Stress without reason
If patients complain about stress without clear reasons, the adrenal cortex should always be considered as a possible trigger for the stress symptoms. As already indicated, the adrenal cortex produces hormones which are released in increased amounts in stress situations. So if the adrenal cortex is affected by a disease-related functional disorder, it is possible that increased hormones are released or the hormone cortisol, which causes a negative feedback for the release of adrenaline, noradrenaline and dopamine (i.e. when the body determines that a sufficient amount of these hormones is present, it sends out cortisol to stop the release of the hormones.
Cortisol is therefore a kind of stress regulator). If there is a problem in this system, this can lead to stress symptoms, which then usually occur for no apparent reason. Another possibility is that the affected person has already lived with the stress for a long time.
Typically, permanent stress occurs in 3 phases:
- In the initial phase we are still extremely efficient in stressful situations and the body works at full speed.
- The next phase is a kind of adaptation phase in which the body has already got used to the constant stress and the constant alert. Stressful situations, are possibly no longer perceived by the body as such.
- In the third phase there is severe exhaustion and many of the stress symptoms can occur simultaneously. For those affected, it may be that the actual stress situation was a long time ago and there is actually no reason for the stress at the moment.
Stress Test
The Stress Test was developed by two physicians from the University of Mainz to test the individual stress level of each person as part of preventive medical checkups. The test consists of a series of questions in which the patients supplement the doctor’s medical diagnosis through self-evaluation and self-assessment. The test is generally divided into three sections.
Based on the results, the doctor can then make a final diagnosis and take appropriate action if necessary.
- The first part discusses potential stress factors or burdens. The doctor asks questions such as “Do you have the feeling that you are coping well with your workload?
- The second section deals with the consequences of stress. The doctor asks, for example, whether the person affected feels restricted in any way in their daily life.
- The third part of the test deals with how the person concerned reacts and deals with stress even in stressful situations.
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