Direct Primary Care

What is Stress? Understanding the Basics

Written by Total Access Medical | Apr 24, 2025

Stress is something that everyone experiences at some point in their lives. Whether it's a tight deadline at work, a family emergency, or the pressures of daily life, stress is a natural response to challenges and demands. But what exactly is stress, and why does it affect us in the way it does?

In this blog post, we’ll break down the basics of stress—what it is, how it works in the body, and the different types of stress that people experience. Understanding the fundamentals of stress can help you better manage it and take proactive steps toward maintaining a healthier, more balanced life.

What is Stress?

At its core, stress is the body’s natural response to any situation or challenge that demands attention or action. This response involves a series of physical and mental reactions that prepare you to either face or avoid the threat, a process often referred to as the “fight or flight” response. The body releases hormones like adrenaline and cortisol, which increase heart rate, blood pressure, and alertness. This allows you to react quickly in dangerous or demanding situations.

While stress is a normal reaction, it can become problematic when it is constant or overwhelming. Chronic stress, over time, can have detrimental effects on both your physical and mental health.

How Does Stress Work in the Body?

When you encounter a stressful situation, your body goes through several stages in response. Here’s a breakdown of how the stress response works:

  1. The Alarm Stage
    This is the initial response when your brain perceives a threat. The hypothalamus signals the release of stress hormones like adrenaline and cortisol from the adrenal glands. These hormones increase heart rate, blood pressure, and respiration to prepare you for quick action. This is the “fight or flight” stage, where you either face the threat or flee from it.

  2. The Resistance Stage
    If the stressor persists, your body enters the resistance stage. During this phase, your body tries to adapt to the ongoing stress by maintaining high levels of stress hormones. While you may still feel tense or on edge, your body is working to keep you focused and energized to deal with the stressor.

  3. The Exhaustion Stage
    When stress continues over an extended period, and the body’s resources are depleted, it enters the exhaustion stage. At this point, the body can no longer cope effectively with the stress, leading to physical and mental exhaustion. This can manifest in symptoms like fatigue, irritability, sleep problems, and weakened immune function.

Types of Stress

Not all stress is the same. Stress can be categorized into three different types: acute stress, episodic acute stress, and chronic stress. Each type has a different impact on the body and mind.

1. Acute Stress

Acute stress is the most common type of stress and typically occurs in response to a specific event or situation. It is short-term and generally doesn’t cause lasting damage. For example, feeling stressed before a presentation or an important meeting is a form of acute stress. Once the situation passes, your body returns to its normal state.

2. Episodic Acute Stress

Episodic acute stress occurs when someone experiences frequent episodes of acute stress. This can be due to an unpredictable and chaotic lifestyle, where you’re constantly facing one stressful event after another. It’s often linked to people who have a tendency to worry excessively or those who struggle to manage their time and responsibilities.

3. Chronic Stress

Chronic stress is long-term and persistent. It occurs when a person feels trapped in a stressful situation with no way out. This could be related to ongoing problems such as a difficult job, a toxic relationship, or financial struggles. Chronic stress can be harmful to both the body and mind, leading to a variety of health problems such as heart disease, depression, and anxiety disorders.

The Effects of Stress on Your Health

While stress is a natural part of life, chronic stress can have a major impact on your health. Some of the physical effects of long-term stress include:

  • Cardiovascular Problems: Prolonged stress can lead to high blood pressure, heart disease, and stroke due to the constant release of stress hormones.

  • Weakened Immune System: Chronic stress suppresses the immune system, making you more susceptible to illnesses like the flu, colds, and infections.

  • Digestive Issues: Stress can interfere with your digestive system, leading to problems such as heartburn, indigestion, and irritable bowel syndrome (IBS).

  • Mental Health Problems: Stress is a major contributor to mental health issues like anxiety, depression, and sleep disorders.

  • Weight Gain or Loss: Stress can lead to emotional eating or loss of appetite, affecting weight management.