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What happens when you are stressed?
Stress is what you feel when you have to handle more than you are used to. When you are stressed, your body responds as though you are in danger. It makes hormones that speed up your heart, make you breathe faster, and give you a burst of energy. This is called the fight-or-flight stress response.
Some stress is normal and even useful. Stress can help if you need to work hard or react quickly. For example, it can help you win a race or finish an important job on time.
But if stress happens too often or lasts too long, it can have bad effects. It can be linked to headaches, an upset stomach, back pain, and trouble sleeping. It can weaken your immune system, making it harder to fight off disease. If you already have a health problem, stress may make it worse. It can make you moody, tense, or depressed. Your relationships may suffer, and you may not do well at work or school.
What can you do about stress?
The good news is that you can learn ways to manage stress. To get stress under control:
- Find out what is causing stress in your life.
- Look for ways to reduce the amount of stress in your life.
- Learn healthy ways to relieve stress and reduce its harmful effects.
How do you measure your stress level?
Sometimes it is clear where stress is coming from. You can count on stress during a major life change such as the death of a loved one, getting married, or having a baby. But other times it may not be so clear why you feel stressed.
It’s important to figure out what causes stress for you. Everyone feels and responds to stress differently. Tracking your stress may help. Get a notebook, and write down when something makes you feel stressed. Then write how you reacted and what you did to deal with the stress. Tracking your stress can help you find out what is causing your stress and how much stress you feel. Then you can take steps to reduce the stress or handle it better.
To find out how stressed you are right now, use this Interactive Tool: What Is Your Stress Level?
How can you avoid stress?
Stress is a fact of life for most people. You may not be able to get rid of stress, but you can look for ways to lower it.
You might try some of these ideas:
- Learn better ways to manage your time. You may get more done with less stress if you make a schedule. Think about which things are most important, and do those first.
- Find better ways to cope. Look at how you have been dealing with stress. Be honest about what works and what does not. Think about other things that might work better.
- Take good care of yourself. Get plenty of rest. Eat well. Don’t smoke. Limit how much alcohol you drink.
- Try out new ways of thinking. When you find yourself starting to worry, try to stop the thoughts. Or write down your worries and work on letting go of things you cannot change. Learn to say “no.”
- Speak up. Not being able to talk about your needs and concerns creates stress and can make negative feelings worse. Assertive communication can help you express how you feel in a thoughtful, tactful way.
- Ask for help. People who have a strong network of family and friends manage stress better.
Sometimes stress is just too much to handle alone. Talking to a friend or family member may help, but you may also want to see a counselor.
How can you relieve stress?
You will feel better if you can find ways to get stress out of your system. The best ways to relieve stress are different for each person. Try some of these ideas to see which ones work for you:
- Exercise. Regular exercise is one of the best ways to manage stress. Walking is a great way to get started.
- Write. It can help to write about the things that are bothering you.
- Let your feelings out. Talk, laugh, cry, and express anger when you need to with someone you trust.
- Do something you enjoy. A hobby can help you relax. Volunteer work or work that helps others can be a great stress reliever.
- Learn ways to relax your body. This can include breathing exercises, muscle relaxation exercises, massage, aromatherapy, yoga, or relaxing exercises like tai chi and qi gong.
- Focus on the present. Try meditation and imagery exercises. Listen to relaxing music. Try to look for the humor in life. Laughter really can be the best medicine.
Causes of Stress
A lot of things can cause stress. You may feel stress when you go on a job interview, take a test, or run a race. These kinds of short-term stress are normal. Long-term (chronic) stress is caused by stressful situations or events that last over a long period of time, like problems at work or conflicts in your family. Over time, chronic stress can lead to severe health problems.
Personal problems that can cause stress
- Your health, especially if you have a chronic illness such as heart disease, diabetes, or arthritis
- Emotional problems, such as anger you can’t express, depression, grief, guilt, or low self-esteem
- Your relationships, such as having problems with your relationships or feeling a lack of friendships or support in your life
- Major life changes, such as dealing with the death of a parent or spouse, losing your job, getting married, or moving to a new city
- Stress in your family, such as having a child, teen, or other family member who is under stress, or being a caregiver to a family member who is elderly or who has health problems
- Conflicts with your beliefs and values. For example, you may value family life, but you may not be able to spend as much time with your family as you want.
Social and job issues that can cause stress
- Your surroundings. Living in an area where overcrowding, crime, pollution, or noise is a problem can create chronic stress.
- Your social situation. Not having enough money to cover your expenses, feeling lonely, or facing discrimination based on your race, gender, age, or sexual orientation can add stress to your life.
- Your job. Being unhappy with your work or finding your job too demanding can lead to chronic stress.
