Altered State of Consciousness and Anxiety

Written by Jim Folk
Medically reviewed by Marilyn Folk, BScN.
Last updated March 27, 2024

altered state of reality anxiety symptom

An altered State of Consciousness, such as feeling like you are separate from yourself or this reality and part of another reality, or like you are living in a dream-like state, or like you are having an out-of-body experience, is a common symptom of anxiety disorder.

This article explains the relationship between anxiety and experiencing an altered state of consciousness, how anxiety can cause it, and what you can do to get rid of it.

Altered State of Consciousness Common Anxiety Symptom Descriptions:

Common descriptions of the "Altered State Of Consciousness" anxiety symptom include:

  • It feels as if you are separate from yourself or this reality and part of another reality.
  • You notice changes in your behavior, such as having hallucinations, being overly agitated, and having trouble sleeping.
  • You might have noticed some cognitive impairment, such as disorientation and difficulty with memory.
  • You also have reduced awareness of your environment.
  • You might also notice you are having trouble communicating.
  • You also might have experienced improper problem-solving or bad judgment.
  • This symptom can also present as delusions where strong beliefs contradict reality.
  • It can also feel like being separate from oneself, disconnected from reality, in a dream-like state, or having an out-of-body experience.
  • You may be daydreaming much more than normal.
  • You also might feel dissociated.

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.
  • 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.

This symptom can seem more noticeable when undistracted, resting, trying to sleep, or waking up.

This symptom can seem more noticeable when you aren’t busy or distracted.

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.

Additional Medical Advisory Information.

There are many causes of altered states of consciousness. For instance:

Sleep and Dreaming: Sleep naturally alters consciousness. Different stages of sleep, particularly REM sleep, are associated with unique states of consciousness. Dreaming can create vivid and alternate realities, which are altered states of consciousness.

Meditation and Hypnosis: Both practices can lead to significant changes in consciousness. Deep meditation and deep relaxation can result in experiences of transcendence, detachment, or a profound sense of peace and unity. Hypnosis can lead to changes in perception, memory, and susceptibility to suggestions.

Psychoactive Substances: Drugs, including alcohol, cannabis, hallucinogens, sedatives, and stimulants, can significantly alter brain chemistry and perception, leading to altered states of consciousness. The effects can range from mild alterations of perception to profound changes in sensory experiences, thought processes, and self-awareness.

Mental Health Disorders: Certain mental health conditions, such as schizophrenia, bipolar disorder, severe depression, and anxiety, can lead to altered states of consciousness. For example, dissociative disorders involve disconnection and lack of continuity between thoughts, memories, surroundings, actions, and identity.

Neurological Conditions: Brain injuries, seizures, and other neurological conditions can alter consciousness. For example, epilepsy can lead to transient altered states of consciousness during a seizure.

Sensory Deprivation or Overload: Both extremes of sensory input can lead to ASC. Sensory deprivation, such as in flotation tanks, can cause hallucinations and a distorted sense of time. Conversely, sensory overload from extreme noise or visual stimuli can disrupt normal consciousness.

Physical and Emotional Stress: Extreme physical stress, exhaustion, or trauma can lead to altered states of consciousness, as can intense emotional experiences, such as anxiety. This includes situations of extreme fear, panic attacks, or profound grief.

Fasting and Physical Endurance Activities: Extended periods of fasting or intense physical activity, such as running a marathon, can lead to changes in mental state, often referred to as a "runner's high" or a state of euphoria and altered perception.

Cultural and Ritual Practices: Certain cultural and spiritual practices, including rituals and dances, are designed to induce altered states of consciousness as part of religious or healing ceremonies.

Near-Death Experiences: People who have had near-death experiences often report significant changes in consciousness, including out-of-body experiences, moving through a tunnel, or encountering beings of light in a different reality.

This article focuses on the link between anxiety and altered states of consciousness.

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The Stress Response

Anxious behavior, such as worry, activates the stress response. The stress response 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 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.

Some of the stress response changes include:

  • Quickly converts the body’s energy reserves into “fuel” (blood sugar) to provide an instant boost of energy.
  • Increases heart rate, respiration, and metabolism due to the boost in energy.
  • Stimulates the 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.
  • Causes muscles to tighten to make the body more resilient to injury.
  • Increases respiration to accommodate the increase in heart rate.
  • Increases perspiration to keep the body cool and expel toxins.

And so on.

For complete information about the many body-wide changes, visit “The Stress Response” article.

Since stress responses push the body beyond its internal balance (equilibrium), stress responses stress the body. As such, anxiety stresses the body.

As mentioned, stress can create an altered state of consciousness. For instance, individuals having intense anxiety, such as anxiety and panic attacks, which dramatically increase stress, can experience dissociation, creating an altered state of consciousness.

Moreover, chronic stress (hyperstimulation) can cause altered states of consciousness because it affects the mind, neurotransmitter levels, and brain function [3][4].

