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Why are we so stressed: Biology

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From a biological perspective, we suffer because of the consequences of the stress response, not because of the stressors. In its normal state, the body has some mechanisms to protect itself from the damages of the stress response. Cortisol—despite its bad reputation— is one of them. Cortisol, in fact, controls the duration and the intensity of immune system activation in response to a stressor and pulls the system back to a non-inflammatory state when the reaction is over. This is extremely important since inflammation is a crucial risk factor for all chronic diseases.

Unfortunately, the modern usage of the stress apparatus ruins the very mechanisms that should protect us from the bodily damages of stress. This causes an increased vulnerability for a general state of inflammation and, therefore, for a large spectrum of disorders.

It would be easy to think that the stress response is too ‘sensitive’ and that it should be able to better cope with our current way of living. However, there is a reason for our biology’s apparent inability to keep up with modern stress: The stress response evolved in an environment where the stressors were physical, and the activation of the stress system yielded the perfect advantage and adaptation to preserve life.  The response, in fact, doesn’t have the goal to protect the body, but to protect the survival of the organism, which is a radically different thing. 

The stress response protects life but can damage the body. 

In response to a threat, the body undergoes a series of changes that can cause tissue damage and altered immune function. In a general way, the changes caused by the stress response alter the biological feedback and the physiological regulation of bodily systems.

For this reason, those changes were meant to occur only when the benefits outweighed the costs—for instance, in the presence of a real physical threat.

In the Western world, we no longer have physical stressors. On the other side, psychological and social stressors have increased. Thoughts and worries about present and future stability, as well as tensions in the family and at work, are our main sources of stressors. In addition, memories and old feelings are enough to activate the stress response.

Even the mere anticipation of a difficulty is stressful for the mind and the body. This happens because the brain doesn’t tell the difference between what is really happening at a given moment and what is just a possibility entertained in our minds.

Anytime the brain receives a signal of danger (real or imagined), it prepares you to fight: better safe than sorry.

The anticipatory nature of the brain makes sense if we consider its evolutionary advantage. The anticipation of danger is in fact linked to the anticipation of what the body is going to need in a short future. This allows the brain to induce changes in the body to fulfill those needs before they arise. The goal is to maximize survival. The process is quite smart.

However, there is a difference between present and anticipated physical danger and real or imagined psychological danger. A physical threat, sooner or later, is over—either because we face it, or because we realize it was a false alarm and we allow ourselves to relax.  Psychological stressors, in contrast, can go on virtually forever, with no containment. Above all, bodily changes follow our psychology and go on with no containment either. They are never properly resolved, because the only way for them to be over is for the brain to stop signaling a danger. In other words, the body remains in a stressed-out state, and this puts our health at risk.

Biologically speaking, the stress response is a physical reaction to a physical danger. It didn’t change as we shifted from physical to social and mental threats.

Today, we have psychosocial stressors that we don’t physically fight. Yet, the stress response remains a physical reaction. One may wonder why the response didn’t change along with its causes, as would appear logical. 

However, we must consider an important feature of evolution: Structures and functions are repurposed to serve new adaptations. There wasn’t the need for a new stress system, because the pre-existing one was already good enough to cope with temporary mental stressors as well.

Physical changes in response to transient emotional stressors are not damaging in the short term. In other words, temporary emotional stress doesn’t hijack the protective mechanisms of the stress response. Therefore, when the psychosocial stress is limited, the body is still capable of counteracting potential side effects.

Moreover, there is another interesting reason that the response didn’t change to cope with psychological stress. The stress response, which evolved to face physical dangers, induces brain and mood changes, too. Those changes are also beneficial when the challenge is merely psychological. One example is the tendency of our ancestors to retire while they were healing wounds or infections caused by a fight. The same changes happen today in case of depression, with the difference being that we are healing emotional wounds.

Therefore, looking at our biology, it seems clear that the problem is not depression. In fact, we are biologically equipped to cope with it; giving ourselves space and retiring for a while from social activities serves the purpose of enabling us to return to a more balanced state. The problem is chronic depression, when a balanced state seems to be lost forever.

