Anxiety Shaking, Trembling, Vibrating, Tremors Symptoms
Trembling, shaking, vibrating, and tremors are common symptoms of anxiety and hyperstimulation. They are also common anxiety and panic attack symptoms. They are often described as the entire body or parts of the body suddenly start trembling like there is a vibrator on the inside of them.
This article explains the relationship between anxiety and trembling, shaking, vibrating, and tremors and what you can do to get rid of them.
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Trembling, Shaking, Vibrating, and Tremoring Common Anxiety Symptom Descriptions:
- You feel jittery and shaky inside.
- Your arms, hands, feet, legs, stomach, sides, chest, back, head, buttocks, groin, outside or inside your ears, or even your entire body feel shaky or like they are trembling, shaking, vibrating, or tremoring.
- Parts of your body (inside or outside), or your entire body feels like it is trembling, shaking, vibrating or buzzing for no reason.
- You get episodes of the “shakes” out-of-the-blue.
- This trembling can feel as if you are sitting in a vehicle that's running even though you are on a solid surface that isn’t moving.
- This symptom can feel as if you are in a mild earth quake even though you aren’t.
- Even though there isn’t any visible shaking, your insides feel like they are vibrating and trembling.
- This symptom can also feel like you have a vibrator running on the inside of your body.
- Even though you aren’t anxious or stressed, your body is trembling, shaking, vibrating, or tremoring.
This symptom can affect just one part of the body, many parts of the body, migrate from one location to another, or affect the entire body.
You can be visibly trembling, shaking, vibrating, tremoring or not and just feels that way.
This symptom can occur on the exterior of the body or feel like it is occurring on the inside, or both.
While some people may be able to control their trembling, shaking, vibrating, or tremoring by calming themselves or by tightening and loosening their muscles, most often this symptom occurs involuntarily, meaning there isn’t much you can do to stop it.
Some people experience this symptom only when moving certain muscles, while others experience it in episodes or all the time regardless of muscle movement.
This symptom can:
- Precede, accompany, or follow an escalation of other anxiety symptoms or occur by itself.
- Precede, accompany, or follow a period of nervousness, anxiety, fear, and stress, or occur "out-of-the-blue" for no reason.
- Range in intensity from mild, to moderate, to severe.
- Come in waves where it’s strong one moment and eases off the next.
- Occur for a while, subside, and then return for no reason.
- Change from day to day, moment to moment, or remain as a constant background during your struggle with anxiety disorder.
All the above combinations and variations are common.
This symptom can seem more noticeable when undistracted, resting, trying to sleep, or waking up.
To see if anxiety might be playing a role in your symptoms, rate your level of anxiety using our free one-minute instant results Anxiety Test, Anxiety Disorder Test, or Hyperstimulation Test.
The higher the rating, the more likely anxiety could be contributing to or causing your anxiety symptoms, including feeling like impending doom symptoms.
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Causes
Medical Advisory
Talk to your doctor about all new, changing, persistent, and returning symptoms, as some medical conditions and medications can cause anxiety-like symptoms.
While there are many reasons for this symptom, here are the most common:
1. The stress response
Anxious behavior activates the stress response, which secretes stress hormones into the bloodstream. These hormones travel to targeted locations to bring about specific physiological, psychological, and emotional changes that prepare the body for immediate emergency action – to either fight or flee.
This survival reaction is often referred to as [1][2]:
- The fight or flight response.
- The freeze response(some people become so frightened that they freeze with fear like a “deer caught in headlights”). This response is thought to be a survival mechanism that allows the person to blend in with their surroundings and avoid detection by a predator.
- The faint response (some people faint when afraid). This response is thought to be a last resort for survival in situations where fighting or fleeing is not possible or likely to be successful.
- The submit response (some people easily surrender to their threats when afraid). This response is thought to be a way of avoiding further harm or injury and may be seen in situations where the person feels powerless or overwhelmed.
- The appease response(some people attempt to calm or placate the threat to avoid harm or conflict). This response is thought to be a way of avoiding or reducing the severity of the threat.
