How Stress Contributes to Headaches

As if stress weren’t bad enough on its own, it can both trigger and worsen headaches.

Modern life is stressful and, unfortunately, that doesn’t seem likely to change any time soon. From the moment your alarm clock jolts you out of bed until you’re finally done for the day, you are likely to experience some amount of stress. This can be in the form of anxiety or other psychological pressures, or physical stress – such as eye and neck strain from sitting at a computer. While a little stress is tolerable, too much can have damaging effects on your health.i  Many symptoms can be attributed to the mental and physiological pressures we’re under. These can range from fatigue to stomach upset to sleep problems. Top of the list? That nagging headache.ii

Can stress really cause headaches?

Yes. In fact, stress is a central cause of many headaches.

Whether it’s due to an over-packed to-do list, a demanding job, personal issues or a growing pile of bills, stress is a likely cause behind the most common type of headache – the tension headache (which aptly goes by the nickname ‘stress headache’).

What exactly is a stress headache?

You have likely experienced many different types of headaches – which can range from sinus to migraines. So, how can you tell if your headache may be caused by stress? Tension or stress headache symptoms tend to follow a certain pattern.iii

  • A stress headache will normally be a mild or moderately painful dull ache.
  • Stress headache pain will often feel like a tight band around your head – front, sides and back.
  • Your scalp, neck and shoulders may also feel sore or tender.
  • Stress headaches can be either episodic (short-lasting and occurring less than 15 days per month) or chronic (blending together and occurring 15 or more days per month).
  • Unlike migraines, stress headaches aren’t typically aggravated by light, sound or physical activity.

Call your doctor if your headache gets worse, or if you develop other symptoms – including vision problems, dizziness or a stiff neck. While stress headaches are very common, your headache may be a symptom of another condition.

How can stress cause headaches?

Everyday stress can bring on headaches in a variety of ways. That’s because stress causes us to change our behavior without even realizing it.iv

  • When people are stressed, they often tighten their neck and shoulders. Tense muscles in the back of the neck and even in the scalp can cause the “vice-like” compression many people use to describe stress-related headaches.
  • Many people clench their jaws and/or grind their teeth when they’re stressed, both of which can trigger headaches all on their own.v
  • Anxiety and stress are common culprits of restless nights, and insomnia is a risk factor for tension headaches and migraines
  • Stress can trigger changes in your appetite, which affect the way you eat and drink. Many people may find themselves eating less and even skipping meals when they’re stressed. This can throw blood sugar levels off balance, potentially causing tension headaches and migraines.vii
  • Our bodies react to stressful events with a ‘fight or flight’ response. This involves the release of certain chemicals that can cause physical changes – such as in the blood vessels. This, in turn, can bring on tension headaches.viii
  • Physical stress can also cause tension headaches. Examples are ergonomic issues such as poor posture and eye strain.ix

What’s more, no matter your headache type, stress can both worsen and prolong your symptoms. According to recent research, every 10 percent increase in people’s stress levels causes them to experience tension headaches 6.3 percent more days per month, and migraines 4.3 percent more often. This means that, if you’re stressed, you could be fighting an uphill battle to get rid of that headache.x

How to prevent and relieve stress headaches

Stress is an unfortunate fact of life. So, how can you prevent it from causing headaches? And how do you find stress headache relief when you do get one?

  • Count to 10: Mindfulness may be trendy, but it’s really just a fancy word for stopping to smell the roses. Taking a few minutes to relax and simply breathe can do wonders for your body and mind. You may then choose to progress to meditation – a more regular and structured ‘break’ from the demands of daily life.xi
  • Exercise: In addition to keeping your body in shape, physical exertion is an excellent way to relieve tension and anxiety.xii
  • Eat healthy: It’s a no-brainer really, but making sure your body is getting its essential nutrients will help keep stress headaches at bay. Oh, and stay well-hydrated too!xiii
  • Make lists: Taking control of your life can help to reduce anxiety. So, roll up your sleeves, organize the chaos and welcome the calm.xiv
  • Take a nap: If you’re not sleeping well or long enough at night, try lying down for a daytime siesta. Studies show that even a 20-minute ‘power nap’ can help you feel refreshed and re-energized.xv
  • Talk to someone: Freud called psychotherapy ‘the talking cure’ for a reason. The mere act of voicing your problems helps them feel like less of a burden. Whether you confide in a family member, a friend or a therapist, many people find that ‘a problem shared is a problem halved’.xvi
  • Just smile: Don’t underestimate the power of a smile. The physical act of smiling triggers the release of endorphins in our bodies that actually reduce stress and make us feel better. So, as they say, fake it until you make it!xvii

You may still experience the occasional tension headache, but practicing the above techniques should help reduce their frequency and severity. Looking for a quick and effective way to get rid of a stress headache? Try an over-the-counter headache relief medication like Excedrin.

And while relaxation therapies and simply cutting down on the stress in your life can help to reduce the occurrence of tension headaches, chronic tension headaches may be indicative of a more serious issue. Consult a doctor to discuss and learn more about your headaches.


Show References

Hide References

1. Stress Management. Mayo Clinic. Accessed 17/1/2020.

2. Stress Management. Mayo Clinic. Accessed 17/1/2020.

3.Tension Headache. Mayo Clinic. Accessed 3/1/2020.

4.Stress Symptoms: Effects on Your Body and Behavior. Mayo Clinic. Accessed 2/1/2020.

5.Teeth grinding (bruxism). NHS. Accessed 14/2/2020

6.Sleep Disorders and Headache. American Migraine Foundation. Accessed 14/2/2020.

7.Hypoglycaemia. The Migraine Trust. Accessed 3/1/2020.

8.Stress and Headaches. The Cleveland Clinic. Accessed 3/1/2020.

9.Tension headache. Medline Plus. Accessed 14/2/2020.

10.Association between Stress and Headache Frequency (S41.007). Sara Schramm, Susanne Moebus, Nils Lehmann, Ursula Galli, Mark Obermann, Eva Bock, Min-Suk Yoon, H. Diener,and Zaza Katsarava. Accessed 14/2/2020.

11.Headaches: Reduce Stress to Prevent the Pain. Mayo Clinic. Accessed 3/1/2020.

12.Headaches: Reduce Stress to Prevent the Pain. Mayo Clinic. Accessed 3/1/2020.

13.Headaches: Reduce Stress to Prevent the Pain. Mayo Clinic. Accessed 3/1/2020.

14.Headaches: Reduce Stress to Prevent the Pain. Mayo Clinic. Accessed 3/1/2020.

15.Napping. Sleep Foundation. Accessed 3/1/2020.

16.Headaches: Reduce Stress to Prevent the Pain. Mayo Clinic. Accessed 3/1/2020.

17.Try Some Smile Therapy. Psychology Today. Accessed 3/1/2020.



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