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I Have an Anxiety Disorder but I Have Also Been Diagnosed with Hyperhidrosis. Are the Two Related?

I'm a college student and I can't afford treatments with botox. But, if it is related to my disorder then it should clear up as my Zoloft kicks in, correct?

Doctor Answers (4)

Anxiety,, the Sympathetic Nervous System and Hyperhidrosis are Related - Anxiety causes hyperhidrosis


Hyperhidrosis is definitely exacerbated by anxiety and stress. Simply stated, sweating is a response to activation of the sympathetic nervous system, the "fight or flight response". This is well known and well described. Unfortunately, getting treated with anxiolytics (valium, xanax) will rarely get rid of the excessive sweating. People like you develop cold and clammy hands, sweating from the underarms and sweaty palms. Rarely, they can have facial blushing and dripping sweat from the face and scalp.

Don't get hooked on prescription anxiolytics and seek treatment from a hyperhidrosis expert. There are hyperhidrosis experts, dermatologists or plastic surgeons who have expertise to help you with your problem.

Web reference:

Buffalo General Surgeon
4.5 out of 5 stars 6 reviews

Anxiety disorder and hyperhidrosis


The two issues are related - anxiety triggers your sympathetic nervous system to act, causing issues as such including sweating.  While anti-anxiety medications may work to decrease your problems, it will not take it completely away.  I would see how things work for you.  Otherwise, things such as BoTox or surgical procedures such as liposuction or subdermal shaving of the underarms obtain excellent results for treatment of hyperhidrosis of the axillary areas. Hope that this helps!  Good luck!

Web reference:

Phoenix Plastic Surgeon
5.0 out of 5 stars 6 reviews

Stress, anxiety, hyperhydrosis


Attempts at making one's live more peaceful and stress free are usually safer than taking medications or injections. Peace and love usually bring happiness.

New York Plastic Surgeon
4.0 out of 5 stars 11 reviews

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I Have an Anxiety Disorder but I Have Also Been Diagnosed with Hyperhidrosis. Are the Two Related?


The interplay between your emotional state and sweating is complex. It is possible that anxiety treatment might improve your hyperhidrosis but only indirectly. I would suggest that you stick with the anxiety treatment for several months. Time will tell and hopefully you will see improvement. If not, prescription grade anti-perspirants or Botox are both good options. Best wishes.

Stephen Weber MD, FACS

Web reference:

Denver Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

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