Learn how to manage job stress
- Unemployment. Losing your job or not being able to find work can also add to your stress level.
You may need help dealing with stress if you have faced a life-threatening or traumatic event such as rape, a natural disaster, or war. These events can cause acute stress disorder or post-traumatic stress disorder (PTSD). For more information, see the topic Post-Traumatic Stress Disorder.
Effects of Stress
Stress causes changes in your body. It also affects your emotions.
How stress affects the body
Common symptoms of stress include:
- A fast heartbeat.
- A headache.
- A stiff neck and/or tight shoulders.
- Back pain.
- Fast breathing.
- Sweating, and sweaty palms.
- An upset stomach, nausea, or diarrhea.
Over time, stress can affect your:
- Immune system. Constant stress can make you more likely to get sick more often. And if you have a chronic illness such as AIDS, stress can make your symptoms worse.
- Heart. Stress is linked to high blood pressure, abnormal heartbeat (arrhythmia), blood clots, and hardening of the arteries (atherosclerosis). It’s also linked to coronary artery disease, heart attack, and heart failure.
- Muscles. Constant tension from stress can lead to neck, shoulder, and low back pain. Stress may make rheumatoid arthritis worse.
- Stomach. If you have stomach problems, such as gastroesophageal reflux disease (GERD) or irritable bowel syndrome, stress can make your symptoms worse.
- Reproductive organs. Stress is linked to low fertility, erection problems, problems during pregnancy, and painful menstrual periods.
- Lungs. Stress can make symptoms of asthma and chronic obstructive pulmonary disease (COPD) worse.
- Skin. Skin problems such as acne and psoriasis are made worse by stress.
An extreme reaction to stress is a panic attack. A panic attack is a sudden, intense fear or anxiety that may make you feel short of breath, dizzy, or make your heart pound. People who have panic attacks may feel out of control, like they are having a heart attack, or are about to die. Panic attacks may happen with no clear cause, but they can be brought on by living with high levels of stress for a long time. For more information on panic attacks, see the topic Panic Attacks and Panic Disorder.
How stress affects your thoughts and emotions
You might notice signs of stress in the way you think, act, and feel. You may:
- Feel cranky and unable to deal with even small problems.
- Feel frustrated, lose your temper more often, and yell at others for no reason.
- Feel jumpy or tired all the time.
- Find it hard to focus on tasks.
- Worry too much about small things.
- Feel that you are missing out on things because you can’t act quickly.
- Imagine that bad things are happening or about to happen.
How stress affects you depends on many things, such as:
- Your personality.
- What you have learned from your family about responding to stress.
- How you think about and handle stress.
- Your social support.
The type of stress matters
Stress can affect you both instantly (acute stress) and over time (chronic stress).
Acute (short-term) stress is the body’s instant response to any situation that seems demanding or dangerous. Your stress level depends on how intense the stress is, how long it lasts, and how you cope with the situation.
Most of the time, your body recovers quickly from acute stress. But stress can cause problems if it happens too often or if your body doesn’t have a chance to recover. In people with heart problems, acute stress can trigger an abnormal heartbeat (arrhythmia) or even a heart attack.
Chronic (long-term) stress is caused by stressful situations or events that last over a long period of time. This could include having a difficult job or dealing with a chronic disease. If you already have a health problem, stress can make it worse.
Feeling stress is a fact of life for most people. But it affects everyone differently. What causes stress for you may not be stressful for someone else. That’s because how you view a situation affects how much stress it causes you. Only you can figure out whether you have too much stress in your life.
Ask yourself these questions to find out what is causing your stress:
What job, family, or personal stress do you have?
Stress can be caused by an ongoing personal situation such as:
- Problems in your family or with a relationship.
- Caring for a family member who is elderly, has chronic health problems, or is disabled. Caregiving is a major source of stress.
- For more information, see the topic Quick Tips: Reducing the Stress of Caregiving.
- Your job.
- Dealing with a family member who is under stress.
Have you had any recent major life changes?
Life changes such as getting married, moving to a new city, or losing a job can all be stressful. You can’t always control these things, but you can control how you respond to them.
To find out your current stress level based on recent changes in your life, try this Interactive Tool: What Is Your Stress Level?
Do your beliefs cause you stress?
Some people feel stress because their beliefs conflict with the way they are living their life. Examine your beliefs, such as your values and life goals, to find out if you have this kind of conflict in your life.
How are you coping with stress?
Your lifestyle choices can prevent your body from recovering from stress. For example, as you sleep, your body recovers from the stresses of the day. If you’re not getting enough sleep or your sleep is often interrupted, you lose the chance to recover from stress.
