Alcohol: Cut Down. Stop. Stay Stopped. by J.S. McInally - HTML preview

PLEASE NOTE: This is an HTML preview only and some elements such as links or page numbers may be incorrect.
Download the book in PDF, ePub, Kindle for a complete version.

Chapter 19: Anxiety In Sobriety (and Treatment)

If you’ve stopped drinking and your anxiety is still there, you might feel cheated. You might think:

  • “I thought quitting would fix this.”
  • “What’s the point?”
  • “Maybe I was better off drinking.”

This is one of the most common relapse traps. So let’s find out what’s going on and what to do.

19.1 Why anxiety can spike after you stop

Many people drank to manage anxiety. So when you stop, anxiety can return and even feel worse temporarily. Reasons include:

  • your nervous system is still adjusting
  • you’ve lost your main coping tool
  • your sleep is unsettled
  • you’re feeling emotions more clearly
  • life problems that were numbed are now visible
  • your brain is learning a new baseline

This doesn’t mean sobriety isn’t working. It means you’ve uncovered the original driver. Which is good. Because you can treat it properly now.

19.2 The nervous system toolkit (simple and effective)

Here’s what calms anxiety in real life:


1: Movement: Your nervous system is built to discharge stress through the body.


2: Food and hydration: An anxious body often has:

  • low blood sugar
  • dehydration
  • overstimulation

3: Sleep routine: It won’t be perfect at first, but routine matters.


4: Reduce stimulants: Caffeine, nicotine and doom-scrolling can fuel anxiety.


5: Breathe slower than your panic wants to: The body follows breathing.


6: Talk to someone: Anxiety grows in isolation.

19.3 Therapy tools explained simply (CBT and DBT without jargon)

CBT (Cognitive Behavioural Therapy)

CBT helps you understand:

  • thoughts → feelings → behaviours
  • and how to interrupt the cycle.
  • it’s practical, structured and evidence-based.

DBT (Dialectical Behaviour Therapy)

DBT is especially helpful if you struggle with:

  • emotional intensity
  • impulsivity
  • relationship conflict
  • distress tolerance

DBT teaches skills like:

  • coping in crisis
  • emotional regulation
  • self-control without self-hate

You don’t need to become a therapist. You just need a toolkit.

19.4 Medication support (a straightforward note)

Some people need medical support for anxiety. That might include:

  • short-term symptom control
  • longer-term treatment for chronic anxiety
  • help for sleep issues
  • support during early recovery

Asking for help is not failure. Sometimes it’s what keeps someone sober long enough to build their recovery foundation.

Common Question:

“What if alcohol was the only thing that calmed me down?”

It wasn’t. It was the fastest thing. But fast doesn’t mean best. Alcohol calms you and then charges interest later. Real calm is built through:

  • nervous system regulation
  • structure
  • skills
  • support
  • stability
  • time

WHAT TO DO NEXT

Treat anxiety as a core recovery issue. Don’t ignore it. Don’t battle it alone.


Anxiety feeds alcohol, and alcohol feeds anxiety. Break the cycle slowly, not perfectly.


Calm the body first:

  • Tool 3: Overcoming Anxiety
  • Appendix A → nervous system reset

Keep structure tight:

  • Sleep, food, movement (Chapter 5)

If your thoughts spiral:

  • Tool 4: Thinking Errors

If drinking is still involved:

  • Return to Part 1 and stabilise first

Anxiety feels permanent when your nervous system is overloaded. It does feel like “Is this as good as it gets?” but anxiety will pass.


Instead of asking yourself “How do I stop feeling this?” Ask, “How can I steady myself while it passes?”

Find Your Next Great Read

Describe what you're looking for in as much detail as you'd like.
Our AI reads your request and finds the best matching books for you.

Showing results for ""

Popular searches:

Romance Mystery & Thriller Self-Help Sci-Fi Business