Book cover of The Stress Prescription by Elissa Epel

Elissa Epel

The Stress Prescription

Reading time icon18 min readRating icon4.2 (817 ratings)

Stress is an inescapable part of life, but how you respond to it determines your strength and balance.

1. Embrace Uncertainty to Regain Calm

Stress often thrives on our fear of the unknown. Research shows that anticipating an uncertain outcome heightens stress levels more than facing a guaranteed negative event. By letting go of future worries, you can redirect your energy toward the present.

Day one of the stress prescription advises tuning into your physical sensations to identify where your body holds tension from uncertainty. Practices like deep breathing and relaxing your muscles help release these pressures. Physical relaxation leads to mental clarity, enabling you to confront the future with steady resolve rather than fear.

Instead of fixating on uncontrollable outcomes, try reframing your mindset. Remind yourself of one key truth: uncertainty is inevitable, but your response is what matters most. This shift in perception reduces reactionary stress and allows for proactive acceptance.

Examples

  • Study participants given unpredictable shocks exhibited higher stress than those with consistent outcomes.
  • Releasing jaw tension and rolling shoulders during moments of worry can lessen the physical burden of stress.
  • Leaning back in a chair with a deep breath symbolically and physically encourages mental detachment from future anxieties.

2. Identify and Release What You Cannot Control

Spending energy on uncontrollable factors drains your mental and emotional resources. Day two focuses on recognizing the difference between what you can change and what must simply be accepted.

By writing a "stress inventory," you can sort through the elements causing strain. Circle the areas where you have influence and brainstorm one small step to improve them. For the rest, acknowledge your powerlessness and consciously set down those worries.

This practice not only sharpens your focus on actionable challenges but also fosters self-compassion. Admitting you can't fix everything is liberating and sets a boundary against overwhelming stressors.

Examples

  • Struggling with a friend’s addiction can be redirected into providing emotional support and setting boundaries.
  • Organizing work deadlines by priority can clarify where your efforts will make a difference.
  • Accepting traffic delays allows you to focus on listening to music instead of futile frustration.

3. Turn Threats into Challenges

Day three redefines stress as an opportunity rather than a danger. The concept is simple: whether you're the gazelle running from a predator or the lion giving chase, stress is present—but how you frame it makes all the difference.

Shifting your self-talk turns fear into excitement. When faced with demanding tasks, counter thoughts like "I can't do this" with empowering ones such as "I can handle this, and I will get help if needed." This change in narrative transforms the physiological "fight or flight" response into focused energy.

Understanding that stress can be positive allows you to approach challenges with confidence rather than dread. The more often you reframe stressful situations, the more natural it becomes to thrive under pressure.

Examples

  • Athletes channel competition stress into heightened performance by reframing it as excitement.
  • Thinking, "This is an exciting opportunity" about public speaking can reduce stage fright.
  • Responding with "I’ll learn from this" to failure fosters curiosity over shame.

4. Strengthen Resilience with Controlled Challenges

Building resilience is like strength training for the nervous system. Day four introduces hormetic stress—short, manageable bursts of discomfort that help condition the body and mind.

Cold exposure, like finishing a warm shower with a cold blast, triggers this stressor. Similarly, high-intensity interval training exercises you physically and mentally. Both activities give your parasympathetic nervous system a "workout," teaching it to manage stress more effectively over time.

While uncomfortable at first, these practices are energizing and improve your ability to handle future challenges with poise. The concept: practice stress recovery in small doses so you're better prepared for bigger stresses.

Examples

  • A cold shower mimicking a "shock" for your system builds adaptability and focus.
  • Sprinting in short bursts during exercise replicates intense, temporary stress handling.
  • Regular HIIT workouts improve cardiovascular and stress-response systems.

5. Reconnect with Nature to Recharge

Nature's soothing power is undeniable. Spending time outdoors reduces cortisol levels and reenergizes the mind. On day five, prioritize connecting with the natural world, whether through a park visit or simply noticing greenery on your way to work.

Interacting with nature activates your senses. Feeling grass underfoot, smelling flowers, or listening to bird songs calms mental chatter. This immersion unplugs you from daily stress and fosters mindfulness.

Even in urban areas, moments with nature—whether through potted plants or nature sounds—can restore inner balance. The key takeaway: seek out opportunities for even brief connections to the natural world.

Examples

  • Studies during COVID-19 showed access to green spaces reduced stress for people in lockdown.
  • Listening to ocean wave recordings promotes relaxation even indoors.
  • Growing houseplants introduces calming greenery into your living space.

6. Breathe Deeply to Reclaim Rest

Breathing is a powerful tool overlooked by many. Day six focuses on how intentional, deep breathing can reset stress responses and bring profound calm.

The 4-6-8 breathing technique guides you to inhale (4 seconds), hold (6 seconds), and exhale (8 seconds). This method triggers your parasympathetic nervous system, reducing adrenaline and restoring balance.

By pairing deep breathing with unplugging from technology, listening to calming music, or meditating, you can create daily rituals for stress management. Prioritizing rest renews your energy reserves and helps your body recover.

Examples

  • People reduced anxiety significantly by practicing the 4-6-8 breath during challenging moments.
  • Five-minute breathing sessions before bed improve sleep quality and mental clarity.
  • Holding your breath underwater temporarily slows your heart rate, mimicking relaxation.

7. Gratitude as a Stress Reliever

Gratitude flips the brain's negativity bias. Day seven urges you to adopt gratitude as a practice, from morning reflections to end-of-day journaling.

Starting your day with gratitude primes you for positivity. By the evening, listing what went well helps you focus on accomplishments and silver linings.

Making gratitude a daily habit builds resilience by reinforcing your ability to find joy and recognize your achievements, even amid challenging circumstances.

Examples

  • Writing a thank-you note strengthens social bonds and enhances personal well-being.
  • Celebrating small pleasures like a fresh cup of coffee brings daily moments of joy.
  • Recalling three positive things each day has been linked to long-term happiness.

8. Acknowledge What Stress Teaches You

Nobody enjoys feeling stressed, but it's important to recognize the hidden lessons stress can bring. By reflecting mindfully on it, you can identify areas of personal growth or needed change.

Stress often highlights areas in life that demand attention—whether it's an overcommitted schedule, communication breakdowns, or unmet expectations. Listen to what stress signals and treat them as invitations to adjust your approach or set boundaries.

By reframing stress as a mentor, you can empower yourself to learn from challenges rather than being overwhelmed by them.

Examples

  • A missed deadline might reveal the need for better time management strategies.
  • Social friction could point out uncommunicated needs or feelings.
  • Financial worries might inspire creating a more mindful budget plan.

9. Build a Toolbox for Life

Reducing stress isn’t about perfection; it’s about having a variety of tools at hand. Combining practices like breathing exercises, gratitude, and reframing creates a personalized toolbox that can be used for different scenarios.

By consistently revisiting these strategies, they become habits. The transformation comes not from escaping stress but from meeting it with prepared responses learned along the way.

This toolbox is not static; you can evolve and adapt your strategies as life presents new challenges.

Examples

  • Preparing for long flights with breathing techniques reduces travel anxiety.
  • Setting gratitude reminders ensures consistent positivity even during busy days.
  • Using reframing techniques transforms overwhelming projects into manageable tasks.

Takeaways

  1. Create a daily practice of gratitude by starting and ending each day reflecting on what you're thankful for.
  2. Develop resilience by incorporating small, controlled stress challenges like brief cold showers or interval training.
  3. Meditate or take moments of mindfulness in nature to calm your mind, even in urban environments.

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