Understanding and Overcoming Daily Stress, Chronic Stress, and Anxiety Disorders

Thrive • November 2, 2021
By Thrive Reno’s Clinical Director and Therapist, Kerstin Trachok, CPC

Stress that does not interfere with your overall functioning is perfectly normal, manageable, and even helpful. Without the effects of stress, we wouldn’t be motivated to make necessary changes in our lives. 

Stress can, however, become chronic and even lead to the development of an anxiety disorder, both of which may require clinical treatment . The symptoms of these conditions differ in intensity, frequency, and duration.

Learn more about the different ways stress can be expressed, self-regulated, and clinically treated below. 

DAILY STRESS

Daily stress is unavoidable and simply a part of being alive. It’s typically caused by an external trigger that is either short-term or long-term.

Examples of stress triggers are: 

  • Deadlines at work 
  • An argument with a significant other
  • A school assignment
  • Chronic illness

The connection between stress and the rest of your being can be powerful. When faced with stressful external triggers, you may notice negative effects on your body, emotions, and lifestyle.

Some common symptoms of stress include:   

  • Low energy levels
  • Headaches
  • Upset stomach
  • Frequent sickness
  • Sleep changes
  • Muscle tension 
  • Increased heart rate
  • Difficulty relaxing
  • Inability to focus
  • Forgetfulness
  • Feeling overwhelmed 
  • Being pessimistic
  • Feeling increasingly irritable or angry
  • Procrastination
  • Appetite changes, such as feeling more or less hungry

CHRONIC STRESS

If you continue to feel stressed consistently for months at a time, you may be struggling with chronic stress.

Chronic stress can lead to serious physical and mental health issues such as:

  • Anxiety 
  • Depression
  • Post-traumatic stress disorder (PTSD)
  • Panic
  • Other disorders

ANXIETY DISORDERS

When the symptoms of stress continue after the trigger is gone, you may be experiencing anxiety. Genetics, brain chemistry, personality, and life events all play a role in the development of anxiety. As the most common mental illness in the U.S, 18.1 percent of adults experience anxiety. Typically, individuals struggling with anxiety are not able to function normally. 

The ​​Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is used by clinicians to diagnose psychiatric illnesses, lists ten types of anxiety disorders.

The ten types of anxiety disorders are:

  • Separation anxiety disorder: Feeling anxious or fearful when a person you’re close with leaves your presence. 
  • Selective mutism: When children speak normally with their family but don’t talk in public.
  • Specific phobias: Feeling intense fear of a specific object or situation causing you to avoid ordinary situations.
  • Social anxiety disorder: Feeling overwhelming worry over normal social interactions. 
  • Panic disorder: Feeling sudden, intense fear that leads to a panic attack. 
  • Agoraphobia: Feeling intense fear in places that seem hard to escape from or get emergency help in, such as an airplane, public transportation, or in crowds.
  • Generalized anxiety disorder: Feeling excessive, unrealistic worry for little or no reason. 
  • Anxiety disorder due to a medical condition: Feeling intense anxiety or panic directly caused by a physical health problem. 
  • Other specified anxiety disorder and unspecified anxiety disorder: Anxiety disorders that don’t meet the full criteria for any other anxiety disorders.

Though experiences differ with each type of anxiety disorder and each individual, some common symptoms of anxiety disorders include:

  • Persistent worry
  • Restlessness
  • Feeling on edge
  • Difficulty sleeping
  • Changes in appetite
  • Irritability
  • Difficulty thinking or concentrating
  • Muscle tension

When these symptoms begin to affect an individual’s relationships, occupation, or other areas of functioning, they should be clinically treated. 

COPING WITH DAILY STRESS USING YOUR BREATH

Practicing awareness is the key to managing stress. By identifying the trigger(s) that are causing your stress, you can determine any life changes that may be necessary. 

When experiencing stress and its corresponding heightened emotions, it can be difficult to think clearly, much less perform a deep self-reflection. So, the first step to mitigating your stress is to calm yourself down. The simplest way to do this is through your breath. By breathing deeply and slowly, you can calm your heart rate and allow your mind to clear. 

Box breathing is an effective breathing exercise that you can practice anywhere.

