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"contents": "Can you remember a time when you felt stressed leading up to a big life event and then afterwards felt like a weight had been lifted? This process – the ramping up of the stress response and then feeling this settle back down – shows completion of the “stress cycle”.\r\n\r\nSome stress in daily life is unavoidable. But <a href=\"https://www.dailymaverick.co.za/article/2024-03-26-how-much-stress-is-too-much-a-psychiatrist-explains-the-links-between-toxic-stress-and-poor-health-%E2%88%92-and-how-to-get-help/\">remaining stressed</a> is unhealthy. <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2568977/\">Chronic stress</a> increases <a href=\"https://pubmed.ncbi.nlm.nih.gov/32886587/\">chronic health conditions</a>, including heart disease and stroke and diabetes. It can also lead to <a href=\"https://theconversation.com/were-all-exhausted-but-are-you-experiencing-burnout-heres-what-to-look-out-for-164393\">burnout</a> or <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5137920/\">depression</a>.\r\n\r\nExercise, cognitive, creative, social and self-soothing activities help us process stress in healthier ways and complete the stress cycle.\r\n<h4><strong>What does the stress cycle look like?</strong></h4>\r\nScientists and researchers refer to the “stress response”, often with a focus on the fight-or-flight reactions. The phrase the “stress cycle” has been made popular by <a href=\"https://www.penguin.co.uk/articles/2019/03/complete-stress-cycle-emotional-exhaustion-burnout\">self-help experts</a> but it does have a scientific basis.\r\n\r\nThe <a href=\"https://www.ncbi.nlm.nih.gov/books/NBK541120/\">stress cycle</a> is our body’s response to a stressful event, whether real or perceived, physical or psychological. It could be being chased by a vicious dog, an upcoming exam or a difficult conversation.\r\n\r\nThe stress cycle has three stages:\r\n<ul>\r\n \t<li><strong>stage 1</strong> is perceiving the threat</li>\r\n \t<li><strong>stage 2</strong> is the fight-or-flight response, driven by our stress hormones: adrenaline and cortisol</li>\r\n \t<li><strong>stage 3</strong> is relief, including physiological and psychological relief. This completes the stress cycle.</li>\r\n</ul>\r\nDifferent people will respond to stress differently based on their life experiences and <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181835/#:%7E:text=The%20major%20findings%20regarding%20the,renin%2Dangiotensin%2Daldosterone%20system%20or\">genetics</a>. Unfortunately, many people experience <a href=\"https://www.weforum.org/agenda/2023/01/polycrisis-global-risks-report-cost-of-living/\">multiple and ongoing stressors</a> out of their control, including the cost-of-living crisis, extreme weather events and <a href=\"https://www.aihw.gov.au/family-domestic-and-sexual-violence/types-of-violence/family-domestic-violence\">domestic violence</a>.\r\n\r\nRemaining in stage 2 (the flight-or-flight response) can lead to chronic stress. <a href=\"https://theconversation.com/how-chronic-stress-changes-the-brain-and-what-you-can-do-to-reverse-the-damage-133194\">Chronic stress</a> and high cortisol can increase <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476783/\">inflammation</a>, which damages our brain and other organs.\r\n\r\nWhen you are stuck in chronic fight-or-flight mode, you don’t <a href=\"https://www.dailymaverick.co.za/article/2022-07-17-four-ways-to-stop-thinking-the-worst-will-happen-when-youre-stressed/\">think clearly</a> and are more easily distracted. Activities that provide temporary pleasure, such as eating junk food or drinking alcohol are <a href=\"https://onlinelibrary.wiley.com/doi/10.1111/acer.14518\">unhelpful strategies</a> that do not reduce the stress effects on our brain and body. Scrolling through social media is also not an effective way to complete the stress cycle. In fact, this is associated with an <a href=\"https://www.apa.org/monitor/2022/11/strain-media-overload\">increased stress response</a>.\r\n<h4><strong>Stress and the brain</strong></h4>\r\nIn the brain, chronic high cortisol can <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4561403/\">shrink the hippocampus</a>. This can <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1557684/#:%7E:text=The%20hippocampal%20formation%20plays%20a,%2C%20memory%2C%20motivation%20and%20emotion.