Can Stress Cause Vertigo? Causes, Types and Solutions

28 Mar 2024, by

Dr. Lusine Badalian

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Yes, stress can cause vertigo. This condition, characterized by dizziness and a sensation of spinning, impacts many individuals' lives. While vertigo is often linked to physical factors like inner ear disorders or neurological issues, the psychological factor of stress also plays a crucial role. Stress can trigger or worsen vertigo by affecting the body's balance system, demonstrating the intricate relationship between mental health and physical symptoms. Acknowledging the connection between stress and vertigo is vital for those seeking to understand their symptoms and pursue effective management strategies. This understanding opens the door to comprehensive treatment approaches that address both the psychological and physical aspects of vertigo.

can stress cause vertigo

Causes of Vertigo

Understanding the causes of stress-induced vertigo is crucial for effective management and treatment. This condition can stem from various factors, often interrelated, including physiological changes, psychological stressors, and underlying health issues.

Inner Ear Disorders

The inner ear is integral to maintaining balance and spatial orientation. Disorders within the inner ear, such as benign paroxysmal positional vertigo (BPPV), Meniere's Disease, and vestibular neuritis, directly affect this balance system. These conditions can cause misplaced calcium particles (BPPV), fluid build-up (Meniere's Disease), or inflammation of the vestibular nerve (vestibular neuritis), leading to vertigo symptoms. Stress and anxiety can exacerbate these conditions, intensifying symptoms and frequency of vertigo episodes.

Neurological Issues

Vertigo can also be the result of neurological conditions that affect the brain's ability to process balance and spatial orientation. Strokes, brain injuries, and diseases such as multiple sclerosis can impair the brain's vestibular centers, leading to vertigo. Stress may not cause these conditions directly but can worsen their symptoms or the body's ability to cope with them, contributing to a heightened perception of vertigo.


Migraines are a significant cause of vertigo, often referred to as vestibular migraines. These can induce severe dizziness and a sense of spinning, similar to vertigo. The exact mechanism linking migraines to vertigo is not fully understood, but it is believed that the same brain pathways involved in migraines can influence vestibular responses. Stress is a well-known trigger for migraines, suggesting a connection between stress-induced migraine episodes and the occurrence of vertigo symptoms.

Psychological Factors

Stress and anxiety can directly impact the vestibular system, leading to or worsening vertigo. The body's response to stress, including the release of adrenaline and other stress hormones, can alter blood flow and pressure, affecting the inner ear and balance centers in the brain. Anxiety, particularly panic attacks, can induce symptoms of dizziness and vertigo, creating a cycle where stress and vertigo perpetuate each other.

Hyperventilation Syndrome

During periods of intense stress or anxiety, individuals may hyperventilate — breathe rapidly and shallowly — leading to an imbalance of oxygen and carbon dioxide in the body. This imbalance can cause lightheadedness, a sensation of faintness, and vertigo. Hyperventilation syndrome highlights a direct physiological mechanism through which stress and anxiety can induce vertigo symptoms.

Lifestyle Factors

Lack of sleep, poor diet, dehydration, and excessive caffeine or alcohol intake can all contribute to the development of vertigo symptoms. Stress often exacerbates these lifestyle factors, either by causing them directly or by making it more difficult for individuals to maintain a healthy lifestyle, further increasing the risk of vertigo.

Types of Vertigo

Understanding the types of vertigo is essential for diagnosis and treatment. Vertigo can be categorized into two main types: peripheral and central, each with its unique causes and implications. According to the National Center for Biotechnology Information (NCBI), approximately 80 percent of vertigo cases are peripheral, while about 20 percent are central. This statistic highlights the prevalence of peripheral vertigo in the population, underscoring the importance of recognizing the differences between these two types.

  • Peripheral Vertigo is the most common form, attributed to issues within the inner ear or vestibular system. Disorders such as benign paroxysmal positional vertigo (BPPV), Meniere's Disease, and vestibular neuritis fall under this category. The inner ear is crucial for maintaining balance, and any disruption in its function can lead to vertigo. The high percentage of peripheral vertigo cases reflects the vulnerability of the inner ear to various disturbances, including infections, inflammation, and mechanical dysfunctions.
  • Central Vertigo, making up approximately 20 percent of cases, arises from problems within the brain, particularly in the areas that interpret signals from the vestibular system. Conditions such as strokes, multiple sclerosis, and tumors can affect these brain regions, leading to central vertigo. Despite being less common than peripheral vertigo, central vertigo is significant because it points to underlying neurological issues that may require immediate attention.

Risk Factors

Understanding who is at greater risk for experiencing vertigo can help in identifying and managing the condition effectively. Risk factors for vertigo include:

  • Age: Older adults are more likely to experience vertigo, as the risk of developing inner ear disorders increases with age.
  • Gender: Women are somewhat more likely to suffer from certain types of vertigo, such as BPPV.
  • Stressful Lifestyle: Individuals who experience high levels of stress or have anxiety disorders are more prone to episodes of dizziness and vertigo. The correlation between stress and dizziness is well-documented, underscoring the need for effective stress management techniques.
  • Existing Medical Conditions: People with underlying health issues, particularly those affecting the inner ear or brain, are at an increased risk of developing vertigo.
  • Head Injuries: Trauma to the head can lead to symptoms of vertigo, as it may affect the inner ear or brain's ability to process balance and spatial orientation.

The intersection of these risk factors suggests a complex relationship between physiological health, psychological well-being, and the incidence of vertigo. Recognizing these risk factors is a crucial step in preventing and managing vertigo, especially when stress is a contributing factor. Managing stress effectively not only improves overall well-being but can also mitigate the risk of experiencing vertigo episodes. Implementing stress reduction techniques, maintaining a healthy lifestyle, and seeking professional guidance are essential strategies for individuals at risk.

