MENTAL HEALTH EFFECTS OF CAFFEINE
SUMMARY
RESEARCH: ANXIETY (incl. GAD, PTSD, panic disorder)
SUMMARY
- People may not be aware that their mental ill-health may be being caused or exacerbated by their caffeine intake. In particular (a) anxiety is highly correlated with caffeine use, and (b) anxiety sufferers appear to often have high caffeine sensitivity.
- People may also be over-estimating the benefits they are receiving from caffeine. Caffeine's perceived benefits may not be real, and it may have negative effects on personality, personal effectiveness and sleep quality.
- Why not go caffeine free for 40 days (the first withdrawal days will not be fun) as a trial to find out?
RESEARCH: ANXIETY (incl. GAD, PTSD, panic disorder)
Research: Summary
- There is strong research support for association between caffeine and anxiety. E.g. http://www.ncbi.nlm.nih.gov/pubmed/21797659 "we selected eight randomized, double-blind studies where caffeine was administered orally, and none of them controlled for confounding factors in the analysis. ... The eight studies all showed a positive association between caffeine and anxiogenic effects and/or panic disorder."
- The research base for improving mental health by stopping caffeine intake is almost non-existent, but is positive (see below).
Anxiety and caffeine use are often correlated
Anxiety sufferers have high caffeine sensitivity- 1996, "there is clinical and experimental evidence that acute caffeine can exacerbate the effects of an anxiety-inducing situation, or worsen an existing anxiety disorder, especially panic disorder." http://www.psychology.org.nz/cms_show_download.php?id=766,
- 2008, "These findings support the hypothesis that individuals with PTSD would report higher levels of caffeine than individuals without PTSD." http://books.google.co.uk/books?id=xDNbBvYHAlkC&pg=PA21&lpg=PA21&dq=caffeine+ptsd&source=bl&ots=ALdzLLH_u0&sig=Mtn19vgHUwBcjV7Ft30sQbnGuzI&hl=en&sa=X&ei=JOELUMGDKcOw0QX3yaztCg&ved=0CE8Q6AEwATgK#v=onepage&q=caffeine%20ptsd&f=false)
- 2011, Literature review, "The 8 studies all showed a positive association between caffeine and anxiogenic [anxiety causing] effects and/or panic disorder." http://www.ncbi.nlm.nih.gov/pubmed/21797659
- 1985, "It appears that anxiety disorder patients have increased caffeine sensitivity" http://www.sciencedirect.com/science/article/pii/0165178185900782
- 1988, "panic patients have increased sensitivity to caffeine", http://ajp.psychiatryonline.org/article.aspx?Volume=145&page=632&journalID=13,
- 1992, "patients with GAD are abnormally sensitive to caffeine" http://archpsyc.jamanetwork.com/article.aspx?articleid=495937,
- 2007, "Our data suggest that there is an association between panic attacks, no matter if associated with PD or MDP, and hyperreactivity to an oral caffeine challenge test." http://www.ncbi.nlm.nih.gov/pubmed/17445520)
- 2010: 'Caffeine-induced anxiety is associated with a particular gene variant." http://www.nature.com/npp/journal/v35/n9/pdf/npp201071a.pdf
This is a key finding; some people feel ‘surely I am fine because I am only drinking 1-2 cups per day’, but this 'low' dosage may be very high for their sensitivity.
For some people, anxiety can be very much reduced by coming off caffeine.
- 1989, of 24 cases of GAD or Panic Disorder, 5 ceased caffeine intake and 1 significantly reduced caffeine intake; all 6 (25% of the sample group) saw much reduced symptoms many months later, and 5 took no further medication. In addition, 3 of the 6 took caffeine on one subsequent occasion and all 3 immediately saw anxiety symptoms occur. http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=4996824
- ".... I had worked with several different patients who came to me having made no progress in getting their anxiety under control, no matter what was tried. They were often at a point of desperation. When I asked about their caffeine intake, almost without fail there was an unusual quantity of caffeine in their diet. .... But once these patients got their caffeine intake under 200mg/day—and most of them went off of it completely—their anxiety improved dramatically." Alison Lighthall, http://online.liebertpub.com/doi/pdfplus/10.1089/jcr.2011.1200
- Anecdotal testimonies, e.g.
