Causes of modern day stress
Modern day stresses are more likely to be psychological in origin and prolonged in nature (work-related stress, financial worries, inter-personal relationships, chronic illnesses). But they can still set off the body’s alarm mechanism and the associated hormone surge. Over-exposure to those stress hormones can, in turn, have a range of impacts on the body’s systems - brain, cardiovascular, immune, digestive and so on.
People deal with stress in different ways and the capacity to deal with stress changes throughout life. Those who have developed effective strategies to deal with day to day stressors are less likely to develop physical and psychological symptoms.
Signs, symptoms and diagnosis
Stress that is not controlled and continues for a long period of time can cause a number of psychological and physical symptoms. Psychological symptoms of stress can include:
- Sleep disturbances
- Difficulty concentrating
- Lack of confidence
- Difficulty relaxing
- Difficulty with decision making
Physical symptoms of stress can include:
- Muscle tension and pain
- Low energy
- Changes in appetite
- Decreased sexual function
- Shortness of breath or difficulty breathing
Long term, uncontrolled stress is associated with the development of a number of different medical conditions. Primarily these occur as the result of biochemical imbalances that can weaken the immune system and over-stimulate the part of the nervous system that regulates heart rate, blood pressure and digestion. Medical conditions that can occur as a result of long term stress include:
- Hair loss (alopecia)
- Heart palpitations
- Gastrointestinal problems (eg: indigestion, heartburn, irritable bowel syndrome)
- Worsening skin conditions (eg: dermatitis / eczema)
- High blood pressure
- Recurrent colds and 'flu
If it is suspected that stress is the cause for psychological or physical illness, a doctor should be consulted. The doctor will rule out any physical or mental illness that may be the cause of the symptoms. The doctor will discuss the patient's history and circumstances, including identification of any stressors that may be present in the person's life. The doctor will try to ascertain the level of stress the person is experiencing and their ability to deal with the stress.
Stress management and relief
Diet and exercise can play an important role in the relief of stress. Eat a balanced diet and avoid foods that may increase tension eg: coffee, tea, and foods high in sugar. Exercise helps to release built up tension and increases fitness (see Healthy heart exercise). This, in turn, increases the body’s ability to deal with stress and helps to avoid the damage to our health that prolonged stress can cause. It is recommended that exercise be undertaken at least three times per week to be of most benefit. If you are not used to exercise, discuss this with a doctor prior to commencing an exercise programme.
Relaxation is an effective way to help reduce muscle tension associated with stress. There are many different relaxation techniques eg: yoga, meditation, massage. Some people find that simply taking “time out” during the day or after a stressful situation is sufficient to reduce stress levels. There are more formalised relaxation techniques available eg: Jacobson’s Progressive Relaxation Technique, The Mitchell Method and hypnosis. Consult a doctor or community resource group (eg: Citizen’s Advice Bureau) to find out what services are available. A local library may also be able to recommend suitable books on this topic.
Stress management courses
Stress management courses enable individuals to develop strategies to cope with life and stress more effectively. Most courses teach skills that enable the individual to recognise current stressors and techniques to effectively deal with these. Skills such as time management, goal setting, assertive communication, problem solving, managing change and relaxation techniques may be taught.
Discussing concerns with an impartial person may assist with recognising stressors and deciding upon strategies to deal with them. This does not necessarily need to be a professional therapist but may be a trusted family member, friend or colleague. Often the process of discussing a concern is enough to alleviate the stress it is causing. Asking for help should not be seen as a sign of weakness. Knowing when to ask for help may be one of the changes necessary in order to deal with stress more appropriately.
Further information and support
P O Box 10051 Dominion Rd
Nationwide Free Phone: 0800 543 354
Mental Health Foundation of New Zealand (2011) Stress and how to handle it. Pamphlet. Mental Health Foundation of New Zealand. Auckland.