The Stress Response

Adjustment (Normal)

  • Fight or flight أو الهروب
  • Grief الحداد
  • Impending death
  • Positive Changes التغييرات الإيجابية

Mal Adjustment (Abnormal)

  • Acute stress disorder
  • Adjustment disorder
  • Post traumatic stress disorder (PTSD)
  • Other Psychiatric disorder (Depression)


Stress Response Physiology


Stages of Grief

  1. Shock & denial (days, weeks)
  2. Acute distress (weeks, months)
    • Anger
    • Preoccupation
    • Withdrawal
    • Guilt
  3. Resolution (months, years)
    • Return to work
    • Resume old roles
    • Acquire new roles
    • Re-experience pleasure
    • Seek companionship and love of others

Normal Reaction to Impending Death

  • Stage 1: Shock and Denial (I feel fine)
  • Stage 2: Anger (why me?)
  • Stage 3: Bargaining (I will give anything for more time)
  • Stage 4: Depression (nothing worked)
  • Stage 5: Acceptance (I can’t fight it)