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Common contributors to ongoing anxiety include: Imbalanced neurotransmitters (low serotonin, GABA, dopamine) Chronic stress and overactive cortisol levels Vitamin or mineral deficiencies, such as in vitamin D, magnesium, and B vitamins Lack of sleep or poor sleep quality Inflammation and oxidative stress, which can be caused by a poor diet and other factors Gut microbiome imbalances Hormonal imbalances (especially during perimenopause or PMS, or those associated with PMDD) Genetics, trauma, or personality traits ADHD (for more on this connection, read: ADHD and Anxiety: How to Tell the Difference and What to Do About It ) In women in particular, anxiety can be the result of hormonal fluctuations 2 throughout the menstrual cycle, pregnancy, postpartum period, or perimenopause

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