Mood Disorders >> Stress

STRESS
We all face different challenges and obstacles, and sometimes the pressure is hard to handle. When we feel overwhelmed, under the gun, or unsure how to meet the demands placed on us, we experience stress. In small doses, stress can be a good thing. It can give you the push you need, motivating you to do your best and to stay focused and alert. Stress is what keeps you on your toes during a presentation at work or drives you to study for your midterm when you'd rather be watching TV. But when the going gets too tough and life's demands exceed your ability to cope, stress becomes a threat to both your physical and emotional well-being.

In this section:
• What is Stress?
• Signs and Symptoms of Stress
• Causes of Stress
• Effects of Chronic Stress
• Self-Help Strategies

WHAT IS STRESS?
Stress is a psychological and physiological response to events that upset our personal balance in some way. When faced with a threat, whether to our physical safety or emotional equilibrium, the body's defenses kick into high gear in a rapid, automatic process known as the “fight-or-flight” response. We all know what this stress response feels like: heart pounding in the chest, muscles tensing up, breath coming faster, every sense on red alert.

The biological stress response is meant to protect and support us. It’s what helped our stone age ancestors survive the life-or-death situations they commonly faced. But in the modern world, most of the stress we feel is in response to psychological rather than physical threats. Caring for a chronically-ill child or getting audited by the IRS qualify as stressful situations, but neither calls for either fight or flight. Unfortunately, our bodies don't make this distinction. Whether we’re stressed over a looming deadline, an argument with a friend, or a mountain of bills, the warning bells ring. And just like a caveman confronting a sabertooth tiger, we go into automatic overdrive.

If you have a lot of responsibilities and worries, you may be running on stress a good portion of the time—launching into emergency mode with every traffic jam, phone call from the in-laws, or segment of the evening news. But the problem with the stress response is that the more it’s activated, the harder it is to shut off. Instead of leveling off once the crisis has passed, your stress hormones, heart rate, and blood pressure remain elevated.

Furthermore, extended or repeated activation of the stress response takes a heavy toll on the body. Prolonged exposure to stress increases your risk of everything from heart disease, obesity, and infection to anxiety, depression, and memory problems. Because of the widespread damage it can cause, it’s essential to learn how to deal with stress in a more positive way and reduce its impact on your daily life.

SIGNS & SYMPTOMS OF STRESS
To get a handle on stress, you first need to learn how to recognize it in yourself. Stress affects the mind, body, and behavior in many ways— all directly tied to the physiological changes of the fight-or-flight response. The specific signs and symptoms of stress vary widely from person to person. Some people primarily experience physical symptoms, such as low back pain, stomach problems, and skin outbreaks. In others, the stress pattern centers around emotional symptoms, such as crying jags or hypersensitivity. For still others, changes in the way they think or behave predominates.

The following table lists some of the common warning signs and symptoms of stress. Use it to identify the symptoms you typically experience when you’re under stress. If you know your red flags, you can take early steps to deal with the stressful situation before it—or your emotions—spiral out of control.

STRESS WARNING SIGNS AND SYMPTOMS
Cognitive Symptoms	Emotional Symptoms
Memory problems Indecisiveness Inability to concentrate Trouble thinking clearly Poor judgment Seeing only the negative Anxious or racing thoughts Constant worrying Loss of objectivity Fearful anticipation	Moodiness Agitation Restlessness Short temper Irritability, impatience Inability to relax Feeling tense and “on edge” Feeling overwhelmed Sense of loneliness and isolation Depression or general unhappiness
Physical Symptoms	Behavioral Symptoms
Headaches or backaches Muscle tension and stiffness Diarrhea or constipation Nausea, dizziness Insomnia Chest pain, rapid heartbeat Weight gain or loss Skin breakouts (hives, eczema) Loss of sex drive Frequent colds	Eating more or less Sleeping too much or too little Isolating yourself from others Procrastination, neglecting responsibilities Using alcohol, cigarettes, or drugs to relax Nervous habits (e.g. nail biting, pacing) Teeth grinding or jaw clenching Overdoing activities (e.g. exercising, shopping) Overreacting to unexpected problems Picking fights with others

Keep in mind that the signs and symptoms of stress can also be caused by other psychological and medical problems. If you’re experiencing any of the warning signs of stress, it’s important to see a doctor for a full evaluation. Your doctor can help you determine whether or not your symptoms are stress-related.

