Sunday, 26 July 2026

Types of Stress

 


Stress is how your body and mind respond to pressure, challenges, or change. Everyone experiences stress, but not all stress is the same. The three main types of stress are acute stress, episodic acute stress, and chronic stress.

1. Acute Stress

What it is:
Acute stress is short-term stress. It comes on quickly and usually goes away once the situation has passed.

Examples:

  • Nearly being in a car accident.

  • Taking an important exam.

  • Giving a presentation.

  • Rushing to meet a deadline.

Common Signs:

  • Fast heartbeat.

  • Sweaty hands.

  • Faster breathing.

  • Feeling nervous or anxious.

  • A brief headache.

2. Episodic Acute Stress

What it is:
Episodic acute stress occurs when someone experiences acute stress repeatedly. They often feel rushed, overwhelmed, or under pressure.

Examples:

  • Always running late.

  • Taking on too many responsibilities.

  • Having constant work or school deadlines.

  • Frequently dealing with stressful situations.

Common Signs:

  • Feeling tense most of the time.

  • Becoming easily irritated or grumpy.

  • Constantly feeling hurried.

  • Frequent headaches or muscle tension.

3. Chronic Stress

What it is:
Chronic stress is long-term stress that lasts for weeks, months, or even years. It can affect both physical and mental health if it is not managed.

Examples:

  • Ongoing money problems.

  • A stressful or unhappy job.

  • Long-term family or relationship difficulties.

  • Living with a chronic illness.

  • Caring for a family member over a long period.

Common Signs:

  • Feeling exhausted all the time.

  • Trouble sleeping.

  • Getting sick more often.

  • Feeling anxious, hopeless, or depressed.

  • Difficulty concentrating.

Why It Matters

Short-term stress can sometimes help you stay alert and motivated. However, long-term stress can increase the risk of health problems such as:

  • High blood pressure.

  • Heart disease.

  • Weakened immune system.

  • Anxiety and depression.

  • Digestive problems.

Healthy Ways to Manage Stress

  • Exercise regularly.

  • Practice deep breathing or mindfulness.

  • Get enough sleep.

  • Eat a balanced diet.

  • Spend time with supportive family and friends.

  • Take regular breaks.

  • Talk to a doctor, counselor, or mental health professional if stress becomes overwhelming.

Key Points to Remember

  • Acute stress is short-term and goes away quickly.

  • Episodic acute stress is repeated short-term stress that happens often.

  • Chronic stress lasts for a long time and can affect your physical and mental health.

  • Learning healthy coping skills can help reduce stress and improve overall well-being.

What Is Stress?

 


Stress is your body's physical and emotional response to situations that are new, challenging, or frightening. Common causes of stress include work or school pressures, money problems, health concerns, and major life changes. A small amount of stress is a normal part of life and can help motivate you, but long-term (chronic) stress can affect both your physical and mental health.

How Your Body Responds to Stress

When you experience stress, your brain activates the fight-or-flight response. This causes your body to release stress hormones, such as adrenaline and cortisol.

These hormones prepare your body to react by:

  • Increasing your heart rate.

  • Raising your blood pressure.

  • Speeding up your breathing.

  • Giving your muscles extra energy.

While this response is helpful during emergencies, staying in this state for a long time can lead to health problems.

Common Signs of Stress

Stress can affect both your body and your emotions.

Physical Signs

  • Headaches

  • Muscle tension

  • Upset stomach

  • Fast heartbeat

  • Trouble sleeping

  • Feeling tired

Emotional Signs

  • Worrying a lot

  • Feeling anxious

  • Irritability or anger

  • Feeling overwhelmed

  • Difficulty concentrating

Common Causes of Stress

Work or School

  • Heavy workloads

  • Tight deadlines

  • Difficult managers or teachers

  • Exams and assignments

Money Problems

  • Paying bills

  • Debt

  • Financial uncertainty

Major Life Changes

  • Moving to a new home

  • Starting a new job

  • Divorce or relationship problems

  • Losing a job

  • Death of a loved one

Health Concerns

  • Living with an illness

  • Caring for a sick family member

  • Recovering from surgery or injury

Healthy Ways to Manage Stress

There are many healthy ways to reduce stress.

  • Exercise regularly: Walking, cycling, swimming, or yoga can reduce stress hormones and improve your mood.

  • Practice deep breathing: Slow, deep breaths help calm your body and slow your heart rate.

  • Get enough sleep: Try to go to bed and wake up at the same time each day.

  • Set healthy boundaries: Learn to say "no" when you already have too many responsibilities.

