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Nearly every negative consequence of anxiety comes from the stress that anxiety causes. Muscle tension is also a result of stress. When your fight or flight system is activated-which occurs during times of stress and anxiety-your muscles contract.
Muscle contraction headaches are commonly caused by stress, including the stress caused by being overly anxious. Stress causes muscles to contract, and therefore, tighten. This can include the many muscle groups in the head, face, neck, and shoulders. Chronic stress can cause persistent muscle tension, and even muscle spasms (involuntary sudden muscle contractions).