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Your Stress Scale

In the following tables you can look up representative changes in your life and see how much stress value each of these changes is adding to your life. NOTE ANY ITEM THAT YOU MAY HAVE EXPERIENCED IN THE LAST TWELVE MONTHS. Then, total up your score. So get ready with a pen/pencil and a paper.

(Adapted from the "Social Readjustment Rating Scale" by Thomas Holmes and Richard Rahe. This scale was first published in the "Journal of Psychosomatic Research", Copyright 1967, vol.II p. 214. It is used by permission of Pergamon Press Ltd.)

STRESS SCALE FOR ADULTS (20 years & above)

 

STRESS

 

 

EVENT VALUE

 

DEATH OF SPOUSE

100

DIVORCE

60
MENOPAUSE 60
SEPARATION FROM LIVING PARTNER 60
JAIL TERM OR PROBATION 60
DEATH OF CLOSE FAMILY MEMBER OTHER THAN SPOUSE 60
SERIOUS PERSONAL INJURY OR ILLNESS 45
MARRIAGE OR ESTABLISHING LIFE PARTNERSHIP 45
FIRED AT WORK 45
MARITAL OR RELATIONSHIP RECONCILIATION 40
RETIREMENT 40
CHANGE IN HEALTH OF IMMEDIATE FAMILY MEMBER 40
WORK MORE THAN 40 HOURS PER WEEK 35
PREGNANCY OR CAUSING PREGNANCY 35
SEX DIFFICULTIES 35
GAIN OF NEW FAMILY MEMBER 35
BUSINESS OR WORK ROLE CHANGE 35
CHANGE IN FINANCIAL STATE 35
DEATH OF A CLOSE FRIEND (not a family member) 30
CHANGE IN NUMBER OF ARGUMENTS WITH SPOUSE OR LIFE PARTNER 30
MORTGAGE OR LOAN FOR A MAJOR PURPOSE 25
FORECLOSURE OF MORTGAGE OR LOAN 25
SLEEP LESS THAN 8 HOURS PER NIGHT 25
CHANGE IN RESPONSIBILITIES AT WORK 25
TROUBLE WITH IN-LAWS, OR WITH CHILDREN 25
OUTSTANDING PERSONAL ACHIEVEMENT 25
SPOUSE BEGINS OR STOPS WORK 20
BEGIN OR END SCHOOL 20
CHANGE IN LIVING CONDITIONS (visitors in the home, change in roommates, remodeling house) 20
CHANGE IN PERSONAL HABITS (diet, exercise, smoking, etc.) 20
CHRONIC ALLERGIES 20
TROUBLE WITH BOSS 20
CHANGE IN WORK HOURS OR CONDITIONS 15
MOVING TO NEW RESIDENCE 15
PRESENTLY IN PRE-MENSTRUAL PERIOD 15
CHANGE IN SCHOOLS 15
CHANGE IN RELIGIOUS ACTIVITIES 15
CHANGE IN SOCIAL ACTIVITIES (more or less than before) 15
MINOR FINANCIAL LOAN 10
CHANGE IN FREQUENCY OF FAMILY GET-TOGETHERS 10
VACATION 10
PRESENTLY IN WINTER HOLIDAY SEASON 10
MINOR VIOLATION OF THE LAW 5

TOTAL SCORE ___________________________

 

STRESS SCALE FOR YOUTHS (13 - 19 years)

 

STRESS

 

 

EVENT VALUE

 

