| Primary stress hormone | Cortisol |
| Axis governing stress hormone release | HPA axis (Hypothalamic-Pituitary-Adrenal) |
| Speed of adrenaline release | Within seconds of perceived threat |
| Coined by | Walter Cannon coined fight-or-flight; allostatic load by McEwen & Stellar |
| Nervous system 'off switch' | Parasympathetic nervous system |
| Cumulative stress measure | Allostatic load |
Why the Vocabulary of Stress Matters
Words like cortisol, fight-or-flight, and allostatic load appear constantly in conversations about mental health — yet their meanings often go unexplained. When you understand what these terms actually describe, stress stops feeling like a vague, uncontrollable force and starts making biological sense.
This reference glossary defines the most frequently encountered stress and anxiety terms in plain language. It is designed to complement deeper reading, not replace professional guidance. For a fuller picture of how these mechanisms play out inside the body, see The Science of Stress.
Stressor
Any internal or external demand that disrupts the body's equilibrium. Stressors can be physical (injury, illness), psychological (deadline pressure, conflict), or social. The body responds to perceived stressors even when the threat is not physically present.
Fight-or-Flight Response
An automatic physiological reaction — first described by Walter Cannon — in which the body prepares to confront or escape a perceived threat. Heart rate, breathing, and blood sugar rise; digestion and non-essential functions slow. The response is orchestrated by the sympathetic nervous system.
HPA Axis
The Hypothalamic-Pituitary-Adrenal axis is a three-part hormonal cascade the brain uses to regulate the stress response. The hypothalamus signals the pituitary gland, which in turn prompts the adrenal glands to release cortisol. It functions like a thermostat — with feedback loops designed to return the system to baseline.
Cortisol
Often called the primary stress hormone, cortisol is released by the adrenal glands in response to HPA axis activation. In short bursts it helps mobilise energy and sharpen focus; chronically elevated levels are linked to disrupted sleep, immune suppression, and mood changes.
Adrenaline (Epinephrine)
A fast-acting hormone and neurotransmitter released from the adrenal medulla within seconds of perceiving a threat. Adrenaline accelerates heart rate, dilates airways, and redirects blood to muscles — the immediate fuel of the fight-or-flight response.
Sympathetic Nervous System
The branch of the autonomic nervous system responsible for activating the fight-or-flight response. It operates largely outside conscious control and can be thought of as the body's accelerator pedal during stress.
Parasympathetic Nervous System
The counterpart to the sympathetic system, often called 'rest-and-digest.' It promotes recovery, slows heart rate, and supports digestion. Practices like slow diaphragmatic breathing are thought to stimulate this system.
Allostatic Load
A cumulative measure of physiological wear and tear resulting from repeated or prolonged stress exposure. High allostatic load is associated with increased risk for heart disease, metabolic disorders, and mental health conditions. The concept was developed by researchers Bruce McEwen and Eliot Stellar.
Acute vs. Chronic Stress
Acute stress is short-lived and often resolves once the stressor passes. Chronic stress persists over weeks, months, or years, keeping the HPA axis activated and raising allostatic load. The body adapts differently to each type, with chronic stress carrying greater long-term health implications.
Neuroplasticity
The brain's capacity to reorganise its structure and function in response to experience. Chronic stress can alter areas like the prefrontal cortex and hippocampus, affecting memory and emotion regulation. Conversely, stress-management practices may support positive neuroplastic changes.
Dysregulation
In mental health contexts, dysregulation refers to difficulty managing emotional or physiological responses — for example, an overactive stress response that fires in the absence of real danger. It is distinct from a clinical diagnosis and describes a pattern rather than a permanent state.
Window of Tolerance
A concept developed by psychiatrist Dan Siegel describing the optimal zone of arousal in which a person can function effectively. When stress pushes someone outside this window — into hyperarousal or hypoarousal — thinking and coping become harder.
Core Concepts at a Glance
The terms below cluster around three big ideas: the signals that trigger a stress response, the hormones that carry those signals through your body, and the costs that accumulate when activation stays high for too long.
| Primary stress hormone | Cortisol |
| Axis governing stress hormone release | HPA axis (Hypothalamic-Pituitary-Adrenal) |
| Speed of adrenaline release | Within seconds of perceived threat |
| Coined by | Walter Cannon coined fight-or-flight; allostatic load by McEwen & Stellar |
| Nervous system 'off switch' | Parasympathetic nervous system |
| Cumulative stress measure | Allostatic load |
One concept worth pausing on is allostatic load — essentially the running tab your body keeps of stress exposure over time. High allostatic load is associated with elevated risk for cardiovascular, metabolic, and mental health difficulties, which is why chronic stress is taken seriously in clinical settings even when no single episode feels dramatic.
For a practical look at evidence-supported ways to keep that tab manageable, Everyday Stress Management offers a comprehensive starting point. And if you have ever wondered how stress hormones interact with sleep, Sleep, Stress, and Hormones walks through those connections in detail.
Understanding whether what you are experiencing is acute stress or something closer to an anxiety disorder is also important — the two share symptoms but call for different responses. Stress vs. Anxiety explains the distinction clearly. For those curious about hormonal downstream effects specific to men, Stress, Testosterone, and the Body covers the evidence on cortisol's relationship with testosterone.
This article is for general informational and educational purposes only and does not constitute medical advice. Please consult a qualified healthcare professional for any personal health concerns or before making changes to your care.