The stress response causes many body-wide changes, including:
- Tightens muscles so that the body is more resilient to harm.
- Stimulates the body, especially the nervous system.
- Boosts the body’s energy.
- Increases heart rate, respiration, and metabolism due to the boost in energy.
- Heightens most of the body’s senses.
To name a few.
For complete information about the many body-wide changes, visit “The Stress Response” article.
The degree of the stress response is proportional to the degree of anxious behavior. For instance, the more anxious you are, the more dramatic the stress response changes.
Since stress responses push the body beyond its internal balance (equilibrium), stress responses stress the body. As such, anxiety stresses the body.
Therefore, anxiety symptoms are symptoms of stress. They are called anxiety symptoms because anxious behavior is the main source of the stress that stresses the body, causing symptoms.
Any of the above stress response changes can cause a trembling, shaking, vibrating, or tremoring feeling. Again, the more dramatic the stress response changes, the more intense the trembling feelings.
Just as too much caffeine, a stimulant, can stimulate the body and cause jitteriness and trembling, so can the stress response because it stimulates the body. Trembling, shaking, vibrating, and tremors are common sensations associated with anxiety and an active stress response [3][4][5].
Some people say they have a “case of the nerves” because they are shaking so much from being anxious, nervous, and afraid.
2. Hyperstimulation
When stress responses occur infrequently, the body can recover relatively quickly from the physiological, psychological, and emotional changes the stress response brings about.
However, when stress responses occur too frequently, such as from overly anxious behavior, the body can’t completely recover. Incomplete recovery can leave the body in a state of semi-stress-response readiness, which we call “stress-response hyperstimulation” since stress hormones are powerful stimulants.
Hyperstimulation is also often referred to as “hyperarousal,” “HPA axis dysfunction,” or “nervous system dysregulation” [6][7].
Recovery Support members can visit our “Hyperstimulation And Its Effects” article in Chapter 14 for more in-depth information about the many ways hyperstimulation can affect the body and how it can make a person feel.
Hyperstimulation can cause changes of an active stress response even though a stress response hasn’t been activated. Experiencing involuntary “trembling, shaking, vibrating, tremoring” feelings are common indications of hyperstimulation (chronic stress).
Furthermore, the body’s nervous system is responsible for sending sensory nerve impulse information from the body’s sense organs to the brain for interpretation and then for sending nerve impulse information from the brain to the body.
The nervous system accomplishes this “sending and receiving” via specialized cells called “neurons.” Neurons communicate with each other using an electrochemical process (the combination of electricity and chemistry) [8][9].
For example, if you touch a hot burner, the nerve receptors in the skin send this sensory information – electrical signals - through the nervous system network to the brain. Once the brain interprets this sensory information as “hot,” the brain sends nerve impulse information back through the nervous system to the muscles that control the arm and hand to pull the hand away from the hot burner [10].
This “back-and-forth” interaction happens quickly – nerve impulse information can travel as fast as 268 miles per hour [11]. This “quick reaction” can prevent the skin from being burned.
This system of nervous system communication and reaction performs normally when the body and nervous system are healthy. However, problems with this interaction can occur when the body and nervous system become hyperstimulated [12][13].
Hyperstimulation can cause all kinds of erratic nervous system behavior, such as muscle twitching, spasms, and tension, as well as a “trembling” feeling anywhere on or in the body, including parts of the body or the entire body.
Moreover, because hyperstimulation can cause an increase in the electrical activity in parts of the brain, the nervous system can behave even more erratically [14].
The above factors can cause many unusual sensations and symptoms, including a “trembling, shaking, vibrating, and tremoring” feeling.
For instance, as mentioned, muscle movements are controlled by nerve impulses. A muscle contracts (tightens) when it receives a nerve impulse and releases (relaxes) when the nerve impulse stops.
The body is made up of muscles that respond to involuntary nerve impulses (where the body decides when and how to use them) and voluntary nerve impulses (where we decide when and how to use them).
The body is also made up of three kinds of muscles:
- Smooth muscles: muscles that respond to nerve impulses that are automatically controlled by the body’s nervous system, such as the bladder, blood vessels, and those involved with the digestive system. Smooth muscles can contract and remain so until the body releases them.
