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Douglas Wilson, Ph.D.

Stress

Some stress is part of being alive. The trouble begins when it stops lifting: when the pressure becomes the background of every day and begins to cost you your sleep, your health, your patience, and your sense of yourself.

ON THE SURFACE · WHAT YOU MIGHT NOTICE

  • Feeling constantly behind or on edge
  • Trouble sleeping, switching off, or concentrating
  • Headaches, muscle tension, stomach problems
  • Irritability with the people closest to you
  • Relying on work, screens, food, or alcohol to cope
  • A sense that you are managing, barely

BENEATH · WHAT MAY BE AT WORK

  • Standards you did not choose but cannot put down
  • A belief that your worth depends on what you produce
  • Difficulty saying no, and the history behind it
  • Fear of what would surface if you slowed down
  • Early roles, the responsible one, the strong one, that you are still playing

When stress becomes chronic

Stress is the body’s response to demand. In short bursts it is useful; it sharpens attention and mobilizes energy. When demand is constant and recovery never quite happens, the same response begins to wear you down. People living with chronic stress often describe a mix of exhaustion and agitation: too tired to rest, too wired to sleep. Over time this takes a toll on physical health, mood, relationships, and judgment.

Why it is not only about the workload

Two people with the same job and the same hours can experience very different levels of stress, and the difference is rarely about time management. From a psychodynamic perspective, chronic stress often has roots in how we learned to earn our place in the world. Some of us learned early that being needed was the price of being loved. Some learned that slowing down was dangerous, or lazy, or an invitation to criticism. Some took on the role of the capable one in a family that needed someone to be capable, and never put it down.

These patterns are mostly invisible, which is why the usual advice (delegate, set boundaries, take care of yourself) is easier to agree with than to follow.

How I work with stress

We look at both layers. On the surface, we work on practical ways of restoring some balance: rest, limits, and ways of coping that don’t create new problems. Beneath it, we get curious about why the pressure feels non-negotiable, and whose voice is setting the standard. As that becomes clearer, people often find that they can make different choices, not because they have been told to, but because the old reasons no longer hold.