&text=Therefore%2C%20reduced%20hippocampal%20volumes%20should,in%20patients%20with%20major%20depression\">impair a person’s memory</a> and their capacity to think and concentrate.\r\n\r\nChronic high cortisol also <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907136/#:%7E:text=The%20prefrontal%20cortex%20(PFC)%20intelligently,brain%20regions%20(BOX%201).\">reduces activity</a> in the prefrontal cortex but <a href=\"https://www.sciencedirect.com/science/article/pii/S2352289514000101\">increases activity</a> in the amygdala.\r\n\r\nThe prefrontal cortex is responsible for higher-order control of our thoughts, behaviours and emotions, and is <a href=\"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2014.00761/full\">goal-directed</a> and rational. The amygdala is involved in reflexive and emotional responses. Higher amygdala activity and lower prefrontal cortex activity explains why we are less rational and more emotional and reactive when we are stressed.\r\n\r\nThere are five <a href=\"https://www.penguin.co.uk/articles/2019/03/complete-stress-cycle-emotional-exhaustion-burnout\">types of activities</a> that can help our brains complete the stress cycle.\r\n\r\nhttps://youtu.be/eD1wliuHxHI\r\n<h4><strong>1. Exercise – its own complete stress cycle</strong></h4>\r\nWhen we exercise we get a short-term spike in cortisol, followed by a <a href=\"https://www.health.harvard.edu/staying-healthy/exercising-to-relax\">healthy reduction</a> in cortisol and adrenaline.\r\n\r\nExercise also <a href=\"https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/exercise-and-stress/art-20044469#:%7E:text=Exercise%20in%20almost%20any%20form,distract%20you%20from%20daily%20worries.&text=You%20know%20that%20exercise%20does,fit%20it%20into%20your%20routine.\">increases endorphins and serotonin</a>, which improve mood. Endorphins cause an elated feeling often called “runner’s high” and have <a href=\"https://pubmed.ncbi.nlm.nih.gov/33396962/\">anti-inflammatory effects</a>.\r\n\r\nWhen you exercise, there is more blood flow to the brain and <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721405/\">higher activity</a> in the prefrontal cortex. This is why you can often think more clearly after a walk or run. Exercise can be a helpful way to <a href=\"https://www.healthline.com/health/heart-disease/exercise-stress-relief\">relieve feelings of stress</a>.\r\n\r\nExercise can also increase the <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041121/\">volume</a> of the <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915811/\">hippocampus</a>. This is linked to better short-term and long-term memory processing, as well as reduced stress, depression and anxiety.\r\n<h4><strong>2. Cognitive activities – reduce negative thinking</strong></h4>\r\nOverly negative thinking can trigger or extend the stress response. In our 2019 research, we found the relationship between stress and cortisol was <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6987429/\">stronger in people with more negative thinking</a>.\r\n\r\nHigher amygdala activity and less rational thinking when you are stressed can lead to <a href=\"https://pubmed.ncbi.nlm.nih.gov/18628348/\">distorted thinking</a> such as focusing on negatives and rigid “black-and-white” thinking. Activities to reduce negative thinking and promote a more realistic view can reduce the stress response. In clinical settings, this is usually called <a href=\"https://www.healthdirect.gov.au/cognitive-behaviour-therapy-cbt\">cognitive behaviour therapy</a>.\r\n\r\nAt home, this could be journalling or writing down worries. This engages the logical and rational parts of our brain and helps us think more realistically. Finding evidence to challenge negative thoughts (“I’ve prepared well for the exam, so I can do my best”) can help to complete the stress cycle.\r\n<h4><strong>3. Getting creative – a pathway out of ‘flight or fight’</strong></h4>\r\nCreative activities can be art, craft, gardening, cooking or <a href=\"https://heartmindonline.org/resources/10-exercises-for-your-prefrontal-cortex\">other activities</a> such as doing a puzzle, juggling, music, theatre, dancing or simply being absorbed in enjoyable work.