Stress Reactions
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Montgomery County Critical Incident Stress Management Team

 

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Montgomery Hospital Medical Center Stress Mitigation

What is Stress?

Stress is an elevation in a person's state of arousal or readiness, caused by some stimulus or demand. As stress arousal increases, health and performance actually improve. Within manageable levels, stress can help sharpen our  attention and mobilize our bodies to cope with threatening situations.  At some point, stress arousal reaches maximum effect.  Once it does, all that was gained by stress arousal is then lost and deterioration of health and performance begins.  Whether a stressor is a slight change in posture or a life threatening assault, the brain determines when the body's inner equilibrium is disturbed; the brain initiates the actions that restore the balance. The brain decides what is threatening and what is not. When we face challenging situations, the brain does a quick search. Have we been here before? If so, how did we feel? What was the outcome? Can we cope with the situation now? If there's doubt as to any of these questions, the stress response goes into high gear.

First the brain sounds an alert to the adrenal glands. The adrenals answer by pouring out the first of the major stress hormones, adrenaline, for the classic fight-or-flight response.  The fight-or-flight response evolved with the prime primitive directive of ensuring our safety and survival. The pulse begins to race as the adrenaline steps up the heart rate, sending extra blood to the muscles and organs. Oxygen rushes in as the bronchial tubes in the lungs dilate; extra oxygen also reaches the brain, which helps keep us alert.  During this stage of the fight-or-flight response, the brain releases natural painkillers called endorphins. This phase, in which adrenaline plays a leading role, is the immediate response to stress.

 The following provides workers and managers with a list of common stress reactions. Most people are resilient and experience mild or transient psychological disturbances from which they readily bounce back. The stress response becomes problematic when it does not or cannot turn off;  that is, when symptoms last too long or interfere with daily life.

Common Stress Reactions

 Behavioral

bulletIncrease or decrease in activity level
bulletSubstance use or abuse (alcohol or drugs)
bulletDifficulty communicating or listening
bulletIrritability, outbursts of anger, frequent arguments
bulletInability to rest or relax
bulletDecline in job performance; absenteeism
bulletFrequent crying
bulletHyper-vigilance or excessive worry
bulletAvoidance of activities or places that trigger memories
bulletBecoming accident prone

 

Physical

bulletGastrointestinal problems
bulletHeadaches, other aches and pains
bulletVisual disturbances
bulletWeight loss or gain
bulletSweating or chills
bulletTremors or muscle twitching
bulletBeing easily startled
bulletChronic fatigue or sleep disturbances
bulletImmune system disorders

 

Psychological/Emotional

bulletFeeling heroic, euphoric, or invulnerable
bulletDenial
bulletAnxiety or fear
bulletDepression
bulletGuilt
bulletApathy
bulletGrief

 

Thinking/Cognitive

bulletMemory problems
bulletDisorientation and confusion
bulletSlow thought processes; lack of concentration
bulletDifficulty setting priorities or making decisions
bulletLoss of objectivity

Social

bulletIsolation
bulletBlaming
bulletDifficulty in giving or accepting support or help
bulletInability to experience pleasure or have fun
bulletDistrust
bulletConflict
bulletWithdrawal
bulletWork or school problems
bulletIrritability
bulletLoss of intimacy
bulletFeeling rejected or abandoned

Spiritual

bulletShaking of your faith in:
bulletYourself
bulletYour organization
bulletYour community
bulletA Greater Power

 

Adapted from:  U.S. Department of Health and Human Services. A Guide to Managing Stress in Crisis Response Professions. DHHS Pub. No. SMA 4113. Rockville , MD : Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2005.

 

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