  • Talk to someone: Sharing your feelings with friends, family members, or a mental health professional can provide support and help you cope.

Key Points

  • Stress is your body's natural response to challenging situations.

  • Short-term stress can be helpful, but chronic stress can harm your health.

  • Stress can affect your body, thoughts, feelings, and behavior.

  • Healthy habits such as exercise, relaxation techniques, good sleep, and seeking support can help you manage stress effectively.

What Is the Relationship Between Stress and Illness?

 


The body's stress response prepares us to deal with danger by increasing heart rate, blood pressure, and the release of stress hormones such as cortisol.

While this response is helpful during short-term emergencies, chronic (long-lasting) stress keeps these systems activated for too long, causing wear and tear on the body.


Psychophysiological Disorders

Psychophysiological disorders are physical illnesses that are caused or made worse by psychological factors such as stress, anxiety, anger, or depression.

The symptoms are real physical symptoms, even though emotional factors contribute to them.

Common Examples

Body SystemDisorders
CardiovascularHigh blood pressure (hypertension), coronary heart disease
GastrointestinalIrritable bowel syndrome (IBS)
RespiratoryAsthma, allergies
MusculoskeletalLow back pain, tension headaches
SkinAcne, eczema, psoriasis


Personality and Health

Research suggests certain personality characteristics may increase the risk of illness.

These include:

  • Depression
  • Anxiety
  • Anger and hostility
  • Neuroticism (frequent worry, sadness, and emotional instability)

People with these characteristics may experience more stress-related health problems.


Stress and the Immune System

The immune system protects the body against:

  • Bacteria
  • Viruses
  • Parasites
  • Other harmful microorganisms

When functioning normally, it helps keep us healthy.

However, prolonged stress weakens immune function, making people more vulnerable to illness.


Immune System Errors

1. Autoimmune Diseases

Sometimes the immune system mistakenly attacks the body's own healthy tissues.

Examples include:

  • Rheumatoid arthritis
  • Lupus
  • Hashimoto's thyroiditis

Symptoms depend on the part of the body affected.


2. Immunosuppression

Immunosuppression means the immune system becomes less effective.

As a result, people become more susceptible to:

  • Colds
  • Flu
  • Infections
  • Serious diseases

An example is HIV/AIDS, which weakens the immune system by destroying important immune cells.


Psychoneuroimmunology

Psychoneuroimmunology is the study of how:

  • The brain
  • The nervous system
  • The endocrine (hormone) system
  • The immune system

work together, and how psychological factors such as stress influence immune function.


Stress and Getting Sick

Research has shown that people experiencing chronic stress are more likely to become ill.

One well-known study:

  • Interviewed healthy volunteers about stressful life experiences.
  • Exposed them to the common cold virus.
  • Found that people with long-term stress—especially work or relationship problems—were significantly more likely to develop colds than those with little chronic stress.

Stress and Cardiovascular Disease

Long-term stress increases the risk of cardiovascular disorders.

These include:

  • High blood pressure (hypertension)
  • Coronary heart disease
  • Heart attack
  • Heart failure

Stress contributes by:

  • Raising blood pressure
  • Increasing heart rate
  • Keeping stress hormones elevated
  • Increasing inflammation


Hypertension (High Blood Pressure)

Hypertension is often called the "silent killer" because many people have no noticeable symptoms.

Untreated hypertension increases the risk of:

  • Heart attack
  • Stroke
  • Heart failure
  • Kidney disease
  • Blindness

Stress is one of many factors that can contribute to high blood pressure.


Stressors Linked to Heart Disease

Research has found that cardiovascular problems are associated with many kinds of stress, including:

  • Job strain
  • Natural disasters
  • Marital conflict
  • Financial difficulties
  • Traffic noise
  • Discrimination
  • High-pressure laboratory tasks (such as public speaking or mental arithmetic)


Depression and Heart Disease

Depression is linked to cardiovascular disease.

Research shows:

  • People with depression are more likely to develop heart disease.
  • People with heart disease often experience depression.
  • More severe depression is associated with a higher risk of heart-related death.


Stress and Asthma

Stress does not directly cause asthma.

However, stress can:

  • Trigger asthma attacks.
  • Make existing asthma symptoms worse.
  • Increase inflammation in the airways.


Stress and Tension Headaches

Stress is also associated with tension headaches.

Common characteristics include:

  • Tightness around the head
  • Pain in the neck and shoulders
  • Muscle tension
  • Mild to moderate headache

Emotional stress is one of the most common triggers.


