Psychologist in Vienna: Stress Management Therapy

I am a psychologist and stress-management expert offering an individually tailored online stress management course to equip you with the tools needed to manage multi-faceted life stressors that include work-related problems, relationship difficulties and mental health concerns.

Stress is the adverse response of people to extreme pressures or other sorts of excessive demands they face. However, there is a clear difference between pressure or acute stress, which can be encouraging, and chronic stress, which happens when this pressure turns out to be extreme. 

Workplace, relationship or any other type of stress relates to a wide variety of adverse outcomes. These include chronic fatigue, depression, backache, anxiety, weakened immune functioning, sleep-related difficulties, issues with digestion, high blood pressure and cardiovascular disease. 

Stress is a part of human life. The autonomic nervous system of our body generates an innate stress response comprising reactions that allow the body to manage stressful situations. This stress response turns on in emergency cases as the “fight or flight response”, which results in the release of cortisol – a stress hormone. Our bodies are well equipped to handle stress and cortisol in small doses. 

However, the release of cortisol can become continuously triggered during longer periods of stress. This recurrent stimulation of the stress response leads to physical and emotional depreciation of the body. Thus, chronic or recurrent stress affects all bodily systems. It is a reaction that involves emotional, behavioural and physical components.

Emotional symptoms include excessive worrying, anxiety, irritability, moodiness and extreme mood swings. Moreover, it may lead to panic attacks, impulsive behaviour, social isolation and emotional withdrawal. Physical symptoms may comprise gastrointestinal problems, headaches, dermatological issues and high blood pressure. Finally, behavioural symptoms may include increased consumption, compulsive dieting or food intake, sudden loss of interest in activities and changes in social behaviour.

Stress tends to increase and, characteristically, starts with slightly upsetting feelings before manifesting in physical and mental disorders. Persisting stress symptoms may lead to diagnosable physical illnesses, including allergies, strokes, hypertension, asthma, ulcers and migraines. In addition, mental conditions may comprise depression, anxiety, panic attacks, anger or impulse control issues. 

The multimodal approach follows the assumption that most psychological problems are complicated and multi-faceted. Thus, a comprehensive approach requires a thorough assessment of seven “modalities” or dimensions in which individuals function – Behavioral, Affective, Sensory, Imaginative, Cognitive, Interpersonal and Biological. 

BASIC ID is the abbreviation representing the first letters of each dimension. The BASIC ID modalities often interrelate and may function in a reciprocal mode. For instance, an image of being unsuccessful at work could trigger a cognition of “I’m totally useless” which, in turn, could lead to a state such as depression. 

People usually do not present with a single issue. Therefore, a stress management course may require various techniques to address various issues. In multimodal stress management, a stress management therapist and client collaboratively test all modalities of the BASIC ID. Multimodal evaluation considers that different individuals depend on or are more affected by certain modalities than others. Once the origin of the problem is identified, solution-focused counselling and cognitive-behavioural coaching are used to work on that specific modality.

Cognitive-behavioural therapy (CBT) and cognitive-behavioural coaching (CBC) are two distinct but affiliated approaches that can be used in stress management therapy. These approaches share the essential assumption that our thoughts, emotions and behaviours are interrelated. Consequently, by addressing and altering these elements, people can effectively manage and reduce stress.
Cognitive-behavioural coaching focuses on helping people set and achieve personal and professional goals and enhance performance. Moreover, CBC aims to overcome specific challenges, such as self-sabotage, indecisiveness, procrastination and self-doubt.
On the other hand, cognitive-behavioural therapy is a structured therapeutic procedure that aims to treat a wide range of psychological and emotional issues, including chronic stress, depression, anxiety and relationship issues.
Yet, when applied to stress management, both cognitive-behavioural therapy and coaching highlight the significance of understanding and modifying one’s thinking processes and behavioural responses.

Essential physiological stress-management strategies include relaxation, physical exercise, healthy nutrition and adequate sleep. 

It may appear counterintuitive that physical exercising, a type of physical stress, can help us manage common stress. However, exercising is a form of stress that can aid us in becoming more resilient. A study by Hackney (2006) demonstrates that although physical exercise initially elicits the stress response, levels of stress hormones, such as cortisol and epinephrine, reduce after physical activity.

Poor nutrition can augment stress and lead to fatigue and deterioration of our capacity to perform tasks. Moreover, over time, it can become a risk factor for developing major health-related issues, including tooth decay and obesity, some types of cancers, depression and hypertension. 

Proper sleep helps alleviate stress and manage our emotions adequately. 

Relaxation antagonises the adverse effects of stress. There are several ways to achieve relaxation, including meditation, breathing practices, acupuncture, massage, yoga, progressive muscle relaxation and visualisation techniques among others. Breathing practices are considered the fastest and easiest way to relax your body and mind.  

Stress therapy typically involves solution-focused counselling and coaching but may also involve mental health and trauma counselling.

About Diana Tutschek – Psychologist, Counsellor, Stress Management Therapist.