t seem to shake off the tiredness. So, you start to wonder, “Why am I still this exhausted? Does anxiety make you tired?”

The simple answer is yes, you can be tired from anxiety. Living with chronic worry can drain you more than you might realize. It means your body is reacting to your nervous system working too hard and too long to protect you.

This article helps you understand why anxiety is exhausting. We’ll look at what’s actually happening inside your body, the cost of being hyper-alert all the time, how anxiety exhaustion feels different from burnout, and somatic strategies that can help you get your energy back.

Why Anxiety is Exhausting

Anxiety doesn’t just affect your mind. When you’re anxious, your body shifts into a high-energy emergency mode. We inherited our nervous system from our ancestors. It was designed to expend a large amount of physical energy in short, intense bursts to help you survive immediate danger, such as running away from a sabre-tooth cat. It was never built to handle the ongoing, non-life-threatening stresses of modern life.

The trouble is, our nervous system still reacts to difficult meetings or nonstop deadlines the same way it would to a charging animal. It just wasn’t built to stay in that alert mode day after day.

Fight-or-Flight and Hyperarousal

The amygdala is the brain’s primitive fear centre. When you experience chronic anxiety, your amygdala treats every worry, such as work stress, awkward social situations, and endless “what if?” thoughts, like a life-or-death threat. Your brain can’t tell the difference between an angry text and a lion; it keeps your survival-driven fight-or-flight response continuously on, ready for anything.

Living in a constant state of hypervigilance is exhausting. Your body is always primed for action and quietly working overtime to keep you safe, even when you’re safely sitting at your desk. Your muscles stay tensed, your heart beats faster, your breathing speeds up, all day, every day. 

Your body uses up all your energy to maintain this invisible armour. It’s like having your car engine on while parked in the driveway; the gas continues burning, even though you aren’t moving anywhere. To keep you in this hyperarousal state, your body floods your bloodstream with survival hormones like adrenaline and cortisol. 

The Adrenal Hangover (HPA-Axis Dysfunction)

Eventually, this prolonged state of high alert leads to stress exhaustion. When your body runs out of energy to sustain this state of hyperarousal or the stressor goes away, you experience a chemical crash. The rush of adrenaline and cortisol drops, and you’re left with an “adrenal hangover” or hypothalamic-pituitary-adrenal (HPA) axis dysfunction. You feel achy, slow, and mentally foggy, not just sleepy, but completely depleted.

Anxiety isn’t just mentally exhausting. It burns through your physical energy, and it’s a sign your system needs to recover. 

Chronic Stress Symptoms

When your hyperactive mind refuses to settle, it disrupts your body’s natural restorative cycles, giving little to no time to repair itself. The mental overload affects your sleep, makes you physically exhausted and weakens your immune system.

Sleep Disruption and Anxiety

You might assume that as long as you are in bed for eight hours, your body is resting. But it’s not that simple; anxiety ruins your sleep quality even when you are asleep. When you carry stress to bed, your nighttime cortisol levels remain abnormally elevated. 

This hormonal spike actively prevents your brain from going into deep sleep (slow-wave sleep) and REM cycles, the phases needed for tissue repair, immune regulation, and memory consolidation. As a result, you can sleep a full night but still wake up feeling tired, wondering what went wrong.

Can Anxiety Make You Sleep All Day?

Yes, anxiety can make you sleep all day. When chronic stress has pushed your nervous system past its limit, your body shuts down its fight-or-flight response and goes into a “freeze” response. Your brain forces your body’s system to shut down, using sleep to give itself a break from further overstimulation and emotional distress.

Mental Fatigue and Anxiety

Constantly overthinking, second-guessing your choices, ruminating about the past, and worrying about the future keeps your brain spinning and builds mental fatigue anxiety. The cognitive mental load of anxiety takes over your brain, leaving little energy for the prefrontal cortex, which is responsible for focus and memory. You end up feeling scattered, forgetful, and mentally checked out.

