As a doctor, I get a lot of health questions both in my practice and in my email inbox. Today, I found one that I felt was particularly compelling that I’d like to share with you all:

Hi, Dr. Manny, can you please tell me some natural remedies for stress? – Shideh

The thing is, in today’s day and age, with America undergoing so many difficult times due to high unemployment rates, terroristic threats and a shifting moral compass, more and more people are suffering from negative stress. Negative stress takes a toll on our daily lives and our health and can lead to high blood pressure, obesity, heart disease, anxiety and depression, among other problems, so I feel this question is very appropriate.

Rest assured, there are many things you can do before you run out to get a pill. Here’s a list of some of the most effective natural stress reducers.

Passionflower

While passionflower has long been considered a “folk remedy” for anxiety and insomnia, a few studies have shown that the herb may actually be comparable in effectiveness to benzodiazepine drugs, which are used to treat stress. Though not proven, it is believed that passionflower works by increasing levels of a chemical called gamma-aminobutyric acid (GABA) in the brain. This lowers the activity of some brain cells, making you feel more relaxed.

Passionflower is available in a variety of forms, including infusions, teas, liquid extracts and tinctures. It is not recommended for children or for women who are pregnant or nursing. Consult your doctor before adding it to your diet, especially if you are taking other medications.

Massage

This is kind of a no-brainer, right? Everybody loves a massage. But did you know that it’s been used as a stress reliever for thousands of years? Historically, the Chinese used massage to open blocked energy channels in order to improve health and Hippocrates, the “father of western medicine,” used friction for physical healing treatments. Today, we use massage to relax tense muscles, reduce pain and improve circulation, which can all do wonders for the mind.

Meditation

Meditation, or mindfulness, only takes 15-30 minutes a day, which is doable even in a packed schedule. It’s also incredibly affordable, considering the only tool you need is your own mind. Just give yourself some silent time to let your thoughts run free or just focus on your breathing. That small amount of peace in your day can help you deal with or even release stress.

Exercise

Whether it’s yoga, tai chi or running, exercise works much in the same way as meditation because it gives you time to be alone with your thoughts (or an opportunity to let them go). However, exercise also has the added benefit of releasing endorphins into the brain, which improves your mood. It also prevents obesity and other health problems, giving you less to be stressed about.

Organize your life

Organization offers a sense of control and peace of mind, and there’s a number of ways you can improve in this regard. If you’re the kind of person who’s always running around, it can help to make lists to help yourself remember everything. If you’re the kind of person who feels edgy in their own house, tidy up. Studies have shown the mere sight of clutter can put us on edge.

Eat Healthy

It’s actually been proven that junk food can make us depressed (not to mention fat) so clean up your diet. Healthy foods like whole grains and protein can improve your mood and give you long-lasting energy to tackle everything that comes your way during the day. Foods that are especially effective for stress-busting include blueberries, salmon and almonds, according to scientists.

Also, put down that extra cup of coffee. While studies have shown that some coffee during the day can offer health benefits, too much caffeine will make you jittery and anxious, and eventually lead to a crash.

Limit internet and cell phone use

Disconnect, disconnect, disconnect. Part of the problem with reducing stress in today’s world is that we are never truly able to shield ourselves from it. By turning away from the internet and shutting off our cell phones, we can at least block some of the channels from which stress can reach us. Doing this also allows us to live in the moment and appreciate it.

It is particularly important to cut off electronic use before sleep, which can cut down on insomnia-related problems.

B Vitamins

B vitamins are known to promote proper functioning of the brain and nervous system, as well as help induce relaxation and fight fatigue. In fact, indicators of B deficiency include irritability, depression and apathy, so to stave off those symptoms, increase your intake of foods rich in B vitamins. B vitamins are typically found in the germ and bran of cereal grains, as well as beans, peas, nuts, liver, eggs and dairy products.

