Work stress is a psychological and physiological response occurring when job demands exceed an individual's coping capacity over a specific period. This condition is common among workers facing high intensity, long hours, or significant performance pressure.

When under pressure, the brain immediately activates hormones such as adrenaline and cortisol, preparing the body for a "fight or flight" response to survive and address the problem. Mild stress can cause fatigue, tension, reduced concentration, or short-term sleep difficulties. These symptoms often improve with rest, lifestyle adjustments, or reduced work pressure.

Individuals should consider seeking psychological or psychiatric evaluation if symptoms persist for more than two weeks and significantly impact work, study, or relationships.

Warning signs include prolonged insomnia, frequent anxiety, irritability, diminished concentration, decreased work performance, feelings of exhaustion, and loss of interest in daily activities. Physical symptoms like headaches, stomachaches, palpitations, or a rapid heartbeat may also appear.

Prolonged work stress can lead to occupational burnout, anxiety disorders, depression, and exacerbate cardiovascular, digestive, and sleep disorders. Some individuals may turn to alcohol, tobacco, or stimulants to cope with stress, worsening their psychological state.

Your symptoms, such as insomnia, difficulty concentrating, irritability, and reduced interest in work, lasting over two months, indicate that your stress has surpassed typical levels. You should seek a professional evaluation to identify the underlying causes. A doctor may recommend screening for common mental health disorders like anxiety disorders, depression, or occupational burnout.

You may be asked about your symptoms, mental health history, and an assessment of work and life stressors, combined with specialized psychological scales to determine the extent of stress, anxiety, or depression. In some cases, additional appropriate tests or paraclinical investigations may be ordered to rule out physical causes presenting similar symptoms.

Master Yen Nhi provides psychological counseling to a patient experiencing stress. *Illustration: Tam Anh General Hospital*

Depending on the severity of the condition, patients may receive psychological counseling, guidance on stress management techniques, sleep improvement strategies, and lifestyle adjustments to achieve work-life balance.

Cognitive behavioral therapy (CBT) helps patients identify negative thought patterns and behavioral loops that contribute to current stress, enabling them to adjust and change for improved health. For moderate to severe anxiety or depression, doctors may consider medication, transcranial magnetic stimulation (TMS), combined with psychotherapy, to achieve optimal effectiveness.

Early detection and timely intervention help patients improve their mental health, enhance their quality of life, and limit the risk of developing more severe mental health disorders.

Master Vo Huynh Yen Nhi

Clinical Psychologist, Psychiatry Unit

Neuroscience Center

Tam Anh General Hospital, Ho Chi Minh City