On my GPs advice I slowly cut down then stopped my caffeine intake. My anxiety has decreased from being around 8/9 out of 10 every day to around 3/4 out of 10. This could be due to a few things but I believe that cutting caffeine out of my diet has had a major impact. The most positive thing I’ve done to reduce my anxiety ever!
http://www.psychologytoday.com/blog/neuronarrative/201208/what-caffeine-really-does-your-brain-0/comments#comment-515252
I am currently on month 7 of no caffeine (including chocolate)... It took me at least a month for my energy to come back to baseline and my motivation/focus is still slowly recovering. I haven't felt this good in years. My stress and anxiety levels are WAY down and I'm much more relaxed and calm around people.
http://coffeefaq.com/site/node/11
I am now 7 months clean, apart from 1 lapse 4 months ago.
I definitely am way, way better than when on caffeine:
1. GAD (generalised anxiety disorder) basically gone. finito. no more early hours high heart rate, sweating etc.
2. energy level overall higher and much more even.
3. thoughts and thinking better, more balanced, stronger (less garbled).
4. personal relationships way better; less angry, aggressive.
5. able to move onto other challenges and opportunities in life.
I definitely am way, way better than when on caffeine:
1. GAD (generalised anxiety disorder) basically gone. finito. no more early hours high heart rate, sweating etc.
2. energy level overall higher and much more even.
3. thoughts and thinking better, more balanced, stronger (less garbled).
4. personal relationships way better; less angry, aggressive.
5. able to move onto other challenges and opportunities in life.
See refs. in 'other people are exiting' section below, including http://coffeefaq.com/site/node/11 http://www.healthcentral.com/anxiety/c/8146/5936/coffee-anxiety
Rather than caffeine intake and mental illness being co-incident (for instance if caffeine is being taken as a stress reliever in a high stress environment, or as self-medication for mental illness), these examples show cessation of symptoms when caffeine intake is stopped, implying that caffeine intake is causal.
Mental ill-health may not appear for a considerable period after caffeine intake begins.
- We note that in the 1989 study referred to above, http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=4996824, in none of the cases had the onset of symptoms coincided with an increase in caffeine consumption.
In general:
(Note: A possible thesis; anxiety is due to caffeine withdrawal, rather than caffeine use.
This thesis correlates with;
(a) strong anecdotal evidence of anxiety being experienced during caffeine withdrawal, and
(b) some anecdotal evidence that some caffeine users experience anxiety on waking up (i.e. in early withdrawal having not ingested overnight), although this could be due to other affects, e.g. alcohol hang-over effects for users in a caffeine-alcohol using cycle.)
OTHER CORRELATIONS OF HIGH CAFFEINE INTAKE AND HIGH MENTAL ILL-HEALTH
See Articles on this blog on;
OTHER MENTAL HEALTH EFFECTS
- 2012, "a trial of caffeine abstinence in cases of anxiety should always be encouraged"' Dr Malcolm Bruce (researcher; see 1989 above, NHS doctor).
- caffeine intoxication,
- caffeine-induced anxiety disorder,
- caffeine-induced sleep disorder, and
- caffeine related disorder not otherwise specified.
(Note: A possible thesis; anxiety is due to caffeine withdrawal, rather than caffeine use.
This thesis correlates with;
(a) strong anecdotal evidence of anxiety being experienced during caffeine withdrawal, and
(b) some anecdotal evidence that some caffeine users experience anxiety on waking up (i.e. in early withdrawal having not ingested overnight), although this could be due to other affects, e.g. alcohol hang-over effects for users in a caffeine-alcohol using cycle.)
OTHER CORRELATIONS OF HIGH CAFFEINE INTAKE AND HIGH MENTAL ILL-HEALTH
See Articles on this blog on;
- Psychosis/Schizophrenia
- Finland
- US Military
- Suicide rates in Western European and North American countries
"Increased public education about potential health problems related to caffeine consumption is suggested, and further controls of caffeine in psychiatric settings are recommended." http://www.ncbi.nlm.nih.gov/pubmed/871104
HIgh consumption of caffeine can itself produce effects similar to mental illness:
http://apt.rcpsych.org/content/11/6/432.full (the 3rd reply http://apt.rcpsych.org/content/11/6/432.abstract/reply# is also interesting)
http://www.livestrong.com/article/540592-caffeine-and-delusions/.
Mental ill-health effects can also be experienced due to other drugs which are being taken to counteract caffeine effects. For instance taking alcohol to dull the tension caused by caffeine; alcohol causes sleep disruption and depression.
HIgh consumption of caffeine can itself produce effects similar to mental illness:
http://apt.rcpsych.org/content/11/6/432.full (the 3rd reply http://apt.rcpsych.org/content/11/6/432.abstract/reply# is also interesting)
http://www.livestrong.com/article/540592-caffeine-and-delusions/.