- Skeletal muscles: muscles that respond to voluntary nerve impulses, such as those in the arms, hands, legs, chest, back, and so on. Skeletal muscles can contract and remain so until we decide to release them.
- Cardiac muscle: this muscle is controlled involuntarily. Its features are consistency and endurance. This type of muscle is only found in the heart and is a twitch muscle only (contracts, then immediately releases).
When the body’s nervous system and muscle tensions are normal, the combination of nerve impulses and muscle responses causes them to function normally. However, hyperstimulation can affect the nervous system's functions, affecting voluntary and involuntary muscle movements.
For example, hyperstimulation can cause muscles to involuntarily pulse, throb, twitch, spasm, or contract as the affected nervous system sends erratic nerve impulses to the body’s muscles. These erratic nerve impulses can be sent to any of the body’s skeletal muscles, at any time, and to any degree. A variety of contractions from slight (pulsing/tremor/vibrate) to dramatic (twitching or painful spasms) and from rhythmic to sporadic can occur.
As long as the body is hyperstimulated, even to a mild degree, it can experience symptoms, including trembling, shaking, vibrating, and tremors. Chronic symptoms generally mean the body is chronically stressed (hyperstimulated).
3. Hyperstimulation can make the nervous system and senses super sensitive.
Stress responses are supposed to put the nervous system on high alert, making it super-sensitive and reactive to stimuli. As the degree of hyperstimulation increases, so does the nervous system’s sensitivity and reactivity. That’s why people who are overly stressed can become “jumpy” like an antsy cat.
When the body becomes hyperstimulated (chronically stressed), it can make you more sensitive to the movements in your environment, such as you might be able to more readily feel the vibrations coming from passing traffic, a spinning wash machine or dryer, a moving elevator in a building, a nearby train, or someone walking on the floor or moving on a bed, etc.
As long as the body is hyperstimulated, it can be more receptive to environmental movements that can make it seem like your body is trembling, shaking, vibrating, or tremoring.
4. Sleep deprivation
Sleep deprivation adversely affects the body’s nervous system and causes an increase in the level of circulating cortisol, a powerful stress hormone, to compensate for feeling tired [15][16]. Many people who are sleep-deprived experience trembling until their sleep debt is caught up.
The combination of hyperstimulation and sleep deprivation is a common cause of reoccurring and persistent trembling, shaking, vibrating, and tremoring symptoms.
5. Other Factors
Other factors can create stress and cause anxiety-like symptoms, as well as aggravate existing anxiety symptoms, including:
- Medication
- Recreational drugs
- Stimulants
- Fatigue
- Hyper and hypoventilation
- Low blood sugar
- Nutritional deficiencies
- Dehydration
- Hormone changes
- Pain
Select the relevant link for more information.
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Treatment
When this trembling, shaking, vibrating, or tremors are caused or aggravated by any of the other factors, addressing those factors can reduce and eliminate this common anxiety symptom.
When this symptom is caused by an active stress response, calming yourself will end the active stress response and its changes, causing this symptom to subside as your body recovers from the active stress response.
Keep in mind it can take up to 20 minutes or more for the body to recover from a major stress response. This is normal and shouldn’t be a cause for concern.
When this symptom is caused by hyperstimulation, eliminating hyperstimulation will end hyperstimulation-caused trembling, shaking, vibrating, and tremors.
You can reduce and eliminate hyperstimulation by:
- Containing anxious behavior.
- Reducing stress.
- Regular deep relaxation.
- Relaxed diaphragmatic breathing.
- Regular light to moderate exercise.
- Getting regular good sleep.
- Eating a healthy diet of whole and natural foods.
- Avoiding stimulants.
- Passively-accepting your symptoms until they subside.
- Being patient as your body recovers.
Visit our “60 Natural Ways To Reduce Stress” article for more ways to reduce stress.
As the body recovers from hyperstimulation, it stops sending symptoms of hyperstimulation, including this one.
