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There must also be evidence that the panic or anxiety symptoms are a direct result of the use of the intoxicating substance. In caffeine-induced anxiety disorder, such symptoms would be due to the consumption of caffeine. The DSM-5 makes the distinction that the substance must be physiologically capable of leading to the anxiety and panic symptoms.
You can even have caffeine withdrawal. Symptoms can be similar to those of withdrawal from other mood-altering substances, including headaches, fatigue or drowsiness, depressed mood, irritability ...
Caffeine dependence can cause a host of physiological effects if caffeine consumption is not maintained. Commonly known caffeine withdrawal symptoms include headaches, fatigue, loss of focus, lack of motivation, mood swings, nausea, insomnia, dizziness, cardiac issues, hypertension, anxiety, and backache and joint pain; these can range in severity from mild to severe. [18]
The symptoms of caffeine intoxication are comparable to the symptoms of overdoses of other stimulants. [3] In cases of much larger overdoses, mania, depression, lapses in judgment, disorientation, disinhibition, delusions, weight loss, loss of appetite, hallucinations, or psychosis may occur. [8] [9] Death can occur as a result of caffeine ...
A growing chorus of concerned former caffeine “addicts” are trying to wake people up to the substance’s negative effects.
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At high doses, typically greater than 300 mg, caffeine can both cause and worsen anxiety. [100] For some people, discontinuing caffeine use can significantly reduce anxiety. [101] In moderate doses, caffeine has been associated with reduced symptoms of depression and lower suicide risk. [102]
However research shows that even mild dehydration can affect mood and cause fatigue, so the next time you're feeling sluggish in the morning or afternoon, try drinking a glass of water.