What Exactly Is Toxic Stress, And Why Does It Matter?

Stress seems to be an inevitable feature of our urgent, fast-paced, and technology-saturated lives. We may be familiar with stress as a reaction that prepares us for a short, intense flight-or-fight response to a perceived threat.

In moderation, stress can serve as a motivator, enhancing our performance and resilience.

However, toxic stress, which we can understand as chronic exposure to severe stress, has detrimental effects on both our physical and mental health.

What Is Toxic Stress?

Toxic stress is a form of chronic, long-term stress. It refers to the extreme, prolonged activation of the body’s stress response system in the absence of supportive relationships or protective factors (Shonkoff et al., 2012).

Toxic stress can lead to significant health problems and developmental disruptions. Toxic stress in adults may manifest as impulsivity, decreased interest in activities, and increased anxiety. Childhood toxic stress can cause abnormal development and permanent structural changes in the brain closely linked to cognitive impairment, severe mental illness and addiction, and a range of chronic health issues.

Symptoms of toxic stress may include:

• Muscle pain
• Headaches
• Gastrointestinal upset (such as stress-induced constipation)
• Increased heart rate, blood pressure, or respiration
• Sleep disturbances or nightmares
• Changes in appetite, eating, and weight
• Trouble regulating emotions
• Increased anxiety and irritability
• Depression or mood swings
• Impulsive, risky, or destructive behavior patterns
• Increased use of substances or alcohol
• Difficulty focusing, concentrating, or remembering things
• Inability to feel present or engaged in activities
• Impaired functioning in one or more areas of life
• Social withdrawal or isolation
• Racing thoughts or negative thoughts about self and future

Signs of Toxic Stress

Recognizing the core signs and symptoms of toxic stress is crucial for timely and effective intervention.

Signs of Toxic Stress in adults may include:

• Persistent anxiety:
  A chronic state of heightened alertness and worry that is disproportionate to actual threats (McEwen, 2007)
• Sleep disturbances:
  Difficulty falling asleep, staying asleep, or experiencing restless sleep, often due to hyperarousal (Meerlo et al., 2008)
• Cognitive impairment:
  Problems with memory, attention, and executive function stemming from stress-induced changes in brain structure and function (Lupien et al., 2009)
• Physical health issues:
  Increased risk of cardiovascular diseases, metabolic syndrome, and immune dysfunction, linked to prolonged stress hormone exposure (Sapolsky, 2004)
• Emotional dysregulation:
  Heightened sensitivity to emotional stimuli, frequent mood swings, and difficulty managing negative emotions (Davidson et al., 2000)
• Behavioral changes:
  Increased irritability, aggression, or withdrawal from social interactions, which can impact personal and professional relationships (Felitti et al., 1998)

Signs of toxic stress in young people may include:

• Dropping grades or poor work performance
• Increased behavioural outbursts and tantrums in children
• Reduced interest in social and recreational activities
• Aggressive behaviours or fighting in older kids/teens
• Increased defiance or rebellion
• Fidgeting, restlessness, or trouble sitting still
• Increased separation anxiety in younger children
• Bedwetting or toileting accidents in younger children
• Cutting or other forms of self-injury

Toxic Stress in Children & Its Effect on Development

Children are particularly vulnerable to the effects of toxic stress, which can interfere with their brain, emotional development, and overall wellbeing.

During critical periods of growth, exposure to severe, chronic stress can disrupt and impair the formation of neural circuits in regions of the brain that are critical for learning, memory, and emotional regulation. This disruption can result in long-term cognitive deficits, emotional instability, and an increased risk of mental health disorders such as depression and anxiety and other chronic health conditions.

Exposure to toxic stress in children may lead to long-term impacts, such as:

• Being in an abusive relationship
• Substance misuse
• Suicide attempts
• Developing heart disease or liver disease
• Chronic illnesses like asthma or auto-immune disorders
• Cognitive impairments affecting learning and memory
• Poorer executive functioning (i.e., planning, decision-making, etc.)
• Destructive habits like gambling or promiscuity

Protective Factors that can mitigate Toxic Stress

 Managing stress should be a priority for everyone. As previously mentioned, some stress can be healthy and motivating, but lasting, severe, and toxic stress is not. Practicing healthy coping skills, maintaining a balanced life, and setting goals can help you combat and prevent the effects of chronic stress.

Below are tips for coping with toxic stress: 

1. Focus on Things in Your Control –  Many different triggers and demands, some of which are beyond your control, can foster toxic stress. Focusing on the causes you cannot change will leave you feeling overwhelmed. Instead, address whatever factors are within your control, such as your responses to situations, outlook, or pleasurable activities. Take action to improve your situation by investing time and energy into positive actions.

2. Maintain a Healthy & Balanced Lifestyle –  People struggling with toxic stress more commonly fall into unhealthy habits like smoking, drinking, or overeating. These unhealthy habits may provide temporary relief but can lead to long-term issues that worsen stress. Make your health a priority and do what you can to ensure you eat well, sleep enough, exercise regularly, and avoid drugs and alcohol.

3. Strengthen & Maintain Your Relationships – One of the greatest protective factors against toxic stress is support from people who care about you. Some tend to push loved ones away or isolate when stressed. However, social withdrawal only worsens the harmful effects of toxic stress. Make an intentional effort to reach out, respond, and attend to those you love.

4. Practice Relaxation Techniques – Numerous practices promote relaxation, and making these a part of your routine helps you reduce and manage stress. Many benefit from mindfulness, guided meditation, yoga, progressive muscle relaxation, or visualization exercises. Whatever route you take, stress management techniques are key to maintaining well-being and health.