Aromatherapy

In some cases, inhaling certain scents has been shown to have immediate stress relief effects by raising mood, reducing anxiety and aiding focus and concentration. Experts say it’s because the smells can stimulate the limbic system, which in turn releases chemicals that affect the brain, promoting feelings of relaxation, calmness, love and excitement. Popular oils for stress relief and mental fatigue include lavender, cypress and rosemary.

Sleep

Sleep is the most important natural stress reducer of them all. Too little sleep leaves us cranky, irritable and on edge. Too much sleep can leave us sluggish and depressed. Try to find the right balance that allows you to feel well-rested and ready for the day. Promote better sleep by establishing bedtime rituals that signal to your brain that it’s time to fall asleep, avoid exercise in the three hours before sleep or take a warm bath. Certain foods can also promote sleep, such as carbohydrates, bananas, peanuts, figs and dairy. These contain tryptophans, a precursor for creating melatonin. However, avoid having a large meal close to bedtime, because it may result in indigestion, reflux or heartburn.

Feel free to send me any of your health-related questions at askdrmanny@gmail.com.

Stress is our body’s ability to respond to our surroundings–how we react to our family, our work, and various events in our lives.

Stress is normal. Everyone is under some kind of stress—every day. But there are two kinds of stress: the good and the bad. Good stress can be something like getting a new job or buying a first home. Bad stress can range from experiencing a difficult financial situation to having a sick family member, to missing a flight to getting a flat tire in the pouring rain.

Short-lived stress rarely affects long-term health. But stress becomes a problem when it’s chronic and difficult to identify. Stress manifests itself through feelings of sadness, anxiety, anger, frustration, guilt, or excitement. Our mood starts to fluctuate. Some people drink or smoke; others opt for healthier outlets such as jogging. Some just go shopping.

Eventually, our body starts to ache here and there, first a little bit, then more and more. Those may seem like “phantom aches” at first, but as time goes by, they can become legitimate physical health threats. If left unchecked, stress can ultimately cause blood pressure oscillations and weaken the immune system, which makes us much more susceptible to illnesses that our body, under normal circumstances, would be able to fight.

People can eventually die from the effects of stress because, at the end of the day, those under stress are going to have more heart disease, more diabetes, more obesity, and more gastric problems like ulcers than people who are relatively stress-free.

One of the most severe types of stress is called post-traumatic stress disorder, or PTSD. PTSD is a psychiatric disorder that occurs after experiencing an extremely stressful situation or witnessing a life-threatening event, like a terrorist attack, a violent personal assault, or a natural disaster.

People suffering from PTSD have symptoms that include flashbacks, difficulty sleeping, mood changes, depression, and the inability to deal with everyday life. These are not those nutty people walking around in ripped and filthy clothes, talking to themselves and their imaginary friends. They are fully functional people, people like you and me, who may be stressed out by the daily media reminders of kidnapped children, serial killers, and sexual abuse. And oftentimes, these people don’t even know they have PTSD.

Signs of Stress

–Do you tend to race through the day, do everything yourself, and set unrealistic goals?

–Do you make a big deal of everything, blow up easily, and get angry when kept waiting?

–Do you frequently neglect your diet, exercise, and your sleep?

–Do you lack close, supportive relationships outside your family?

–Do you often fail to see the humor in situations that others find amusing?

–Do you ignore symptoms of stress and have no time for questions like this?
If you answered yes to most of these questions, chance are you are STRESSED OUT. Do something about it.

It’s important that you take stress seriously and learn how to handle it.

First, recognize the signs and acknowledge them.

Second, ask yourself: Am I leading a healthy life, exercising, not abusing drugs, including cigarettes and alcohol? If not, you have to make some lifestyle changes. The solution, many times, is right in front of you. But for the most part, if you recognize stress as something that is out there, and if you’re able to manage it adequately, it will have no dire effects on your health. It is only when you ignore it and it becomes chronic and unstoppable that you need to seek professional help.