Understanding and Overcoming Daily Stress, Chronic Stress, and Anxiety Disorders

Thrive • November 2, 2021
By Thrive Reno’s Clinical Director and Therapist, Kerstin Trachok, CPC

Stress that does not interfere with your overall functioning is perfectly normal, manageable, and even helpful. Without the effects of stress, we wouldn’t be motivated to make necessary changes in our lives. 

Stress can, however, become chronic and even lead to the development of an anxiety disorder, both of which may require clinical treatment . The symptoms of these conditions differ in intensity, frequency, and duration.

Learn more about the different ways stress can be expressed, self-regulated, and clinically treated below. 

DAILY STRESS

Daily stress is unavoidable and simply a part of being alive. It’s typically caused by an external trigger that is either short-term or long-term.

Examples of stress triggers are: 

  • Deadlines at work 
  • An argument with a significant other
  • A school assignment
  • Chronic illness

The connection between stress and the rest of your being can be powerful. When faced with stressful external triggers, you may notice negative effects on your body, emotions, and lifestyle.

Some common symptoms of stress include:   

  • Low energy levels
  • Headaches
  • Upset stomach
  • Frequent sickness
  • Sleep changes
  • Muscle tension 
  • Increased heart rate
  • Difficulty relaxing
  • Inability to focus
  • Forgetfulness
  • Feeling overwhelmed 
  • Being pessimistic
  • Feeling increasingly irritable or angry
  • Procrastination
  • Appetite changes, such as feeling more or less hungry

CHRONIC STRESS

If you continue to feel stressed consistently for months at a time, you may be struggling with chronic stress.

Chronic stress can lead to serious physical and mental health issues such as:

  • Anxiety 
  • Depression
  • Post-traumatic stress disorder (PTSD)
  • Panic
  • Other disorders

ANXIETY DISORDERS

When the symptoms of stress continue after the trigger is gone, you may be experiencing anxiety. Genetics, brain chemistry, personality, and life events all play a role in the development of anxiety. As the most common mental illness in the U.S, 18.1 percent of adults experience anxiety. Typically, individuals struggling with anxiety are not able to function normally. 

The ​​Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is used by clinicians to diagnose psychiatric illnesses, lists ten types of anxiety disorders.

The ten types of anxiety disorders are:

  • Separation anxiety disorder: Feeling anxious or fearful when a person you’re close with leaves your presence. 
  • Selective mutism: When children speak normally with their family but don’t talk in public.
  • Specific phobias: Feeling intense fear of a specific object or situation causing you to avoid ordinary situations.
  • Social anxiety disorder: Feeling overwhelming worry over normal social interactions. 
  • Panic disorder: Feeling sudden, intense fear that leads to a panic attack. 
  • Agoraphobia: Feeling intense fear in places that seem hard to escape from or get emergency help in, such as an airplane, public transportation, or in crowds.
  • Generalized anxiety disorder: Feeling excessive, unrealistic worry for little or no reason. 
  • Anxiety disorder due to a medical condition: Feeling intense anxiety or panic directly caused by a physical health problem. 
  • Other specified anxiety disorder and unspecified anxiety disorder: Anxiety disorders that don’t meet the full criteria for any other anxiety disorders.

Though experiences differ with each type of anxiety disorder and each individual, some common symptoms of anxiety disorders include:

  • Persistent worry
  • Restlessness
  • Feeling on edge
  • Difficulty sleeping
  • Changes in appetite
  • Irritability
  • Difficulty thinking or concentrating
  • Muscle tension

When these symptoms begin to affect an individual’s relationships, occupation, or other areas of functioning, they should be clinically treated. 

COPING WITH DAILY STRESS USING YOUR BREATH

Practicing awareness is the key to managing stress. By identifying the trigger(s) that are causing your stress, you can determine any life changes that may be necessary. 

When experiencing stress and its corresponding heightened emotions, it can be difficult to think clearly, much less perform a deep self-reflection. So, the first step to mitigating your stress is to calm yourself down. The simplest way to do this is through your breath. By breathing deeply and slowly, you can calm your heart rate and allow your mind to clear. 

Box breathing is an effective breathing exercise that you can practice anywhere.

The steps of box breathing are as follows:

  1. Take one long, deep breath in for four seconds.
  2. At the top of the breath, hold the air in your lungs for four seconds. 
  3. Release all of the air in your lungs over the course of four seconds. 
  4. Refrain from inhaling for four seconds. 
  5. Repeat the steps above until you feel calm enough to think rationally. 
  6. Adjust the length of your inhales and exhales as needed, as this practice should not cause added stress in the process.

