” Stress is not what happens to us. It’s our response TO what happens. And RESPONSE is something we can choose” ~Maureen Killoran
“Stress is the physical and psychological effects we experience as a result of the way we react to changes in the surrounding environment” ~Pavel Stoyanov
Understanding Stress
SYMPTOMS, SIGNS, CAUSES, AND EFFECTS

Modern life is full of hassles, deadlines, frustrations, and demands. For many people, stress is so commonplace that it has become a way of life. Stress isn’t always bad. In small doses, it can help you perform under pressure and motivate you to do your best. But when you’re constantly running in emergency mode, your mind and body pay the price.
If you frequently find yourself feeling frazzled and overwhelmed, its time to take action to bring your nervous system back into balance. You can protect yourself by learning how to recognize the signs and symptoms of stress and taking steps to reduce its harmful effects.
What is stress?
The Body’s Stress Response
When you perceive a threat, your nervous system responds by releasing a flood of stress hormones, including adrenaline and cortisol. These hormones rouse the body for emergency action.
Your heart pounds faster, muscles tighten, blood pressure rises, breath quickens, and your senses become sharper. These physical changes increase your strength and stamina, speed your reaction time, and enhance your focus preparing you to either fight or flee from the danger at hand.
Stress is a normal physical response to events that make you feel threatened or upset your balance in some way. When you sense danger whether its real or imagined the body’s defenses kick into high gear in a rapid, automatic process known as the fight-or-flight reaction, or the stress response.
The stress response is the body’s way of protecting you. When working properly, it helps you stay focused, energetic, and alert. In emergency situations, stress can save your life-giving you extra strength to defend yourself, for example, or spurring you to slam on the brakes to avoid an accident.
The stress response also helps you rise to meet challenges. Stress is what keeps you on your toes during a presentation at work, sharpens your concentration when you’re attempting the game-winning free throw, or drives you to study for an exam when you’d rather be watching TV.
But beyond a certain point, stress stops being helpful and starts causing major damage to your health, your mood, your productivity, your relationships, and your quality of life.
How do you respond to stress?
Learn about changes you can make in responding to stress
Watch a 4-min video on Quick Stress Relief
It’s important to learn how to recognize when your stress levels are out of control. The most dangerous thing about stress is how easily it can creep up on you. You get used to it. It starts to feels familiar even normal. You don’t notice how much it’s affecting you, even as it takes a heavy toll.
The signs and symptoms of stress overload can be almost anything. Stress affects the mind, body, and behavior in many ways, and everyone experiences stress differently.
Stress doesn’t always look stressful
Psychologist Connie Lillas uses a driving analogy to describe the three most common ways people respond when they’re overwhelmed by stress:
- Foot on the gas An angry or agitated stress response. Youre heated, keyed up, overly emotional, and unable to sit still.
- Foot on the brake A withdrawn or depressed stress response. You shut down, space out, and show very little energy or emotion.
- Foot on both A tense and frozen stress response. You freeze under pressure and can’t do anything. You look paralyzed, but under the surface youre extremely agitated.
Signs and symptoms of stress overload
The following table lists some of the common warning signs and symptoms of stress. The more signs and symptoms you notice in yourself, the closer you may be to stress overload.
Stress Warning Signs and Symptoms | |
Cognitive Symptoms | Emotional Symptoms |
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Physical Symptoms | Behavioral Symptoms |
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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, its important to see a doctor for a full evaluation. Your doctor can help you determine whether or not your symptoms are stress-related.
How much stress is too much?

Learn more about how age, gender, and occupation affect stress tolerance.
Read Article by Harvard Health Publications
Because of the widespread damage stress can cause, its important to know your own limit. But just how much stress is too much differs from person to person. Some people roll with the punches, while others crumble at the slightest obstacle or frustration. Some people even seem to thrive on the excitement and challenge of a high-stress lifestyle.
Your ability to tolerate stress depends on many factors, including the quality of your relationships, your general outlook on life, your emotional intelligence, and genetics.
Things that influence your stress tolerance level
- Your support network A strong network of supportive friends and family members is an enormous buffer against life’s stressors. On the flip side, the more lonely and isolated you are, the greater your vulnerability to stress.
- Your sense of control If you have confidence in yourself and your ability to influence events and persevere through challenges, it’s easier to take stress in stride. People who are vulnerable to stress tend to feel like things are out of their control.
- Your attitude and outlook Stress-hardy people have an optimistic attitude. They tend to embrace challenges, have a strong sense of humor, accept that change is a part of life, and believe in a higher power or purpose.
- Your ability to deal with your emotions Youre extremely vulnerable to stress if you don’t know how to calm and soothe yourself when you’re feeling sad, angry, or afraid. The ability to bring your emotions into balance helps you bounce back from adversity.
- Your knowledge and preparation The more you know about a stressful situation, including how long it will last and what to expect, the easier it is to cope. For example, if you go into surgery with a realistic picture of what to expect post-op, a painful recovery will be less traumatic than if you were expecting to bounce back immediately.
Am I in control of stress or is stress controlling me?
- When I feel agitated, do I know how to quickly calm and soothe myself?
- Can I easily let go of my anger?
- Can I turn to others at work to help me calm down and feel better?
- When I come home at night, do I walk in the door feeling alert and relaxed?
- Am I seldom distracted or moody?
- Am I able to recognize upsets that others seem to be experiencing?
