Stress

Stress in individuals

Although some stress may have a positive effect on us, excessive or prolonged stress can lead to physical and emotional exhaustion. Recognising the causes, and the symptoms of stress at an early stage can be beneficial. This is article takes a short look at some of the symptoms of stress in an individual, and simple steps for individuals to take.

What is stress?

Stress can be defined as the way you feel when you’re under abnormal pressure. For example, if you are speaking in public for the first time, if you are rushing to catch the last train home, or if you are made redundant.

All sorts of situations can cause stress. The most common, however involve work, money matters and relationships with partners, children or other family members. Stress may be caused either by major upheavals and life events such as divorce, unemployment, moving house and bereavement, or by a series of minor irritations such as feeling undervalued at work or dealing with difficult children. Sometimes there are no obvious causes. Stressful events that are outside the range of normal human experience, for example being abused or tortured, may lead to post-traumatic stress disorder (PTSD).

Some stress can be positive and research has suggested that a moderate level of stress makes us perform better. It also makes us more alert and can help us in challenging situations such as job interviews or public speaking. Stressful situations can also be exhilarating and some people actually thrive on the excitement that comes with dangerous sports or other `high-risk’ activities. But stress is only healthy as a short-lived response. Excessive or prolonged stress can lead to illness and physical and emotional exhaustion. Taken to extremes, stress can be a killer.

What are the symptoms of stress?

Physical changes

When you are stressed, your body produces more of the so-called ‘fight or flight’ chemicals which prepare your body for an emergency. Adrenaline and noradrenaline raise your blood pressure, increase the rate at which your heart beats and increase the rate at which you perspire. They can also reduce blood flow to your skin and reduce your stomach activity. Cortisol releases fat and sugar into your system (but also reduces the efficiency of your immune system.) All of these changes make it easier for you to fight or run away.

Unfortunately these changes are less helpful if you are stuck in a busy office or on an overcrowded train. You can’t fight and you can’t run away. Because of this, you can’t use the chemicals your own body has produced to protect you. Over time these chemicals and the changes they produce can seriously damage your health. For example, you may start to experience headaches, nausea and indigestion. You may breathe more quickly, perspire more, have palpitations or suffer from various aches and pains. Longer term you may be putting yourself at risk from heart attacks and strokes.

Emotional changes

When you are stressed you may experience many different feelings, including anxiety, fear, anger, frustration and depression. These feelings can feed on each other and can themselves produce physical symptoms - making you feel even worse. Extreme anxiety can cause giddiness, heart palpitations, headaches or stomach disorders. Many of these symptoms may make you feel so unwell that you then worry that you have some serious physical conditions such as heart disease or cancer - making you even more stressed.

Behavioural changes

When you are stressed you may behave differently. For example, you may become withdrawn, indecisive or inflexible. You may not be able to sleep properly. You may be irritable or tearful all the time. There may be a change in your sexual habits, and even if you were previously mild-mannered you may suddenly become verbally or physically aggressive.

Who is affected by stress?

All of us can probably recognise at least some of the feelings described above, and may have felt stressed or anxious at some time or other. Research has shown that around 12 million adults see their GP’s with mental health problems each year. Most of these suffer from anxiety and depression much of it stress related. It’s estimated that about 45 million working days are lost each year through anxiety and stress-related conditions - costing industry more than £3000 million.

Some people seem to be more affected by stress than others. For some people, just getting out of the door on time each morning can be a very stressful experience. Others are more relaxed and easy going and seem to cope better with pressure. If you think you are prone to stress there are various things you can do to help yourself.

How can you help yourself?

An important step in tackling stress is to realise that it is causing you a problem. You need to make the connection between feeling tired or ill with the pressures you are faced with. Do not ignore physical warnings such as tense muscles, over-tiredness, headaches or migraines.

• If you find yourself becoming angry or upset you may find it helpful to take time out, even if it’s only for five minutes. Get yourself a drink of water or take a walk around the block until you feel calmer.
• If you notice you are becoming stressed, try to relax your muscles and calm yourself down by slow, deep breathing. Start by taking a deep breath, hold this for a count of three and then slowly breathe out. Continue this slow breathing until you feel more relaxed and then continue with what you were doing.
• Once you have recognised you are suffering from stress, try to identify the underlying causes. Sort the possible reasons for your stress into those with a practical solution, those that will get better anyway, given time, and those you can’t do anything about. Try to let go of those in the second and third groups - there is no point in worrying about things you can’t change or things that will sort themselves out.

Once you’ve started to deal with the immediate causes of stress, try to review your lifestyle. Are you taking on too much? Are there things you are doing which could be handed over to someone else? Can you do things in a more leisurely way? You may need to prioritise things you are trying to achieve and reorganise your life so that you are not trying to do everything at once.

If possible, try to keep smoking and drinking to a minimum. They may seem to reduce tension, but in fact they can make problems worse. They can put you at more risk of physical consequences of stress because of the damage done to the body. You may also find it helpful to reduce the amount of coffee you are drinking as the effects of caffeine on the body can be very similar to the effects of stress and anxiety.

Physical exercise can be very effective in relieving stress. If you are feeling angry, for example, it can be really helpful to play a game of squash in which you take out your anger on the ball (but not on the player). Even moderate physical exercise, like walking to the shops, can help.

Take time to relax. Saying `I just can’t take the time off’ is no use if you are forced to take time off later through ill health. Striking a balance between responsibility to others and responsibility to yourself is vital in reducing stress levels. Relaxation classes can help you learn how to control muscular tension and breathe correctly. Alternatively you could try to spend more time on leisure activities such as sports, hobbies or evening classes.

Sleeping problems are common when you’re suffering from stress, but try to ensure you get enough rest. Try not to take sleeping pills for longer than a night or two.

One of the best antidotes for stress is enjoying yourself so try to bring some fun into your life by giving yourself treats and rewards for positive actions, attitudes and thoughts. Even simple pleasures like a relaxing bath, a pleasant walk, or an interesting book can all help you deal with stress.

Try to keep things in proportion and don’t be too hard on yourself. After all, we all have bad days.

Seeking help

Do not be afraid to seek professional help if you feel that you are no longer able to manage things on your own. Many people feel reluctant to seek help as they feel that it is an admission of failure. This is not the case and it is important to get help as soon as possible so you can begin to get better.

The first person to approach is your family doctor. He or she should be able to advise about treatment and may refer you to another local professional such as a counsellor. Treatment can involve talking your problems through with someone trained to deal with stress conditions and may also mean the use of medication for a short period. There are also a number of voluntary organisations which can help you to tackle the causes of stress and advise you about ways to get better.

© 2008 stress and culture audits.