General
practitioners agree that at least half of their patients suffer from
physical or emotional problems either caused by stress or aggravated by it.
When we perceive a threat that we feel we cannot cope with, our body's
physiology reacts automatically with the fight or flight stress response. It
is the Sympathetic Nervous System – part of the autonomic nervous system –
that puts the mind-body system on red alert. The primitive part of the brain
– the hypothalamus – floods our body with the stress hormones, adrenaline
and noradrenalin, our heart pumps faster, our muscles tense, our blood
pressure rises and we start to perspire. Our body is primed either to fight
or to flee and it may be a factor in disease causation.
Not all stress is bad for us
In short manageable bursts, stress is good for us. It gives us a zest for
life, a ‘buzz' and sense of fulfillment – the challenge of a new job,
project or romance – and it can help us to excel in our performance and
realize our potential. A totally stress-free life would be dull and boring.
Too little stress is just as unhealthy as too much stress. Feeling mildly
stressed when carrying out a project or assignment often compels us to do a
good job, focus better, and work energetically. Likewise, exercising can
produce a temporary stress on some body functions, but its health benefits
are indisputable. It is only when stress is overwhelming, or poorly managed,
that its negative effects appear.
An important goal for those under stress is the management of life
stresses. Elimination of stress is unrealistic, since stress is a part of
normal life. It's impossible to completely eliminate stress, and it would
not be advisable to do so. Instead, we can learn to manage stress so that we
have control over our stress and its effects on our physical and mental
health.
The key is to tell the difference between the healthy stimulus of a
challenge, and excessive stress – a constant feeling of being under too much
pressure – which causes fatigue, distress and eventually, disease. If the
warning signs are ignored, excessive stress can lead to emotional and
physical exhaustion and eventually, mental breakdown (e.g. depression or
suicide) or physical breakdown (e.g. heart attack or stroke).
However, stress is a very individual matter. We each have different
stress thresholds. What is challenging and stimulating for one person might
be overwhelming for another. It is not the source of stress itself but our
perception of the situation and our perception of our ability to cope with
it that determine whether it is distressing.
In modern life, most of the threats that we face are mental and emotional
rather than physical, e.g. the threat of redundancy or the breakdown of a
relationship. The body reacts with the ‘fight or flight' response but we
cannot fight or run away, so we have no chance to use up the adrenaline. We
feel wound up but have no way to release the hormones and restore our
physical and emotional balance. The strain of being constantly on red alert
depletes our immune system and can lead to illness or burnout.
Who is most susceptible to stress?
Stress comes in all forms and affects people of all ages and all walks of
life. No external standards can be applied to predict stress levels in
individuals -- one need not have a traditionally stressful job to experience
workplace stress, just as a parent of one child may experience more stress
related to parenting than a parent of several children. The degree of stress
in our lives is highly dependent upon individual factors such as our
physical health, the quality of our interpersonal relationships, the number
of commitments and responsibilities we carry, the degree of others'
dependence upon and expectations of us, the amount of support we receive
from others, and the number of changes or traumatic events that have
recently occurred in our lives.
Some generalizations, however, can be made. People with strong social
support networks (consisting of family, friends, religious organizations, or
other social groups) report less stress and overall improved mental health
in comparison to those without these social contacts. People who are poorly
nourished, who get inadequate sleep, or who are physically unwell also have
reduced capabilities to handle the pressures and stresses of everyday life
and may report higher stress levels. Some stressors are particularly
associated with certain age groups or life stages. Children, teens, working
parents, and seniors are examples of the groups who often face common
stressors related to life transitions.
People who are providing care for elderly or infirm loved ones may also
experience a great deal of stress as caregivers. Having a loved one or
family member who is under a great deal of stress often increases our own
stress levels as well.
What are the symptoms and effects of excess stress or "out-of-control"
stress?
Manifestations of excess or poorly managed stress can be extremely
varied. While many people report that stress induces headaches, sleep
disturbances, feelings of anxiety or tension, anger, or concentration
problems, others may complain of depression, lack of interest in food,
increased appetite, or any number of other symptoms. In severe situations,
one can experience overwhelming stress to the point of so-called "burnout,"
with loss of interest in normal activities.
Scientific studies have shown that psychological stress may worsen the
symptoms of almost every known medical condition. Examples of conditions in
which stress may worsen the intensity of symptoms include cardiovascular
diseases, asthma, multiple sclerosis, chronic pain, acne, and depression.
While stress alone is not a cause of cardiovascular disease or high blood
pressure, it may actually worsen the progression of these diseases in many
people.
Stress also has effects on the immune system. While some studies show
that acute short-term stresses may actually be able to boost the body's
immune response, chronic (long-term) stress has the effect of "wearing down"
the immune system, leading to an increased susceptibility to colds and other
infections. Scientific studies have also shown that stress can decrease the
immune response to vaccinations and prolong wound healing.
