Eye-Focusing Problems and Anxiety

Written by Jim Folk
Medically reviewed by Marilyn Folk, BScN.
Last updated October 22, 2024

Eye-focusing problems anxiety symptoms

Eye-focusing problems, such as difficulty focusing your vision, trouble focusing your eyes, eyes that feel stiff and tired, and eye muscles that feel strained, are common anxiety symptoms, including anxiety and panic attack symptoms.

While not as common as many anxiety symptoms, eye-focusing problems are still common anxiety symptoms for some people.

This article explains the relationship between anxiety and eye-focusing problems.

Eye-Focusing Problems Common Symptom Descriptions

  • Difficulty focusing your vision.
  • It is difficult to focus on the object you are trying to look at.
  • Because you are having trouble focusing your eyes, the objects look blurry, and no matter what you do, it seems you can’t focus your eyes clear enough.
  • An eye or both eyes are tired, strained, and out of focus.
  • Eyes feel stiff and more awkward to use.
  • Eye muscles feel strained and don’t work as they normally would.
  • Episodes where it’s difficult to focus your vision.
  • Episodes of blurry and unfocused vision.

This symptom can occur in one eye or both eyes, randomly shift from one eye to the other, or randomly occur off and on in one or both eyes.

Eye-focusing problems 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, tired, or sleep-deprived. Some people notice this symptom more in the morning after waking up.

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.

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 it can affect the body.

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 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.
  • Tightens muscles to make the body more resilient to injury, including the muscles that control eye movement.
  • Suppresses the lacrimal gland (the gland responsible for producing tears) so that your vision isn’t blurred by tears when fighting or fleeing.
  • Dilates the pupils so that we can take in more visual information.
  • Narrows our vision so that the brain can more accurately focus on potential threats without distracting peripheral visual information.

The degree of stress response is proportional to the degree of anxiety. The more anxious you are, the more dramatic the stress response changes.

Any combination of stress response changes that affect the eyes can cause acute eye-focusing problems.

An active stress response is a common cause of acute eye-focusing symptoms.

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” [3][4].

Visit our “Hyperstimulation” article for more information about the many ways it 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.

Just as an active stress response can cause acute eye-focusing problems, hyperstimulation can cause chronic eye-focusing symptoms.

Chronic eye-focusing problems are a common symptom of hyperstimulation.

But that’s not all. Hyperstimulation can cause eye-focusing problems in other ways, too. For instance:

The eye is a complex organ that, in conjunction with the nervous system and brain, contains a vast amount of nerve cells. These nerve cells receive and send information back and forth to and from the brain. For example, optical information is received in the eye and transmitted through the optic nerve to the brain. The brain interprets this information and forms a visual image we “see” in our minds [5].

eye muscles

Moreover, when we want to look at something, our voluntary thoughts cause nerve impulses in certain muscle groups attached to the eyes. These nerve impulses cause the appropriate eye muscles to contract, causing the eyes to move in the direction we want to look.

For example, when we say a vast amount of nerve cells are involved in this process, we mean VAST! One optic nerve alone contains over 1 million nerve fibres, and the nervous system (which includes the brain) contains over 100 billion nerve cells that link to tens of thousands of other nerve cells located throughout the body.

When the body and nervous system aren’t hyperstimulated (chronically stressed), the eyes and nervous system function normally, where we can track and focus seemingly without effort.

However, when the body becomes hyperstimulated, the eyes, muscles that control the eyes, and the nervous system can experience anomalies. As the degree of hyperstimulation increases, so can the type, number, intensity, frequency, and duration of eye-related symptoms.

For instance, hyperstimulation can cause eye muscle movement problems, such as stiffness and fatigue. These problems can cause issues with focusing and remaining focused.

Hyperstimulation can also cause other eye-related problems, such as periods of fogginess, blurriness, visual distortions, and many of the other eye-related symptoms listed in our anxiety symptoms list.

neuron

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 using an electrochemical process (the combination of electricity and chemistry) [6][7].