\r\n\r\nSuch pursuits increase <a href=\"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2014.00761/full\">prefrontal cortex activity</a> and promote flow and focus.\r\n\r\nFlow is a <a href=\"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.645498/full\">state of full engagement</a> in an activity you enjoy. It lowers high-stress levels of noradrenaline, the brain’s adrenaline. When you are focussed like this, the brain only processes information relevant to the task and ignores non-relevant information, including stresses.\r\n<h4><strong>4. Getting social and releasing feel-good hormones</strong></h4>\r\nTalking with someone else, physical affection with a person or pet and laughing can all <a href=\"https://theconversation.com/what-happens-in-our-brain-and-body-when-were-in-love-198885\">increase oxytocin</a>. This is a chemical messenger in the brain that increases social bonding and makes us feel connected and safe.\r\n\r\nLaughing is also a social activity that <a href=\"https://neurosciencenews.com/laughter-physical-mental-psychology-17339/\">activates parts</a> of the limbic system – the part of the brain involved in emotional and behavioural responses. This increases <a href=\"https://www.jneurosci.org/content/37/36/8581\">endorphins</a> and <a href=\"https://pubmed.ncbi.nlm.nih.gov/27439375/\">serotonin</a> and improves our mood.\r\n<h4><strong>5. Self-soothing</strong></h4>\r\nBreathing <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189422/\">exercises</a> and <a href=\"https://www.dailymaverick.co.za/article/2024-01-10-stressed-out-why-mindfulness-and-meditation-help-us-cope-with-the-world/\">meditation</a> stimulate the parasympathetic nervous system (which calms down our stress responses so we can “reset”) via the <a href=\"https://theconversation.com/our-vagus-nerves-help-us-rest-digest-and-restore-can-you-really-reset-them-to-feel-better-210469\">vagus nerves</a>, and <a href=\"https://www.tandfonline.com/doi/full/10.1080/17437199.2020.1760727\">reduce cortisol</a>.\r\n\r\nA good <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035568/#:%7E:text=We%20conclude%20that%2C%20in%20addition,self%2Dsoothing%20effects%20of%20crying.\">cry can help too</a> by releasing stress energy and increasing oxytocin and endorphins.\r\n\r\n<a href=\"https://www.medicalnewstoday.com/articles/319631#:%7E:text=Possible%20benefits%20of%20crying%20include,of%201.9%20times%20a%20month.\">Emotional tears</a> also remove cortisol and the hormone prolactin from the body. Our prior research showed <a href=\"https://pubmed.ncbi.nlm.nih.gov/29096223/\">cortisol</a> and <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9216608/\">prolactin</a> were associated with depression, anxiety and hostility.\r\n<h4><strong>Action beats distraction</strong></h4>\r\nWhether it is watching a funny or sad movie, exercising, journalling, gardening or doing a puzzle, there is science behind why you should complete the stress cycle.\r\n\r\nDoing at least one positive activity every day can also reduce our baseline stress level and is beneficial for good mental health and wellbeing.\r\n\r\nImportantly, chronic stress and <a href=\"https://theconversation.com/are-you-burnt-out-at-work-ask-yourself-these-4-questions-118128\">burnout</a> can also indicate the need for change, <a href=\"https://onlinelibrary.wiley.com/doi/full/10.1002/wps.20311\">such as in our workplaces</a>. However, not all stressful circumstances can be easily changed. Remember help is always available.\r\n\r\nIf you have concerns about your stress or health, please talk to a doctor. <strong>DM <iframe style=\"border: none !important;\" src=\"https://counter.theconversation.com/content/218599/count.gif?distributor=republish-lightbox-advanced\" width=\"1\" height=\"1\"></iframe></strong>\r\n\r\n<em>First published by <a href=\"https://theconversation.com/stuck-in-fight-or-flight-mode-5-ways-to-complete-the-stress-cycle-and-avoid-burnout-or-depression-218599\">The Conversation</a>. Theresa Larkin is an Associate professor of Medical Sciences at the University of Wollongong. Susan J. Thomas is an Associate professor in Mental Health and Behavioural Science at the University of Wollongong.</em>",
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