Coastal aquifers, vital for supplying freshwater to over one billion people worldwide, often face saltwater intrusion, with barrier island aquifers playing a crucial role in this coastal system. Despite the proliferation of studies exploring the impacts of sea-level rise, storm surges, and over-pumping, the effect of droughts on barrier island aquifers salinization remains largely under-investigated. This lack of attention is particularly concerning given the heightened vulnerability of barrier island aquifers; most ultimately rely solely on aerial recharge compared to continental coastal aquifers. An in-depth understanding of recharge and salinization processes is important for sustainably managing these islands' marginal freshwater resources, especially considering climate change impacts. This study presents an evaluation approach for the response of a freshwater lens (FWL) to drought conditions, incorporating in-situ observations, geophysical measurements, and numerical modeling. The study examines the response of a shallow unconfined aquifer on an Atlantic coast barrier island to the 2020 Northeast extreme hydrological drought. It encompasses a density-driven flow model informed by time-lapse electrical resistivity imaging and in-situ measurements, including groundwater head and salinity collected from monitoring wells. Results from our approach indicate that FWL volume is reduced by 11% during the drought, but it returns to its previous volume over the following spring season, indicating that the net volume of the FWL remains unchanged on an annual scale. The mean groundwater residence time on the island is approximately a year, indicating that the barrier island aquifer is a hydrodynamically active coastal zone. These findings highlight the vulnerability and resilience of shallow unconfined barrier island aquifers to droughts and climate change.