Mental ill-health effects can also be experienced due to other drugs which are being taken to counteract caffeine effects. For instance taking alcohol to dull the tension caused by caffeine; alcohol causes sleep disruption and depression.
BENEFITS OF TAKING CAFFEINE ARE NOT AS GREAT AS BELIEVED
"Consuming caffeine regularly does not appear to produce any net beneficial effects, based on the measures we examined." http://www.medicalnewstoday.com/releases/148623.php
We believe that most people have wrong views about the benefits they are gaining from taking caffeine. They are not noticing that;
- their morning 'fatigue and grumpiness' before drinking coffee are not due to personality or fatigue, but are symptoms of caffeine drug withdrawal (after abstention overnight). (e.g. http://www.forbes.com/sites/travisbradberry/2012/08/21/caffeine-the-silent-killer-of-emotional-intelligence/)
- the initial brief feeling of relief from stress and anxiety is more than net outweighed by increased anxiety for many hours later on (which may also lead to alcohol ingestion)
- the initial 'energy boost' and 'caffeine high' they used to feel when taking caffeine is reduced over the long-term, as their bodies habituate to the drug.
- their physical energy through the day can be very changeable, with very low energy periods. (Exhaustion can result from being in 'fight-or-flight state for long periods due to being highly caffeineated, and sleep can be disrupted; http://www.naturalnews.com/012352.html#ixzz28CrsiFk9. Doctor quote: "You can always tell who the coffee drinkers are: they're the ones who are tired all the time.") They may also experience other physical aches and pains.
- Caffeine does not lead to greater life effectiveness:
- Users may feel they are more productive, but actually are not; see e.g.: http://www.forbes.com/sites/travisbradberry/2012/08/21/caffeine-the-silent-killer-of-emotional-intelligence/ (refs. John Hopkins study), http://quantifiedself.com/2009/10/the-false-god-of-coffee, http://www.businessinsider.com/actually-caffeine-turns-hard-workers-into-slackers-2012-3, "With frequent consumption... no net benefit for alertness is gained, as caffeine abstinence reduces alertness and consumption merely returns it to baseline." http://www.nature.com/npp/journal/v35/n9/pdf/npp201071a.pdf
- Users may feel strong but actually be ineffective while using caffeine, compared with feeling weak but actually being much more effective without it.
- Their thinking is in fact ‘garbled’, shallower and less useful. See e.g.: http://lifehacker.com/5585217 http://readerfeedback.labs.wikimedia.org/wiki/File:Caffeinated_spiderwebs.jpg
- the impact of possible adverse personality effects caused by caffeine can be significant on their personal relationships (and their spiritual lives) through anger, tension, reduced humanity and ability to love, and sleep disruption. (e.g. the book 'Emotional Intelligence 2.0' apparently suggests that chronic caffeine consumption can lead to a decrease in emotional intelligence.)
In a nutshell!;
http://www.theroasterie.com/about/blog/wp-content/uploads/2012/12/drink-coffee-do-stupid-things-faster.jpg
A fun video! - notice how by 3.30 she is speeding up...
http://www.howtogeek.com/129212/the-effects-of-caffeine-video/#comment-199195
http://www.theroasterie.com/about/blog/wp-content/uploads/2012/12/drink-coffee-do-stupid-things-faster.jpg
A fun video! - notice how by 3.30 she is speeding up...
http://www.howtogeek.com/129212/the-effects-of-caffeine-video/#comment-199195
MANY PEOPLE EXIT, OR TRY TO EXIT, CAFFEINE
56% of caffeine users report a desire or unsuccessful attempts to stop or reduce usage, and 14% do stop. (Substance Abuse: A comprehensive textbook" Juliano, Anderson, Griffiths, 2011).
See e.g.;
http://thinksimplenow.com/health/how-i-ended-my-relationship-with-coffee/
http://coffeefaq.com/site/node/11 (170+ pages of comments very largely from people trying to stop taking caffeine!)http://www.clicknewz.com/4729/caffeine/
http://coffeefaq.com/site/node/11 (170+ pages of comments very largely from people trying to stop taking caffeine!)http://www.clicknewz.com/4729/caffeine/
http://www.healthcentral.com/anxiety/c/8146/5936/coffee-anxiety,
http://www.anxietyzap.com/9-caffeine-anxiety.htm - see responses section.
http://www.anxietyzap.com/9-caffeine-anxiety.htm - see responses section.
