Undiagnosed PTSD and Stress

January 6, 2016

Are you chronically stressed out, chronically fatigued, or both? Are you careful about your diet and lifestyle but nothing works? You may want to consider whether post-traumatic stress disorder (PTSD) plays a role in your poor stress-handling ability.


Studies show PTSD alters the body's ability to regulate cortisol, our primary stress hormone produced by the adrenal glands. People with poor adrenal function suffer from usually either low cortisol or high cortisol.


Altered cortisol levels increase the risk for developing chronic pain, such as autoimmune disease, chronic pain, or chronic inflammation.


More women suffer from PTSD than men

Not just war veterans suffer from PTSD. In fact, more women than men suffer from PTSD.Why? For one, more girls than boys suffer sexual abuse as children, predisposing women to more severe reactions to traumas later in life. Researchers also found that sexual trauma causes more emotional suffering and is more likely to contribute to a PTSD than other types of trauma.



Women are also biologically more prone to PTSD than men.


Are your stress hormones to high or too low?

Low cortisol causes low blood sugar, blacking out when standing up, weakness and fatigue, waking up at 3 or 4 a.m., depression, hypersensitivity, and an inability to cope with stress.


High cortisol causes symptoms of insomnia, not feeling rested after sleep, weight gain around the abdomen, anxiety, chronic stress, and hormonal imbalances.


Supporting adrenal function is fundamental to good health. The first place to start is with diet, as many cases of =low or high cortisol are simply a matter of too much sugar and too many processed carbohydrates.


Undiagnosed immune reactions to foods, such as gluten, dairy, egg, and soy can trigger adrenal issues.


An undiagnosed and chronic parasitic, viral, or bacterial infection can take their toll on the body's stress handling abilities and cause low or high cortisol.

And, of course, lifestyle factors affect adrenal function. Over exercising, over working, not getting enough sleep, or being in a stressful job or relationship can certainly tax your adrenals and lead to altered cortisol.


But if you have been addressed all those and low or high cortisol persists, it's time to investigate whether PTSD is a contributing factor.


Past traumas and even your parents traumas can cause poor adrenal function

Studies have shown that PTSD can cause low or high cortisol. An interesting finding is that people tend to have low cortisol if both parents suffer from PTSD. This is likely due to both the biological effects of PTSD as well as the child's environment growing up.


Research has also found that low cortisol is more often associated with the PTSD symptoms of avoidance, withdrawal, and isolation, while high cortisol is associated with hyper arousal and re-experiencing traumatic events.


Cortisol plays a significant role in your physical and mental well-being and if you suspect you may have PTSD, it's important to seek non-pharmaceutical treatments. Fortunately, PTSD is much studied these days and many treatment options exist.

July 24, 2026
Living with chronic pain often means thinking differently about everyday tasks. While medical treatment is an important part of pain management, small changes to your home, daily routine, and the tools you use can also make life more comfortable. These practical lifestyle strategies can help reduce unnecessary strain, conserve energy, and make it easier to stay engaged in the activities that matter most.  At Chronic Care of Richmond, we believe that effective chronic pain management is about creating sustainable habits that support your quality of life—not just managing symptoms. Create a Pain-Friendly Home Environment Your home should work for you, not against you. Simple modifications can reduce repetitive movements, awkward bending, and prolonged standing that may aggravate chronic pain. Consider making adjustments such as: Placing frequently used items at waist or shoulder height to minimize bending and reaching Using lightweight cookware and kitchen utensils Installing lever-style door handles that require less grip strength Adding non-slip rugs or removing tripping hazards Choosing supportive chairs with armrests to make standing easier Keeping commonly used items on each level of your home to reduce unnecessary trips up and down stairs If you spend long hours working at a desk, ergonomic adjustments can also make a significant difference. Position your computer monitor at eye level, keep your feet flat on the floor, and use supportive seating that encourages good posture. Work Smarter, Not Harder One of the most valuable skills for people with chronic pain is learning to pace daily activities. Instead of trying to finish everything at once, divide larger tasks into smaller, more manageable steps. For example: Fold one basket of laundry, then rest before putting clothes away. Clean one room each day instead of the entire house. Prepare ingredients for dinner earlier in the day when your energy is higher. Many people find that alternating physical activities with seated tasks helps reduce discomfort throughout the day. This approach—often called activity pacing—can help prevent the "boom-and-bust" cycle, where overdoing activities on a good day leads to increased pain and fatigue afterward. Self-management strategies like pacing are commonly recommended for people living with chronic pain and arthritis. Plan Around Your Best Hours Pain levels often fluctuate throughout the day. Pay attention to when you typically feel your best and schedule more demanding activities during those times. You might: Grocery shop in the morning if you have more energy. Schedule appointments during your most comfortable hours. Save paperwork or computer work for times when physical activity feels more difficult. Keeping a simple journal of your daily pain patterns can help identify routines that support better days. Use Helpful Gadgets That Reduce Strain Modern assistive devices aren't just for people with significant mobility limitations. Many simple tools can reduce stress on joints and muscles while making everyday tasks easier. Helpful options include: Grabber or reacher tools for picking up objects Electric can openers and jar openers Long-handled shoehorns Rolling laundry baskets Shower chairs or handheld showerheads Supportive seat cushions Heating pads or reusable cold packs for temporary symptom relief when appropriate Voice-controlled smart home devices for lights, thermostats, and reminders These small conveniences can reduce repetitive movements that contribute to discomfort while helping you maintain independence. Organize to Minimize Extra Movement A little organization can save hundreds of unnecessary steps each week. Try creating dedicated stations throughout your home: Keep medications in one organized location. Store cleaning supplies on every floor if you have a multi-level home. Keep chargers, reading glasses, and frequently used items within easy reach. Use baskets or rolling carts to transport multiple items in one trip. The less unnecessary movement required, the more energy you can devote to activities you enjoy. Make Rest Part of Your Routine Rest is an important part of managing chronic pain, but staying inactive for long periods can sometimes increase stiffness and reduce mobility. Finding a balance between activity and rest is key. Instead of waiting until you're exhausted, consider scheduling short recovery breaks throughout the day. Examples include: Sitting down for 10 to 15 minutes after completing household chores Stretching gently between work sessions if recommended by your healthcare provider Taking a brief walk around the house after prolonged sitting Practicing relaxation or breathing exercises during scheduled breaks Regular movement paired with planned rest helps many people maintain better function over time. Health organizations recommend staying as active as your condition allows , even if activity is broken into shorter sessions. Build Sustainable Habits There's no single "hack" that solves chronic pain. Instead, lasting improvements often come from combining small, practical changes that reduce strain and make everyday life more manageable. Whether it's reorganizing your kitchen, pacing household chores, using assistive devices, or planning activities around your energy levels, these strategies can help support greater independence and comfort. Self-management techniques, combined with guidance from your healthcare provider, are widely recognized as valuable tools for improving daily function and quality of life for people living with chronic pain. If chronic pain is interfering with your ability to enjoy daily life, the team at Chronic Care of Richmond can work with you to develop a comprehensive, personalized treatment plan that supports your long-term health, mobility, and overall well-being.
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