Bruise Easily and Anxiety
Bruising more easily and more frequently, such as noticing you have more bruises than usual, it is easier to get bruises, and you have bruises more often, are common anxiety symptoms, including common anxiety and panic attack symptoms.
Many anxious people notice they bruise more easily when their anxiety is elevated.
This article explains the relationship between anxiety and easy bruising.
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Easy Bruising Anxiety Symptom Descriptions
- You bruise more easily since your anxiety has elevated.
- You have more bruises than usual.
- Even minor bumps cause bruising.
- You have more bruises than usual on your arms, legs, and abdomen.
- It doesn’t take much of an impact to leave a bruise.
- Bruising can leave more of a mark than usual.
- Your bruises take much longer than expected to disappear.
This symptom can:
- Occur occasionally, frequently, or persistently.
- 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.
- 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.
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.
Anxious behavior, such as worry, activates the stress response, which secretes stress hormones into the bloodstream, where they travel to specific locations to immediately prepare the body for emergency action – to fight or flee. This instinctual survival reaction is often referred to as the Fight or Flight Response [1][2].
The stress response causes many body-wide change, including:
- Increases circulating stress hormones, such as adrenaline and cortisol.
- Quickly converts the body’s energy reserves into “fuel” (blood sugar) to instantly boost energy.
- Increases heart rate, respiration, and metabolism due to the boost in energy.
- Stimulates the sympathetic nervous system, increasing nervous system activity to be more sensitive and reactive to danger.
- Heightens most of the body’s senses to be more aware of danger.
- Shunts blood to parts of the body vital to survival, such as the brain, arms, legs, muscles, and vital organs, and away from parts less essential for survival, such as the stomach, digestive system, and skin. It accomplishes this by constricting blood vessels in certain parts of the body and dilating them in others.
- Masks pain and discomfort so our attention isn’t diverted away from fighting or fleeing.
- Taxes the body’s energy and nutritional resources harder and faster than usual.
To name a few.
Visit the “Stress Response” article for the many changes it causes.
Since stress responses push the body beyond its internal balance (equilibrium), stress responses stress the body. As such, anxiety stresses the body.
Research has shown that stress can cause bruising more easily. This is especially true for chronic stress.
2. Stress-Response Hyperstimulation (Chronic Stress)
When stress responses occur infrequently, the body can recover relatively quickly after the stress responses end. However, when stress responses occur too frequently, such as from overly anxious behavior, the body doesn’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” [3][4].
Visit our “Hyperstimulation” article for more information about the many ways hyperstimulation can affect the body and how we feel.
Hyperstimulation can cause the changes of an active stress response even though a stress response hasn’t been activated. Consequently, hyperstimulation can leave the body chronically stressed.
Chronic stress can make the body more vulnerable to bruising easily.
Stress-Related Factors Contributing To Easy Bruising
Elevated Cortisol
Chronic stress leads to elevated levels of cortisol, causing thinning of the skin, making it more susceptible to bruising from minor impacts [5]. This skin thinning effect is particularly noticeable in conditions like Cushing's syndrome, where cortisol levels are chronically elevated.
Blood Vessel Changes
As mentioned, stress hormones affect blood vessel function. Chronic stress can make them more fragile or prone to leaking. This increased fragility can result in easier bruising, as even minor impacts can cause blood to leak into surrounding tissues [6].
Altered Blood Clotting
Stress can impact the body's blood clotting mechanisms. In some cases, stress can lead to a thinning of the blood, which can prolong the time it takes for blood to clot, increasing the likelihood and severity of bruising [6].
Gardner-Diamond Syndrome
In rare cases, chronic stress and emotional trauma can lead to a condition called Gardner-Diamond syndrome, also known as psychogenic purpura or autoerythrocyte sensitization syndrome.
This disorder is characterized by:
- Spontaneous, painful bruising, often preceded by a burning sensation [7].
- Most commonly affecting women but also reported in adolescents and males [8].
- Strong association with severe stress and emotional trauma [8].
