Skip to main content
Submitted by PatientsEngage on 23 March 2015

My anxieties have anxieties, said Charlie Brown echoing many of us. Stress is a part of life, but why and how do some deal with it better than others? Savita Narayan breaks it down with practical tips for fortifying your inner strength.  

“If the problem can be solved why worry? If the problem cannot be solved, worrying will do you no good.” Shantideva, 8th century Buddhist teacher

“Stress comes from the way you relate to events or situations.” ― Chris Prentiss, Zen and the Art of Happiness

Stress is defined as a reaction to an event. As we go through life, change and potentially stressful situations are a given. In the normal course everybody faces life situations that could cause stress - short-term events such as the non-delivery of a parcel by the courier or long- term situations such as a new job, a promotion (so a new environment), a new marriage, a new baby, a layoff at work, death of loved ones or divorce.

Ongoing stress over a long period needs to be managed since it has an unhealthy impact on the body. Stress can result in irritability, tiredness and inability to concentrate.

Each event in daily life could become an occasion for us to become anxious and stressed - if we let it. Although change may or may not be anticipated and welcomed, you may not be able to avoid it. What can be managed by us, however, is our reaction to change.

We naturally react to every event in our lives. However, the manner in which we react and its subsequent effect on our bodies determines how much stress we experience. A positive, optimistic attitude may not result in a similar experience of stress from the event as a negative, pessimistic attitude. Since our attitudes are under our control, we can choose how we view the experience. Clearly the onus of managing stress is with the person himself since the causative factors, external to him, cannot be.

Hans Selye, the pioneering endocrinologist, says about stress, “It’s not stress that kills us, it’s our reaction to it. Adopting the right attitude can convert a negative stress into a positive one.”

Although the ability to face stress is a factor of personality and attitude, effectively coping with stress can be learnt.

Understanding stress

  1. Stress is not equal to all. Each of us has varying personalities and different ways of reacting, so something that is stressful for one may not be so for another.
  2. A little stress is necessary to live a productive and fulfilled life. Life without the essential stress to make us competitive and hard working will be very placid. It is important to emphasise that stress should be managed so that it does not become life- threatening.
  3. Stress can be managed with simple methods such as time management and setting priorities such that we have a grasp on how to achieve our tasks within a reasonable time.
  4. No universal techniques for stress management exist since they are best customised for every unique individual.
  5. All episodes of ill-health due to stress need to be treated, not just the major ones. Seemingly minor illnesses such as a headache or stomach cramps are not to be dismissed without examination since they may be indications of a deeper problem that needs treatment.
  6. The absence of symptoms does not mean no stress. More awareness of stress can only lead to better management of one’s physical and psychological needs.

Stress management techniques

Joan Borysenko PhD, a leading expert on stress, spirituality, and the mind/body connection says that breathing, like in Yoga, is an effective stress reliever. “Breathing is a unique physiological process that happens automatically, yet you can easily shift it with your conscious will. If you’re stressed-out, your breath reflects your mental state, coming fast and shallow, choppy and irregular. You may even unwittingly hold it for long periods of time. Stress breathing in turn stresses your body, causing it to release hormones that make it harder to concentrate and more difficult to remember things. Studies show that frequent stress breathing raises heart rate and blood pressure, triggers anxiety, and even changes blood chemistry in a way that makes your platelets stickier, increasing the risk of heart disease and stroke.”

Breathing correctly is important for stress management and relaxation and can be learnt.

Apart from effective breathing technique, some other factors also help reduce stress effectively:

  • exercise
  • cardiovascular conditioning and dietary control
  • healthy inter-personal relationships and
  • a strong social network with a wide variety of people.

In the work environment too, strategies for workload management can lead to effective stress reduction. Some of these are time scheduling, delegation of work, prioritising tasks so that work that is important, but not urgent, gets done despite work pressures.

Resilience

“The greatest glory in living lies

not in never falling,

but in rising every time we fall.”

― Nelson Mandela

The American Psychological Association defines resilience as the process of adapting well in the face of adversity, trauma, tragedy, threats or even significant sources of stress - such as family relationship problems, serious health problems or workplace or financial stressors.

People with less resilience become easily overwhelmed by adverse events. They are unable to snap out of thinking of the situation constantly and may try to cope by resorting to unhealthy behaviours such as overeating, substance abuse, anger and social withdrawal. They may take longer to recover from setbacks.

A resilient person may not just survive adversity but also thrive subsequently, using to her advantage her life experiences that may have led to emotional distress at the time. This does not mean that a resilient person experiences no stress. Far from it. The difference is that resilient people are able to harness their innate strengths and talents to recover from a range of issues - minor ones that dog everyday life such as the non-arrival of household help to major life-threatening occurrences such as a tsunami arriving during a family vacation. Although buffeted by life’s knocks, they are able to hold steady and emerge from a crisis without caving in or allowing it to hold them back.

Resilience is considered to be a combination of behaviours, actions and thoughts. It is not a trait based on parameters such as race, gender or age. Also, it can be learnt so that anybody can train themselves to be more resilient.

Developing resilience

Some people naturally exhibit resilience in the face of adversity but for many others it is a learned trait. Developing resilience is a continuous process rather than an inborn attribute. Having an inherent positive attitude or learning to develop one is a huge step towards managing stress and exhibiting resilience.

There are some practical strategies to developing resilience which is, after all, a learned behaviour and can be developed by anybody.

