One switch, many casualtiesAcute stress is adaptive — a burst of energy that helps you cope and then fades. The damage comes from chronic activation: the HPA axis and sympathetic nervous system stay switched on for weeks or months, and elevated cortisol reaches nearly every organ. Tap a system to see its specific injury.
HPA axis: Hypothalamus → Pituitary (ACTH) → Adrenal cortex → cortisol. The adrenal medulla adds the fast hit — epinephrine & norepinephrine. In an emergency this is lifesaving; kept on for months it corrodes.
Allostatic load: Physiologist Bruce McEwen named the cumulative “wear and tear” from a stress response that never resets. Hans Selye earlier called the resulting illnesses the diseases of adaptation. Much of the harm eases once the stressor lifts — the body wants to recover.