A comprehensive approach to stress in primary care.
Stress is a precipitant of many physical and emotional problems that patients present to their primary care physicians. Hans Selye's classic General Adaptation Syndrome is described as it relates to the body's response to stress. Techniques for assessing stress are presented. Stress management techniques that primary care physicians can employ in the office include prescribing relaxation and exercise, cognitive restructuring, dealing with negative thoughts, and setting appropriate goals. Severe or prolonged stress warrants consideration of a diagnosis of a mental disorder, use of a psychotropic medications, or referral to a psychiatrist or other mental health provider.