What can I do to better manage stress?
In general, stress is related to both external and internal factors.
External factors include your physical environment, your job, relationships
with others, your home, and all the situations, challenges, difficulties,
and expectations you're confronted with on a daily basis. Internal factors
determine your body's ability to respond to, and deal with, the external
stress-inducing factors. Internal factors which influence your ability to
handle stress include your nutritional status, overall health and fitness
levels, emotional well-being, and the amount of sleep and rest you get.
Managing stress, therefore, can involve making changes in the external
factors which confront you or with internal factors that strengthen your
ability to deal with what comes your way.
What are some effective stress-management techniques?
Exercise
Physical exercise not only promotes overall fitness, but it helps you to
manage emotional stress and tension as well. For one thing, exercise can
emotionally remove one temporarily from a stressful environment or
situation. Being fit and healthy also increases your ability to deal with
stress as it arises.
Relaxation and meditation
There are many ways to use structured relaxation and meditation
techniques to help control stress and improve your physical and mental
well-being. While some types of meditation and relaxation therapies are best
learned in a class, it's also possible to learn meditation techniques on
your own. There are literally hundreds of different types of relaxation
methods ranging from audio CDs to group martial arts and fitness classes.
The following are only examples of the types of structured programs
available that can increase our capacity for relaxation:
Autogenic training: Developed in the early 20th
century, this technique is based upon passive concentration and
awareness of body sensations. Through repetition of so-called autogenic
"formulas" one focuses upon different sensations, such as warmth or
heaviness, in different regions of the body. Autogenic training has been
used by physicians as a part of therapy for many conditions. Popular in
Europe (where it is even covered by some insurance plans), this method
is currently gaining acceptance in the U.S. No particular physical
skills or exercises are involved; however, people desiring to learn this
technique must be prepared to invest time and patience. Since this
technique is slightly more complex than some relaxation methods, a
course is generally the best way to learn the method.
Biofeedback: Biofeedback is one method of learning
to achieve relaxation, control stress responses, or modify the body's
reactions through the use of monitoring equipment that provides
information from the body which would normally not be available. This
method is based upon the principle first advanced in the early 1960s
that the autonomic nervous system (the part we don't consciously use) is
trainable. For example, instruments can be used to measure heart rate,
blood pressure, brain activity, stomach acidity, muscle tension, or
other parameters while people experiment with postural changes,
breathing techniques, or thinking patterns. By receiving this feedback,
one can learn to identify the processes that achieve the desired result,
such as reduction in heart rate and blood pressure. Biofeedback is used
by many practitioners for a variety of psychological and physical
conditions. Because the technique involves the use of measuring devices,
it can only be performed by a professional.
Imagery: Imagery, sometimes referred to as guided
imagery, is the use of pleasant or relaxing images to calm the mind and
body. By controlling breathing and visualizing a soothing image, a state
of deep relaxation can occur. This method can be learned by anyone and
is relatively easy to try out.
Meditation techniques: Ranging from practices
associated with specific religions or beliefs to methods focusing purely
on physical relaxation, meditation is one of the most popular techniques
to achieve physical and mental relaxation. There are thousands of
different types of meditation, and many can be learned on your own. The
meditative state is one in which there is a deep centering and focusing
upon the core of one's being; there is a quieting of the mind, emotions,
and body. The meditative state can be achieved through structured (as in
a daily practice of a routine) or unstructured (for example, while being
alone outdoors) activities. While teachers of meditative arts are
readily available, some techniques can be learned though books or online
tutorials.
A form of meditation popularized in the last few decades is TM, or
transcendental meditation. TM has the goal of achieving transcendental
consciousness, or the simplest form of awareness. It is practiced for
15-20 minutes in the mornings and evenings and is relatively easy to
learn. Numerous classes and teaching materials are available for
beginners.
Another variant of a meditation technique has gained popularity in the
U.S. since its description in the 1970s by Harvard physician Herbert
Benson. This technique involves generation of the so-called relaxation
response through the repetition of a word of phrase while quietly
seated, 10-20 minutes per day. Designed to evoke the opposite bodily
reaction to the stress response (or "fight or flight" reaction), this
method carries no religious or spiritual overtones. Its value has been
documented in the reduction of blood pressure and other bodily stress
responses. Like other forms of meditation, it can be learned on one's
own, but time and practice are required to elicit the desired relaxation
state.
Progressive muscle relaxation: Progressive muscle
relaxation is a method developed in the 1930s in which muscle groups are
tightened and then relaxed in succession. This method is based upon the
idea that mental relaxation will be a natural outcome of physical
relaxation. Although muscle activity is involved, this technique
requires no special skills or conditioning, and it can be learned by
almost anyone. Progressive muscle relaxation is generally practiced for
10-20 minutes a day. As with the relaxation response, practice and
patience are required for maximum benefits.
