Cold Exposure for Anxiety and Depression: Exploring the Benefits

In recent years, cold exposure has gained popularity as a wellness practice for its potential physical and mental health benefits. From ice baths to cold showers, this practice is increasingly being explored as a complementary approach for managing anxiety and depression. But what exactly is cold exposure, and how can it help with mental health? In this post, we’ll explore the science behind cold exposure, its potential benefits for anxiety and depression, and how to safely incorporate it into your routine.

What is Cold Exposure?

Cold exposure involves intentionally subjecting the body to cold temperatures for a short period of time. This can be done through various methods, such as:

Cold showers

Ice baths

Cryotherapy (exposure to extremely cold temperatures in a controlled chamber)

Cold water swimming (plunging into natural bodies of cold water, such as lakes or oceans)

While cold exposure has been used historically in various cultures for its invigorating effects, recent research has begun to explore its potential therapeutic benefits for mental health, particularly in managing stress, anxiety, and depression.

How Cold Exposure Affects the Body and Mind

When you expose your body to cold temperatures, several physiological responses are triggered that can influence both your body and mind:

Activation of the Sympathetic Nervous System: Cold exposure stimulates the "fight or flight" response, activating the sympathetic nervous system and increasing the production of norepinephrine, a hormone and neurotransmitter associated with improved mood, focus, and alertness. Elevated norepinephrine levels can help reduce the symptoms of depression and anxiety by promoting a sense of mental clarity and well-being.

Release of Endorphins: Cold exposure can trigger the release of endorphins, often referred to as “feel-good” hormones. Endorphins are natural painkillers produced by the body and contribute to feelings of happiness and euphoria. This rush of endorphins is often what makes people feel more energized and uplifted after cold exposure.

Reduction of Inflammation: Cold exposure has anti-inflammatory effects, which may help reduce systemic inflammation that has been linked to depression and other mood disorders. Chronic inflammation has been associated with impaired mood and cognitive functioning, so reducing it through cold exposure may contribute to improved mental health.

Improved Resilience and Stress Response: Regular cold exposure may help improve your body's resilience to stress. By subjecting yourself to controlled cold stress, you train your nervous system to adapt, which can increase your overall tolerance to other stressors, including anxiety-inducing situations. Over time, this can result in improved emotional regulation and stress management.

Potential Benefits of Cold Exposure for Anxiety and Depression

Immediate Mood Boost: Many people who practice cold exposure report an immediate uplift in mood and energy levels. The physiological responses (such as the release of norepinephrine and endorphins) can help alleviate feelings of sadness or anxiety in the short term. After a cold shower or ice bath, people often feel more alert, focused, and mentally clear—experiences that can be especially helpful for those dealing with depressive symptoms like lethargy or lack of motivation.

Reduced Anxiety Symptoms: Cold exposure may help regulate the autonomic nervous system, which plays a significant role in anxiety. It shifts the body’s response from a heightened "fight or flight" state to a calmer, more balanced state. By practicing cold exposure regularly, individuals may experience reduced baseline levels of anxiety and a better ability to manage stress.

Improved Sleep: Poor sleep is a common issue for individuals with depression and anxiety. Cold exposure can help improve sleep quality by lowering core body temperature, which is a signal for the body to enter a more restful state. Cold showers or ice baths in the evening, followed by warming up, may help signal the body that it’s time to rest, promoting deeper, more restorative sleep.

Resilience to Stress and Overthinking: The practice of voluntarily subjecting yourself to cold stress can also train your mind to better cope with discomfort. By learning to stay calm and present during cold exposure, individuals can build resilience to stress and anxiety in other areas of their life. This concept of mental toughness and staying grounded during discomfort is often linked to reduced rumination, which is a common feature of both anxiety and depression.

Increased Energy and Motivation: Depression can sap energy, making even daily tasks feel overwhelming. Cold exposure, particularly in the morning, can provide an energy boost, helping individuals feel more awake and motivated to start their day. The stimulating effects of cold showers may help counteract the fatigue and sluggishness associated with depression.

How to Incorporate Cold Exposure Safely

If you’re interested in trying cold exposure to help manage anxiety or depression, it’s important to start slowly and listen to your body. Here are a few ways to begin:

Cold Showers: Start with cold showers by gradually reducing the water temperature at the end of your regular shower. Begin with 30 seconds of cold water and slowly increase the duration over time. Focus on your breathing to stay calm and centered during the exposure.

Ice Baths: If you want to try ice baths, fill a tub with cold water and add ice. Start with short durations, around 2-5 minutes, and work up as your body adjusts to the cold. Always make sure the water isn’t so cold that it becomes dangerous—your goal is to be uncomfortable but safe.

Cryotherapy: If you have access to a cryotherapy chamber, sessions are usually short (2-3 minutes) and involve being exposed to extremely cold air. Cryotherapy is done under supervision, making it a safer option for those new to cold exposure.

Cold Water Swimming: Cold water swimming can be invigorating, but it’s important to approach it with caution. Start with short dips in natural bodies of cold water and always be mindful of hypothermia risks. Cold water swimming is often practiced in groups for safety and encouragement.

Safety Tips

Consult with a Healthcare Provider: If you have any underlying health conditions, such as heart disease, high blood pressure, or a history of frostbite, consult with a healthcare provider before trying cold exposure. Cold stress can strain the heart and circulatory system, so it's important to ensure it’s safe for you.

Start Gradually: Don’t shock your system by jumping straight into extreme cold exposure. Ease into it by starting with brief, less intense sessions, and gradually increase the duration and intensity as your body adapts.

Listen to Your Body: While discomfort is part of the process, if you feel lightheaded, dizzy, or experience chest pain, stop immediately and warm up. Cold exposure should be invigorating, not harmful.

A Complementary Tool, Not a Cure-All

While cold exposure can offer potential benefits for managing anxiety and depression, it is not a replacement for therapy, medication, or other professional mental health treatments. Cold exposure can be a helpful complementary practice, offering mood-boosting effects and building resilience to stress, but it should be used alongside evidence-based treatments recommended by healthcare professionals.

If you’re dealing with anxiety or depression and are curious about cold exposure, consider discussing it with your therapist or healthcare provider to see if it might be a good fit for your mental health toolkit. With the right approach, cold exposure can become a valuable part of your self-care routine, supporting both your physical and emotional well-being.


Julie Kolzet, Ph.D.