Dry, Itchy, Red, Burning, Watery, Tearing, Inflamed Eyes and Anxiety
Dry, Itchy, Red, Burning, Watery, Tearing, Inflamed Eyes are common symptoms of anxiety, hyperstimulation, and anxiety and panic attack symptoms.
Many anxious people get dry, itchy, red, burning, watery, tearing, inflamed eyes due to their anxiety and hyperstimulation.
This article explains the relationship between anxiety and dry, itchy, red, burning, watery, tearing, and inflamed eyes.
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Common Symptom Descriptions
- Your eye(s) feels dry, as if your tear ducts have stopped working.
- Your eye(s) always waters, as if you can’t shut off the flow of tears.
- Your eye(s) is itchy, and you must constantly rub it to quell this itchiness.
- Your eye(s) feels or looks inflamed.
- Your eye(s) constantly burns, and no matter what you do, you can’t stop it from burning.
- Your eye(s) look and feel raw or red.
- Your eye(s) feels dry, tired, and strained.
This symptom can affect one eye only, both eyes, or randomly alternate between eyes.
Dry Eyes 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.
All the above combinations and variations are common.
This condition is often referred to as Dry Eye Syndrome (DES) or Dry Eye Disease (DED).
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.
There can be many causes for this symptom, such as:
- aging
- poor nutrition
- hormonal problem
- suppression of, impairment of, or malfunctioning immune system
- smoking
- side effects of medication (prescription and over-the-counter)
- eye strain and stress from long hours of reading, watching TV, working at a computer, or driving
- insufficient sleep
- environments with polluted, dusty, dirty, or smoky air
- air conditioning
- wind
- environmental allergens
- the onset of the flu
- excessive use of eye drops, such as Visine and Murine.
As with all new, persistent, changing, and returning symptoms, this symptom should be discussed with your doctor for a correct diagnosis.
If your doctor rules out a medical cause, stress, including anxiety-caused stress, can cause this symptom. DES (or DED) is a common symptom of stress.[1][2]
Relating to stress, including anxiety-caused stress:
1. Anxiety-Activated Stress Response
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]
Visit the “Stress Response” article for the many ways the stress response can affect the body.
The stress response causes many body-wide changes, including those that affect our eyes and vision, such as:
- Inhibits the lacrimal gland, which suspends tear production and saliva
- Dilates pupils
- Narrows peripheral vision
- Tightens muscles so the body is more resilient to harm, including the muscles that control eye movement.
- Increases sympathetic nervous system activity.
- Heightens the body’s senses.
Any combination of stress response changes can make the eyes feel dry, tense, irritated, itchy, and any of the other symptoms associated with this anxiety symptom.

Furthermore, 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.
An anxiety-activated stress response and the stress it causes is a common cause of acute dry, itchy, red, burning, teary, and other related eye symptoms.[3]
2. Hyperstimulation
When stress responses occur infrequently, the body recovers relatively quickly from its changes. However, frequently activated stress responses, such as from overly anxious behavior, can prevent the body from completely recovering. 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.”[4][5][6]
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. As such, hyperstimulation chronically stresses the body.
Just as an active stress response can cause acute dry eye symptoms, hyperstimulation can cause chronic dry eye symptoms.
As long as the body is hyperstimulated, even slightly, it can cause symptoms of any type, number, severity, frequency, duration, and at any time.
Hyperstimulation is a common cause of chronic dry, itchy, red, burning, teary, and other related eye symptoms.
Chronic stress, such as from hyperstimulation, can also cause eye strain, which can aggravate this symptom. As long as the body is chronically stressed (hyperstimulated), we can experience eye problems, such as the ones associated with this anxiety symptom.
3. Lack Of Sleep
When sleep is disrupted, the body increases cortisol, a powerful stress hormone stimulant, to compensate for a lack of energy. Increased cortisol can also cause all the variations associated with dry eye symptoms.
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 symptom is caused or aggravated by other factors, addressing those factors can reduce and eliminate dry eye symptoms.
When this symptom is caused by an anxiety-triggered stress response, containing your anxiety and calming yourself will end the active stress response and its changes. Dry eye symptoms will subside as your body recovers from the active stress response.
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 shouldn’t be a cause for concern.
When this symptom is caused by hyperstimulation, eliminating hyperstimulation will end this anxiety symptom.
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.
Recovery Support members can read chapters 5,6, 7, and 14 for more ways to reduce stress.
As the body recovers from hyperstimulation, it stops sending symptoms of hyperstimulation, including dry, itchy, red, burning, watery, tearing, and inflamed eyes.
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.
Eliminating hyperstimulation will bring results in time!
Short-term remedies:
Even though eliminating hyperstimulation will eliminate chronic anxiety symptoms, including dry eyes, some people have found the following strategies helpful in reducing episodes of this symptom in the short term.
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 stress, including anxiety-caused stress, is a common cause of this anxiety symptom, 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 – Regular good sleep can reduce stress, cortisol, and the body’s overall level of stimulation. Their reduction can reduce and eliminate anxiety symptoms, including this one.
Regular deep relaxation – Deep relaxation reduces the body’s overall level of stimulation and stress, leading to a reduction in anxiety symptoms, including dry, itchy, red, burning, watery, tearing, and inflamed eyes.
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.
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. A reduction in stress and stimulation can help reduce symptoms of hyperstimulation, including dry, itchy, red, burning, watery, tearing, and inflamed eyes.
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 this one.
Eye drops – Regularly using over-the-counter or prescription eye drops can help alleviate this symptom. Many ophthalmologists recommend using eye drops daily to prevent dry and irritated eyes.
Limit screen time – Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds. Practice blinking exercises to keep your eyes lubricated, especially when using digital devices.
Gentle eye massage – Perform gentle eye massages to improve blood flow and potentially encourage tear production.
Avoid alcohol – Alcohol can have a dehydrating effect, which can affect the eyes.
Warm compress – Apply warm compresses to your eyes for at least one minute to help unclog oil glands and stimulate tear production.
Tea Tree Oil Eyelid Wipes – Tea Tree Oil Eyelid Wipes can remove debris and bacteria from the eyelids, which can prevent eye irritations and styes.
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.[7][8][9]
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.[10][11][12]
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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 Dry, Itchy, Red, Burning, Watery, Tearing, and Inflamed Eyes 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. Yilmaz, Ugur, et all. "Dry eye disease and depression-anxiety-stress: A hospital-based case control study in Turkey." Pakistan Journal Of Medical Sciences, 2015, https://www.st-va.ncbi.nlm.nih.gov/pmc/articles/PMC4485284/
4. Elbers, Jorina, et al. "Wired for Threat: Clinical Features of Nervous System Dysregulation in 80 Children." Pediatric Neurology, Dec 2018.
5. 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.
6. 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.
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.
10. Kingston, Dawn.“Advantages of E-Therapy Over Conventional Therapy.” Psychology Today, Sussex Publishers, 11 Dec. 2017.
11. Markowitz, John, et al. “Psychotherapy at a Distance.” Psychiatry Online, March 2021.
12. Thompson, Ryan Baird, "Psychology at a Distance: Examining the Efficacy of Online Therapy" (2016). University Honors Theses. Paper 285.