Qigong: The martial art qigong is an ancient
Chinese health-care system that combines physical training (such as
isometrics, isotonics, and aerobic conditioning) with Eastern philosophy
and relaxation techniques. There are many different kinds of qigong,
including medical qigong. Some forms are practiced while standing,
sitting, or lying down; others involve structured movements or massage.
Over 70 million Chinese practice some form of qigong daily. Qigong has
been used for centuries in China for the treatment of a variety of
medical conditions. Learning qigong involves time, commitment, patience,
and determination, and learning from a master or group is advisable.
Since this technique involves physical exertion, check with your doctor
before beginning, particularly if you have a chronic medical condition
or are over 40 years old.
Tai chi: Like qigong, tai chi is a Chinese martial
art. It has been termed a kind of "meditation in motion" and is
characterized by soft, flowing movements that stress precision and
force. Also known as tai chi chuan, this method is thousands of years
old. As with qigong, training from a master is necessary to learn the
art of tai chi. Again, since motion and force are required, check with
your doctor before beginning training.
Yoga: There are many forms of yoga, an ancient
Indian form of exercise based upon the premise that the body and
breathing are connected with the mind. The practice of yoga is thought
to be over 5,000 years old. One goal of yoga is to restore balance and
harmony to the body and emotions through numerous postural and breathing
exercises. Yoga, which means "joining" or "union" in Sanskrit, has been
called the "search for the soul" and the "union between the individual
and the divine." Among the benefits of yoga are increased flexibility
and capability for relaxation. No special level of conditioning is
required; yoga can be learned by nearly anyone. Classes, books, and
videos are widely available. Those with special or chronic physical
conditions will want to get clearance from their doctor before
beginning.
Other stress-management strategies
Time management
Good time-management skills are critical for effective stress control. In
particular, learning to prioritize tasks and avoid over-commitment are
critical measures to make sure that you're not overscheduled. Always using a
calendar or planner, and checking it faithfully before committing to
anything, is one way to develop time-management skills. You can also learn
to identify time-wasting tasks by keeping a diary for a few days and
noticing where you may be losing time.
For example, productivity experts recommend setting aside a specific time
(or multiple times) each day to check and respond to email and messages
rather than being a continual slave to incoming information. Banishing
procrastination is another time-management skill that can be learned or
perfected.
Organizational skills
If your physical surroundings (office, desk, kitchen, closet, car) are
well-organized, you won't be faced with the stress of misplaced objects and
clutter. Make it a habit to periodically clean out and sort through the
messes of paperwork and clutter that accumulate over time.
Support systems
People with strong social support systems experience fewer physical and
emotional symptoms of stress than their less-connected counterparts. Loved
ones, friends, business associates, neighbors, and even pets are all part of
our social networks. Cultivating and developing a social support network is
healthy for both body and mind.
How can I get help with stress management?
If you feel you can't manage stress on your own or you are faced with
unbearable stress, remember that there are resources to help.
Check in with your doctor. Stress can take its toll
on your body, increasing your susceptibility to infections and worsening
the symptoms of practically any chronic condition. Stress alone can also
be a cause of numerous physical symptoms. Your physician will be able to
assess the effects that stress may be having on your physical
functioning and can recommend ways to combat these negative influences.
Remember to be honest about the extent of stress you are experiencing.
In severe cases of short-term life stress, your doctor can talk with you
about the possibility of medications to help alleviate the short-term
symptoms. Your doctor is also an excellent referral source should you
decide to seek a counselor or therapist.
Consider counseling. Stress-management counseling
is offered by various types of mental-health professionals. Stress
counseling and group-discussion therapy have proven benefits in
reduction of stress symptoms and improvement in overall health and
attitude. Counseling doesn't have to be a long-term commitment, but some
people will benefit from a series of stress-counseling sessions from a
qualified therapist. He/she can help you identify the problem areas in
your life and work on strategies to control your most stressful moments
or situations. The very act of talking to an impartial and supportive
observer can also be a great way to unleash tension and worry.
Spend time with those you love. Countless studies
show that people with a balanced, happy social support structure
(consisting of friends, family, loved ones, or even pets) experience
fewer stress-related symptoms and are better stress managers than people
without social support. Your loved ones are also in an excellent
position to observe your lifestyle and offer suggestions and help when
you need it.
Take a course. Many relaxation programs, meditation
techniques, and methods for emotional and physical relaxation are
actually learned processes that can be acquired most quickly through a
class or course with a competent instructor. An added benefit is that
you will meet others with similar goals and interests.