Once you’re in a calm state, consider the possible causes of your stress. Then, reflect on potential adjustments that may alleviate your stress. Simple and small changes in your life can often help support your basic needs, which can mitigate your daily stress. These adjustments may mean altering your routines so you get more sleep, eat consistently, and stay hydrated. 

CLINICAL SUPPORT FOR STRESS

When your stress begins affecting your daily functioning, you may want to consider seeking clinical support. Left untreated, the symptoms of stress can exacerbate the problem, leading to chronic stress, anxiety disorders, and other mental health conditions. 

Depending on the severity of the condition, treatment for stress may involve regular therapy sessions until the symptoms subside. In addition to therapy, individuals struggling with stress may also benefit from psychotropic medications.

If you’re struggling with stress or anxiety, Thrive offers outpatient therapy and medication management to help you find inner peace and embrace life confidently.

About the Author
Kerstin Trachok, CPC — Thrive Reno Clinical Director and Therapist

Kerstin received her master’s degrees in clinical mental health counseling and school counseling from the University of Nevada, Reno. Kerstin has seven years of experience in the counseling field working in different settings and a wide array of mental health issues. Kerstin has experience working in schools with children of all ages, clients with psychosis in a hospital setting, adults and teens in private practice, and working at an agency providing counseling to children and families. Kerstin is a fully licensed clinical professional counselor in the state of Nevada and received her certification in Complex Trauma Levels I and II. Kerstin has experience working with children, teens, adults, and families with trauma, anxiety, grief, depression, ADHD, autism spectrum, suicidal ideation, behavioral issues, and eating disorders. Kerstin is passionate about fostering clients’ growth and autonomy while providing a safe and secure space to process emotions. Kerstin uses creative interventions and other tools to allow clients to voice their internal experiences beyond traditional talk therapy. Kerstin’s therapeutic modality of choice is Acceptance and Commitment Therapy. She uses mindfulness tools and techniques to help clients be present-moment oriented, and reduce stress so they may move towards psychological flexibility. Kerstin believes all individuals have the right to live a fulfilling and vital life.

