The stress response and therapy

The stress response can have a significant role to play in long term patterns of distress. Here we look at the mechanism of the stresss response, primarily in physiological terms, then some of the psychological consequences and then the usefulness of therapy in dealing with the legacy of stress.

John Sapsford

5/2/20262 min read

The stress response is our instinctive reaction to perceived danger, whether it is real or imagined. People perceive different dangers; for some people what they experience as a danger may be regarded by others as quite safe. For example, while I might see a wasp as a danger, someone else might be quite relaxed about it. This might be to do with their disposition, or it might be to do with their experiences or mine.

When we perceive this danger, we typically react with the Fight, Flight or Freeze response. Most people have one of these as a default response. Our Sympathetic Nervous System prepares us for fight or flight by producing adrenaline, nor-adrenaline and cortisol which immediately raise our heart rate and blood pressure, increase muscle tension and sensory alertness and makes blood glucose available. This means we are ready for a physical response to the danger. We might attack the source of the danger, in some way, perhaps verbally or physically (Fight) or we may run away from it (Flight). The changes in our body enable us to do these things.

If the threat is perceived as inescapable then the Parasympathetic Nervous system overrides these changes and we experience the freeze response: immobility, numbness and dissociation. In animals this can be seen as playing dead.

All these responses are involutary -they occur without conscious thought -and while this is happening, we tend to be totally focussed on the threat, and our thinking is probably not very clear or rational.

Once we perceive that the threat has gone then the body readjusts, there is a decrease in the stress hormones, our muscles start to relax, heart rate and blood pressure reduce, and our minds become clearer. There may be some self-criticism about the way that we responded, although in truth it was probably beyond our immediate control. It may then be that we return to normal.

However sometimes we may need to work on resolving our stress response. This might include burning off excess tension through physical activity or giving our body and mind a feeling of safety and security. We may engage in activities that give us a feeling of comfort and control, some of which have long term negative effects, for example lighting a cigarette, drinking alcohol to steady our nerves, overeating etc. Other ways of feeling comfort and control may be much more beneficial, taking a bath, going for a walk, taking exercise.

It may be that we need to seek therapeutic help to change our response to, or perception of, these danger signals and we may need help to resolve the experience, particularly in traumatic situations and deal with any guilt or shame.

Ongoing long-term stress can lead to a wide range of difficulties: physiological, cognitive, emotional, behavioural and relational, and therapy can help here.