The steps of box breathing are as follows:

  1. Take one long, deep breath in for four seconds.
  2. At the top of the breath, hold the air in your lungs for four seconds. 
  3. Release all of the air in your lungs over the course of four seconds. 
  4. Refrain from inhaling for four seconds. 
  5. Repeat the steps above until you feel calm enough to think rationally. 
  6. Adjust the length of your inhales and exhales as needed, as this practice should not cause added stress in the process.

Once you’re in a calm state, consider the possible causes of your stress. Then, reflect on potential adjustments that may alleviate your stress. Simple and small changes in your life can often help support your basic needs, which can mitigate your daily stress. These adjustments may mean altering your routines so you get more sleep, eat consistently, and stay hydrated. 

CLINICAL SUPPORT FOR STRESS

When your stress begins affecting your daily functioning, you may want to consider seeking clinical support. Left untreated, the symptoms of stress can exacerbate the problem, leading to chronic stress, anxiety disorders, and other mental health conditions. 

Depending on the severity of the condition, treatment for stress may involve regular therapy sessions until the symptoms subside. In addition to therapy, individuals struggling with stress may also benefit from psychotropic medications.

If you’re struggling with stress or anxiety, Thrive offers outpatient therapy and medication management to help you find inner peace and embrace life confidently.

About the Author
Kerstin Trachok, CPC — Thrive Reno Clinical Director and Therapist

Kerstin received her master’s degrees in clinical mental health counseling and school counseling from the University of Nevada, Reno. Kerstin has seven years of experience in the counseling field working in different settings and a wide array of mental health issues. Kerstin has experience working in schools with children of all ages, clients with psychosis in a hospital setting, adults and teens in private practice, and working at an agency providing counseling to children and families. Kerstin is a fully licensed clinical professional counselor in the state of Nevada and received her certification in Complex Trauma Levels I and II. Kerstin has experience working with children, teens, adults, and families with trauma, anxiety, grief, depression, ADHD, autism spectrum, suicidal ideation, behavioral issues, and eating disorders. Kerstin is passionate about fostering clients’ growth and autonomy while providing a safe and secure space to process emotions. Kerstin uses creative interventions and other tools to allow clients to voice their internal experiences beyond traditional talk therapy. Kerstin’s therapeutic modality of choice is Acceptance and Commitment Therapy. She uses mindfulness tools and techniques to help clients be present-moment oriented, and reduce stress so they may move towards psychological flexibility. Kerstin believes all individuals have the right to live a fulfilling and vital life.

