Eye Twitching

Medically reviewed by Julie Dodson, MA, LCSW
Updated October 18, 2024by BetterHelp Editorial Team

Some people may experience eye twitches, often referred to as blepharospasm (or benign essential blepharospasm), at some point in their lives. The eyelids may twitch or blink quickly due to the involuntary contraction of the muscles surrounding the eye. Eyelid twitching is commonly caused by stress, dry eyes, caffeine and alcohol consumption, fatigue, eye strain, and nutritional deficiencies. Regular exercise, yoga, meditation, and a healthy lifestyle can decrease it. Online therapy may be another way to decrease stress levels that can lead to eye twitching.

Eye twitch symptoms

Eyelid spasm may have a few different symptoms, but the most common one is usually an involuntary twitching or blinking of the eyelid. This anxiety twitching may be mild or severe and can affect one or both eyes. The symptoms below may also occur in association with an eyelid twitch.

  • Eye spasms or muscle contractions
  • Light sensitivity
  • Pain or discomfort around the eye
  • Dry eyes
  • Blurred vision

Some people may experience eye twitching without any other symptoms. The duration of eye twitching may vary depending on the underlying cause. In some cases, the twitching may only last for a few minutes, while in others, it tends to persist for days or weeks. In most cases, the twitching may stop on its own, but if it persists or becomes severe, it may be beneficial to speak with your doctor.

iStock/dragana991
Reducing your stress levels can calm eye twitching.

About eye twitching 

Eye twitching, medically known as benign essential blepharospasm or hemifacial spasm, involves involuntary eyelid spasms that can be triggered by various factors. While usually benign, persistent eye twitching may indicate underlying conditions such as multiple sclerosis or other nervous system disorders. 

If eye twitching persists or is accompanied by symptoms like light sensitivity, it's important to find a doctor. They can provide a proper diagnosis and recommend appropriate treatments. A trained physician can consult reputable health libraries to offer valuable information on managing eyelid spasms and related conditions.

Eye twitch causes

Several physical and emotional factors may cause essential blepharospasm, including the following:

Fatigue: When you are tired, your muscles may become fatigued, leading to twitching.

Caffeine and alcohol consumption: Caffeine and alcohol are generally both stimulants that may cause the muscles in the face and eyes to tense up, leading to twitching.

Stress: Eye twitching is often associated with stress and anxiety, as these conditions may cause the facial muscles to tense.

Eye strain: Eye strain caused by intense focusing on a computer screen or other activities that require close vision may lead to twitching.

Nutritional deficiencies: A deficiency in certain vitamins and minerals can cause eye twitching.

Dry eyes: Dry eyes may be caused by environmental factors, such as air conditioning, computer use, and contact lenses.

Allergies: Allergies may cause inflammation and irritation in the eyes.

In addition to these common causes, several medical conditions could also lead to eye twitching, including:

Blepharospasm: This condition may be characterized by the involuntary contraction of the muscles around the eye. 

Hemifacial spasms: These can occur when one side of your face twitches or spasms involuntarily; hemifacial spasms are normally caused by a nervous system disorder.

Thyroid dysfunction: An overactive or underactive thyroid gland may cause muscle twitching

Neurological disorders, such as Bell's palsy, multiple sclerosis, Parkinson's disease, and others, may also cause this twitching. While there may be many underlying causes of eye twitches aside from stress, it can be wise to seek medical attention if your twitching persists.

Getty/Vadym Pastukh

Reducing stress to relieve eye twitch

If you suspect that stress may be the cause of your eye twitching, here are some tips to help you reduce your stress levels.

Exercise: Regular physical activity can reduce muscle stress and tension. Exercise typically releases endorphins, which can have a natural mood-boosting effect.

Yoga: Yoga is generally a form of exercise that combines physical movement with deep breathing and meditation. It can be particularly effective for reducing stress and tension in the muscles.

Meditation: Meditation can be a powerful tool for reducing stress and tension in the mind and body. It normally involves focusing on the present moment and releasing thoughts about the past and future.

Online therapy: Talking to a therapist can be a great way to reduce stress. An online therapist may help you identify and work through the underlying causes of your stress.

Time management: Prioritizing your time and setting realistic goals for yourself may reduce stress.

Lifestyle changes to relieve eye twitch

In addition to reducing stress, the following lifestyle changes may help relieve this twitching.

  • Getting enough sleep: Adequate sleep may be essential for the proper functioning of the body and mind. A lack of sleep can lead to fatigue, which might cause eye twitching.
  • Staying hydrated: Dehydration may cause dry eyes, which can then lead to eye twitches.
  • Avoiding triggers: Triggers, such as caffeine and alcohol, can cause twitching.
  • Eating a balanced diet: A diet rich in vitamins, minerals, and antioxidants can nourish the body and eyes.
  • Eye care: Practicing good eye care, such as using computer glasses, taking regular breaks when using digital devices, and using artificial tears, may prevent dry eyes.
  • Quitting smoking: Smoking can cause dry eyes, leading to twitching. Quitting smoking may improve your overall health.

These lifestyle changes may not eliminate eye twitches, but they can reduce its frequency and severity, making the condition feel more benign. Essential elements like self-care and positive well-being can help you feel more empowered over your condition.

When should you seek medical treatments?

Medical treatment should usually be considered if eye twitches persist or are accompanied by other symptoms. Seeking the advice of a qualified healthcare professional before starting any medical treatment is typically the best course of action. You can even find a doctor who specializes in eye conditions.

It may be necessary to seek medical treatment for eye twitches if:

  • The twitching persists or becomes severe
  • The twitching is accompanied by other symptoms, such as pain, double vision, or muscle weakness
  • The twitching is interfering with daily activities
  • The twitching is causing significant distress or anxiety
  • An underlying medical condition causes the eye to twitch. 

You can also consider trying Botox (botulinum toxin) to treat abnormally frequent eyelid spasms.

Benefits of online therapy

Reducing stress may relieve this twitching as well as improve your overall well-being. Working with an online therapist may help you identify and work through the underlying causes of your stress, which can be a common cause of this twitching. In addition, working with a therapist online means you can get the help you deserve from the comfort of your home, enabling you to eliminate the stress that can come with meeting a therapist in person.

Getty/Vadym Pastukh
Reducing your stress levels can calm eye twitching.

Effectiveness of online therapy

Online therapy can be a practical and efficient way to treat eye twitches and stress. According to one study, individuals who received cognitive behavioral therapy (CBT) online reported significantly fewer eye-twitching symptoms, higher levels of well-being, and better psychological functioning than those who received in-person therapies. Moreover, participants gave the online CBT program excellent marks for satisfaction, indicating that people with eye twitches and stress may find this treatment helpful and attainable. As a result, it might be a suitable alternative if you're trying to control your stress levels to stop eye twitches.

Takeaway

  • Common causes of twitching can include stress, fatigue, caffeine and alcohol consumption, nutritional deficiencies, dry eyes, and allergies.
  • Strategies that may relieve twitching and reduce stress include exercise, yoga, meditation, and online therapy.
  • Lifestyle changes, such as getting enough sleep, staying hydrated, and avoiding triggers like caffeine and alcohol, can reduce eye twitches.
  • If your eye twitch persists, please seek medical attention.
Ease stress and mental exhaustion
The information on this page is not intended to be a substitution for diagnosis, treatment, or informed professional advice. You should not take any action or avoid taking any action without consulting with a qualified mental health professional. For more information, please read our terms of use.
Get the support you need from one of our therapistsGet started