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December 2, 2025
Like the fir tree, a symbol of endurance rooted in hope, our Family Inclusive Recovery (FIR) approach reflects the strength that grows when families face challenges together. At our new residential center “The Greenhouse”, FIR is more than a treatment model, it’s a philosophy of healing that places families at the heart of recovery for adolescents and young adults navigating eating disorders, anxiety disorders, and obsessive-compulsive disorder (OCD). We believe lasting healing doesn’t happen in isolation; it’s built with the support of families through perseverance, hope, and compassionate care. What Is Family Inclusive Recovery (FIR)? Family Intensive Recovery (FIR) is a specialized and immersive approach that actively engages caregivers as central agents in their child’s healing process. Rather than seeing families as contributors to a problem, we view them as essential partners in recovery. Drawing from two evidence-based frameworks, Supportive Parenting for Anxious Childhood Emotions (SPACE) and Family-Based Treatment (FBT), FIR helps families cultivate resilience, confidence, and connection throughout the journey to recovery. Grounded in SPACE and FBT Through the SPACE model, parents learn how to recognize and reduce well-intentioned but unhelpful behaviors known as accommodations that can reinforce anxiety and OCD symptoms. By shifting from rescuing to supporting and challenging, parents develop the confidence to guide their child through discomfort, helping them build distress tolerance and self-trust. Simultaneously, Family-Based Treatment (FBT) empowers families to take an active, compassionate role in their child’s nutritional and emotional recovery. Parents learn how to support weight and nutritional restoration, disrupt the eating disorder’s patterns, and reestablish boundaries that promote health and growing autonomy. Together, these approaches strengthen both the individual and family system, allowing recovery to take root within an environment of empathy and optimism. From Blame to Collaboration A cornerstone of the FIR model is removing blame. At Thrive, parents are not viewed as the cause of their child’s struggles, but rather as key partners in recovery. Treatment focuses on joining forces to create a safe, supportive environment where: Families learn to sit with their child's discomfort alongside them without rushing to fix or control it. Parents practice compassionate firmness, setting boundaries grounded in care and safety. Teens and caregivers rebuild trust through open, honest communication. This collaborative framework helps families reestablish a sense of connection and confidence, fostering long-term resilience and open communication that extends beyond the treatment setting. Why Family Matters in Recovery Recovery from eating disorders, OCD, or anxiety isn’t a one-person job, it requires integrated care including the family. When families learn to navigate challenges together, they can model emotional regulation, reinforce healthy boundaries, and create conditions for sustained recovery. Through FIR, we aim to strengthen attachment bonds, reshape family interactions, and empower every member of the family to grow. The result is not only symptom reduction but also a deeper sense of unity, hope, and shared endurance, just like the steadfast fir tree that stands resilient through every season. Moving Toward Hope Family Inclusive Recovery invites caregivers and loved ones to become active participants in change. It’s a journey of learning, letting go, and leaning into love and acceptance. Together, families and clinicians can cultivate the courage in clients to face uncertainty, and in doing so, help them discover that recovery is not just possible, but enduring. If you’d like to learn more about Family Intensive Recovery at The Greenhouse or how we support families in eating disorder and OCD treatment, reach out to our team today.
November 14, 2025
The Greenhouse at Thrive Wellness A New Chapter of Hope and Healing in Nevada On Friday, November 14 , we gathered with our partners at Molina Healthcare to share an important moment for our community. Together, we celebrated Molina’s generous $50,000 grant , an investment that is helping bring The Greenhouse to life. Their support is not only a financial contribution—it’s a statement of belief in the young people and families of Nevada who deserve access to compassionate, evidence-based mental healthcare close to home. This gathering marked the beginning of something we’ve dreamed about for years: a place designed specifically for adolescents and emerging adults to receive the care, connection, and support they need during some of the most vulnerable moments of their lives. Something New Is Growing In early 2026 , Thrive Wellness will open The Greenhouse , Nevada’s first residential treatment center devoted to adolescents and emerging adults navigating eating disorders, anxiety, and OCD . For too long, families have faced a heartbreaking dilemma—send their child far from home for treatment or go without the specialized care they need. The Greenhouse is our answer to that gap. It will be a place where young people can settle into an environment built for healing, where they are understood, supported, and surrounded by a team that believes in their capacity to recover. The Greenhouse represents a natural extension of our mission. It’s a living expression of our belief that recovery is possible—and that with the right support, families can find their footing again. 
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Are you looking for a meaningful way to give back this holiday season? Thrive Wellness is excited to continue our 6th Annual Giving Tree Program in collaboration with Perenn Bakery this winter. This year, Thrive Wellness Reno and Perenn Bakery are proud to partner with Ronald McDonald House Charities® of Northern Nevada. The organization supports families with children receiving treatment at area hospitals, providing comfort, hope, and a home-away-from-home during challenging times. Ronald McDonald House Charities offers essential services, removes barriers, strengthens families, and promotes healing when children need healthcare the most. How It Works Simply take one (or a few) tags from the Giving Tree, each listing an item you can purchase and donate for residents of the Ronald McDonald House. Then, drop off your item(s) at one of our designated donation locations by Friday, December 19. Items Needed: Restaurant gift cards Walmart or Target gift cards Games, puzzles, and coloring books Toys (Barbie, Hot Wheels, Lego sets, craft sets, magnet blocks, baby dolls, action figures, journals, infant toys, etc.) Children's books (picture, chapter, and graphic novels) Toiletry sets (for adults) Lotion/self-care gift sets (for adults) Sweatshirts/hoodies (adults, XS-XXL) Scarves, gloves, fuzzy socks, pajamas (all sizes) Infant diapers, onesies, and baby bottles Bulk individually wrapped snacks (granola bars, chips, etc.) Please ensure all donations are new, in original packaging, and unwrapped. Donation Drop-Off Locations Please deliver donations by Friday, December 19, to one of the following sites: Thrive Wellness 201 W Liberty St., Suite 201, Reno, NV 89501 Perenn Grocery 7600 Rancharrah Pkwy, Suite 130, Reno, NV 89511 The first 50 people to return their donations will receive a complimentary ornament gift!  Why We Give Back Through our Giving Tree program, we’re honoring one of our core values at Thrive Wellness: staying rooted in community. This annual tradition allows us to give back to those who need support most during the holiday season. We invite you to join us by taking a tag at any Thrive or Perenn location and helping spread kindness throughout our community. There’s no better way to embrace the holiday spirit than by supporting local families with thoughtful, heartfelt donations. We are deeply grateful for your generosity and continued support. Thank you for helping us make a difference!
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