Complications of Stress-Induced Vertigo

Understanding the potential complications of stress-induced vertigo is essential for managing and mitigating its impact on daily life. Some of the complications include:

  • Increased Risk of Falls: Vertigo can significantly affect balance, increasing the risk of falls and related injuries, especially in older adults.
  • Impaired Quality of Life: Frequent dizzy spells or continuous feelings of imbalance can hinder daily activities, leading to decreased productivity and enjoyment of life.
  • Mental Health Issues: Prolonged stress and dizziness can contribute to the development or worsening of anxiety and depression, creating a vicious cycle that can exacerbate vertigo symptoms.
  • Social Withdrawal: The unpredictability of vertigo episodes may lead individuals to avoid social gatherings or activities they once enjoyed, leading to isolation.

Diagnostics of Stress-Induced Vertigo

Diagnosing stress-induced vertigo involves a comprehensive approach to differentiate between vertigo caused primarily by stress and anxiety and vertigo stemming from other medical conditions. The diagnostic process includes:

Medical History and Symptom Review

  • Review of Medical History: Detailed questions about the onset, duration, nature of vertigo episodes, and associated symptoms such as nausea or hearing changes.
  • Stress and Anxiety Assessment: Evaluation of the patient's stress levels, anxiety disorders, and lifestyle factors that could contribute to vertigo.

Physical Examination

  • Ear, Eye, and Neurological Checks: Focus on identifying physical causes of vertigo, assessing balance, gait, and vestibular system function.
  • Maneuvers to Provoke Vertigo: Tests to provoke vertigo symptoms and observe nystagmus (involuntary eye movements).

Hearing Tests

Audiometric tests to evaluate hearing function, aiding in the diagnosis of conditions like Meniere's Disease that combine vertigo with hearing loss.

Vestibular Tests

  • Videonystagmography (VNG) or Electronystagmography (ENG): Detect abnormal eye movements indicating vestibular system issues.
  • Rotary Chair Test and Posturography: Assess the vestibular system's functionality and balance.

Imaging Tests

MRI or CT scans to exclude neurological conditions (e.g., brain tumors, strokes) as causes of vertigo.

Psychological Evaluation

Identification of anxiety disorders, depression, or other psychological conditions contributing to vertigo symptoms.

Differential Diagnosis

Distinguishing between vertigo directly caused by stress and vertigo due to other medical conditions that stress may exacerbate, such as BPPV or vestibular migraine.

Treatment for Stress-Induced Vertigo

Effective treatment for stress-induced vertigo involves a combination of managing the vertigo symptoms and addressing the underlying stress or anxiety contributing to these symptoms.

Lifestyle Changes and Stress Management

Adopting healthier lifestyle habits and implementing stress reduction techniques can significantly improve vertigo symptoms. Some strategies include:

  • Regular Exercise: Physical activity can reduce stress levels and improve overall physical health, potentially reducing the frequency and severity of vertigo episodes.
  • Relaxation Techniques: Practices such as yoga, meditation, and deep-breathing exercises can help manage stress and anxiety.
  • Adequate Sleep: Ensuring sufficient rest can help the body recover and reduce stress, indirectly mitigating vertigo symptoms.

Counseling and Therapy

For those whose vertigo is significantly impacted by stress and anxiety, counseling or therapy can be beneficial. Cognitive-behavioral therapy (CBT) has been shown to be particularly effective in managing anxiety disorders and can help individuals develop coping strategies for stress.

Physical Therapy

Physical therapy, especially vestibular rehabilitation, is a critical component of treating vertigo. It involves specific exercises that help the brain adapt to the changes in the inner ear, improving balance and reducing symptoms of dizziness.

Medical Treatment

In some cases, medication may be prescribed to alleviate the symptoms of vertigo or to treat the underlying conditions contributing to vertigo. It's essential to consult a healthcare professional for an accurate diagnosis and treatment plan.

For those beginning to navigate their symptoms, Symptom Checker can be a valuable resource. Remember, while this tool can provide insights, it is not a substitute for professional medical advice.

Key Takeaways

  • Stress and Anxiety can exacerbate or trigger vertigo, causing dizziness, lightheadedness, and a spinning sensation.
  • Lifestyle Changes and Stress Management techniques such as regular exercise, relaxation practices, and adequate sleep are essential for managing stress-induced vertigo.
  • Physical Therapy and vestibular rehabilitation exercises can be highly effective in treating vertigo by helping the brain adapt to inner ear changes.
  • Professional Help is crucial for those experiencing severe vertigo. A healthcare provider can offer personalized treatment plans and medication if necessary.
  • Prevention strategies focusing on stress reduction and a healthy lifestyle can decrease the likelihood of vertigo episodes and improve overall well-being.


If you want to read more about vertogo, we have articles about Vertigo After Flying and Sinus Infection Vertigo.

Frequently Asked Questions

Can neck stress cause vertigo?

Yes, tension in the neck muscles and stress can contribute to vertigo by affecting the vestibular system, which is closely connected to the neck's proprioceptive sensors.

Can stress make you dizzy?

Absolutely, stress can trigger the release of hormones that influence blood flow and inner ear balance, leading to dizziness.

Can stress cause lightheadedness?

Stress often leads to hyperventilation or rapid breathing, which can result in a drop in carbon dioxide levels in the blood, causing lightheadedness.

How are stress and dizziness connected?

The connection between stress and dizziness is significant, with stress potentially causing or exacerbating dizziness through physiological and psychological responses.

Can stress alone cause dizziness?

While stress alone may not directly cause dizziness, it can trigger mechanisms in the body that lead to dizziness, such as changes in blood pressure and hyperventilation.

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