Gardner-Diamond syndrome is one example of how psychological stress can manifest in physical symptoms, including unexplained bruising [9].
Other Stress-Related Factors
Chronic stress can indirectly contribute to easy bruising through:
- Nutritional Deficiencies: Stress may lead to poor dietary habits, potentially resulting in deficiencies of vitamins C and K, which are crucial for blood vessel health and clotting, respectively [6].
- Reduced Physical Activity: Chronic stress often leads to a more sedentary lifestyle, which can affect overall circulation and potentially contribute to easier bruising.
- Sleep Disruption: Chronic stress often disrupts sleep, impacting the body's healing and regenerative processes, potentially making the skin more vulnerable to bruising [10].
These are a few of the ways stress, especially chronic stress, including anxiety-caused stress, can lead to easy and more frequent bruising.
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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
- Dehydration
- Hormone changes
- Pain
Select the relevant link for more information.
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Treatment
When other factors cause or aggravate easy bruising, addressing the specific cause can reduce and eliminate this symptom.
When an active stress response causes easy bruising, ending the active stress response will cause this acute anxiety symptom to subside.
Keep in mind that it can take up to 20 minutes or more for the body to recover from a major stress response. But this is normal and needn’t be a cause for concern.
When hyperstimulation (chronic stress) causes easy bruising, eliminating hyperstimulation will end this anxiety symptom.
You can eliminate hyperstimulation by:
- Reducing stress.
- Containing anxious behavior (since anxiety creates stress).
- Regular deep relaxation.
- Avoiding stimulants.
- Regular light to moderate exercise.
- Eating a healthy diet of whole and natural foods.
- 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.
Recovery Support members can view chapters 5, 6, 7, 14 and more for more detailed information about recovering from hyperstimulation and anxiety disorder.
As the body recovers from hyperstimulation, it stops sending symptoms, including this one.
Symptoms of chronic stress subside as the body regains its normal, non-hyperstimulated health.
However, eliminating hyperstimulation can take much longer than most people think, causing symptoms to linger longer than expected.
As long as the body is even slightly hyperstimulated, it can present symptoms of any type, number, intensity, duration, frequency, and at any time, including this one.
Even so, since easy bruising is a common symptom of stress, including anxiety-caused stress, it's needn't be a cause for concern. Bruising more easily and frequently will subside when unhealthy stress has been eliminated and the body has had sufficient time to recover. Therefore, there is no reason to worry about it.
Since worrying and becoming upset about anxiety symptoms stress the body, these behaviors can interfere with 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.
Keep in mind that it can take a long time for the body to recover from hyperstimulation. It's best to faithfully work at your recovery despite the lack of apparent progress.
However, if you persevere with your recovery work, you will succeed.
You also have to do your recovery work FIRST before your body can recover. The cumulative effects of your recovery work will produce results down the road. And the body's stimulation has to diminish before symptoms can subside.
- Reducing stress.
- Increasing rest.
- Faithfully practicing your recovery strategies.
- Passively accepting your symptoms.
- Containing anxious behavior.
- Being patient.
These will bring results in time.
When you do the right work, the body has to recover!
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Short-term remedies:
Even though eliminating hyperstimulation will eliminate chronic anxiety symptoms, including easy bruising, there are a few things you can do to reduce the frequency of easy bruising.
Reduce stress – Since stress, including anxiety-caused stress, is a common cause of easy bruising, reducing stress can reduce episodes of this symptom.
Any stress reduction strategy can help improve this symptom. Visit our article “60 Ways To Reduce Stress And Anxiety” for natural stress reduction strategies.
Recovery Support members can read chapters 4 and 14 for many natural ways to reduce stress and anxiety.
Regular good sleep – Sleep disruption is a contributing factor to easy bruising. Therefore, regular good sleep can reduce stress, cortisol, and the body’s overall level of stimulation, reducing the severity and frequency of easy bruising.