The American Psychological Institute makes these points regarding how to develop resilience:

  • Be sociable and build good relationships. Developing and maintaining good relations within the family and outside it in a larger friends’ circle is considered the most important factor for resilience.
  • Don’t see adverse situations as unsolvable problems. Keep events in perspective and try to find solutions. We can’t control events. We can only control how we respond to them.
  • Accept change and do not fight it. Go with the flow and adapt to changed circumstances with a positive attitude.
  • Take regular, positive small steps towards achieving your goals. Have an achievable goal to aim at, only then will you get somewhere.
  • Be decisive about confronting issues. Merely wishing they wouldn’t arise will not make them go away.
  • Constantly improve yourself to increase your self worth and confidence. Getting to know yourself and your capabilities is a reward in itself.
  • Learn to trust your instincts to solve your problems better. Have confidence in yourself and develop a healthy sense of self. This increased sense of self worth will also increase your resilience. Exercise regularly.
  • Develop an optimistic outlook. Do not constantly worry about what you fear.
  • Develop a healthy mind in a healthy body so you can function at your optimal level.  

 

Condition

Stories

  • Treatment for Stress
    Apart from self help options mentioned in the Management section, one option is Cognitive-Behavioural Therapy. You talk through your problems with a therapist. The aim is to alter the negative thought patterns arising from stress and the behaviour that comes with it.  Medication : You doctor may also suggest medication such as: Barbiturates like phenobarbital, butabartital, amobarbital, mephobarbital  Benzodiazepines like lprazolam, chlordiazepoxide, clonazepam, diazepam and…
  • Stress Diagnosis and Tests
    Testing for stress If you decide to consult a doctor, he or she may give you a questionnaire to fill out. It will ask you about situations that cause you stress, how frequently you are stressed, what causes increased stress and the symptoms you feel. Your stress level is assessed at the end of the test – the higher the score, more the stress. 
  • Types of Stress and Stages
    Different types of stress Acute stress is short-term and is caused by the demands of life – for instance, your child is struggling at school or you are worried about clinching a contract. This does not cause extensive damage and is manageable. This is the most common type of stress.  Chronic stress is long-term stress that the patient cannot get rid of. It is caused by longstanding situations, like being trapped in a hopeless job, in poverty, unhappy marriage or violent…
  • Signs and Symptoms of Stress
    Symptoms may include the following: Forgetfulness Inability to focus Low energy levels because of too much worrying  Headaches Frequent infections because of low immunity levels due to elevated stress levels Upset stomach Insomnia Irritability Pounding heart Clenched jaw Muscle pain and stiffness If these symptoms are ongoing and you can’t seem to stop them, consult a doctor.
  • Causes of Stress and Risk Factors
    What causes stress Stress is caused by changes in your environment, be it the home or the workplace, or life-altering events like bereavement, illness, financial worries or divorce. The severity of the condition varies for each person, depending on his/her innate strength to face a particular problem. Are you at a risk of developing stress These factors heighten risk, for example: Childhood experiences, such as abusive behaviour, have long-term effects on the hypothalamus-pituitary system,…
  • Dealing with stress and building resilience
    “My anxieties have anxieties,” said Charlie Brown echoing many of us. Stress is a part of life, but why and how do some deal with it better than others? Savita Narayan breaks it down with practical tips for fortifying your inner strength.   “If the problem can be solved why worry? If the problem cannot be solved, worrying will do you no good.” Shantideva, 8th century Buddhist teacher “Stress comes from the way you relate to events or situations.” ― Chris Prentiss, Zen and the Art…
  • Top 10 meditation apps
    1. Buddhify This nicely-designed UK-created app is aimed at busy urbanites. You tell it whether you’re at the gym, walking, commuting or home.  2. Sleep Easily Meditation There’s a 25-minute guided meditation that combines soothing music with talking you through the relaxation process.  3. Calm – meditation and relaxation There are seven guided sessions running from 2-20 minutes with a range of background scenes and sounds to choose from Free for iOS and Android 4. Smiling Mind…
  • 9 reasons to get off that couch NOW
    Think you know all the reasons? Prepare to be surprised. By family practitioner and marathoner Dr Gita Mathai. Plus, how much to exercise to get its real benefits. We all want to look good, be slim and healthy. There’s one magic pill for this and it’s called exercise. Even if you’re ‘too tired’ or ‘too busy’, you need to get off that couch now.  Benefits of regular exercise Exercise helps to achieve ideal body weight if also combined with calorie restriction.…
  • Take a lunchtime stroll to reduce stress
    Study published in The Scandinavian Journal of Medicine and Science in Sports shows that even gentle lunchtime strolls can perceptibly - and immediately - buoy and improve people's moods and ability to handle stress at work. To assess people's moods, the volunteers set up a specialized app that included a list of questions about their emotions - stress, tension, enthusiasm, workload, motivation, physical fatigue.   Walkers said they felt more enthusiastic, less tense, more relaxed on the…
  • Caregiver health and wellness
    You are focused on looking after a patient with a chronic condition. But you, the caregiver, may also be at risk. Rama Murali of Care3 (Care Cubed), a support network and resource bank for caregivers, gives you some tips on how to avoid caregiver burnout. “You yourself, as much as anybody in the entire universe, deserve your love and affection.” – Buddha Why focus on Caregiver health? Although caregiving can be truly rewarding for many, the 24×7 nature of caring for a…