Burnout vs Anxiety Fatigue

Burnout and anxiety fatigue look a lot alike, and sometimes, they happen together. Both leave you feeling wiped out, but the reason behind them is a little different.

Burnout

Burnout is primarily driven by prolonged situational stress. For example, you’re working long hours, feeling unsupported and/or grinding away in a toxic environment. Some symptoms of burnout include:

  • You feel emotionally detached or numb
  • You’ve become cynical
  • You feel resentful of your responsibilities
  • You feel apathetic and disconnected
  • You’ve lost your purpose or meaning
  • You’ve stopped caring and feel like you have nothing left to give.

Anxiety Fatigue

On the other hand, anxiety fatigue is driven by a persistent, internal sense of threat, chronic worry, or hypervigilance. Some symptoms of anxiety fatigue include:

  • You’re hypervigilant
  • You’re restless
  • Your mind is racing and stuck in overdrive
  • You worry about everything

Instead of feeling detached like burnout, you’re over-attached. You care way too much and can’t let things go. You want to stop worrying, but you can’t calm your mind down. 

Burnout and anxiety fatigue feed into each other. Living with untreated, chronic anxiety increases your risk of burnout. When your mind is constantly on high alert, you begin work with less energy. Your nervous system is already overdrawn. Piling on workplace stress on top of an exhausted nervous system destroys your capacity to cope, and eventually, you crash.

Signs of Nervous System Exhaustion

At some point, being constantly anxious and living in survival mode affects your whole body. That’s the point when your system can’t keep up anymore. Your body lets go of its defences, not because you want it to, but because you’ve run out of fuel. This is nervous system exhaustion: your body’s way of tapping out after running in survival mode for too long.

Here are some signs that you’ve reached nervous system exhaustion:

  • Emotional Fragility: You find yourself crying for no reason, sometimes over the tiniest things. It doesn’t make sense logically, but it’s your body telling you your capacity to regulate emotions has run out.
  • Sensory Overload: Suddenly, the world feels too much. Maybe it’s the brightness of the lights, the jumble of conversations in a crowded room, or the itch of your own shirt. Normal things that didn’t used to bug you feel almost unbearable.
  • Body Aches: Your muscles might start aching in a dull, persistent way. Sometimes you notice little muscle twitches, or maybe your arms and legs feel heavy, like you’re moving through mud.
  • Weakened Immunity: You get sick more often. A cold lingers for weeks, or you find it takes you longer than usual to bounce back after a workout.

How to Restore Your Body from Stress Exhaustion

Taking shortcuts like filling up on coffee or energy drinks won’t work in the long run. Restoring your body from stress exhaustion requires everyday lifestyle changes. Adopting small, simple habits can calm your mind and recharge your body.

Daily Habits To Reduce Anxiety Fatigue

  • Prioritize Your Sleep: Make your bedroom a sleep sanctuary: keep it cool, dark, and quiet. Stick to a regular bedtime and avoid long naps during the day. Avoid screens at least one hour before bed to prevent blue light from disrupting your melatonin production.
  • Move Your Body Regularly: Exercise isn’t only about getting fit. Moving your body every day helps you handle worry better, release built-up stress, and set you up for deeper, more restorative sleep at night.
  • Practicing Mindfulness: Take a moment each day to practice mindfulness or meditation. When you do, you break the exhausting mental cycles that keep you on edge. You’ll notice your breathing slows down, and your body releases less stress hormones in your system.
  • Eat For Lasting Energy: What you put on your plate really matters. Ultra-processed foods high in sugar and saturated fats have been linked to higher anxiety. Focus on whole foods like lean proteins, fruits and vegetables, nuts, seeds, and complex carbs. These keep your energy steady throughout the day without crashing.

Don’t try to change everything all at once. Take it one small habit at a time. Showing up for yourself each day helps you get your resilience and your life back.

