
Q I am afraid that I will become depressed again if I get stressed. Can stress management and recurrence prevention be linked?
A Stress raises cortisol levels, suppresses serotonin, and damages the hippocampus, becoming a major trigger for the recurrence of depression. Mindfulness, exercise, and sufficient sleep are effective in preventing recurrence by lowering cortisol levels.
Detailed Answer
Chronic stress continuously raises cortisol levels through the overactivation of the HPA axis (hypothalamus-pituitary-adrenal) and inhibits the production of hippocampal neurons, increasing vulnerability to the recurrence of depression. Changing how stress is interpreted through Cognitive Behavioral Therapy (CBT) and maintaining regular exercise and sleep are key to prevention.
Korean Medicine Clinic Perspective
Liver Qi Stagnation refers to a state where stress becomes blocked by emotions. Herbal medicine that relieves stifling feelings by releasing Qi circulation helps release this stagnant energy and lower stress reactivity. Combining traditional Korean medicine treatment with regular exposure to sunlight and walks creates synergy in cortisol regulation.
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