http://www.fredericpatenaude.com/blog/?p=51
http://www.stevepavlina.com/blog/2005/05/how-to-give-up-coffee/
http://lifehacker.com/5944489/how-to-kick-your-caffeine-addiction-and-actually-enjoy-your-coffee-again (see comments by e.g. Nikos Carcosa, Praeix)
http://www.healthcentral.com/anxiety/c/8146/5936/coffee-anxiety
http://thoughtcatalog.com/2013/cutting-out-caffeine-made-me-feel-better-but-i-miss-coffee-like-crazy/
http://bryanalexander.org/2013/01/06/a-year-without-caffeine-part-2/
http://predelusional.blogspot.co.uk/2006/06/caffeine.html
http://www.stevepavlina.com/blog/2005/05/how-to-give-up-coffee/
http://lifehacker.com/5944489/how-to-kick-your-caffeine-addiction-and-actually-enjoy-your-coffee-again (see comments by e.g. Nikos Carcosa, Praeix)
http://www.healthcentral.com/anxiety/c/8146/5936/coffee-anxiety
http://thoughtcatalog.com/2013/cutting-out-caffeine-made-me-feel-better-but-i-miss-coffee-like-crazy/
http://bryanalexander.org/2013/01/06/a-year-without-caffeine-part-2/
http://predelusional.blogspot.co.uk/2006/06/caffeine.html
Both 2012 US presidential candidates were non-caffeine-takers. (Whilst one can be cynical about politicians, people who achieve this role are probably relatively highly effective in some ways.)
WITHDRAWAL IS NOT EASY, BUT IS POSSIBLE
Whilst withdrawal from caffeine is difficult and unpleasant, it is possible.
A note on use of caffeine for self-medication.
Many people take caffeine for self-medication; it may give a few precious minutes relief from their suffering. However in our view this is a lie; the net suffering, including the later anxiety that caffeine causes, outweigh the brief relief. Alternative self-medications, such as exercise, can be tried (see 'mindsets' below).
Trigger motivations to withdraw:
Many people take caffeine for self-medication; it may give a few precious minutes relief from their suffering. However in our view this is a lie; the net suffering, including the later anxiety that caffeine causes, outweigh the brief relief. Alternative self-medications, such as exercise, can be tried (see 'mindsets' below).
Trigger motivations to withdraw:
Factors that appear to finally trigger people to begin to attempt withdrawal are realisation and focus that caffeine is causing;
- feelings of extreme fatigue, including feeling overtired upon waking in the morning (i.e. withdrawal from overnight non-caffeine).
- increased anxiety; that exiting caffeine may reduce or stop my anxiety/GAD/panic disorder.
- feelings of extreme fatigue, including feeling overtired upon waking in the morning (i.e. withdrawal from overnight non-caffeine).
- increased anxiety; that exiting caffeine may reduce or stop my anxiety/GAD/panic disorder.
- irritability, emotional highs and lows, and moodiness; personality impacts which are causing major hurt to me and to my loved ones.
- poor quality of thinking; garbled and over-volatile.
It is a good idea to write down your own motivation reasons, and set up a system that will regularly remind you of your reasons as you go through withdrawal.
- poor quality of thinking; garbled and over-volatile.
- day-to-day quality of life to be not as good as it could be; major damage to quality of life.
- poor health; (a) body weight effects of milk/cream (if drink coffee that way), (b) teeth discolouring effects of coffee, (c) acne impact of caffeine.
- poor health; (a) body weight effects of milk/cream (if drink coffee that way), (b) teeth discolouring effects of coffee, (c) acne impact of caffeine.
It is a good idea to write down your own motivation reasons, and set up a system that will regularly remind you of your reasons as you go through withdrawal.
Methods:
Cold turkey seems the most common method. Some people reduce intake over a period before finally stopping.
Using substitute drugs does not seem to help.
An alternative approach is to increase dosage - so you are well and truly sick of the stuff and what it does to your brain - before going cold turkey.
Common withdrawal experiences:
- bad headaches for 2-5 days
- feelings of strong anxiety and uncertainty for c.4 days, and then at a reduced but changeable level for another c.10 days; i.e. anxiety (GAD) goes up in the early stages of withdrawal
- possible high emotional volatility on days 5-6
- possible low/flaky energy for maybe 70 days (operate in 'float', 'blind way', without needing - possible high emotional volatility on days 5-6
the 'inner visibility check' of energy level that caffeine gives)
- possible various physical aches and pains, for 30-90 days
- possible sleep disruption, for 30-90 days
- very strong temptation at times for c.40 days
- possible continual temptation for a lifetime.