However, eliminating hyperstimulation can take much longer than most people think, causing symptoms to linger longer than expected.
As long as the body is hyperstimulated, even to a mild degree, it can exhibit symptoms of any type, number, intensity, duration, frequency, and at any time, including trembling, shaking, vibrating, and tremors.
Even so, since this symptom is a common symptom of stress (acute and chronic), including anxiety-caused stress, it's harmless and needn't be a cause for concern. It will subside when unhealthy stress has been eliminated and the body has had sufficient time to recover and stabilize. Therefore, there is no reason to worry about anxiety-caused trembling, shaking, vibrating, and tremors.
Anxiety symptoms often linger because:
- The body is still being stressed (from stressful circumstances or anxious behavior).
- Stress hasn't been reduced enough or for long enough.
- The body hasn't completed its recovery work.
Addressing the reason for lingering symptoms will allow the body to recover.
Most often, lingering anxiety symptoms ONLY remain because of the above reasons. Lingering anxiety symptoms AREN'T a sign of a medical problem. This is especially true if your doctor has attributed your symptoms solely to anxiety or stress.
As the body recovers from hyperstimulation and stabilizes, all chronic anxiety symptoms will slowly diminish and eventually subside, including this one.
Since worrying and becoming upset about anxiety symptoms stress the body, these behaviors can interfere with and stall recovery.
Passively accepting your symptoms – allowing them to persist without reacting to, resisting, worrying about, or fighting them – while doing your recovery work will cause their cessation in time.
Acceptance, practice, and patience are key to recovery.
Since the body can take a long time to recover from hyperstimulation, it's best to faithfully work at your recovery despite the lack of apparent progress. If you persevere with your recovery work, you will succeed.
You also must do your recovery work FIRST before your body can recover. The cumulative effects of your recovery work will produce results down the road. And hyperstimulation must diminish before symptoms can subside.
Eliminating hyperstimulation will bring results in time!
Remember: Focusing on your sensations and symptoms makes them more pronounced. If you'd like to lessen their impact, learn to focus your attention elsewhere through distraction, enjoying your hobbies, undertaking pleasing and calming activities, regular deep relaxation, and by recalling pleasant memories or experiences.
Short-term remedies:
Even though eliminating hyperstimulation will eliminate this symptom, some people have found the following strategies helpful in reducing this symptom in the short-term. Keep in mind, however, that each person can have a unique symptom experience. What might work for one person might not for another:
- Regular deep relaxation – can relax the body and reduce stimulation, which can help reduce nervous system activity and this symptom.
- Taking a warm bath – can relax the body and nervous system, which can help reduce muscle tension and movement-related symptoms.
- Have a massage – can help the body and nervous system relax, which can help muscles release and relax, as well as help the nervous system become less active.
- Listening to soothing music – can help the mind, body, nervous system gear down.
- Going for a leisure walk - can help the body, nervous system, and muscles relax.
- Going for a leisure swim - can help the body, nervous system, and muscles relax.
- Floating on a water device – lying down on an inflatable water raft can be soothing and relaxing, and so can leisurely floating in a boat. Some people find the gentle rocking of the waves enjoyable and relaxing.
- Not reacting to this symptom – can help the nervous system disengage and relax, which can help with muscle tension and movement symptoms.
- Muscle relaxants – can help release and calm muscle tension and movement symptoms.
- Any type of stress reduction strategy – can reduce nervous system reactivity and muscle-related symptoms.
I (Jim Folk) had many periods of trembling, shaking, vibrating, and tremors, too, during my struggle with anxiety disorder. As I eliminated hyperstimulation, they completely subsided. They can return at times when I let my stress elevate. However, they subside when I reign in my stress.
Therapy
Unidentified and unaddressed underlying factors cause issues with anxiety. As such, they are the primary reason why anxiety symptoms persist [17][18][19].
Addressing your underlying factors (Level Two recovery) is most important if you want lasting success.
Addressing Level Two recovery can help you:
- Contain anxious behavior.
- Become unafraid of anxiety symptoms and the strong feelings of anxiety.
- End anxiety symptoms.