Visit our “Stress-Response Hyperstimulation” article for more information.

Both acute and chronic anxiety and the stress they cause can cause an altered state of consciousness.

Furthermore, anxiety-caused stress is a common cause of sleep deprivation, another common cause of an altered state of reality.

Dissociation

As mentioned, some people dissociate when afraid – mentally and emotionally separate themselves from an experience – especially with threats in the high to very high degree range.[5]

Dissociation can not only occur during a stress response. It can also become a behavioral issue – where a person regularly dissociates from certain thoughts and emotions that arose during a previous traumatic experience.

Chronic dissociation is another cause of an altered state of consciousness.

Visit the “Dissociation” symptom for more complete information about this common anxiety symptom.

Brainwave patterns

Extreme acute anxiety and hyperstimulation (chronic stress) can shift brain activity towards beta waves, reducing the calming alpha and creative theta and gamma waves [6], leading to a state that can feel surreal or detached from reality.

For instance:

Delta Waves (.5-3 Hz): These are most prevalent during deep, dreamless sleep but can also occur in profound states of meditation and relaxation. In waking states, unusually high delta activity may significantly detract from the external environment, leading to an altered state of consciousness often associated with deep transcendental meditation or spiritual experiences.

Theta Waves (3-8 Hz): Typically associated with light sleep, deep meditation, and REM sleep, theta waves can induce deep relaxation and are often linked to hypnagogic states (the transitional state from wakefulness to sleep). During these states, individuals may experience vivid imagery, creative thoughts, and a sense of detachment from the physical world, characteristic of an altered state of consciousness.

Alpha Waves (8-12 Hz): These are associated with states of calmness, relaxation, and light meditation. An increase in alpha wave activity can lead to feelings of peacefulness and dissociation from everyday thoughts and stressors. This can lead to a mild form of altered consciousness where one feels more "in the moment" or in a flow state.

Beta Waves (12-38 Hz): While normally associated with active, logical thought, an excess of beta activity, especially high-frequency beta waves, can lead to anxiety, stress, and paranoia. In extreme cases, this heightened state can alter one's perception of reality, contributing to an altered state of consciousness characterized by increased stress and disconnection from the present moment.

Gamma Waves (above 38 Hz): These represent high levels of processing and cognitive functioning. An increase in gamma wave activity is often found during moments of insight, high concentration, and peak cognitive functioning. Though less is known about gamma waves compared to other brainwave states, they are believed to be associated with heightened awareness and perception, contributing to peak experiences that can be considered altered states of consciousness.

It's important to note that while these experiences can occur naturally, they can also be induced by various practices such as meditation, deep relaxation techniques, and in some cases, through the use of psychoactive substances. However, the experiences and interpretations of these states can vary widely among individuals.

Stress can dramatically affect brainwaves. For instance:

Reduction in Alpha and Gamma Waves:

  • Stress often leads to an overabundance of beta waves, particularly high-beta waves that are associated with significant stress, anxiety, or panic. This overactivity can suppress the production of alpha and gamma waves.
  • Alpha waves are crucial for creativity, calmness, and mental coordination. By reducing alpha wave activity, stress can hamper these states, leading to difficulties in relaxation and focus.
  • Gamma waves, related to high-level information processing and cognitive functioning, can be suppressed by ongoing stress, impacting a person’s ability to reach peak concentration and insight.

Difficulty Transitioning between Brainwave States:

  • Chronic stress can make it challenging for the brain to transition smoothly between states, leading to a predominance of beta activity and making it difficult for an individual to reach the calmer, more creative alpha and gamma states while awake.

Sleep Disruption:

  • Stress can affect the natural flow between different brainwave states, disrupting sleep patterns. This can lead to less time spent in the restorative delta and theta stages of sleep, impacting overall well-being and cognitive function.

Any combination of the above factors can cause and contribute to anxiety-caused altered states of consciousness.

Other Factors

Other factors can create stress and cause anxiety-like symptoms, as well as aggravate existing anxiety symptoms, including:

Select the relevant link for more information.

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Treatment

When this symptom is caused or aggravated by other factors, addressing those factors can reduce and eliminate it.

When this symptom is caused by anxious behavior and active stress response, ending the stress response will end its changes. This symptom should subside as your body recovers from the active stress response.

Keep in mind that it can take the body up to 20 minutes or more to recover from a major stress response. However, this is normal and shouldn’t be a cause for concern.

When this symptom is caused by hyperstimulation (chronic stress), reducing and eliminating hyperstimulation will eliminate this symptom.

Faithfully practicing the recovery strategies we explain in Chapter 4 in the Recovery Support area and containing anxious behavior, which is also explained in the Recovery Support area, will allow your body to recover from hyperstimulation.

As your body recovers, ALL symptoms of hyperstimulation subside, including this one.