CAUSES OF STRESS
The potential causes of stress are numerous and highly individual. What you consider stressful depends on many factors, including your personality, general outlook on life, problem-solving abilities, and social support system. Something that’s stressful to you may not faze someone else, or they may even enjoy it. For example, your morning commute may make you anxious and tense because you worry that traffic will make you late. Others, however, may find the trip relaxing because they allow more than enough time and enjoy listening to music while they drive.

The pressures and demands that cause stress are known as stressors. We usually think of stressors as being negative, such as an exhausting work schedule or a rocky relationship. However, anything that forces us to adjust can be a stressor. This includes positive events such as getting married or receiving a promotion. Regardless of whether an event is good or bad, if the adjustment it requires strains our coping skills and adaptive resources, the end result is stress.

MAJOR LIFE CHANGES
Major life events are stressors. Whether it be a divorce, a child leaving home, a planned pregnancy, a move to a new town, a career change, graduating from college, or a diagnosis of cancer, the faster or more dramatic the change, the greater the strain. Furthermore, the more major life changes you’re dealing with at any one time, the more stress you’ll feel.

DAILY HASSELS AND DEMANDS
While major life changes are stressful, they are also relative rarities. After all, it’s not every day that you file for divorce or have a baby. However, you may battle traffic, argue with your family members, or worry about your finances on a daily basis. Because these small upsets occur so regularly, they end up affecting us the most.

Daily causes of stress include:

• Environmental stressors – Your physical surroundings can set off the stress response. Examples of environmental stressors include an unsafe neighborhood, pollution, noise (sirens keeping you up at night, a barking dog next door), and uncomfortable living conditions. For people living in crime-ridden areas or war-torn regions, the stress may be unrelenting.
• Family and relationship stressors – Problems with friends, romantic partners, and family members are common daily stressors. Marital disagreements, dysfunctional relationships, rebellious teens, or caring for a chronically-ill family member or a child with special needs can all send stress levels skyrocketing.
• Work stressors – In our career-driven society, work can be an ever-present source of stress. Work stress is caused by things such as job dissatisfaction, an exhausting workload, insufficient pay, office politics, and conflicts with your boss or co-workers.
• Social stressors – Your social situation can cause stress. For example, poverty, financial pressures, racial and sexual discrimination or harassment, unemployment, isolation, and a lack of social support all take a toll on daily quality of life.

INTERNAL CAUSES OF STRESS
Not all stress is caused by external pressures and demands. Your stress can also be self-generated. Internal causes of stress include:

Uncertainty or worries Pessimistic attitude Self-criticism Unrealistic expectations or beliefs

Perfectionism Low self-esteem Excessive or unexpressed anger Lack of assertiveness

EFFECTS OF CHRONIC STRESS
Chronic stress wears you down day after day and year after year, with no visible escape. Under sustained or severe stress, even the most well-adjusted person loses the ability to adapt. When stress overwhelms our coping resources, our bodies and minds suffer.

HEALTH EFFECTS
Recent research suggests that anywhere from 60 to 90 percent of illness is stress-related. The physical wear and tear of stress includes damage to the cardiovascular system and immune system suppression. Stress compromises your ability to fight off disease and infection, throws your digestive system off balance, makes it difficult to conceive a baby, and can even stunt growth in children.

Stress and Your Health
Many medical conditions are caused or exacerbated by stress, including:

Chronic pain Migraines Ulcers Heartburn High blood pressure

Heart disease Diabetes Asthma PMS Obesity

Infertility Autoimmune diseases Irritable bowel syndrome Skin problems

EMOTIONAL EFFECTS
Chronic stress grinds away at your mental health, causing emotional damage in addition to physical ailments. Long-term stress can even rewire the brain, leaving you more vulnerable to everyday pressures and less able to cope. Over time, stress can lead to mental health problems such as:

• anxiety
• depression
• eating disorders
• substance abuse

SELF-HELP STRATEGIES
Meditation, yoga, deep breathing, and other stress relief techniques may help reduce the symptoms of anxiety brought on by stress. Read Helpguide's Stress Relief: Yoga, Meditation, and Other Relaxation Techniques to learn more.

Ellen Jaffe–Gill, Melinda Smith, M.A., Heather Larson, and Jeanne Segal, Ph.D. contributed to this article. Last modified on 12/13/07.

Reprinted with permission from http://www.helpguide.org/. C 2008 Helpguide.org. All rights reserved.

You can find the original article at
http://www.helpguide.org/mental/stress_signs.htm

SOURCE: www.helpguide.org

FOR MORE INFORMATION ON ANY OF THE ABOVE PLEASE VISIT