DEATH OF SPOUSE, PARENT, BOYFRIEND/GIRLFRIEND 100
DIVORCE (of yourself or your parents) 65
PUBERTY 65
PREGNANCY (or causing pregnancy) 65
MARITAL SEPARATION OR BREAKUP WITH BOYFRIEND/GIRLFRIEND 60
JAIL TERM OR PROBATION 60
DEATH OF OTHER FAMILY MEMBER (other than spouse, parent or boyfriend/girlfriend) 60
BROKEN ENGAGEMENT 55
ENGAGEMENT 50
SERIOUS PERSONAL INJURY OR ILLNESS 45
MARRIAGE 45
ENTERING COLLEGE OR BEGINNING NEXT LEVEL OF SCHOOL (starting junior high or high school) 45
CHANGE IN INDEPENDENCE OR RESPONSIBILITY 45
ANY DRUG AND/OR ALCOHOL USE 45
FIRED AT WORK OR EXPELLED FROM SCHOOL/COLLEGE 45
CHANGE IN ALCOHOL OR DRUG USE 45
RECONCILIATION WITH MATE, FAMILY OR BOYFRIEND/GIRLFRIEND (getting back together) 40
TROUBLE AT SCHOOL/COLLEGE 40
SERIOUS HEALTH PROBLEM OF A FAMILY MEMBER 40
WORKING WHILE ATTENDING SCHOOL/COLLEGE 35
WORKING MORE THAN 40 HOURS PER WEEK 35
CHANGING COURSE OF STUDY 35
CHANGE IN FREQUENCY OF DATING 35
SEXUAL ADJUSTMENT PROBLEMS (confusion of sexual identity) 35
GAIN OF NEW FAMILY MEMBER (new baby born or parent remarries or adopts) 35
CHANGE IN WORK RESPONSIBILITIES 35
CHANGE IN FINANCIAL STATE 30
DEATH OF A CLOSE FRIEND (not a family member) 30
CHANGE TO A DIFFERENT KIND OF WORK 30
CHANGE IN NUMBER OF ARGUMENTS WITH MATE, FAMILY OR FRIENDS 30
SLEEP LESS THAN 8 HOURS PER NIGHT 25
TROUBLE WITH IN-LAWS OR BOYFRIEND'S OR GIRLFRIEND'S FAMILY 25
OUTSTANDING PERSONAL ACHIEVEMENT (awards, grades, etc.) 25
MATE OR PARENTS START OR STOP WORKING 20
BEGIN OR END SCHOOL/COLLEGE 20
CHANGE IN LIVING CONDITIONS (visitors in the home, remodeling house, change in roommates) 20
CHANGE IN PERSONAL HABITS (start or stop a habit like smoking or dieting) 20
CHRONIC ALLERGIES 20
TROUBLE WITH THE BOSS 20
CHANGE IN WORK HOURS 15
CHANGE IN RESIDENCE 15
CHANGE TO A NEW SCHOOL /COLLEGE 10
PRESENTLY IN PRE-MENSTRUAL PERIOD 15
CHANGE IN RELIGIOUS ACTIVITY 15
GOING IN DEBT (you or your family) 10
CHANGE IN FREQUENCY OF FAMILY GATHERINGS 10
VACATION 10
PRESENTLY IN WINTER HOLIDAY SEASON 10
MINOR VIOLATION OF THE LAW 5

TOTAL SCORE ____________________________
 

You have been asked to look at the last twelve months of changes in your life. This may surprise you. It is crucial to understand, however, that a major change in your life has effects that carry over for long periods of time. It is like dropping a rock into a pond. After the initial splash, you will experience ripples of stress. And these ripples may continue in your life for at least a year.

So in general, if you have experienced total stress score/value within the last twelve months of 150 to 300, you may be moderately OVERSTRESSED. If you have experienced  total stress score/value above 300, then  you may be highly OVERSTRESSED. High scores have been correlated with susceptibility to illness and accidents in large group studies.

OVERSTRESS will make you sick. Carrying too heavy a stress load is like running your car engine past the red line; or leaving your toaster stuck in the "on" position; or running a nuclear reactor past maximum permissible power. Sooner or later, something will break, burnout, or melt down.

What breaks depends on where the weak links are in your physical body. And this is largely an inherited characteristic.

 

Here are the common "weak links", and the symptoms of their malfunction

 

Brain Overstress: Fatigue, aches and pains, crying spells, depression, anxiety attacks, sleep disturbance

 

Gastrointestinal Tract: Hyperacidity, ulcer, cramps and diarrhea, colitis, irritable bowel syndrome

 

Glandular System: Thyroid gland malfunction

 

Cardiovascular System: High blood pressure, heart attack, high pulse, abnormal heart beat, stroke

 

Skin Condition: Itchy skin rashes

 

Immune System: Decreased resistance to infections and neoplasm (tumor/cancer)

 

We have known for a long time that OVERSTRESS could cause physical damage to the gastrointestinal tract, glandular system, skin or cardiovascular system. But only recently have we learned that OVERSTRESS actually causes physical changes in the brain. One of the most exciting medical advances of our decade has been an understanding of how OVERSTRESS physically affects your brain. We now know that the fatigue, aches and pains, crying spells, depression, anxiety attacks and sleep disturbances of OVERSTRESS are caused by brain CHEMICAL MALFUNCTION, which are basically due to lack of stress management skills, and also due to negative perception towards self and life.


You can call me at 91-09821178259 for details and appointment.

You can also contact me at Dr@MentalHealthIndia.net for queries.