Stress & Mental Health

chronic stress

fight-or-flight

stress

stress response

What Is Stress in Science: How Your Brain and Body Respond to Pressure, and What Can You Do About It?

What Is Stress in Science: How Your Brain and Body Respond to Pressure, and What Can You Do About It?

Authors and reviewers

Dr. Dimitar Marinov (MD, Ph.D.)

is a physician and dietitian practicing evidence-based medicine. He graduated in Medicine with honors in 2017 and completed his specialty training in Nutrition and Dietetics in 2023. His professional focus includes clinical nutrition, dietetics, and the application of scientific evidence in medical practice.

What is stress in science? In scientific terms, stress is a natural response by your body to help you survive a life-or-death situation. But stress today is not a physical threat. It is deadlines, conflict, financial pressure, and an overflow of negative news. As there is often no immediate solution to these issues, your body may react as if you are in a life-and-death situation that never ends.

Keep reading to discover how your nervous system and hormones drive the stress response and why chronic stress can literally crush your health in the long term. Because chronic stress can affect your health over time, the article also covers practical, evidence-based ways to activate the recovery response and restore a reliable off-switch.

How Is the Stress Response Supposed to Work?

Stress is not just a feeling. It is a coordinated biological stress response that your brain turns on when it detects triggers like threat, uncertainty, loss of control, or even social evaluation (the anxiety of being judged). That response evolved to keep you alive in short, high-stakes moments, as it shifts your body away from long-term maintenance and toward immediate survival.

Two linked systems drive most of the stress that you may feel:

  • The first is the sympathetic-adreno-medullar system, often called the SAM axis. When your brain flags danger, sympathetic nerves stimulate the adrenal medulla, which releases adrenaline and noradrenaline. 

This is the fast fight-or-flight response. Heart rate rises within seconds, breathing speeds up, and blood pressure increases so you can deliver oxygen and glucose to muscle and brain quickly.

  • The second system is slower and longer acting. It involves your hypothalamic-pituitary-adrenal axis (HPA axis), which starts with corticotropin-releasing hormone (CRH) released from the hypothalamus. CRH triggers ACTH release from the pituitary, which drives cortisol release from the adrenal cortex.

Cortisol is the classic stress hormone for sustained effort. It increases fuel availability, changes immune response priorities, and feeds back to the brain and pituitary through glucocorticoid receptors to shut the system down when the stressor ends.

This design makes sense when stress has a clear finish line. A short stress spike, followed by parasympathetic recovery, lets you return to baseline. The autonomic nervous system is built for that oscillation. Sympathetic nervous system activation helps you act. Parasympathetic nervous system activation helps you recover, digest, sleep, and repair.

What Chronic Stress Does To Your Body And Brain

Modern life often breaks the cycle of short stress spikes, followed by parasympathetic recoveries. One reason is that many stress triggers are psychosocial stress rather than physical threats. They come as emails, deadlines, conflict, money pressure, doomscrolling, long working hours, or traumatic events that keep your brain scanning for danger. 

The stress response still fires as if something must be handled right now, even when no action resolves it. This way, you move from acute stress into chronic activation and therefore, chronic stress.

Chronic stress causes an accumulation of allostatic load
Allostatic Load — The cumulative physiological burden placed on the body by repeated or chronic stress. Go to Glossary
. This means a buildup of cumulative wear from repeated activation, poor shutoff, or dysregulated responses across neuroendocrine, autonomic, and immune systems. With chronic stress, you live in a physiological bias toward sympathetic output and away from parasympathetic recovery. 

It is reflected in basic measures, such as: 

  • Resting heart rate tends to increase. 
  • Blood pressure becomes easier to push up and harder to bring down. 
  • Heart rate variability, a common index of vagal and autonomic flexibility, often drops, which reflects reduced capacity to shift from activation into recovery.

