The difficulty for doctors is there is no consistency in how people respond to stressful life events.
And while there are probably several origins, one of the triggers may be, alarmingly, something many of us experience: Stressful life events.
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Have you recently experienced a major loss, change or stressful event in your life?
But, the first stretch of your much anticipated retirement is likely to be one of the most stressful events of your life.
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Yet lest anyone think food trucks are all fun and games, according to Lucy Lean, a judge for the TV show MasterChef (starring Gordon Ramsay), the one day she spent working aboard the LudoTruck was "one of the most stressful days of my life".
We understand that life is stressful, that a lot of people are in pain, that they want the pain to stop and they want to feel good even for a moment, so they drink and spend and gamble and eat and smoke and it can cause enormous problems even as it relaxes them or allows them to get through one more day, or night.
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Do women choose less stressful jobs so they can enjoy life more?
It enables us to learn to respond rather than react to stressful situations and enjoy more of what life has to offer.
These include Staffies which find life in a dogs home particularly stressful.
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It is also understandable that retirement is stressful since it is a monumental change in life and many may not be properly prepared for it.
In fact, according to the Holmes and Rahe stress scale, divorce ranks as one of the most stressful events that can occur during one's life, second only to the death of a spouse.
It's extremely stressful living there - not from a political arena, from just a way of life.
And Medicare is considering site of death as a quality measure for end-of-life care, on the theory that dying at home may be less stressful than dying in an institution.
Save the Children said many children considered the test as part of life, but most tended to be extremely critical of it and found it very stressful.
"During the course of this case, you will have to examine carefully how stressful looking after Colin Ballinger really was and how much it interfered with the defendant's life, " she added.
They suggested that learning such skills could break the cycle of how parents and their children react to stressful situations, which in turn they said would reduce their risk of heart disease later in life.
To hear the employer representatives tell it, companies are providing their workers with services that make it easier to balance home and family life in an age when there are few stay-at-home spouses and work is stressful.
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