Stress is a natural physical and psychological response to internal or external demands. Short-term stress can enhance performance and help manage challenges.

However, when stress becomes chronic and sufficient recovery phases are lacking, it can lead to significant health impairments — both psychological and physical.

What matters is not only the stressor itself, but also the individual’s appraisal of the situation and the coping strategies available.

Symptoms

Chronic stress manifests on different levels:

Physical symptoms:

  • Muscle tension

  • Headaches

  • Palpitations

  • Gastrointestinal complaints

  • Sleep disturbances

  • Increased susceptibility to infections

Psychological symptoms:

  • Inner restlessness

  • Irritability

  • Concentration difficulties

  • Rumination

  • Feeling of constant overload

Behavioral changes:

  • Social withdrawal

  • Impatience

  • Increased consumption of alcohol, nicotine, or caffeine

  • Neglect of recovery and social contacts

Types

  • Acute stress (short-term stressful situation)

  • Chronic stress (persistent overload)

  • Work-related stress

  • Emotional stress (e.g., due to conflicts or life changes)

Untreated chronic stress can develop into exhaustion syndromes, anxiety disorders, or depressive illnesses.

Causes

Stress arises from an imbalance between demands and personal resources.
Typical triggers include:

  • High workload

  • Time pressure

  • Perfectionism

  • Family or social conflicts

  • Lack of boundaries

  • Constant availability

Internal drivers (e.g., “I must be perfect”) also often play a central role.