Impact of Chronic Stress on the Heart and Immune System

The human cardiovascular system is not built for constant readiness. Short bursts of higher heart rate and blood pressure are normal and useful, but prolonged strain contributes to vascular injury risk patterns, especially when repeated over multiple years. For example, a large meta-analysis of 20 studies with 603,838 individuals has clearly demonstrated that working 55 hours or more per week is associated with higher stroke risk compared with standard working hours.

Your immune system also changes to adapt to acute stress. Similarly, these changes are beneficial in the short term, but this becomes unfavorable when prolonged and maintained.  Specifically, some protective functions against viruses and bacteria become suppressed because they do not help you survive an immediate threat. Clinical research clearly shows that higher psychological stress predicted a higher chance of infection with the common cold after exposure to a rhinovirus.

On the other hand, pro-inflammatory signaling increases to speed up recovery after stressful situations, such as wound healing. But prolonged increase in inflammation also has consequences like increased risk of chronic diseases, heart attacks, insulin resistance, type 2 diabetes, and more.

Impact of Chronic Stress on Mental Health

Chronic stress also links to mental health outcomes. Notably, studies suggest that HPA axis dysregulation and altered cortisol dynamics show up often in major depression. Moreover, they relate not only to mood disorders but also to cognitive symptoms as well, not only mood. If you add trauma into the picture, the signal strengthens. 

Traumatic events can calibrate the stress response long-term, including altered glucocorticoid receptor
Glucocorticoid Receptor — Is a protein found inside cells that binds cortisol and other glucocorticoid hormones, allowing them to regulate gene expression and influence the body’s stress response. Go to Glossary
signaling and epigenetic marks such as DNA methylation changes in stress-related genes like NR3C1, the glucocorticoid receptor gene.

Studies have linked childhood maltreatment severity with increased NR3C1 methylation patterns, tying early psychosocial stress to lasting HPA axis regulation differences, even later in life.

Impact of Chronic Stress on Cognition and Brain Health

At the brain level, chronic stress can also lead to structural and functional problems related to memory and cognition. To be more precise, stress may not reduce your intelligence overnight, but it pushes your brain toward survival-mode wiring and away from flexible cognition.

For example, research suggests that chronic stress drives dendritic remodeling across brain regions, including the hippocampal formation, amygdala
Amygdala — An almond-shaped structure in the limbic system involved in emotional processing, especially fear and threat detection. Go to Glossary
, and medial prefrontal cortex
Prefrontal Cortex — Region involved in executive functions and reasoning. Go to Glossary
, with consequences for memory, emotion regulation, and decision-making.

Notably, different brain regions change in different directions. For example, in parts of the prefrontal cortex, including the dorsolateral prefrontal cortex and medial prefrontal cortex, chronic stress tends to reduce dendritic complexity and synaptic strength.

Functionally, that looks like worse working memory
Working Memory — Short-term storage and manipulation of information. Go to Glossary
and more impulsive choices. When your prefrontal cortex has less influence, you lean more easily towards short-term coping behaviors, including junk food, alcohol, avoidance, and conflict escalation.
In the hippocampus
Hippocampus — Brain structure crucial for forming new memories. Go to Glossary
, chronic glucocorticoid exposure is related to changes in hippocampal pyramidal neurons and dentate gyrus circuitry that support learning and memory. 

The hippocampus is dense with glucocorticoid receptors, which is one reason it is so sensitive to a prolonged cortisol response. Studies suggest that prolonged elevations in cortisol in older adults predicted reduced hippocampal volume and hippocampus-dependent memory deficits.

At the synapse level, stress biology intersects with mechanisms related to cognitive function. Excess glucocorticoid signaling, sleep disruption, and neuroinflammatory signals can all shift plasticity in the wrong direction, which is one plausible path from chronic stress to stress-related brain issues like poorer learning efficiency and slower cognitive recovery after overload. 

Elevated cortisol has also been associated with poorer cognition and increased risk of cognitive decline and Alzheimer’s disease in clinical literature, with mechanistic plausibility through hippocampal vulnerability, vascular effects, sleep disruption, and neuroimmune interactions.

