The Health Biz

Stress is part of life. There’s just no escaping it. There are good forms of stress and bad forms, but it’s always with us in one way or another.

Acute stress - also known as fight-or-flight response, is an anxiety disorder. It occurs when we experience either a real or perceived threat to us. The perceived threat can be physical in nature, such as a speeding car 100 feet away bearing down on us or a black bear 100 yards away from our camping tent. Or the threat can be emotional as a mother might feel as she’s waiting for the hospital to call regarding the fate of her husband or child that is lying on a hospital operating table.

The theory of acute stress response has been around since the 1920’s. When this response occurs, the body goes through a host of changes. The blood vessels narrow causing blood to drain away from the skin, hence the expression “he was white as a ghost” to describe someone who has just experienced a frightening event. The drained blood, and oxygen, flows into the muscles, lungs, and large muscles - strengthening them all. The heart rate increases enabling blood to be pumped to the various body organs faster. And the pupils of the eye becomes dilated allowing for sharper vision.

Besides the symptoms referred to above, the adrenal glands release the “stress hormone” cortisol which flows through the body. Cortisol has an instantaneous and striking effect on the body. Reflexes are enhanced, immunity is augmented, sensitivity to pain is diminished, and the body is suddenly more energetic and ready to run or fight.

According to traumatic stress treatment centres, prime candidates for acute stress are soldiers returning from war. Many of the troops coming home from Iraq have experienced high levels of acute stress. Many people in the medical field, such as doctors and nurses, experience this as well.

Acute stress disorder is somwhat more severe. It’s a reaction that typically develops subsequent to the initial traumatic event that may have caused acute stress in the person. It can often be sparked by the person merely recalling the event. Only a licensed therapist or psychologist can diagnose acute stress disorder, but some symptoms are:

1) Difficulty concentrating - the person may have problems focusing or following a train of thought and may seem as if he is in a daze or fog.

2) Detachment and a decrease in emotional responsiveness - the person may seem emotionally aloof, as if they’ve detached themselves from their feelings in order to avoid further pain.

3) Ongoing Short term amnesia - the person may go into a room to get something but suddenly can’t remember what it was he wanted. Or, he may start to ask you an important question, but can’t remember what he wanted to ask.

In order for symptoms to be classified as acute stress disorder, they must take place within 1 month subsequent to the initial traumatic event. This disorder is very closely related to post traumatic stress disorder or PTSD. PTSD is basically a longer lasting form of acute stress disorder.

Broadly speaking, stress is normally thought of as bad for us. But, in reality, acute stress or short term stress is a centuries old survival mechanism that helps us to cope with wrenching events in our lives.

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