Whatever becomes chronic makes any future adaptation very difficult because it adds an element of rigidity into the system that disrupts the regulation of the organism, which is, by definition, dynamic and ever-changing, just like the external world where the organism is supposed to live.

It almost seems that our biology is trying to send us a message: We are not created to be worried all the time. We are not meant to feel and think that we are always in danger or that our lives don’t make any sense.

Environmental and lifestyle factors disturb the stress system and make us weaker.

In addition to what discussed above, we must add environmental and lifestyle factors that contribute to never-ending pressure. 

Modern life interferes with natural biological rhythms in many ways. Going to bed too late, frequent traveling and jet lag, shift work, polluted environment, lack of exercise, eating the wrong food, smoking, drinking: all are examples of current lifestyle habits that have the power to alter the body’s ability to counteract the negative consequences of the stress response.

The social and physical environment has a gradual and cumulative negative effect on our physical and mental inner balance. This makes us weaker when it’s time for us to gather our resources and cope with a difficult event.

In conclusion, we are more easily stressed out because too much physical and mental energy is used just to stay alive, while at the same time we seem to have lost the ability to replenish our resources.

The origin of the stress response

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We tend to believe that when we become adults, our behaviors and attitudes—the way we act in and interact with the outside world—will, or is supposed to, change just because of a chronological factor.

Unfortunately, there is a reason for the many times we feel frustrated by our own reactions or wish that the other person would act ‘like a grown-up’: The adult brain matures according to the foundation of the child’s brain. Specifically, early experiences remain embedded in neural networks and condition an adult’s personality.

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Stress in the 21st century: The man who mistook himself for a machine

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In the book The Man Who Mistook His Wife for a Hat, Oliver Sacks shared clinical histories of patients he treated during his career as a neurologist, and he explored some common traits of different types of neurological disorders.

In particular, he mentioned deficits, hyper-activation of the nervous system’s functions, and altered perceptions. Several of the examples from the book (in which there are many more) are as follows: The case of a man who couldn’t recognize familiar faces, patients with tics they couldn’t stop, and people who lost contact with reality to such an extent that they couldn’t recognize their own limbs.

In my opinion, those traits, considered typical signs of neurological conditions, are applicable to the description of the stress we suffer from.

Stress as a deficit.

Nothing should be more familiar to us than our own desires and needs, yet way too often we all experience a feeling of shutting down—that sense of going around blind, caught up in some business that at the end of the day reveals itself for what it truly was: just busyness. We are distracted; we seem to be chasing always what we don’t have. Our stress is sustained by our sensation of having some kind of deficiency.

Stress as hyper-activation.

Stress comes from the constant triggering of our alarm system. We are hyper-vigilant in the modern world; we are always on the lookout for dangers. They appear in the form of children, colleagues, or bosses. Our nervous system never finds proper rest.

Stress as a distorted perception.

We are frustrated by misunderstandings, cryptic behaviors, and aggressive attitudes. But are they real? Or, rather, do they just appear a certain way because of our biases? Personally, I lost count of the many times I replied aggressively to my husband because I felt attacked. He would reply by saying, “Why are you yelling at me? I just asked […whatever he was asking…],” and after he rephrased his question, it seemed so genuinely harmless—and, indeed, it was. I attached a meaning based on my own altered perceptions.

What is the difference, then, between someone labeled ‘not normal’ and diagnosed with a neurological illness and someone considered ‘normal’ who is simply stressed out?

Maybe the threshold between what is normal and what is not, simply rests with our own acceptance. As a species and as a society, we accepted stress as normal.

As we know it today, stress is a generalized, shared, and socially accepted form of strain.

It has become the condition of the modern man in the sense that it was the most logical consequence of measuring success by beating the competition, accumulating wealth, and practicing perfectionism and efficiency. Since it was ‘logical’, it was accepted.

Modern stress is the byproduct of a culture in which we trade our humanity for measurable performances and appearances. Yet, we are not machines. We are the designers of the machines.

The last section of Sacks’ book covers a class of disorders he named The world of the simple: People cognitively impaired but extraordinary gifted in one area, like mathematics or music.

We, the stressed species, didn’t create a simple world; rather, we created a twisted, intricate, complex environment. However, the result is not dissimilar from The world of the simple. We too suffer from a sub-optimal comprehension of ourselves and of the world. Yet, each of us retains a special talent, no matter what.