How To Use Stress As Intended

Stress management is not about lowering stress hormones. It is about restoring control over the timing of their release. You want acute activation when it helps and a reliable shutdown when it does not.

Here are several steps on how to do it:

Step 1: Acknowledge it

The first step towards utilizing stress is recognizing it as a real biological state that has its importance. Your body is telling you that your autonomic nervous system and HPA axis are already participating. The earlier you notice stress triggers, the easier it is to shorten the cortisol response and reduce chronic activation.

Step 2: Attempt a parasympathetic recovery

Then build the off switch on purpose. One of the cleanest ways to nudge your autonomic nervous system toward parasympathetic dominance is slow breathing.  Meta-analyses and reviews support that voluntary slow breathing can increase vagally mediated HRV
HRV — Heart Rate Variability is a measure of the variation in time between consecutive heartbeats, reflecting autonomic nervous system balance. Go to Glossary
and shift physiology toward a relaxation response. 
A common target used in studies is around 6 breaths per minute (or 10s per breath cycle), which can engage reflexes like baroreflex
Baroreflex — A reflex mechanism that helps regulate blood pressure through sensors in blood vessels. Go to Glossary
mechanisms and improve autonomic flexibility.

Deep breathing works best when you treat it like a protocol. Two to five minutes after a stress spike can be enough to change the trajectory of the next hour, especially if you pair it with a physical downshift like walking outside or loosening chronically tensed muscle groups.

Step 3: Improve your environment

An environment that is not optimized for relaxation, can make you more prone towards stress reactivity. For example, poor sleep increases next-day stress reactivity and makes prefrontal control weaker, which is exactly what you want to avoid if trying to keep stress episodic. 

If you can fix only one thing from your environment during a stressful month, protect sleep timing and light exposure, and keep stimulants early.

To support prefrontal cortex function, you should also try doing activities that require sustained attention and executive control, instead of running on habit.  That can be as simple as focused reading, skill practice, or structured problem-solving, done in short sessions with breaks, not in marathon grinds that push you deeper into sympathetic mode.

Step 4: Seek aid from others

If stress is already affecting your mental health, do not rely on willpower alone. For example, participating in cognitive behavioral therapy with an experienced specialist has strong evidence as an effective treatment for depression and related symptoms. 

It gives you tools to change threat appraisal, repetitive, negative thought cycles (rumination loops), and avoidance patterns that keep the HPA axis activated.

The Most Effective Way To Deal With Chronic Stress

Understanding what is stress in science helps explain why stress management is not about avoiding stress, but about restoring control over activation and recovery. The most effective stress management is often simple. Reduce the number of times you trigger the stress response each day. Do a blunt audit of stress triggers. Identify what reliably spikes your heart rate, tightens your body, or pulls you into rumination. 

For many people it is notification overload, social media, unresolved conflict, and ambiguous demands with no endpoint. If you remove the trigger, you reduce the need for stress hormones to surge in the first place.

Social support is also important. In controlled studies, people with more diverse social ties showed greater resistance to experimentally induced colds after viral exposure, which is one concrete example of how social connection relates to immune response under stress.

For bigger stressors, act at the environment level. If your workplace normalizes chronic activation, your best breathing technique will not fully compensate. In those situations, a realistic exit plan is not drama but health risk reduction.

Finally, keep in mind that chronic stress can shrink your cognitive bandwidth. Your prefrontal cortex goes offline more easily, and you get worse at solving the very problems that generate stress. If you notice that pattern, asking for help becomes a direct physiological intervention. 

An extra mind can restore planning, perspective, and action. That is how you break allostatic load accumulation before it turns into long-term cardiovascular system strain, brain aging pressure, and stress-related brain issues that you do not want to carry into later life.

by Dr. Dimitar Marinov, Ph. D.

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Content is for informational purposes only and is not medical advice. Statements are not evaluated by the FDA or EMA. Always consult your healthcare provider.