Regular deep relaxation – Deep relaxation reduces the body’s overall level of circulating stress hormones, which can reduce the severity and frequency of symptoms, including easy bruising.
Regular light to moderate exercise – Regular light to moderate exercise can reduce stress and use up excess cortisol, which can help reduce anxiety symptoms, including this one. Regular exercise can also strengthen blood vessels, making them more resilient to impact.
Avoid stimulants – Stimulants, such as caffeine, stimulate the body by increasing the circulation of cortisol, the body's most powerful stress hormone. To help the body recover from hyperstimulation, we need to reduce the production of stress hormones and stimulation, not increase it. Reducing stress and stimulation can help reduce symptoms of hyperstimulation, including easy bruising.
Keep well hydrated – Dehydration can cause anxiety-like symptoms and aggravate existing anxiety symptoms. Keeping your body well hydrated can reduce and eliminate anxiety symptoms, including easy bruising.
Slow down – Anxious people often race around because of increased stress hormone stimulation. Racing around can make an individual more prone to bumping into things, causing bruising. Deliberately slowing down and being more deliberate about your actions can reduce impact incidents, causing bruising. Deliberately slowing down can also reduce circulating stress hormones since always being in a hurry causes an increase in circulating stress hormones and stimulation.
Recovery Support
The Recovery Support area of our website contains thousands of pages of important self-help information to help individuals overcome anxiety disorder, hyperstimulation, and symptoms.
Due to the vast amount of information, including a private Discussion Forum, many of our Recovery Support members consider it their online recovery support group.
Therapy
Unidentified and unaddressed underlying factors cause issues with anxiety. As such, they are the primary reason why anxiety symptoms persist.
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 give 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, especially if you have persistent symptoms and difficulty containing anxious behavior, such as worry.[11][12][13]
In many cases, working with an experienced therapist is the only way to overcome stubborn anxiety.
Research has shown that therapy is the most effective treatment for anxiety disorder, and distance therapy (via phone or the Internet) is equally, if not more effective, than face-to-face in-person therapy.[13][14][15]
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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 electric pulsing, surging, throbbing, and fluttering anxiety symptoms.
References
1. Chu, Brianna, et al. “Physiology, Stress Reaction.” StatPearls, 7 May 2024.
2. Godoy, Livea, et al. "A Comprehensive Overview on Stress Neurobiology: Basic Concepts and Clinical Implications." Frontiers In Behavioral Neuroscience, 3, July 2018.
3. Yaribeygi, Habib, et al. “The Impact of Stress on Body Function: A Review.” EXCLI Journal, Leibniz Research Centre for Working Environment and Human Factors, 2017.
4. 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.
5. Bottaro, Angelica. “What Causes Random Bruising?” verywellhealth.com, 2 May 2023.
6. Sali, Loanna. “When to worry about bruises: 5+1 reasons that cause them!” Vita4You.com, 7 August 2022.
7. Meeder, Robert, and Bannister, Susan. "Gardner-Diamond syndrome: Difficulties in the management of patients with unexplained medical symptoms." PMC PubMed Central, 11 Sep 2006.
8. Jafferany, Mohammad, and Bhattacharya, Gauray. "Psychogenic Purpura (Gardner-Diamond Syndrome)." PMC PubMed Central, 22 Jan 2015.
9. Coelho, Steph. "What causes unexplained bruising on the legs?" MedicalNewsToday, 16 Feb 2024.
10. Garg, Amit, et al. "Psychological Stress Perturbs Epidermal Permeability Barrier Homeostasis." Arch Dermatol, jan 2001.
11. 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.
12. Leichsenring, Falk. “Is Cognitive Behavioral Therapy the Gold Standard for Psychotherapy?” JAMA, American Medical Association, 10 Oct. 2017.
13. Kingston, Dawn.“Advantages of E-Therapy Over Conventional Therapy.” Psychology Today, Sussex Publishers, 11 Dec. 2017.
14. Markowitz, John, et al. “Psychotherapy at a Distance.” Psychiatry Online, March 2021.
15. 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.