Feeling randomly dizzy, lightheaded, or noticing chest tightness — even when you feel mentally calm — can be confusing and unsettling. It’s one of the most common physical symptoms of anxiety, and it happens because of an adrenaline dump your body triggers even without an obvious trigger.

In this video, Rey NP, a dual-certified nurse practitioner, breaks down why anxiety causes dizziness, walks through a somatic tracking technique to help you notice and interrupt the sensation, and shares a box breathing exercise you can use in under 60 seconds to calm it down. He also covers why your body is safe in that moment, even when it doesn’t feel that way.

If dizziness or lightheadedness has been showing up unexpectedly, this is worth watching — and worth mentioning to a provider if it’s happening often.