- Successfully address the underlying factors that so often cause issues with anxiety.
- End what can feel like out-of-control worry.
All our recommended anxiety therapists have had anxiety disorder and overcame it. Their personal experience with anxiety disorder and their Master's Degree and above professional training gives them insight other therapists don't have.
If you want to achieve lasting success over anxiety disorder, any one of our recommended therapists would be a good choice.
Working with an experienced anxiety disorder therapist is the most effective way to treat anxiety disorder.
In many cases, working with an experienced therapist is the only way to overcome stubborn anxiety.
Frequently Asked Questions
Can anxiety cause trembling and shaking symptoms?
Yes, anxiety activates the stress response, which prepares the body for immediate action in many ways. Some of these preparations can cause a trembling, shaking, and vibrating feeling.
Why do I feel like I’m shaking inside anxiety?
Anxiety activates the stress response, which secretes stress hormones into the bloodstream that stimulate the body. That stimulation can make a person feel like they are shaking inside.
Is shaking a sign of anxiety?
It could be since anxiety stimulates the body, which can cause shaking. However, it’s best to discuss your symptoms with your doctor since there are other causes of shaking.
Is anxiety trembling permanent?
No. Dealing with your anxiety and stress should eliminate anxiety-caused trembling in time.
Why is my body shaking for no reason?
Chronic stress, including anxiety-caused chronic stress (hyperstimulation), is a common cause of shaking for no reason. Once the body becomes chronically stressed, it can exhibit symptoms, such as shaking for no reason. Eliminating chronic stress should eliminate shaking for no reason.
How to stop shaking from anxiety immediately?
Since shaking is a common symptom of anxiety, you can stop shaking by containing anxiety, calming yourself, and being patient as your symptoms subside.
Does dehydration make you shaky?
Yes, it can. Dehydration stresses the body like anxiety stresses the body. Stress causes an increase in circulating stress hormones, which stimulate the body. Stress hormone stimulation can cause shaking. Rehydrating can eliminate dehydration-caused shaking.
How can I get rid of anxiety trembling and shaking symptoms?
Containing your anxiety and giving your body time to recover should eliminate anxiety-caused trembling and shaking. However, you will also need to eliminate hyperstimulation if your symptoms are caused by hyperstimulation.
How can I stop shaking from anxiety fast?
Calming yourself by containing anxious thinking and relaxed diaphragmatic breathing can shut off an active stress response, ending the stimulation and stimulation-caused shaking. However, if your shaking is caused by hyperstimulation (chronic stress), there isn’t a fast way to eliminate hyperstimulation. You'll have to work on reducing your stress before hyperstimulation can subside.
How long does anxiety shaking last?
It can last for as long as you are anxious or for as long as your body is chronically stressed. Since shaking is a common symptom of both anxiety and hyperstimulation (chronic stress), it will last as long as the cause remains unaddressed.
You can learn much more about how to contain anxiety and eliminate hyperstimulation and its symptoms in the Recovery Support area of our website. The Recovery Support area also provides general guidelines on how long it should take to eliminate hyperstimulation and its symptoms.
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Video
Play the clip below for Jim Folk's commentary about the Body Tremors anxiety symptoms. Jim Folk is the president of anxietycentre.com.
Body tremors is a common symptom of elevated stress, including the stress anxiety can cause. Jim Folk experienced body tremors to a severe degree during his 12 year struggle with anxiety disorder.
If you are having difficulty containing your worry about this symptom, you may want to connect with one of our recommended anxiety disorder therapists. Working with an experienced anxiety disorder therapist is the most effective way to overcome what seems like unmanageable worry and problematic anxiety.
For a more detailed explanation about all anxiety symptoms, why symptoms can persist long after the stress response has ended, common barriers to recovery and symptom elimination, and more recovery strategies and tips, we have many chapters that address this information in the Recovery Support area of our website.
Common Anxiety Symptoms
Additional Resources
- For a comprehensive list of Anxiety Disorders Symptoms Signs, Types, Causes, Diagnosis, and Treatment.
- Anxiety and panic attacks symptoms can be powerful experiences. Find out what they are and how to stop them.