- feel very, very good, when withdrawal is advanced. E.g. "I've been off caffeine for 30 days and feel better mentally and physically than I have since high school." http://coffeefaq.com/site/node/11
See the testimonies above, and in e.g.
http://coffeefaq.com/site/node/11
http://blogs.psychcentral.com/panic/discuss/3270/
http://www.psychologytoday.com/blog/neuronarrative/201208/what-caffeine-really-does-your-brain-0/comments#comment-515252
http://neuroscience.jhu.edu/griffiths%20papers/CaffwdReview.2004.pdf
http://jpet.aspetjournals.org/content/289/1/285.long, http://www.ncbi.nlm.nih.gov/pubmed/15448977, http://www.medicalnewstoday.com/releases/148623.php
For more on withdrawal methods;
http://www.livestrong.com/caffeine-withdrawal/
http://www.businessinsider.com/kick-your-morning-latte-habit-for-good-in-2012-2012-1
http://www.businessinsider.com/kick-your-morning-latte-habit-for-good-in-2012-2012-1
Beware 'hidden' caffeine
Note that decaff coffee is still significantly caffeinated. http://www.sciencedaily.com/releases/2006/10/061012185602.htm
Other sources of caffeine are energy drinks, cola's, chocolate, non-cola soda, guarana, 'energised' oatmeal, weight-loss pills, pain relief pills, breath fresheners, etc. (see http://health.yahoo.net/articles/nutrition/photos/12-surprising-sources-caffeine#0, and our links page).
Read the labels of what you are ingesting!
Other sources of caffeine are energy drinks, cola's, chocolate, non-cola soda, guarana, 'energised' oatmeal, weight-loss pills, pain relief pills, breath fresheners, etc. (see http://health.yahoo.net/articles/nutrition/photos/12-surprising-sources-caffeine#0, and our links page).
Read the labels of what you are ingesting!
Successful sustained withdrawal may need stopping other drugs also e.g. alcohol.
Testimonies show that some/many people find that to achieve sustained withdrawal may need withdrawal from other brian-barrier drugs e.g. alcohol, chocolate, maybe even sugar, etc..
Having a 'clean' brain;
(a) reduces temptations and up/down experiences, which means that both the needs and weakness opportunity for taking caffeine are reduced,
(b) gives very positive feelings of clarity, cleanness and happiness, that add to motivation to stay clean
(c) enables progress on life in general, which again also adds to motivation to stay clean.
Mindset suggestions for withdrawal include;
- "timing: cease caffeine when it feels relatively right inside to do so; this may not be a logical time, but one when things just feel relatively right, when you feel right to 'catch the wave'. This may be for instance when you feel good and strong, or alternatively when you have been struck afresh by how much damage caffeine is doing to your and your loved ones lives.
- the human brain is complex, and multi-faceted. Primitive drivers co-exist with rationality. Consciousness, and conscious determination, are only part of the story. This makes the 11th Commandment, Avoid Temptation, very important and powerful. Your human self can out-wit the primitive driver by not physically going near a coffee shop, meeting friends somewhere else, and not having coffee or coffee equipment in the home.
- be aware this is a very fragile and subtle situation, and you could crack at any point
- accept failures, and relapses, as stages in the learning journey; just accept, don't beat yourself up, and start again
- vanity can be a strong motivator; think about whiter teeth, cleaner breath, no acne, being a nicer person!
- do not say you are doing it for someone else; you have to do it for yourself
- treat this as a withdrawal from addiction, e.g. http://www.spiritualriver.com/51-things-you-should-know-about-addiction-recovery/
- consider using daily exercise (e.g. long runs, walks) (see no. 50 here; http://www.spiritualriver.com/51-things-you-should-know-about-addiction-recovery/)
- you may hear yourself thinking lies, e.g. that you will have no energy, will die, etc; ignore; test it! think, even if so, I want to go through there
- that you will remain in recovery, and at risk of temptation, for a lifetime."
Advice for partners includes;
- "help him/her avoid temptation; make your own coffee when the user won't see, smell or hear it. when with him/her avoid even driving near coffee places. go someplace else for your trips.
- do not react too much if his/her mood swings; anxiety, anger, fatigue, quiet, whatever; this is withdrawal, it will not last, just keep loving him/her.
- don't criticise if he/she uses other drugs a bit more than usual in this phase e.g. alcohol, sugar.
- find another hot drink he/she likes, e.g. fruit tea, and give it to him/her at the same times and as often or more often than he/she had coffee."
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