The most peculiar thing about your special talent is that it cannot be replicated by any machines because it’s the combination of experiences, feelings, challenges, and solutions that only you have processed the way you have.

The expression of that talent can save you from your stressed-out life.

Intelligence might be replicated. Creative intelligence cannot.

Remind yourself more often that you are not the machine. You are the designer.

Cortisol: Is it really the bad guy?

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The same mediators that are activated to help us adapt when overused become deregulated and cause us damage. –Bruce McEwen–

Talking about stress means talking about cortisol. Cortisol is considered the major stress hormone because it plays a fundamental role in the stress response. Since we hear so much about cortisol in relation to the damages of stress, the idea that cortisol is bad has become popular.

However, considering cortisol only in terms of ‘the stress hormone’ doesn’t do justice to what this important hormone does for us (not against us) in the body.

I believe it’s important to understand the authentic role of the molecules circulating in the body, because it helps you to see your body as a friend—a friend you can get to know better, without prejudice. Think about this: you can be an empath and resonate emotionally with another person, but you will never know how another person feels in her own body.

This is because our relationship with our body—and, therefore, with our health—is the closest and most personal relationship we will ever have. Just as we can’t have a good relationship with someone we believe is not there to support us when we need them, we can’t have a good relationship with our body if we think it will harm us because it’s got some ‘bad molecules’ in it.

Cortisol has one of the worst reputations among molecules because it is seen as absolutely dangerous.

However, evolution didn’t equip us with anything that is only or even primarily designed to hurt us. In other words, there are no such things as ‘good’ molecules and ‘bad’ molecules.

Cortisol is a main positive regulator of the stress response.

This hormone, in fact, protects us from the damage that bodily changes associated with the stress response can cause, but it has one condition: that the response doesn’t last for too long.

Problems begin when the stress response is activated too often and without enough breaks for the organism to return to a resting physiological state. When that happens, cortisol can have negative effects. Think of it this way: Cortisol handles emergencies very well, but when everything is always an emergency, it no longer responds the way it used to.

If you don’t have to escape a fire, prepare for a sport competition, or take an exam, but you are stressed out because you worry incessantly or never allow your body to rest and relax, then the surge of cortisol isn’t really doing you any favors; instead, it can increase your risk for illnesses, like high blood pressure or diabetes.

Cortisol doesn’t exist in the body to make us sick, but, if released in response to an excess of stress, it can damage our system.

Each dysfunctional mechanism in the body has a fully functional counterpart. Every biological process exists in the body because it has a vital function, and in its normal, fully regulated state, it’s necessary to keep us healthy and alive. Cortisol is no exception; it’s not bad, but it can become so.

Cortisol has a wide range of physiological functions that are essential to life.

1. It is involved in the normal physiology of the most fundamental systems: nervous, cardiovascular, musculoskeletal, immune, respiratory, reproductive, and metabolic systems.

2. It promotes the correct development of tissues such as bone, cartilage, muscle, and adipose tissue.

3. It gives us a boost of energy every morning, as it rises 30-45 minutes after waking.

4. It has effects on the brain that promote learning.

5. It modulates the functioning of the immune system: Cortisol is known for its anti-inflammatory effects; however, it also helps to fight infections or repair a wound, depending on what the body needs at a given moment.

6. It supports our long-term memory of emotional experiences. This is true for both positive and aversive experiences.

Cortisol is an essential hormone for our vital functions, and it only becomes harmful when its levels are deregulated. This can happen in some types of cancer, because of thyroid dysfunctions, or as a side effect of some drugs. However, in our common usage of the word, cortisol is most often considered to be the ‘bad guy’ because of its association with stress.

In truth, both stress and cortisol have a physiological protective function. However, the excessive activation of the stress response can become damaging, and cortisol is only one of the many mediators contributing to that damage.

Sources:

https://www.ncbi.nlm.nih.gov/pubmed/28781762

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3356084/

https://www.ncbi.nlm.nih.gov/books/NBK3907/

https://www.sciencedirect.com/science/article/pii/B978012800951200011X

https://www.ncbi.nlm.nih.gov/pubmed/29132949

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