Stress is the feeling of being overwhelmed, worried or run-down. Stress is a natural part of life that affects people of all ages, genders and circumstances. It can lead to physical and psychological health issues. When combined with a chronic illness such as PH, stress can become difficult to manage. Try to identify everyday activities and techniques to reduce stress and know when to ask for help. 

Anxiety is characterized by feelings of tension, worried thoughts and physical changes, such as increased blood pressure. People with anxiety often have recurring thoughts or concerns that interfere with daily life. You might avoid certain situations because of worry. You also might have physical symptoms such as sweating, trembling, dizziness or rapid heartbeat. Ask your doctor about appropriate resources.

Burnout is a state of mental exhaustion that results from ongoing stress and inadequate or lack of self-care. Burnout can accompany increased anxiety and sometimes is an early sign of depression.

Survivor’s guilt is common to PH patients who outlive a friend or loved one, particularly someone else who also has PH. Survivors may find themselves wondering why they are alive while their loved one isn’t and experience, depression, anxiety or emotional numbness as a result. As with anxiety and depression, acknowledging feelings and seeking connection are valuable, but professional support from a therapist or social worker may also be necessary.

Some people experience denial, where they protect themselves by refusing to accept the reality of distressing situation. Although denial is a coping mechanism that gives you time to adjust to that situation, prolonged denial can interfere with treatment or your ability to manage aspects of your disease.