Center for Consumer Health Information, Cleveland Clinic

 

Recognizing Signs and Symptoms of Stress

What is stress?
Stress is defined as "any stimulus, such as fear or pain, that disturbs or interferes with the normal physiological equilibrium of an organism." Put simply, stress is our response to daily life. The right amount of stress can be a positive force. It helps us do our best work and keeps us alert, energetic, focused, and engaged in the world around us. However, too much stress can leave us anxious, depressed, and uncomfortable.

Everyday life continually presents us with stressful situations. Examples may include:

  • Difficult work situations 
  • Job change
  • Relationship problems 
  • Loneliness
  • Lack of support 
  • Continual deadlines
  • Financial worries 
  • Moving
  • Death of a loved one 
  • Divorce
  • Health problems 
  • Physical or mental abuse
  • The accumulation of the daily stress of balancing work, raising a family or being a homemaker

Stress can play a beneficial role, but too much stress disrupts the normal equilibrium and can disrupt people to the point where their ability to function is compromised.

Symptoms of stress
Symptoms or negative reactions to stress can be divided into several categories -- physical, cognitive (mental), emotional, and behavioral. Examples of signs and symptoms of stress and the categories under which they fall include:

Physical Cognitive Emotional Behavioral
Headaches Difficulty concentrating Anger Increased alcohol use
Backaches Forgetfullness Anxiety Cigarette smoking
Chest tightness Worrying Depression Increased caffeine use
Fatigue Thoughts of death Poor self-esteem Drug use
Stomach cramps Poor attention to detail Moodiness Violence
Difficulty breathing Perfectionist tendencies Suspiciousness Overeating
Diarrhea Indecisiveness Guilt Weight gain or loss
Loss of sexual interest Feeling helpless Weeping Relationship conflict
Insomnia Catastrophizing (blowing things out of prorportion) Loss of motivation Decreased activity

Common sense stress reducers
Numerous techniques have been suggested to help people minimize their negative reactions to stress. Many are common sense solutions and may not appear to have much value -- but try them, they are helpful.

  • Get a good night's sleep.
  • Eat a healthy diet.
  • Exercise on a regular basis.
  • Engage in at least one pleasurable activity every day.
  • Stop smoking.
  • Use alcohol in moderation.
  • Use caffeine in moderation.
  • Set realistic goals for yourself, your job and your family.
  • Develop a good support system.

Take a break
Negative responses to stress can also be minimized by taking regularly scheduled breaks to relax and rejuvenate yourself. Ways to refresh your body and mind include:

  • Deep breathing exercises
  • Getting back or foot massages
  • Dancing
  • Dreaming
  • Hugging
  • Laughing
  • Listening to music
  • Walking
  • Bicycling
  • Painting
  • Writing poetry or keeping a journal

Stress management skills
There are three key steps to reducing negative responses to stress:

  1. Be aware of initial signs of stress reaction;
  2. Develop basic stress management skills; and
  3. Effectively apply those skills in real life.

The following techniques can be part of a formal stress management program:

  • Deep breathing exercises
  • Imagery techniques
  • Progressive Muscle Relaxation (PMR)
  • Cognitive restructuring
  • Assertiveness training
  • Individual psychotherapy
  • Group psychotherapy
  • Religious participation

© Copyright 1995-2005 The Cleveland Clinic Foundation. All rights reserved

This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. For additional written health information, please contact the Health Information Center at the Cleveland Clinic (216) 444-3771 or toll-free (800) 223-2273 extension 43771 or visit www.clevelandclinic.org/health/.

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