Key Terms

  • Psychophysiological disorder: A physical illness influenced by psychological factors.
  • Immune system: The body's defense against disease.
  • Autoimmune disease: A disorder in which the immune system attacks healthy body tissues.
  • Immunosuppression: Reduced effectiveness of the immune system.
  • Psychoneuroimmunology: The study of interactions among psychological processes, the nervous system, hormones, and immunity.
  • Hypertension: Chronically high blood pressure.
  • Coronary heart disease: Narrowing of the heart's arteries that reduces blood flow to the heart.

Easy-to-Remember Summary

Stress is helpful in emergencies, but long-term stress can damage health.

Chronic stress can:

  • Weaken the immune system.
  • Increase the risk of infections.
  • Contribute to high blood pressure and heart disease.
  • Worsen asthma.
  • Trigger tension headaches.
  • Increase the likelihood of psychophysiological disorders.

The key idea is that the mind and body are closely connected. Psychological stress can influence physical health, and managing stress is an important part of maintaining overall well-being. 

What Are Stressors?

 


A stressor is any event, situation, or condition that has the potential to cause stress. Before a person experiences stress, they must first encounter a stressor. Stressors vary from person to person because what is stressful for one individual may not be stressful for another.

Two Main Types of Stressors

TypeDefinitionExamples
Acute StressorsShort-term events that occur suddenlyCar accident, breaking a bone, taking an exam, argument with a friend
Chronic StressorsLong-term situations that continue over timeCaring for a family member with dementia, long-term unemployment, ongoing financial problems, imprisonment


1. Traumatic Events

Traumatic events are among the most severe stressors. They involve actual or threatened death, serious injury, or violence.

Examples include:

  • Military combat
  • Physical assault
  • Sexual assault
  • Childhood abuse
  • Robbery
  • Terrorist attacks
  • Natural disasters (earthquakes, hurricanes, floods)
  • Serious automobile accidents

Some people exposed to traumatic events may develop Post-Traumatic Stress Disorder (PTSD), which can include:

  • Intrusive memories or flashbacks
  • Jumpiness (hypervigilance)
  • Persistent negative emotions
  • Avoiding reminders of the trauma
  • Angry outbursts
  • Feeling detached from others


2. Life Changes

Not all stress comes from traumatic experiences. Even positive life changes can create stress because they require adjustment.

Examples:

  • Marriage
  • Divorce
  • Death of a loved one
  • Moving to a new home
  • Starting or ending school
  • Changing careers
  • Personal illness
  • Financial changes

Social Readjustment Rating Scale (SRRS)

Psychiatrists Thomas Holmes and Richard Rahe developed the Social Readjustment Rating Scale (SRRS) to measure how much stress different life events create.

Each event receives Life Change Units (LCUs) based on how much adjustment it usually requires.

Examples from the scale:

Life EventLife Change Units (LCUs)
Death of a close family member63
Personal injury or illness53
Losing a job47
Change in financial situation38
Career change36
Outstanding personal achievement28
Beginning or ending school26
Change in living conditions25
Change in residence20

The higher a person's total LCU score over the past year, the greater their risk for stress-related illness.


3. Daily Hassles

Many stressors are small, everyday annoyances. Although each one may seem minor, they can accumulate over time.

Examples include:

  • Traffic jams
  • Losing your keys
  • Bad weather
  • Long commutes
  • Arguments with friends or family
  • Difficult coworkers
  • Technology problems
  • Social media conflicts

Research suggests that daily hassles are often better predictors of physical and psychological health than major life events, because they occur so frequently.


4. Occupation-Related Stressors

Some jobs naturally involve more stress than others.

Examples include:

  • Police officers
  • Firefighters
  • Nurses
  • Teachers
  • Social workers
  • Emergency medical workers
  • Managers

Common workplace stressors include:

  • Heavy workloads
  • Long hours
  • Unsafe conditions
  • Lack of support
  • Difficult clients or patients
  • Low control over work decisions
  • Uncertainty

Job Strain

Job strain occurs when a person experiences:

  • High job demands and
  • Little control over how the work is performed.

Job Burnout

Long-term job strain can lead to burnout, which is characterized by:

  • Emotional exhaustion
  • Physical fatigue
  • Reduced motivation
  • Lower job performance
  • Feeling detached or cynical about work


5. Relationship Stress

Close relationships can also be major sources of stress.

