Psychoneuroimmunology · The Science of Care

How stress creates real, measurable changes in your body

A short note for my patients · By Dr. Alicja Wasilewski

"What is stress?" my student once asked me. After a long minute thinking about how to explain the primary pathways — like the fast-acting sympathetic-adrenal-medullary system — I answered with something I once heard:

"The moment when your heart wants to escape on vacation, your stomach demands chocolate, and your brain reminds you of deadlines."

But jokes aside — stress is not just an emotion. It produces real, measurable biological changes that can affect your physical health. That is the true mind–body connection, in both directions.

What actually happens when stress continues

These changes are not imaginary. They are the reason many people under chronic stress develop headaches, stomach problems, high blood pressure, frequent colds, or constant fatigue — even when "nothing is wrong" on basic medical tests.

Untreated or long-term stress can lead to depression, anxiety, and mood swings, quietly causing harm. But this process works in both directions — when we lower stress, these measurable biological markers often improve. And as we improve the body, stress can seem to magically vanish.

— Dr. Alicja Wasilewski, MD
Good Mind MD