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The Greenhouse at Thrive Wellness A New Chapter of Hope and Healing in Nevada On Friday, November 14 , we gathered with our partners at Molina Healthcare to share an important moment for our community. Together, we celebrated Molina’s generous $50,000 grant , an investment that is helping bring The Greenhouse to life. Their support is not only a financial contribution—it’s a statement of belief in the young people and families of Nevada who deserve access to compassionate, evidence-based mental healthcare close to home. This gathering marked the beginning of something we’ve dreamed about for years: a place designed specifically for adolescents and emerging adults to receive the care, connection, and support they need during some of the most vulnerable moments of their lives. Something New Is Growing In early 2026 , Thrive Wellness will open The Greenhouse , Nevada’s first residential treatment center devoted to adolescents and emerging adults navigating eating disorders, anxiety, and OCD . For too long, families have faced a heartbreaking dilemma—send their child far from home for treatment or go without the specialized care they need. The Greenhouse is our answer to that gap. It will be a place where young people can settle into an environment built for healing, where they are understood, supported, and surrounded by a team that believes in their capacity to recover. The Greenhouse represents a natural extension of our mission. It’s a living expression of our belief that recovery is possible—and that with the right support, families can find their footing again. 
November 11, 2025
Are you looking for a meaningful way to give back this holiday season? Thrive Wellness is excited to continue our 6th Annual Giving Tree Program in collaboration with Perenn Bakery this winter. This year, Thrive Wellness Reno and Perenn Bakery are proud to partner with Ronald McDonald House Charities® of Northern Nevada. The organization supports families with children receiving treatment at area hospitals, providing comfort, hope, and a home-away-from-home during challenging times. Ronald McDonald House Charities offers essential services, removes barriers, strengthens families, and promotes healing when children need healthcare the most. How It Works Simply take one (or a few) tags from the Giving Tree, each listing an item you can purchase and donate for residents of the Ronald McDonald House. Then, drop off your item(s) at one of our designated donation locations by Friday, December 19. Items Needed: Restaurant gift cards Walmart or Target gift cards Games, puzzles, and coloring books Toys (Barbie, Hot Wheels, Lego sets, craft sets, magnet blocks, baby dolls, action figures, journals, infant toys, etc.) Children's books (picture, chapter, and graphic novels) Toiletry sets (for adults) Lotion/self-care gift sets (for adults) Sweatshirts/hoodies (adults, XS-XXL) Scarves, gloves, fuzzy socks, pajamas (all sizes) Infant diapers, onesies, and baby bottles Bulk individually wrapped snacks (granola bars, chips, etc.) Please ensure all donations are new, in original packaging, and unwrapped. Donation Drop-Off Locations Please deliver donations by Friday, December 19, to one of the following sites: Thrive Wellness 201 W Liberty St., Suite 201, Reno, NV 89501 Perenn Grocery 7600 Rancharrah Pkwy, Suite 130, Reno, NV 89511 The first 50 people to return their donations will receive a complimentary ornament gift!  Why We Give Back Through our Giving Tree program, we’re honoring one of our core values at Thrive Wellness: staying rooted in community. This annual tradition allows us to give back to those who need support most during the holiday season. We invite you to join us by taking a tag at any Thrive or Perenn location and helping spread kindness throughout our community. There’s no better way to embrace the holiday spirit than by supporting local families with thoughtful, heartfelt donations. We are deeply grateful for your generosity and continued support. Thank you for helping us make a difference!
September 22, 2025
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Waiting too long to seek help can mean medical complications, deeply ingrained behaviors, and a more difficult path to healing. For many adolescents, a caring provider who notices the signs and advocates for treatment can make all the difference in recovery and can even save lives. Recognizing Early Warning Signs Adolescents may not always disclose their struggles directly, so providers should keep an eye out for a range of indicators: Physical signs: noticeable weight changes, menstrual irregularities, digestive issues, dizziness, or fatigue. Behavioral patterns: skipping meals, restrictive eating, excessive exercise, frequent dieting, eating in secret, or leaving for the bathroom after meals. Emotional and cognitive signs: preoccupation with weight or body shape, food rituals, heightened anxiety around eating, or perfectionistic tendencies. It’s important to remember that eating disorders don’t always “look” a certain way. Teens can be distressed about food and body image even if their weight appears to be within a “normal” range. Screening Tools and Assessments Using free screening tools available online can be an effective way to gauge a patient’s needs and gain further insight on treatment options for a possible eating disorder. Here are 4 free screening resources we recommend you use before making a referral for a higher level of care. EDE-Q (Eating Disorder Examination Questionnaire) : helps assess eating attitudes and behaviors. Nine Item Avoidant/Restrictive Food Intake disorder screen (NIAS) : helps to assess the signs of ARFID in children. Eat 26 Screening Tool : a screening measure to help you determine attitudes towards food and eating. BEDS-7 (Binge Eating Disorder Screener) : for situations where binge eating is suspected. When possible, gathering input from parents, teachers, or coaches can also help, as teens may minimize their experiences out of fear or shame. 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Nutritional guidance: dietitians provide education, meal support, and reassurance. Family involvement: engaging caregivers empowers them to support recovery in everyday life. Addressing Barriers and Stigma Many families face challenges in seeking help, whether due to stigma, lack of awareness, or limited access to specialists. To help, providers can: Normalize conversations about body image and mental health as part of overall well-being. Use culturally sensitive approaches that honor diverse experiences with food, body, and health. Connect families to community organizations, online resources, or telehealth when in-person specialty care is limited. Eating disorders in adolescents are serious, but with early recognition and timely support, recovery is possible. Providers are often the first to notice changes and can play a vital role in opening doors to crucial support. By blending professional expertise with empathy and collaboration, providers can guide adolescents and their families toward lasting recovery and a healthier future. References National Institute of Mental Health. (2023). Eating Disorders . Treasure, J., & Russell, G. (2011). The case for early intervention in anorexia nervosa: theoretical exploration of maintaining factors. The British journal of psychiatry : the journal of mental science, 199(1) , 5–7.
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