Chronic stress is more than just a bad day or a looming deadline—it’s a persistent state of tension that can affect both your mind and body. Whether triggered by internal factors, like self-imposed expectations, or external ones, such as financial strain or workplace pressure, chronic stress can take a toll on your overall health if left unchecked.
Let’s dive into what chronic stress is, how it manifests, and what you can do to manage and recover from it.

Written by Isabella Fornell, nilo Psychologist
What Is Chronic Stress?
Chronic stress happens when the body’s natural stress response—the “fight-or-flight” mechanism—is activated continuously over a long period. This response, which is perfectly healthy in short bursts, releases stress hormones like cortisol and norepinephrine into your bloodstream to help you tackle challenges.
But when these hormones stick around, the story changes.
Here’s a personal example: When I started my career as a psychologist in Berlin, I vividly remember my first consultation day. That morning, I was grinding my teeth, sweating, and feeling shaky. My heart was racing, and I felt an overwhelming urge to act. It didn’t take long to realize I was experiencing acute stress—my body’s fight-or-flight response in action as I geared up for a new and unfamiliar challenge.
Have a look at the graph below:

Too little stress leads to low motivation and little engagement.
Moderate stress means we’re challenged and engaged.
Too much stress is overwhelming and compromises our performance.
Stress in moderate amounts is healthy and necessary! It energizes us, sharpens focus, and even enhances performance. Think of it as a bell curve: a little stress keeps you motivated and engaged, while too much becomes overwhelming and counterproductive.
When that overwhelming stress becomes a constant state, you’ve moved into the realm of chronic stress—a condition that can seriously harm your health.
What Causes Chronic Stress?
Chronic stress doesn’t have one single cause; it often stems from a mix of environmental and psychological factors. Here are a few common triggers:
- Crowded cities and endless traffic jams
- Unfulfilling or high-pressure jobs
- The barrage of negative news on social media or the internet
But here’s an important point: it’s not just about what happens to us—it’s how we perceive those events. If we see challenges as negative, uncontrollable, or inherently harmful, our stress response stays stuck in overdrive, increasing the risk of chronic stress.
What Are the Symptoms of Chronic Stress?
Chronic stress doesn’t just stay in your head—it impacts your entire body. Common symptoms include:
- Physical signs: Headaches, muscle tension, fatigue, and gastrointestinal issues.
- Emotional signs: Anxiety, irritability, or feelings of helplessness.
- Behavioral signs: Changes in appetite, disrupted sleep, or difficulty concentrating.
Over time, chronic stress can pave the way for serious health problems. It’s linked to depression, anxiety, chronic pain, weakened immune function, irritable bowel syndrome, and even cardiovascular disease.
How to Manage Chronic Stress
The good news? Chronic stress is manageable—and even reversible—with the right strategies. Here’s how:
1. Change Your Perspective
Stress itself isn’t the enemy—it’s how we interpret and respond to it. Instead of seeing challenges as threats, try reframing them as opportunities for growth. Ask yourself:
- Am I perceiving this situation as threatening or as a challenge I can tackle?
For example, during my graduate studies, I often compared myself to my classmates, which heightened my stress. When I shifted my mindset to focus on self-improvement—measuring my success against my own progress rather than others—it changed everything. Stress became a motivator rather than a burden.
2. Build Social Connections
Did you know that connecting with others can physically reduce stress? Researchers from the Max Planck Institute in Germany found that oxytocin, often called the “cuddle hormone,” helps the body recover from stress. Spend time with loved ones, reach out for support, and engage in acts of kindness like volunteering or helping others. These small but meaningful actions can boost your resilience.
3. Set Boundaries
Sometimes, stress comes from saying “yes” to too much. Evaluate how you’re spending your time and energy:
- Are you prioritizing what truly matters?
- Are you aligning your activities with your values?
- What tasks or commitments drain your energy instead of replenishing it?
By answering these questions, you can set healthy boundaries that protect your mental and physical well-being.
4. Prioritize Sleep and Rest
Stress and sleep often have a complicated relationship. According to the American Psychological Association (APA), nearly half of adults report lying awake at night due to stress. To improve your sleep:
- Establish a bedtime routine.
- Wind down an hour before bed by avoiding screens and engaging in calming activities like taking a warm bath or practicing relaxation exercises.
Good sleep is critical for recovery—don’t underestimate its power.
5. Seek Professional Help
If you’re struggling with chronic stress, don’t hesitate to seek guidance from a coach, therapist, or psychologist. Professional support can provide personalized strategies and help you develop resilience over time.
The Bottom Line
Chronic stress is a serious issue, but it’s not insurmountable. By changing your perspective, strengthening social connections, setting boundaries, prioritizing rest, and seeking help when needed, you can regain control of your well-being.
Remember, stress itself isn’t the problem—it’s how we manage it. Take small, intentional steps today to start reducing chronic stress and building a healthier, more balanced life. And if you want to talk to a professional, we’re here.