6. Set Goals & Plan for Your Future –  Many experiencing toxic stress believe their situation will never improve, only increasing overwhelm and hopelessness. Goals and plans for the future provide you with direction, purpose, meaning, and optimism. These feelings are crucial when dealing with toxic and chronic stress. Access to mental health services
7. Access to Mental Health Services –  Timely access to psychological support and counseling can mitigate the effects of toxic stress (Kazdin & Blase, 2011).

Stress Management activities for children.

Stress management activities for children matter because they play a crucial role in promoting healthy development. They contribute to enhancing our children’s emotional regulation, academic performance, social skills, resilience, and overall wellbeing.

1. Mindfulness exercises
   Teaching children simple mindfulness practices, such as deep breathing or guided imagery, can help them manage stress by promoting relaxation and present-moment awareness (Schonert-Reichl & Roeser, 2016).
2. Physical activity
   Encouraging regular physical activity, such as sports or play, can reduce stress levels and improve overall wellbeing (Strong et al., 2005).
3. Creative expression
   Activities like drawing, painting, or playing musical instruments can provide children with a healthy outlet for their emotions (Malchiodi, 2013).
4. Storytelling and reading
   Sharing stories and reading together can foster emotional connection and help children process their experiences.
5. Nature walks
   Spending time in nature has been shown to reduce stress and enhance mood, making it an effective stress management activity for children (Kuo, 2001).

Incorporating stress management activities into a child’s routine, such as mindfulness exercises, physical activity, creative arts, and relaxation techniques, can have lasting positive effects on their development and quality of life.

Medications, if become dependent upon, can consume a man entirely.

In the unfortunate event of a workplace injury or other acquired injury, medication dependence often finds it’s birthplace. Men are often prescribed powerful medication to manage their pain.

This powerful medication is designed to be utilised for short-term use, yet it becomes anything but.

A physiological and psychological dependence can develop whereby the man struggles to consider life without such drugs, where the positive effects of substance use, or the unpleasantness of withdrawal, become insurmountable barriers.

To have a holistic understanding of prescription medication, we must acknowledge the positive benefits.

Medication can relieve us of pain – why wouldn’t it be appealing?

Medication can relieve us of stress and troubled thoughts through numbing our brain and body – again, why wouldn’t that be appealing?

Medication, through it’s positive effects, creates a powerful urge to use them again….and again.

The fact that medication can be so appealing, yet in some circumstances, so addictive is what potentially what makes it so catastrophic. It’s that ‘double edged sword’ we’ve all heard of.

A compounding risk factor is where there is a lack of monitoring through the GP or prescribing source.

If medication reviews are too irregular (or non-existent) to properly understand the way you are responding both physically and psychologically, the management of medication becomes more and more the accountability of the individual. The battle vs the brain begins.

The reality is that GP’s are busy, often pushing through clientele to meet the demand. This makes it easy for a bloke to ‘channel’ the appointment in a ‘preferred’ direction – the man is in a prime position to maintain, or even ‘up’ the medication regime based upon the information he may ‘choose’ to share with the GP.

And then there’s ‘Denial’.

Denial is a psychological defence in which a person is faced with a fact that is too uncomfortable to accept and rejects it instead, insisting that it is not true despite what may be overwhelming  or what others around them observe and share. It’s a strategic tool the mind can employ when things get tough. It protects us from uncomfortable thoughts and helps keep us safe.

While ‘denial’ can keep an individual safe, it can also hurt the individual when it involves addiction or abuse. These problems affect everyone in a family and can lead to unhealthy patterns that get passed down from one generation to the next.

Dependence and/or addiction can become the priority, the obsession – often without the conscious knowledge of the individual.

Medication essentially can become the ‘love affair’, the one thing you will do anything for, the one thing you sacrifice other areas of your life for…….. the priority of your existence.

The unfortunate aspect of this, is that the dysfunction is often suppressed from the conscious stream of thoughts as it brings with it shame and decisions that are too hard to make.

It manifests itself.

Here are some symptoms of being addicted to medicines:

• needing to use it regularly, or in larger amounts to cope with everyday life
• using more of the medicine than was prescribed
• cravings, or a strong desire to use the medicine
• feeling anxious about not being able to get your medicine
• spending too much time getting, using or recovering from the medicine
• finding it hard to cut down or stop using the medicine
• continuing to use the medicine, even when you know you have a problem
• having withdrawal symptoms — unpleasant feelings of illness if you stop taking it regularly
• feeling judged or ashamed when your pharmacist or doctor wants to discuss how much medicine you are taking

Important Note: There is no judgement in expressing the above-mentioned information. Medications are an important part of recovery but are also a trap all too many individuals have fallen into. The intent of this written piece is to bring awareness to this issue and encourage self- reflection.

Upon self-reflection, the challenge would be HONESTY with SELF.

Beyond this, the choice to take ownership and take measures to be the desired version of yourself is the opportunity that awaits.

Please consider speaking with your G.P or local service provider for support.

Alternatively, allowing yourself to be vulnerable and share your struggles with a loved one, may open the path for care and compassion and inspire movement toward services that will be best equipped to support you in your desired goals.

A very wise friend of mine once said:

“Use your birthday as your trigger date to get an annual health check-up”.

Best advice I have received with an ageing body. This is not only beneficial for those who are stacking up the years but also for the young and middle-aged men in our community who often neglect their health.

The benefits of developing good habits around self-care can be the difference between quality in life or not, between life and death in more extreme circumstances.

So here is your prompt to value who you are and what you are to others and find the time to look after yourself. A great starting point is an appointment with a GP – doesn’t have to be a family GP – it can be any GP.

Note: While the emphasis is often on our physical health, please nurture your Mental Health also.

You know the Nike slogan?

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