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 being “hot,” the brain then 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 [8].

nerves and muscles

This “back and forth” interaction happens quickly – nerve impulse information can travel as fast as 268 miles per hour [9]. 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 can occur when the body and nervous system become hyperstimulated [10].

For instance, neurons are particularly sensitive to stress hormone stimulation because of their electrochemical properties. When neurons become hyperstimulated, they can act erratically.

This erratic behavior can cause neurons to “misreport” nerve impulse information to and from the brain [11][4]. These abnormalities can cause many sensory and muscle movement symptoms, such as muscle twitching, spasms, tension, and feeling odd pressures and pain anywhere on or in the body, including in and around the eye(s).

Moreover, because hyperstimulation can cause an increase in the electrical activity in parts of the brain, which can cause neurons to become even more unstable, neurons can fire even more erratically when the body and nervous system become hyperstimulated [12].

Eye symptoms, such as difficulty focusing, distorted, foggy, or blurred vision, are examples of how the body can misbehave when the body becomes hyperstimulated (chronically stressed).

At the height of a particularly stressful time in my (Jim Folk) life, the vision in my right eye became blurry when I looked at objects at a distance. Initially, I thought this occurred because I was getting older. So, I went to an optometrist and had an eye exam. The doctor determined that I needed glasses to correct my right eye’s far-sighted vision.

When I received my glasses, objects at a distance were in focus again. However, months later, when I reduced my body’s stress, objects at a distance were blurry again for my right eye. But when I took off my glasses, they were in focus. It seemed that stress affected how my right eye functioned.

This is just one example of how hyperstimulation can impact normal eye function. (My eye hasn’t done that since.)

Eye symptoms, including focusing problems, blurred vision, distortions, and fogginess, are common symptoms of hyperstimulation, including anxiety-caused hyperstimulation.

3. 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 other factors cause or aggravate eye-focusing problems, addressing the specific cause can reduce and eliminate this symptom.

When an active stress response causes this symptom, 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 eye-focusing problems, 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 eye-focusing problems.

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.

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 [13][14][15].

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 [16][17][18].

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Prevalence

In an online poll we conducted, 36 percent of respondents said they had eye-focusing problems due to their anxiety and hyperstimulation.

NOTE: This symptom can also be caused or aggravated by migraine headaches. Reducing stress can help reduce the frequency and intensity of migraine headaches, too, since migraine headaches are often triggered by stress.

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 eye-focusing vision problems.

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. 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.

4. Nicolaides, Nicolas, et al. "Stress, the stress system and the role of glucocorticoids." Neuroimmunomodulation, 2015.

5. Bear,Connors, Paradiso (2016). Neuroscience: Exploring the brain - Fourth Edition. In The Eye (pp. 293-328). New York, NY: Wolters Kluwer

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. 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.

9. Ross, Valerie. “Numbers: The Nervous System, From 268-MPH Signals to Trillions of Synapses.” Discover Magazine, 17 Oct 2019.

10. Chudler, Erica. “Neuroscience For Kids.” Neuroscience For Kids - Brain vs. Computer, 2018.

11. Bear,Connors, Paradiso (2016). Neuroscience: Exploring the brain - Fourth Edition. In Sensory and Motor Systems (pp. 265-517). New York, NY: Wolters Kluwer

12. 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.

13. 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.

14. Leichsenring, Falk. “Is Cognitive Behavioral Therapy the Gold Standard for Psychotherapy?” JAMA, American Medical Association, 10 Oct. 2017.

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.

16. Kingston, Dawn.“Advantages of E-Therapy Over Conventional Therapy.” Psychology Today, Sussex Publishers, 11 Dec. 2017.

17. Markowitz, John, et al. “Psychotherapy at a Distance.” Psychiatry Online, March 2021.

18. Thompson, Ryan Baird, "Psychology at a Distance: Examining the Efficacy of Online Therapy" (2016). University Honors Theses. Paper 285.