Examples include:

  • Frequent arguments
  • Lack of emotional support
  • Feeling unappreciated
  • Poor communication
  • Conflict with family members or partners

Research cited by OpenStax found that people experiencing high levels of negative interactions in close relationships had a greater risk of serious heart problems over time.


Key Terms to Remember

  • Stressor: Anything that has the potential to cause stress.
  • Acute stressor: A short-term stressful event.
  • Chronic stressor: A long-lasting stressful situation.
  • Traumatic event: An event involving actual or threatened death, injury, or violence.
  • PTSD: A disorder that may develop after experiencing or witnessing trauma.
  • Social Readjustment Rating Scale (SRRS): A scale developed by Holmes and Rahe that measures stress associated with life changes.
  • Life Change Units (LCUs): Numerical values assigned to life events based on the amount of adjustment required.
  • Daily hassles: Minor, recurring irritations that can accumulate and increase stress.
  • Job strain: High work demands combined with low control.
  • Job burnout: Physical, emotional, and mental exhaustion caused by prolonged workplace stress.

Easy-to-Remember Summary

Stressors come in five main forms:

  1. Traumatic events – disasters, assaults, accidents.
  2. Life changes – marriage, divorce, moving, illness.
  3. Daily hassles – traffic, arguments, lost keys.
  4. Work stress – heavy workloads, little control, burnout.
  5. Relationship stress – conflict and lack of support from family or friends.

Remember: Stress is not caused only by negative events. Positive life changes, such as getting married, receiving a promotion, or achieving a major goal, can also be stressful because they require significant adjustment.

Hypothalamic-Pituitary-Adrenal (HPA) Axis

 


What is the HPA Axis?

The Hypothalamic-Pituitary-Adrenal (HPA) axis is the body's main hormonal stress response system.

It helps your body:

  • Respond to stress
  • Stay balanced (homeostasis)
  • Return to normal after the stressful event ends

The HPA axis is made up of three organs:

  • 🧠 Hypothalamus
  • 🧠 Pituitary gland
  • 🔺 Adrenal glands (located above the kidneys)

These organs communicate using hormones.


What Does the HPA Axis Control?

The HPA axis helps regulate:

  • Stress responses
  • Mood
  • Sleep
  • Energy
  • Blood sugar
  • Blood pressure
  • Immune system
  • Metabolism
  • Inflammation

The Three Parts

1. Hypothalamus

The hypothalamus is a small area deep inside the brain.

It acts like the body's control centre.

When it detects stress, it releases:

CRH (Corticotropin-Releasing Hormone)

CRH starts the stress response.


2. Pituitary Gland

The pituitary gland receives the CRH signal.

It then releases:

ACTH (Adrenocorticotropic Hormone)

ACTH travels through the bloodstream to the adrenal glands.


3. Adrenal Glands

The adrenal glands sit on top of each kidney.

When ACTH arrives, they release:

Cortisol

Cortisol is the body's main long-term stress hormone.


How the HPA Axis Works

A stressor activates the hypothalamus

The process happens in this order:

StepWhat Happens
1A stressful event occurs.
2The hypothalamus releases CRH.
3The pituitary gland releases ACTH.
4ACTH reaches the adrenal glands.
5The adrenal glands release cortisol.
6Cortisol helps the body cope with stress.
7Cortisol signals the brain to slow hormone production (negative feedback).

What Does Cortisol Do?

Cortisol prepares the body to deal with prolonged stress.

It helps by:

  • Increasing blood glucose for energy.
  • Keeping blood pressure stable.
  • Reducing inflammation.
  • Helping the brain stay alert.
  • Temporarily reducing immune system activity.
  • Conserving energy for important body functions.

Negative Feedback

The HPA axis has its own "off switch."

When cortisol levels become high enough:

  • The hypothalamus releases less CRH.
  • The pituitary gland releases less ACTH.
  • The adrenal glands produce less cortisol.

This process is called negative feedback.

It helps restore homeostasis, meaning the body's internal balance.


HPA Axis vs. SAM System

The body uses two stress-response systems.

SAM SystemHPA Axis
Fast responseSlower response
SecondsMinutes to hours
Releases adrenalineReleases cortisol
Fight-or-flightLong-term stress response

The SAM system reacts first.

The HPA axis keeps the body functioning if the stress continues.


Long-Term Stress

If stress lasts for weeks or months, the HPA axis may stay active.

Too much cortisol over time may contribute to:

  • 😴 Fatigue
  • 😟 Anxiety
  • 😞 Depression
  • 💤 Sleep problems
  • 🧠 Poor concentration
  • 🤒 Frequent illness
  • ❤️ High blood pressure
  • ⚖️ Weight gain
  • ❤️ Increased risk of heart disease

Everyday Example

Imagine you have an important job interview.