Somatic Practices for Anxiety Fatigue

Healing from anxiety fatigue means showing your body that it’s safe, so it can finally relax and rebuild. Here are some body-centred somatic practices you can incorporate into your daily routine to help you recover and regain energy:

  • Tune Into Your Body: Stress turns you into a human fortress, always on guard. Tension piles up, and you hold it all in without even noticing. Your jaws are always clenched, your shoulders are tight, and you’re sucking in your stomach muscles. Every so often, pause and scan your body. Drop your shoulders away from your ears. Unclench your jaw. Soften your belly. Let go of your pelvic floor. Releasing this unconscious bracing prevents your body from continuing to drain your energy.
  • Pacing and Micro-Rest: Do not wait until you are completely running on empty at the end of the day to rest. Instead, incorporate brief, micro-pauses for less than 10 minutes every few hours. Step away from your laptop, put away your phone, close your eyes, and do nothing at all. These tiny pockets of peace allow your brain to step out of production mode, preventing a system crash.
  • Vagal Down-Regulation: Help your body safely shift out of a hypervigilant fight-or-flight state. Try gentle practices that stimulate the parasympathetic nervous system, such as taking a warm bath, softly humming or chanting (which physically vibrates the vocal cords near the vagus nerve), or taking long, sighing exhalations. These small movements gently tell your system it’s okay to lower its guard and start the deep work of repair.

Getting Support at Lotus Therapy

Anxiety can make you physically tired, and it’s your nervous system asking for help because it’s been in overdrive for too long. At Lotus Therapy, our team understand how mental fatigue anxiety and stress exhaustion can leave you completely burnt out. We go further than regular talk therapy. We help you tune into your body, process what’s there, and slowly move your whole system toward real regulation.

You don’t have to be in a vicious cycle of anxiety and stress alone. Let’s get you past just getting by and into proper recovery. Schedule an appointment today and meet with a holistic therapist who’s trained to help you find your energy again.

References

Albulescu, P., Macsinga, I., Rusu, A., Sulea, C., Bodnaru, A., & Tulbure, B. T. (2022). “Give Me a break!” a Systematic Review and meta-analysis on the Efficacy of micro-breaks for Increasing well-being and Performance. PLOS ONE, 17(8). https://doi.org/10.1371/journal.pone.0272460

Chellappa, S. L., & Aeschbach, D. (2022). Sleep and Anxiety: From Mechanisms to Interventions. Sleep Medicine Reviews, 61, 101583. https://doi.org/10.1016/j.smrv.2021.101583

Clinic, C. (2025, January 23). Hyperarousal: What It Is, Causes, Symptoms & Treatment. Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/hyperarousal

Harvard Medical School. (2011, June 15). Understanding the stress response — Harvard Health. Harvard Health. https://www.health.harvard.edu/healthy-aging-and-longevity/understanding-the-stress-response

Karin, O., Raz, M., Tendler, A., Bar, A., Korem Kohanim, Y., Milo, T., & Alon, U. (2020). A New Model for the HPA Axis Explains Dysregulation of Stress Hormones on the Timescale of Weeks. Molecular Systems Biology, 16(7). https://www.embopress.org/doi/full/10.15252/msb.20209510

Mayo Clinic. (2023, August 10). Stress Symptoms: Effects on Your Body and Behavior. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress-symptoms/art-20050987

McEwen, B. S. (2017). Neurobiological and Systemic Effects of Chronic Stress. Chronic Stress, 1(1), 247054701769232. https://doi.org/10.1177/2470547017692328

Santos-Longhurst, A. (2018, October 26). Mental Exhaustion: Definition, Causes, Symptoms, and Treatment. Healthline. https://www.healthline.com/health/mental-exhaustion#coping-tips

Stanborough, R. J. (2021, January 12). Does Anxiety Make You Tired? Healthline. https://www.healthline.com/health/anxiety/can-having-anxiety-make-you-feel-tired

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