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Everyone experiences stress from time to time. Stress disorders, however, are of a different magnitude. These occur as a result of profound trauma, such as encountering or witnessing a death, or experiencing serious injury. People with stress disorders exhibit intense fear, helplessness, or horror. Acute stress disorder occurs soon after the traumatic event and lasts for a month or less. Post-traumatic stress disorder (PTSD) may begin within a few days of an event or may have delayed onset—sometimes as long as 30 to 40 years—and continues for more than three months.
Signs and Symptoms
A stress disorder is often accompanied by the following signs and symptoms.
What Causes It?
Stress conditions are caused by the combination of a traumatic event and a strong reaction to it. Such traumas include war, rape, inappropriate sexual experience, illness, bereavement, or natural disaster.
Who's Most At Risk?
People with the following conditions or characteristics are at a higher-than-average risk for developing a stress disorder.
What to Expect at Your Provider's Office
If you are experiencing symptoms associated with stress disorder, you should see your health care provider. He or she can help make a diagnosis and guide you in determining which treatment or combination of therapies will work best for you.
Your provider will do a physical examination, noting if you appear pale, tired, or disoriented. Diagnostic procedures may include a psychiatric exam and psychological testing, hypnosis in cases of amnesia, and an electroencephalogram (EEG) to rule out brain damage or diagnose sleep disorder. Imaging techniques can also rule out brain damage.
Crisis intervention can help prevent post-traumatic stress disorder from developing.
While symptoms associated with acute stress usually automatically decrease with time, chronic stress requires a longer and more complex treatment plan. Crisis intervention may provide support, acceptance, and education. Psychotherapy can help people master their fears and overcome avoidance behaviors.
Your provider may prescribe the following medications for symptom relief (although none has been approved by the Food and Drug Administration for this use):
Complementary and Alternative Therapies
A comprehensive treatment plan for stress disorders may include a range of complementary and alternative therapies.
Following these nutritional tips may reduce symptoms.
Potentially beneficial nutrient supplements include the following.
The following herbal remedies may provide relief from symptoms: a combination of equal parts of passionflower (Passiflora incarnata), lemon balm (Melissa officinalis) and oatstraw (Avena sativa) with one to three of the following herbs.
Siberian ginseng (Eleuthrococcus senticosus) inhibits the alarm phase of stress. It is best taken four to six months as a fluid extract (1:1) 1/2 to 1 tsp. two to three times per day. Take before 3 pm.
Herbs are generally available as dried extracts (pills, capsules, or tablets), teas, or tinctures (alcohol extraction, unless otherwise noted). Dose for teas is 1 heaping tsp./cup water steeped for 10 minutes (roots need 20 minutes).
An experienced homeopath can prescribe a regimen for treating stress disorder that is designed especially for you. Some of the most common acute remedies are listed below.
Acute dose is three to five pellets of 12X to 30C every one to four hours until symptoms are relieved.
People with stress disorder are at greater risk of developing other mood or anxiety disorders, or experiencing substance abuse. They are predisposed to conditions such as heart disease, insomnia, and gastrointestinal illness. Suicide is more common among people with stress disorder.
Patients are treated on an outpatient basis until symptoms have subsided. In cases where there is a concern about self-abuse or suicide, the patient will be referred for treatment on an inpatient basis.
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Copyright © 2000 Integrative Medicine Communications
The publisher does not accept any responsibility for the accuracy of the information or the consequences arising from the application, use, or misuse of any of the information contained herein, including any injury and/or damage to any person or property as a matter of product liability, negligence, or otherwise. No warranty, expressed or implied, is made in regard to the contents of this material. No claims or endorsements are made for any drugs or compounds currently marketed or in investigative use. This material is not intended as a guide to self-medication. The reader is advised to discuss the information provided here with a doctor, pharmacist, nurse, or other authorized healthcare practitioner and to check product information (including package inserts) regarding dosage, precautions, warnings, interactions, and contraindications before administering any drug, herb, or supplement discussed herein.