Short-term Remedies

Even though eliminating stress and chronic stress (hyperstimulation) will eliminate this symptom, some people have found the following strategies helpful.

However, keep in mind that each person can have a unique symptom experience since each person is somewhat physically, chemically, psychologically, and emotionally unique. What might work for one person might not for another.

  • Reduce stress – Since all anxiety symptoms are stress-related, reducing stress can alleviate this symptom. There are many ways to reduce stress. Recovery Support members can read about many natural stress reduction strategies in Chapter 14.
  • Regular good sleep – Getting good sleep each night (6.5 to 8 hours per night) can significantly reduce stress, which can improve all anxiety symptoms, including this one.
  • Regular deep relaxation – Regular deep relaxation is a great way to reduce stress and overall stimulation. As stress and stimulation diminish, so will anxiety symptoms, including this one.
  • Regular light to moderate exercise – Regular exercise reduces stress and improves stress symptoms. However, we don’t recommend strenuous exercise since it stresses the body.
  • Catnap – Research has found catnaps can rest the body and nervous system, quickly restore energy, and improve cognitive performance. Catnaps are a quick and easy way to assist with recovery and symptom elimination.
  • Go for a leisure walk – Leisure walking is a great way to reduce stress and anxiety symptoms and loosen tight muscles due to hyperstimulation. Even short walks of 10 minutes can help reduce some anxiety symptoms, including this one.
  • Warm bath – Warm baths reduce stress and relax the body and nervous system, all helpful in reducing hyperstimulation and its symptoms, including this one.
  • Massage – 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 reactive.
  • Listen to soothing music – Listening to soothing music can relax the mind, body, and nervous system. Again, all helpful in reducing hyperstimulation and its symptoms, including this one.
  • Leisure swim – Leisure swimming can help the body, nervous system, and muscles relax. Many people find water therapy helps reduce stress and its symptoms.
  • Float on a water device – Lying 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.
  • Spend time in nature – Research shows that spending 15 minutes in nature dramatically reduces stress and cortisol. A reduction in stress and cortisol can cause a reduction in symptoms of stress, including this one.
  • Enjoy a hobby – Research has shown that spending time with your hobby also dramatically reduces stress.
  • Keep well hydrated – Dehydration is a common cause of stress-like symptoms. Keeping your body well hydrated can prevent and reduce anxiety-like and anxiety symptoms. Some doctors recommend drinking 2 liters of water per day.
  • Don't react to this symptom – Reacting to this symptom with angst, frustration, anger, and bewilderment stresses the body, which can interfere with stress reduction and symptom elimination. Not reacting (such as via Containment) can help the nervous system disengage and relax, fostering recovery and symptom elimination.

Any stress-reducing activity can reduce the severity and frequency of altered states of consciousness.

Visit the article "60 Ways To Reduce Stress and Anxiety" for more stress reduction ideas.

Therapy

Unidentified and unaddressed underlying factors cause issues with anxiety. As such, they are the primary reason why anxiety symptoms persist.[7][8][9]

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.

In many cases, working with an experienced therapist is the only way to overcome stubborn anxiety.

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Prevalence

In an online poll we conducted, 70 percent of respondents said they experienced some form of altered state of consciousness due to their anxiety.

The combination of good self-help information and working with an experienced anxiety disorder therapist, coach, or counselor is the most effective way to address anxiety and its many symptoms. Until the core causes of anxiety are addressed – which we call the underlying factors of anxiety – a struggle with anxiety unwellness can return again and again. Dealing with the underlying factors of anxiety is the best way to address problematic anxiety.

Additional Resources

Return to our anxiety disorders signs and symptoms page.

anxietycentre.com: Information, support, and therapy for anxiety disorder and its symptoms, including Altered State Of Reality anxiety symptom.

References:

1. Yaribeygi, Habib, et al. “The Impact of Stress on Body Function: A Review.” EXCLI Journal, Leibniz Research Centre for Working Environment and Human Factors, 21 July 2017.

2. Godoy, Livea, et al. "A Comprehensive Overview on Stress Neurobiology: Basic Concepts and Clinical Implications." Frontiers In Behavioral Neuroscience, 3, July 2018.

3. Elbers, Jorina, et al. "Wired for Threat: Clinical Features of Nervous System Dysregulation in 80 Children." Pediatric Neurology, Dec 2018.

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. Şar, Vedat. “The Many Faces of Dissociation: Opportunities for Innovative Research in Psychiatry.” Clinical Psychopharmacology and Neuroscience, Korean College of Neuropsychopharmacology, Dec. 2014.

6. Ahmad-Ali, Naji, Rahimian-Bogar, Isaac, and Talepasand, Siavash. "A Pattern of Brain Waves in Response to Induced Stress with Different Cognitive Readiness." International Journal of Behavioral Sciences, 7 Oct 2022.

7. 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.

9. 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.