- Do I easily turn to friends or family members for a calming influence?
- When my energy is low, do I know how to boost it?
Causes of stress
The situations and pressures 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 puts high demands on you or forces you to adjust can be stressful. This includes positive events such as getting married, buying a house, going to college, or receiving a promotion.
What causes stress depends, at least in part, on your perception of it. Something that’s stressful to you may not faze someone else; 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.
Common external causes of stress
Not all stress is caused by external factors. Stress can also be self-generated:
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Common internal causes of stress
Not all stress is caused by external factors. Stress can also be self-generated:
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What’s Stressful For You?
What’s stressful for you may be quite different from what’s stressful to someone else. For example:
- Karen is terrified of getting up in front of people to perform or speak, while her best friend lives for the spotlight.
- Phil thrives under pressure and performs best when he has a tight deadline, while his co-worker, Matt, shuts down when work demands escalate.
- Anita enjoys helping her elderly parents. Her sister, Constance, helps out as well but finds the demands of care-taking very stressful.
- Richard doesn’t hesitate to send food back or complain about bad service when eating out, while his wife, Miranda, finds it much too stressful to complain.
Effects of chronic stress
The body doesn’t distinguish between physical and psychological threats. When youre stressed over a busy schedule, an argument with a friend, a traffic jam, or a mountain of bills, your body reacts just as strongly as if you were facing a life-or-death situation. If you have a lot of responsibilities and worries, your emergency stress response may be on most of the time. The more your body’s stress system is activated, the easier it is to trip and the harder it is to shut off.
Long-term exposure to stress can lead to serious health problems. Chronic stress disrupts nearly every system in your body. It can raise blood pressure, suppress the immune system, increase the risk of heart attack and stroke, contribute to infertility, and speed up the aging process. Long-term stress can even rewire the brain, leaving you more vulnerable to anxiety and depression.
Many health problems are caused or exacerbated by stress, including:
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Dealing with stress and its symptoms
While unchecked stress is undeniably damaging, there are many things you can do to reduce its impact and cope with symptoms.
Learn how to manage stress
You may feel like the stress in your life is out of your control, but you can always control the way you respond. Managing stress is all about taking charge: taking charge of your thoughts, your emotions, your schedule, your environment, and the way you deal with problems. Stress management involves changing the stressful situation when you can, changing your reaction when you can’t, taking care of yourself, and making time for rest and relaxation. Read article
Learn how to relax
You can’t completely eliminate stress from your life, but you can control how much it affects you. Relaxation techniques such as yoga, meditation, and deep breathing activate the body’s relaxation response, a state of restfulness that is the opposite of the stress response. When practiced regularly, these activities lead to a reduction in your everyday stress levels and a boost in your feelings of joy and serenity. They also increase your ability to stay calm and collected under pressure. Read Article
Learn quick stress relief
Everybody has the power to reduce the impact of stress as it’s happening in that moment. With practice, you can learn to spot stressors and stay in control when the pressure builds. Sensory stress-busting techniques give you a powerful tool for staying clear-headed and in control in the middle of stressful situations. They give you the confidence to face challenges, knowing that you have the ability to rapidly bring yourself back into balance. Read Article
Related Articles
Stress at Work
How to Reduce and Manage Job and Workplace Stress
Preventing Burnout
Signs, Symptoms, Causes, and Coping Strategies
More Helpguide Articles:
- Laughter is the Best Medicine: The Health Benefits of Humor and Laughter
- Stress Management: How to Reduce, Prevent, and Cope with Stress
- Quick Stress Relief: How to Manage and Relieve Stress in the Moment
- Relaxation Techniques for Stress Relief: Relaxation Exercises and Tips
Resources for stress signs and symptoms, causes, and effects
General information about stress
Stress: How to Cope Better With Life’s Challenges Covers the causes and symptoms of stress, how it affects your health, and what you can do to manage it better. (FamilyDoctor.org)
Signs and Symptoms of Stress Learn about the physical, psychological, behavioral, and work-related signs and symptoms of stress. (Stress Management for Health Course)
Understanding and Dealing with Stress This course, prepared by a West Virginia-based organization that works with disabled people, presents a wealth of information on stress and its signs and symptoms. (Mountain State Centers for Independent Living)
The Different Kinds of Stress Describes the different types of stress, including each ones symptoms and how to treat them. (American Psychological Association)
Causes and effects of stress
Causes of Stress Looks at both internal and external stressors that can trigger the stress reaction. (Stress Management for Health Course)
Causes of Stress Explore the common causes of stress, including fear, uncertainty, major life changes, and an overloaded work schedule. (Changing Minds)
Effects of Stress Provides a list of the 50 most common signs and symptoms of stress and describes how stress affects the body. (The American Institute of Stress)
Stress in kids and teens
Childhood Stress Clearly lays out what causes stress in children and what parents can do about the problem. (KidsHealth)
Teen Stress Article geared for teenagers describes the causes, symptoms, and effects of stress in young adults. Includes tips for keeping it under control. (TeenHealth)
Authors: Melinda Smith, M.A., Robert Segal, M.A., and Jeanne Segal, Ph.D. Last modified: October 2011.
Dr. Zen Lewis has over 20 years experience in psychotherapy, counseling, education and public speaking. Dr. Zen’s Psychotherapy Services offices for Therapy Services are located in Los Angeles and Burbank, CA and various locations in South Florida.
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