The way you act and behave can also be a sign of stress. Some people who face a lot of stress react by smoking, drinking too much alcohol, eating poorly, or not exercising. The health risks posed by these habits are made even worse by stress.
Your body feels stress-related wear and tear in two ways: the stress itself and the unhealthy ways you respond to it.
- Use this
coping strategies evaluation form
to help you find out how you cope with stress.
- Try this Interactive Tool: How Well Do You Bounce Back? It measures your ability to deal with life’s challenges.
Setting a Goal to Reduce Stress
Setting a goal in three steps
If you’re ready to reduce stress in your life, setting a goal may help. Try following these three steps:
- Find out what creates stress for you. Try tracking your stress to record stressful events, your response to them, and the coping strategies you used. If you have a smartphone, you can download a free stress-tracking app to help you monitor your stress. If you don’t have a smartphone, you can use a spreadsheet on your computer. Or pencil and paper work, too. The important thing is to keep track of your stress so that you can both learn what is causing it and work toward managing it.
- Think about why you want to reduce stress. You might want to protect your heart and your health by reducing stress. Or maybe you simply want to enjoy your life more and not let stress control how you feel. Your reason for wanting to change is important. If your reason comes from you—and not someone else—it will be easier for you to make a healthy change for good.
- Set a goal. Think about a long-term and a short-term goal to reduce stress in your life.
Examples of how to set goals
- Sheila is a customer service manager for a computer company. She’s also the mother of two young kids. Between her job and chores at home, she feels overwhelmed by all the demands on her. She can’t remember the last time she took a lunch break at work or took a class at the gym. While she’s lying awake at night, she is worrying about getting everything done. Sheila’s long-term goal: Find a better balance between personal, home, and family needs. Short-term goal: Take a 15-minute walk each night.
- Stress Management: Managing Your Time
- Ray is a pretty easygoing guy most of the time. But he gets stressed over small things. If a problem comes up at work, he spends the whole night thinking about it over and over. He feels anxious wondering how he could have handled things better. Ray knows he needs to let go of these events and move on. Ray’s long-term goal: Practice positive thinking when stressful events come up. Short-term goal: Try breathing and relaxation exercises when he feels stressed.
- Stop Negative Thoughts: Getting Started
- Stress Management: Relaxing Your Mind and Body
- Marta is a full-time caregiver for her elderly mother, who has Alzheimer’s disease. Marta can’t remember the last time she took a vacation or even met a friend for coffee. Her sister helps with care sometimes but is often too busy. Marta finds herself getting frustrated easily. She needs a break. Marta’s long-term goal: Involve her sister more in caregiving. She also plans to find respite care so she isn’t providing all the caregiving on her own. Short-term goal: Attend a caregiver support group every week.
- Quick Tips: Reducing the Stress of Caregiving
Tips for staying on track
- Plan for setbacks. Make a
personal action plan
by writing down your goals, any possible barriers, and your ideas for getting past them. By thinking about these barriers now, you can plan ahead for how to deal with them if they happen.
- Get support. Tell family and friends your reasons for wanting to change. Tell them that their encouragement makes a big difference to you in your goal to reduce stress. Your doctor or a professional counselor can also provide support. A counselor can help you set goals and provide support in dealing with setbacks.
(See tips for finding a counselor or therapist .)
- Pat yourself on the back. Don’t forget to give yourself some positive feedback. If you slip up, don’t waste energy feeling bad about yourself. Instead, think about all the times you’ve avoided getting stressed by making changes.
If You Need More Help
Stress can be hard to deal with on your own. It’s okay to seek help if you need it. Talk with your doctor about the stress you’re feeling and how it affects you. A licensed counselor or other health professional can help you find ways to reduce stress symptoms. He or she can also help you think about ways to reduce stress in your life.
A counselor or health professional is useful for:
Cognitive-behavioral therapy (CBT)
. CBT teaches you to be aware of how you perceive stress. It helps you understand that the way you think about stress affects your response to it. CBT helps you create and use skills to deal with stress.
(See tips for finding a counselor or therapist .)
- Biofeedback. This technique teaches you how to use your mind to control skin temperature, muscle tension, heart rate, or blood pressure. All of these things can be affected by stress. Learning biofeedback requires training in a special lab or a doctor’s office.
- Hypnosis. With hypnosis, you take suggestions that may help you change the way you act. It’s important to find a health professional with a lot of training and experience. Some psychologists, counselors, doctors, and dentists know how to use hypnosis.
Treatment for other health problems
You may need treatment for other emotional problems related to stress, such as anxiety, depression, or insomnia. Treatment may include medicines or professional counseling.
Author: Healthwise Staff
Kathleen Romito MD – Family Medicine
Christine R. Maldonado PhD – Behavioral Health
Adam Husney MD – Family Medicine