We all know that stress can cause physical ailments like headaches, ulcers, chest pain and decreased appetite, to name a few. But too much stress can also potentially lead to changes in the brain.

Yonghua “Michael” Zhang, MD, is a double board-certified neurologist with Endeavor Health Neurosciences Institute specializing in headache medicine. He has offices in Naperville and Plainfield.

Dr. Zhang said he chose to specialize in headache medicine because migraines run in his family. “I was always fascinated by the brain,” he said.

While we all know stress hurts the body. It can hurt the brain, too.

“It’s going to cause more anxiety. When you have stress, it does cause a higher risk for mood disorders such as anxiety, depression and other mental disorders,” he said.

“Besides that, it could affect your performance. When you experience stress, you’re not always organized. You tend to be forgetful. Not only does stress increase the risk of mental conditions, but also it affects your overall daily performance.

“More interestingly, there is evidence that shows that prolonged stress can cause brain structure changes,” Dr. Zhang said. “It could affect the structure called the hippocampus. It is a structure in the brain that’s important for our memory processing. There is also evidence showing that it may affect the prefrontal cortex, which is important for our executive function. That explains why people in stress cannot perform well, they cannot remember well.”

The good news is that not all stress is bad, Dr. Zhang said. Sometimes a little stress actually makes you perform better, he said.

“Some stress is actually good for you because it puts you in fight-or-flight mode and you might perform better.” But constant, chronic stress isn’t good for your body or brain and it’s important to recognize the difference so you can prepare yourself and cope with it, he said.

There is evidence that chronic stress can make you more susceptible or more vulnerable to neurodegenerative diseases,
Dr. Zhang said.

“I think that has a lot to do with the way your body handles stress. When stressed, the brain releases hormones like cortisol and adrenaline, also you have increased production of glutamate, which is an excitatory neurotransmitter that is believed to play a role in neurodegenerative disorders, such as Alzheimer’s or Parkinson’s disease.

“It’s a natural response when your body faces stress or danger,” he said. “That’s why some stress makes you perform well, because your body is ready to fight so you may perform better under stress. Some stress may actually boost your memory. But prolonged stress, if you don’t manage it well, always does more harm to you.”

How does the body recover from prolonged stress?

Generally speaking, the body is designed to cope and adapt to stressors, Dr. Zhang said. “Your brain mentally prepares for the stress and learns to handle it,” he said.

For example, if someone must drive in downtown Chicago traffic every day, which can be stressful initially but later they prepare for it, reset their expectation, and eventually get used to it and the experience is no longer a stress for them.

“People who manage it well are the people who identify the stressors and practice self-relaxation skills,” Dr. Zhang said. Deep breathing, light meditation, music and yoga are all helpful skills. “A good night’s sleep is always important. Some people don’t sleep well and that makes the stress worse.”

Dr. Zhang offered more stress reducers: “A healthy lifestyle, regular exercise, a healthy diet, quality of sleep and lastly, if this isn’t enough, look for help. Talk to friends, talk to family, talk to a therapist or your family physician. Never keep the stress to yourself.”

Dr. Zhang lets his patients know that doctors aren’t robots and have plenty of stress in their jobs and lives as well. He strives to manage it through exercise, deep breathing, meditation, yoga and quality sleep.

Ultimately, you will learn from the stress, he said.

“Hopefully, it will make you a stronger person,” he said. “Be aware of what triggers your body and learn how to cope with it.”

Superior neurological care you can trust

Endeavor Health Neurosciences Institute experts provide compassionate, world-class care for diseases and injuries of the brain, spinal cord and nervous system.

Back to top