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Stress and Post-traumatic Stress treatment and therapy
Written by Dr.Deyn on 28 June 2016, last reviewed and updated on 22 October 2021
Stress is an automatic reaction to something bothersome. Stress compromises the way we think and feel. It complicates life, making everything seem difficult, heavy, and overwhelming.1 Stress creates many negative effects on our physical and mental health, but the good news is that we can disrupt this automatic reaction and learn to respond to stressors differently.
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Sometimes, stress can be positive. Short-term stress, for instance, can be motivating and helpful in meeting challenges. A moderate amount of stress is actually desirable, according to the Yerkes-Dodson Law describing stress and efficiency;2 indeed, if stress is too low, performance and efficiency can suffer. The Yerkes-Dodson law also warns that high stress negatively affects us.
Chronic, excessive stress can be damaging to our total well-being, including physical health and mental health. Knowing the causes of this negative stress can help you make positive changes to minimize and manage it. It’s important to know, though, that while the body’s stress response is universal, what triggers it is individualized and dependent on things such as life circumstances, age, developmental stage and one’s role in life.2 What causes one person to feel stressed out might not bother someone else at all, and vice versa.
General causes of stress may include:
Whether your stress is triggered by an external cause like a difficult circumstance, an internal one such as negative thoughts, or both, the triggers create a flurry of activity in your brain and body that is responsible for your stress reaction: that feeling of being stressed out and frazzled.1
Your stress reaction, or what we often think of simply as stress, happens when something triggers your fight-or-flight reaction.
This is a body-wide reaction that involves your brain, autonomic nervous system, hormones, and other substances that affect a variety of biological functions:2,3
A lot happens inside of you when you face something that causes stress. Your physiological reaction to a trigger leads to the symptoms of stress.
Because our entire system—body, brain (the physical organ), and mind (thoughts and feelings)—is involved in our stress reaction, we can feel many different types of symptoms of stress: cognitive (thought-based), emotional, physical, and behavioral.2
Cognitive symptoms of stress include:
Emotional symptoms of stress:
Physical symptoms of stress include:
Behavioral symptoms of stress:
Whether you experience many symptoms or just a few, the symptoms of stress are highly disruptive to life.1 They affect us on all levels and disturb our sense of ourselves and our place in the world. Therefore, stress management is crucial to our well-being.
If you are suffering because of stress, know that you aren’t alone. Everyone experiences stress. You don’t have to work your way through it by yourself; it’s okay to seek help from others, including professional therapists. A therapist can help you identify and better understand your triggers, deal effectively with concerns and problems underlying stress, and develop an action plan to manage stress in a way that works for you.9
Sometimes, people are hesitant to seek professional help for stress because they think that therapy is only for those with diagnosable mental health conditions. According to the American Psychological Association, therapy helps people of all ages and backgrounds address a wide variety of concerns, including life stressors in order to boost well-being.10
In working with a therapist, you can:2,4,11
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Therapy can be beneficial for stress management, helping people deal with it positively.7 Specific therapeutic approaches are particularly helpful in dealing with and managing stress. Here is a brief overview of stress-management therapy options.
Cognitive behavioral therapy (CBT) is an approach to mental health that involves learning to identify negative thinking patterns that can increase stress and contribute to anxiety and depression.2 In working with a CBT therapist, you can recognize and change maladaptive thought patterns, identify your triggers, create and implement new, helpful behaviors, improve your emotions, and develop specific tools for dealing with problems.12,13
Cognitive-behavior therapy varies in length depending on the needs of the individual client. Sometimes, therapy is completed in 10 to 20 sessions (sessions are often 45-60 minutes in length), but other times the duration is shorter or longer.14 As with the length, the cost of CBT varies greatly, from about 800THB per session in a community-based mental health center offering sliding scale fees to more than 7500THB in a private setting.15 Insurance often covers all or part of the cost of CBT.
Acceptance and commitment therapy (ACT) is an approach to therapy that helps people move past challenges like stress and create their own version of a quality life.16 With ACT, you learn to stop struggling against stress, change your response to it, and live in a way that reduces it. Acceptance and commitment therapy changes how people respond to stress and increases feelings of well-being.17
The cost and length of ACT vary. The cost of psychotherapy in general can range from approximately 1500THB to 4500THB per session,18 with rates falling outside of that range depending on things like geographic location, setting (community health center or private practice), and qualifications of the therapist. The length differs for each client depending on their needs.
Positive psychology is a scientific field of study that identifies and develops characteristics that help people flourish, and it is useful for stress because it helps build skills and perspectives to increase what works instead of focusing on what is wrong.2 Working with a therapist who incorporates positive psychology can help you increase such stress-reducing abilities and outlooks such as optimism and gratitude. Furthermore, this therapeutic approach helps people identify and use their unique character strengths as well as planning and taking positive action to improve their life—important skills for keeping stress at bay.
While positive psychology is a fairly new approach to therapy, it is a legitimate field of psychology recognized by the American Psychological Association that can help people rise above stress and thrive.2 Principles of positive psychology are often incorporated into many different types of therapy. As such, the cost and length of therapy vary greatly.
Mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) are structured group programs that help people manage stress and cope positively with general life challenges. Both emphasize mindfulness, living fully in and paying attention to the present moment rather than being stuck in stress-perpetuating thoughts and emotions.
Participants in MBSR programs learn mindfulness, meditation, yoga, and information about stress as well as stress-management tools.12,19 In an MBCT program, participants learn a combination of mindfulness and CBT techniques to deal positively with stress.20 Both MBSR and MBCT have been shown to reduce stress and ease symptoms of anxiety and depression.2
Music therapy involves purposefully listening to or creating music in order to create positive changes in emotional and physical health.5 While people can listen to music on their own as a relaxation technique, music therapy involves specific music interventions led by a trained music therapist.22 Music therapy has been shown in studies to help people reduce and better manage stress because it induces calmness and a state of relaxation by decreasing the body’s physiological stress reaction and boating positive emotions.5,22
Music therapy ranges in cost from approximately 1500THB for each individual session and about 1500THB to 3000THB an hour for group sessions.23 Music therapy can be an out-of-pocket expense but is sometimes covered by insurance or Medicaid.24
Art therapy is a creative approach to mental health therapy that can involve such activities as collage-making, creative journaling, drawing, and painting, as well as discussion and processing of creations that leads to personal insight and discovery.25 It has been found to help people reduce stress by lowering cortisol levels in the body resulting in better mood, relaxation, and reduced physical symptoms such as headaches, chest pain, and sleep problems.25
Art therapy is often done in group settings but can be done individually as well. The cost varies greatly—from low to up to 3000THB per session—and depends on location, setting, and the qualifications of the therapist.26
Biofeedback and autogenic training are interventions designed to help people become more in tune with their physiological stress reaction and what happens in their bodies when they’re stressed.27 During a biofeedback session, a therapist uses noninvasive instruments to measure brain waves, heart rate and rhythm, breathing rate, and muscle activity, and helps a client recognize these bodily sensations.
Then, people learn relaxation techniques to calm the body’s stress reaction when they notice it. The number of biofeedback sessions necessary to learn to recognize and control the physiological stress response varies. Biofeedback is often conducted in 30-60 sessions over three- to six months and ranges in price from 1000THB to 3000THB per session.28
Autogenic training typically occurs over four to six months and involves specific lessons, techniques, and practices. Over the course of training, people learn to activate the PNS and induce the relaxation response.
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