Featured Product
This Week in Quality Digest Live
Health Care Features
Bill Marler
New FDA rule proposes that farms conduct water assessments rather than previously required tests
Kari Miller
Cross-functional collaboration and communication can lead to a competitive edge
Prashant Yadav
The unequal access to Covid-19 vaccines stems from production shortfalls
John Colmers
Maryland’s innovative and sound approach could be the solution for rescuing systems nationwide
Dawn Bailey
A legacy of forward thinking kept medical center on its award-winning path

More Features

Health Care News
The tabletop diagnostic yields results in an hour and can be programmed to detect variants of the SARS-CoV-2 virus
First Responder UAS Triple Challenge focuses on using optical sensors and data analysis to improve image detection and location
Free education source for global medical device community
Extended validation of Thermo Scientific Salmonella Precis Method simplifies workflows and encompasses challenging food matrices
‘Completely new diagnostic platform’ could prove to be a valuable clinical tool for detecting exposure to multiple viruses
Provides improved thermal stability for stored materials, risk mitigation advantages, and processes that are documented and repeatable
Patient safety is a key focus in update of ISO 14155, the industry reference for good practice in clinical trials.
Despite being far from campus because of the pandemic, some students are engineering a creative way to stay connected
Good quality is adding an average of 11 percent to organizations’ revenue growth

More News

Manfred Kets de Vries

Health Care

The 10-Point Stress Audit

Sometimes we’re so used to living with stress, we don’t know how to identify it

Published: Tuesday, August 28, 2018 - 11:01

A certain amount of stress is needed for us to function effectively. Stress is very much a part of the human condition. We all face disappointments, setbacks, losses and pain. But to live a rich and meaningful life, we must learn to deal in a constructive way with life’s challenges.

Stress evolved as our body’s reaction to harmful and threatening situations. Perceived dangers subject us to a rush of hormones and brain chemicals that trigger a “fight or flight” response—a feature that undoubtedly helped our ancestors react to physical threats such as saber-toothed tigers. Nowadays, while positive stress can help keep us focused and alert, negative stress takes over when we face continuous challenges without reprieve. 

Manifestations of stress vary enormously among individuals. For instance, adolescents, new parents, working parents, single parents and the newly retired all face stressors that are related to life transitions. Certain occupations (e.g., C-suite, education, health and social care, public administration, and defense) tend to involve a high burden of stress.

The stress audit below can help you evaluate the extent to which stress is affecting you, both physiologically and psychologically. If the majority of your responses are affirmative, it is highly advisable to take some form of action to prevent stress from negatively affecting your body and mind.

The stress audit

Consider your life today and answer the following questions:
1. Do you feel that your life is out of control and that you have too many things on your plate?
2. Do you often feel confused, anxious, irritable, fatigued, or physically debilitated?
3. Are you having increased interpersonal conflicts (e.g., with your spouse, children, other family members, friends or colleagues)?
4. Do you feel that negative thoughts and feelings are affecting how you function at home or at work?
5. Is your work or home life no longer giving you any pleasure?
6. Do you feel overwhelmed by the demands of emails, messaging tools, and social media?
7. Do you feel that your life has become a never-ending treadmill?
8. Are you prone to serious pangs of guilt every time you try to relax?
9. Have you recently experienced a life-altering event such as a change of marital status, new work responsibilities, job loss, retirement, financial difficulties, injury, illness, or death in the family?
10. When you are stressed out, do you feel that you have nobody to talk to?

If you have answered “yes” to most of these questions, stress might have started to build up. If you feel close to your breaking point, it’s high time to take action.

Do keep in mind that your ability to make changes in your life depends not only on your intrapsychic state but also on your social context. Stressors can take the form of unrealistic pressures you are putting on yourself, or they can arise from family or work demands. The first step is to identify your sources of stress, so you can avoid them if possible. Second, you should recognize that stress depends at least in part on your perception—the demons inside that may have been troubling you.

Common stress symptoms

Sometimes we are so used to living with stress, that we don’t know how to identify it. If the stress audit has given you mixed results, the following lists can help you pinpoint some of the most common signs of excessive stress.

Emotional changes
• Mood swings, irritability, flashes of anger
• Feeling overwhelmed
• Social withdrawal and isolation
• Sadness, lack of interest in life (including the loss of sexual desire)
• Anxiety, constant worry, guilt, nervousness

Physical changes
• Low energy, constant fatigue
• Frequent headaches, pain, or muscle tension
• Digestive troubles
• Chest pain, rapid heartbeat
• Increased or decreased appetite
• Insomnia, nightmares

Cognitive or behavioral changes
• Difficulty concentrating, racing thoughts
• Forgetfulness, disorganization
• Procrastination, difficulty in making decisions
• Increased smoking, alcohol, or drug use

Healthy ways to cope with stress

Once you acknowledge the presence and sources of stress in your life, your next challenge is to find effective strategies for coping with them. Here are a few suggestions that may help you better handle stress.

Mitigating stressors
• Engage in regular exercise
• Consider meditation or other relaxation techniques
• Create structured timeouts
• Learn how to positively reframe difficult situations
• Practice forgiveness

Adding joy to your life
• Cultivate a supportive network of loved ones, family members, and friends
• Learn to enjoy music, crafts, or other creative activities
• Figure out what puts you in a state of “flow” and make time for it
• Focus on activities that fit your values and interests
• Engage in altruistic activities and practice gratitude

If this seems overwhelming, consider getting psychological help from a psychotherapist or coach. Most important, don’t bottle things up.

To a certain extent, feeling less stressed out is a choice as well as an attitudinal challenge. At any given moment, it is up to you to decide whether you will look at a situation with optimism or pessimism, with anger or with patience and understanding.

If you believe that your life has purpose and meaning; if you feel engaged in your daily activities; if you contribute to the wellbeing of others; if you feel capable in your daily activities; and if you are optimistic about the future, most likely you will feel better. For most people, however, the best buffer against stress is a supportive network of family and friends. Lastly, let’s remember what Hermann Hesse wrote in his classic novel Siddhartha, “Within you, there is a stillness and a sanctuary to which you can retreat at any time and be yourself.”


About The Author

Manfred Kets de Vries’s picture

Manfred Kets de Vries

Manfred Kets de Vries is a clinical professor of leadership and organizational change; an author, co-author, and editor of 35 books; and a consultant and educator on organizational design/transformation and strategic human resource in more than 40 countries. A recipient of The Lifetime Achievement Award from The Leadership Legacy Project of the International Leadership Association, Kets de Vries is viewed as one of the world’s six founding professionals in the development of leadership as a field and discipline. Kets de Vries founded INSEAD’s Global Leadership Center, and is founder and program director of INSEAD’s Challenge of Leadership Program.