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The Headington Institute provides psychological and spiritual support to humanitarian aid and disaster relief personnel worldwide.

 

 

Part Four: Signs of stress

Signs of stress
Experiences that are perceived as threatening or demanding trigger a series of approximately 1,500 biochemical reactions within the body. Stress chemicals (such as adrenaline and cortisol) are dumped into the bloodstream and trigger the “fight or flight” response.

These chemicals prepare us to deal with threatening and dangerous events. For example, an elevated heart rate means that more blood is being pumped to our muscles and brain so that we can assess the threat and either fight, or run away faster. However, the fight or flight response isn’t good at helping us deal with many of the chronic stressors that we are exposed to in life. For most people, fighting or running away are not realistic options for dealing with stressors they encounter at work – not if they want to keep their jobs!

So, if fighting and running away aren’t feasible options, how do we manage these stress reactions? A good first step is learning to recognize the signs of stress that most often appear in our lives. 

Reactions to stress are complex and tend to manifest in different ways for different people. The characteristics of the person (e.g., their physical and mental health, level of social support, and previous history of trauma) interact with the characteristics of the event (e.g., the magnitude and type of stressful event, the presence of cumulative stressors and other life events) to influence people’s experiences and reactions.

Stress chemicals can trigger physical reactions that can linger for days, weeks, or sometimes months. In addition to triggering physical reactions, stress hormones and chemicals affect brain chemistry and impact the way we think and feel. Over time, as our bodies, emotions and minds are affected by stress, this has implications for our spiritual selves too. Spirituality is a core component of human nature. Spirituality shapes and informs our sense of meaning and purpose, faith and hope. Whether experienced as an explicit belief in a deity, a more diffuse sense of transcendence or connectedness with nature or a life force, or a belief in human nature and solidarity, most people believe that to be fully human involves more than simply the physical dimensions of existence. Over time the types of challenges that aid workers face can impact their worldview – their conceptions of God, humanity, and where they derive their sense of meaning, purpose and hope. Finally, with the mix of physical, emotional, mental and spiritual symptoms, it’s not surprising that stress often shows up in our behavior. The following are some common signs of cumulative stress.

PHYSICAL
EMOTIONAL
MENTAL
SPIRITUAL
BEHAVIORAL

Sleep disturbances

Changes in appetite

Stomach upsets

Rapid heart rate

Fatigue

Muscle tremors and tension

Back and neck pain

Headaches

Inability to relax and rest

Being easily startled

Mood swings

Feeling “over- emotional”

Irritability

Anger

Depression

Anxiety

Emotional numbness

Poor concentration

Confusion and disorganized thoughts

Forgetfulness

Difficulty making decisions

Dreams or nightmares

Intrusive thoughts

Feelings of emptiness

Loss of meaning

Discouragement and loss of hope

Cynicism

Doubt

Anger at God

Alienation and loss of sense of connection

Risk taking (such as driving recklessly)

Over-eating or under-eating

Increased
smoking

Listlessness

Hyper-alertness

Aggression and verbal outbursts

Alcohol and/or
drug use

Compulsive behavior (i.e. nervous tics and pacing)

Withdrawal/
isolation

Promiscuity



For personal reflection…

 

Next:  Risk and protective factors

 

 
 

Headington Institute Approved by APA: The Headington Institute is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists and the Board of Behavioral Sciences of California (#PCE2823) to offer continuing education for marriage and family therapists and social workers. The Headington Institute maintains responsibility for this programs and its content.