Before the interview

  • You begin to feel nervous.
  • Your hypothalamus releases CRH.
  • Your pituitary gland releases ACTH.
  • Your adrenal glands release cortisol.

During the interview

Cortisol helps you:

  • Stay awake
  • Think clearly
  • Focus
  • Have enough energy

After the interview

The stress decreases.

The negative feedback system lowers cortisol levels.

Your body gradually returns to normal.


Key Terms

Hypothalamus

  • Starts the hormonal stress response.

Pituitary Gland

  • Sends ACTH to the adrenal glands.

Adrenal Glands

  • Produce cortisol.

CRH

  • Hormone released by the hypothalamus.

ACTH

  • Hormone released by the pituitary gland.

Cortisol

  • Main hormone involved in long-term stress.

Negative Feedback

  • A process that turns down hormone production when cortisol levels are high enough.

Homeostasis

  • Keeping the body's internal environment stable.

Quick Summary

  • The HPA axis is the body's long-term hormonal stress system.
  • It consists of the hypothalamus, pituitary gland, and adrenal glands.
  • Stress activates the hormone sequence:
    • CRH → ACTH → Cortisol
  • Cortisol helps the body manage prolonged stress.
  • Once enough cortisol is present, negative feedback reduces hormone production and restores balance.
  • Chronic stress can lead to health problems if the HPA axis remains active for too long.

Memory Tips

Remember the hormone pathway:

Hypothalamus → CRH

⬇️

Pituitary → ACTH

⬇️

Adrenal Glands → Cortisol

Think:

H → P → A = CRH → ACTH → Cortisol


Practice Questions

1. What does HPA stand for?

A. Hormonal-Pituitary-Adrenal

B. Hypothalamic-Pituitary-Adrenal

C. Hypothalamic-Pancreatic-Adrenal

D. Hormonal-Primary-Adrenal

Answer: B


2. Which hormone is released first in the HPA axis?

A. ACTH

B. Cortisol

C. CRH

D. Adrenaline

Answer: C


3. Which gland releases ACTH?

A. Adrenal glands

B. Thyroid gland

C. Hypothalamus

D. Pituitary gland

Answer: D


4. What is the main hormone released by the adrenal glands during long-term stress?

A. Dopamine

B. Insulin

C. Adrenaline

D. Cortisol

Answer: D


5. What is the purpose of negative feedback?

A. To increase cortisol forever

B. To stop breathing

C. To reduce hormone release and restore the body's balance

D. To increase adrenaline

Answer: C

The Biology of Stress

 


What Is Stress?

Stress is the body's physical and psychological response to situations that are challenging, threatening, or demanding.

Stress can be caused by:

  • Exams
  • Work
  • Money worries
  • Family problems
  • Illness
  • Accidents
  • Major life changes

A small amount of stress can help us stay alert and perform well, but long-term stress can affect both physical and mental health.


What Happens When You Feel Stressed?

When your brain detects a threat, it activates two main stress-response systems:

  1. The Sympathetic-Adrenal-Medullary (SAM) System – the fast response.
  2. The Hypothalamic-Pituitary-Adrenal (HPA) Axis – the slower, longer-lasting response.

1. The SAM System (Fight-or-Flight)

The SAM system reacts within seconds.

It prepares your body to deal with immediate danger by activating the fight-or-flight response.

During this response:

  • ❤️ Heart rate increases.
  • 🫁 Breathing becomes faster.
  • 👁 Pupils widen.
  • 💪 Muscles receive more blood.
  • 🍬 Blood sugar rises to provide energy.
  • 🍽 Digestion slows down.

The adrenal glands release:

  • Adrenaline (epinephrine)
  • Noradrenaline (norepinephrine)

These hormones help your body respond quickly to danger.


2. The HPA Axis (Long-Term Stress)

If the stressful situation continues, the HPA axis becomes active.

A stressor activates the hypothalamus

The process follows these steps:

  1. 🧠 The hypothalamus releases CRH (Corticotropin-Releasing Hormone).
  2. 🧠 The pituitary gland releases ACTH (Adrenocorticotropic Hormone).
  3. 🔺 The adrenal glands release cortisol.

Cortisol is the body's main long-term stress hormone.


What Does Cortisol Do?

Cortisol helps your body cope with prolonged stress by:

  • Providing extra energy.
  • Increasing blood sugar.
  • Maintaining blood pressure.
  • Reducing inflammation.
  • Temporarily suppressing immune responses.
  • Helping you stay alert and focused.

