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Stress in a Broad Perspective - More Than Merely a Mental Illness!!

Written by
Dr. Muhammad Majid Hanif
and medically reviewed by iCliniq medical review team.

Published on Sep 07, 2015 and last reviewed on Jul 01, 2021   -  6 min read


Stress is not always due to mental (psychiatric) illnesses. Physical wellness also counts for stress levels in modern life.

Stress in a Broad Perspective - More Than Merely a Mental Illness!!

What Do You Think Is Stress in Your Daily Life?

Stress is not just a mental illness. It is not merely a disease of your brain and does not always mean that you have a serious psychiatric disorder. It is a multifactorial disorder including general physical wellness, issues related to chronic diseases, and is very well researched and perfectly-being treated in internal medicine.

Many people feel stress as only a psychiatric illness, and because it is sometimes taken as a stigma if you go for a psychiatric evaluation, a huge number of patients remain undiagnosed and untreated for years. The new clinical approach introduced by modern science is to spread awareness amongst masses that stress has many aspects, and they should be encouraged to discuss the problems freely with their Primary Care Provider (PCP). He will screen the patient, and if needed, he may also refer the patient to an appropriate psychiatrist. But a major bulk of patients get counseling and proper treatment right by their PCP, and it also lessens the workload of mental illness hospitals and psychiatrists.

Most of us take stress as a part of our daily life and have become used to stress so much that we do not even know that we are sick. Chronic stress makes our inner self hollow by damaging our personality and soul. Stress has two forms:

Healthy Stress:

It is a positive and sparkling constituent needed to excel in life. If somebody has it, he is actually healthy. But the problem is when somebody loses this stress, it is the same as he has lost his self-respect and he is no more himself. To get this concept, I usually put an example to my patients:

Think of a student who has his final examination after one month, and he has no worries regarding that and is not preparing for that too. Now he is sick, actually. He should have 'healthy' examination stress enough to make him motivated to prepare for the examination.

Unhealthy Stress:

This is damaging, unnecessary, and devastating stress and makes us sick over time if not properly handled. This can be handled if it is diagnosed in the very beginning and the cause of stress is treated timely. Regular visits to your Primary Care Physician are necessary to keep things under control and get yourself screened for stress.

How Stressed Are You?

This is a very difficult question, and even a learned person cannot make up with a proper answer. I have devised a questionnaire for my patients, and they have to check the stresses they have in their life. When they take this filled-out questionnaire back to me, it makes the picture clear. Catharsis is the best way to take the fears out of our inner self and to diagnose how stressed we actually are. This questionnaire form below fulfills this purpose perfectly. You just have to read and mark against the one which applies to you right now. For your ease, I have put them into groups so that you may have a clear picture of how much stress you have from each mentioned category.

Test Your Brain or Mental Wellness:

Test Your Emotional Wellness:

Wellness and Your Behavior:

Physical Wellness of the Body:

The following are stress-related disorders, they are,

  1. Acute stress reaction.

  2. Adjustment disorder.

  3. Post-traumatic stress disorder.

Acute Stress Disorder:

Following a stressful event, such as a serious medical diagnosis or a major accident, some people develop a characteristic pattern of symptoms. These include,

  1. A sense of bewilderment.

  2. Anxiety.

  3. Anger.

  4. Depression.

  5. Altered activity.

  6. Withdrawal activity.

The symptoms are transient and usually resolve completely within a few days.

Adjustment Disorder:

A more common psychological response to a major stressor is a less severe but more prolonged emotional reaction. The predominant symptom is usually depression or anxiety, which is insufficiently persistent to merit a depressive or anxiety disorder diagnosis. There may also be anger, aggressive behavior, and associated excessive alcohol use. Symptoms develop within a month of the onset of the stress, and their duration and severity reflect the course of an underlying stressor.

Grief reactions are a particular type of adjustment disorder. They manifest as a brief period of emotional numbing, followed by a period of distress lasting several weeks, during which sorrow, tearfulness, sleep disturbances, loss of interest, and a sense of futility are common. Perceptual distortions may occur, including misinterpreting sounds as the dead person’s voice.

Post-Traumatic Stress Disorder:

It is a protracted response to a stressful event of an exceptionally threatening or catastrophic nature. Examples of such events are,

It may also occur after a distressing medical treatment. There is usually a delay ranging from a few days to several months between the traumatic event and the onset of symptoms. Typical symptoms are,

Excessive use of alcohol and other drugs complicates the situation. The condition runs as a fluctuating course, with most patients recovering within 2 years. In a small proportion, the symptoms become chronic.

How Is Stress Managed?

  1. Support.

  2. Direct advice.

  3. Opportunity for emotional catharsis.

  1. Cognitive behavioral therapy.

  2. Eye movement desensitization and reprocessing (EMDR).

  3. Stress management.


If you have two or more of the above-mentioned symptoms, it is high time to get yourself checked by your PCP as there may be a serious medical illness or chronic disease disturbing your life routine and making you feel sick and stressed all the time.


Last reviewed at:
01 Jul 2021  -  6 min read




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