- How to stop an anxiety attack and panic.
- Free online anxiety tests to screen for anxiety. Two minute tests with instant results. Such as:
- Anxiety 101 is a summarized description of anxiety, anxiety disorder, and how to overcome it.
Return to our anxiety disorders signs and symptoms page.
anxietycentre.com: Information, support, and therapy for anxiety disorder and its symptoms, including anxiety body tremors.
References
1. "The Physiology of Stress: Cortisol and the Hypothalamic-Pituitary-Adrenal Axis." DUJS Online. N.p., 03 Feb. 2011. Web. 19 May 2016.
2. Godoy, Livea, et al. "A Comprehensive Overview on Stress Neurobiology: Basic Concepts and Clinical Implications." Frontiers In Behavioral Neuroscience, 3, July 2018.
3. “Tremor Fact Sheet.” National Institute of Neurological Disorders and Stroke, U.S. Department of Health and Human Services, 6 July 2018.
4. WebMD staff. “Essential Tremor and Stress Management.” WebMD, WebMD, 2019.
5. Cuncic, Arlin, and Steven Gans. “Is Your Shaking a Sign of Social Anxiety Disorder?” Verywell Mind, Dotdash, 2019.
6. Elbers, Jorina, et al. "Wired for Threat: Clinical Features of Nervous System Dysregulation in 80 Children." Pediatric Neurology, Dec 2018.
7. Teixeira, Renata Roland, et al. “Chronic Stress Induces a Hyporeactivity of the Autonomic Nervous System in Response to Acute Mental Stressor and Impairs Cognitive Performance in Business Executives.” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, 2015.
8. Bear, Connors, Paradiso (2016). Neuroscience: Exploring the brain - Fourth Edition. In Neurons And Glia (pp. 29-53). New York, NY: Wolters Kluwer
9. Chudler, Erica. “Neuroscience For Kids.” Neuroscience For Kids - Brain vs. Computer, 2018.
10. Bear,Connors, Paradiso (2016). Neuroscience: Exploring the brain - Fourth Edition. In Sensory and Motor Systems (pp. 265-517). New York, NY: Wolters Kluwer
11. Ross, Valerie. “Mar 2019.” Discover Magazine, 15 May 2011.
12. Z, Fatahi, et al. "Effect of acute and subchronic stress on electrical activity of basolateral amygdala neurons in conditioned place preference paradigm: An electrophysiological study." Behavioral Brain Research, 29 Sept. 2017.
13. Justice, Nicholas J., et al. “Posttraumatic Stress Disorder-Like Induction Elevates β-Amyloid Levels, Which Directly Activates Corticotropin-Releasing Factor Neurons to Exacerbate Stress Responses.” Journal of Neuroscience, Society for Neuroscience, 11 Feb. 2015.
14. Laine, Mikaela A, et al. “Brain Activation Induced by Chronic Psychosocial Stress in Mice.” Advances in Pediatrics., U.S. National Library of Medicine, 2017.
15. Peters, Brandon. “The Critical Effects of Sleep Deprivation on Your Body and Health.” Verywell Health, Verywellhealth, 30 May 2017.
16. Tomczak, A, et al. "CHANGES IN PHYSIOLOGICAL TREMOR RESULTING FROM SLEEP DEPRIVATION UNDER CONDITIONS OF INCREASING FATIGUE DURING PROLONGED MILITARY TRAINING." Biology of Sport, 16 Oct. 2014.
17. Hofmann, Stefan G., et al. “The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-Analyses.” Cognitive Therapy and Research, U.S. National Library of Medicine, 1 Oct. 2012.
8. Leichsenring, Falk. “Is Cognitive Behavioral Therapy the Gold Standard for Psychotherapy?” JAMA, American Medical Association, 10 Oct. 2017.
19. DISCLAIMER: Because each body is somewhat chemically unique, and because each person will have a unique mix of symptoms and underlying factors, recovery results may vary. Variances can occur for many reasons, including due to the severity of the condition, the ability of the person to apply the recovery concepts, and the commitment to making behavioral change.