Negative Feedback

Once enough cortisol has been released:

  • The hypothalamus reduces CRH production.
  • The pituitary gland reduces ACTH production.
  • Cortisol levels gradually return to normal.

This is called negative feedback, and it helps restore homeostasis (the body's stable internal balance).


Fight-or-Flight vs. Long-Term Stress

SAM SystemHPA Axis
Acts within secondsActs over minutes to hours
Releases adrenaline and noradrenalineReleases cortisol
Prepares for immediate dangerHelps the body cope with ongoing stress
Short-term responseLong-term response

General Adaptation Syndrome (GAS)

Hans Selye described three stages of stress:

1. Alarm Stage

  • Stress is detected.
  • The SAM system is activated.
  • Adrenaline is released.
  • Fight-or-flight begins.

2. Resistance Stage

  • The stress continues.
  • The HPA axis releases cortisol.
  • The body adapts and keeps functioning.

3. Exhaustion Stage

If stress lasts too long:

  • Energy reserves become depleted.
  • The immune system weakens.
  • Fatigue and illness become more likely.
  • Burnout can occur.

Long-Term Effects of Chronic Stress

If stress continues for weeks or months, it can increase the risk of:

  • 😴 Fatigue
  • 😟 Anxiety
  • 😞 Depression
  • 💤 Sleep problems
  • ❤️ High blood pressure
  • ❤️ Heart disease
  • 🩺 Type 2 diabetes
  • ⚖️ Weight gain
  • 🤒 Weakened immune system
  • 🧠 Memory and concentration problems

Everyday Example

Imagine you are walking home and suddenly hear a loud crash.

Immediate Response

  • Your brain detects danger.
  • The SAM system releases adrenaline.
  • Your heart races.
  • You become more alert.

Ongoing Stress

If you later continue worrying about the event:

  • The HPA axis becomes active.
  • Cortisol is released.
  • Your body stays prepared until the situation feels safe again.

Key Terms

Stress

  • The body's response to challenges or threats.

SAM System

  • The fast stress-response system responsible for the fight-or-flight reaction.

HPA Axis

  • The body's long-term hormonal stress-response system.

Adrenaline

  • A hormone that prepares the body for immediate action.

Noradrenaline

  • A hormone that helps maintain alertness and increases blood pressure during stress.

CRH

  • Hormone released by the hypothalamus to begin the HPA response.

ACTH

  • Hormone released by the pituitary gland that stimulates the adrenal glands.

Cortisol

  • The body's primary hormone for managing prolonged stress.

Homeostasis

  • The body's ability to maintain a stable internal environment.

Negative Feedback

  • A process that reduces hormone production once cortisol levels are sufficient.

Quick Summary

  • Stress activates two main biological systems:
    • SAM system (fast response)
    • HPA axis (long-term response)
  • The SAM system releases adrenaline for immediate action.
  • The HPA axis releases cortisol to help the body cope with ongoing stress.
  • Once the stress ends, negative feedback reduces cortisol production and restores balance.
  • Chronic stress can negatively affect physical and mental health.

Practice Questions

1. Which stress-response system reacts first?

A. HPA axis

B. Immune system

C. SAM system

D. Digestive system

Answer: C


2. Which hormone is mainly responsible for the body's long-term stress response?

A. Insulin

B. Dopamine

C. Adrenaline

D. Cortisol

Answer: D


3. Which hormone is released by the hypothalamus to begin the HPA response?

A. ACTH

B. Cortisol

C. CRH

D. Thyroxine

Answer: C


4. Which stage of General Adaptation Syndrome is associated with burnout and depleted energy?

A. Alarm

B. Resistance

C. Recovery

D. Exhaustion

Answer: D


Easy Memory Tips

SAM = Seconds

  • S = Seconds
  • A = Adrenaline
  • M = Move quickly (fight or flight)

HPA = Hours

  • H = Hypothalamus → CRH
  • P = Pituitary → ACTH
  • A = Adrenal glands → Cortisol

GAS Stages

A → R → E

  • Alarm = Immediate danger
  • Resistance = Keep coping
  • Exhaustion = Burnout if stress continues

These three systems—SAM, HPA, and General Adaptation Syndrome (GAS)—work together to explain how the body responds to both short-term and long-term stress.

Types of Stress

  Stress is how your body and mind respond to pressure, challenges, or change. Everyone experiences stress, but not all stress is the same. ...