Why Prioritizing Stress Relief Can Improve Your Overall Well-Being
You can’t avoid stress, but you can manage it. Many simple relaxation
strategies can help you transform stress. When you practice them every
day, they will become healthy habits. Learning to adapt well in the face of challenges can bolster your energy reserves, support your health, and improve your quality of life.
WHAT YOU PRACTICE YOU BECOME!
Strategies for Transforming Stress & Why Stress Relief Matters!
Stress is one of the top health concerns of the 21st century—and for a good
reason. The majority of visits to primary care doctors are due, in part, to the
effects of chronic stress. For example, prolonged stress has been linked to
health issues like heart disease, diabetes, and chronic pain. Ongoing stress
can also harm your mood, emotions, and energy level.
Studies suggest that practicing relaxation methods can help you cope in a
wide variety of situations and may improve health-related symptoms.
Many proven stress-relief approaches are listed here. Choose the methods that appeal to you and work them into your daily routine.
For example, Spend time with a pet!
& 10 minutes of yoga every day during your lunch break. Or, listen to relaxing
music for 15 minutes every night before bed.
•
Go for a walk or do other physical activities you enjoy
• Journal about things you are grateful for
• Use a free gratitude app online
• Listen to music that relaxes you
• Dance to your favorite music
• Diffuse a soothing essential oil, such as sweet orange or lavender,
in your home or car
• Give yourself a foot massage
• Enjoy a warm water footbath with lavender essential oil
• Take 5 minutes to focus on breathing deeply
• Visualize in detail a scene that relaxes you, such as the beach,
mountains, or a flower garden
• Spend time with a pet
• Talk with supportive friends or family
• Try yoga, tai chi, or qigong
• Journal about a challenging situation
• Connect with nature, such as by gardening, hiking, or feeding birds
• Be creative, such as by coloring, painting, woodworking, knitting,
scrapbooking, or other crafting
• Sit in a sauna or soak in a hot tub
• Get a professional massage or swap massages with a partner that
you trust
• Enjoy a funny movie or book
• Try a laughter yoga session, such as by joining others to imitate
different types of laughs
• Spend time in spiritual or religious practices
© 2022 The Institute for Functional Medicine
REFERENCES
1. Lupe SE, Keefer L, Szigethy E. Gaining resilience and reducing stress in the age of COVID-19. Curr Opin Gastroenterol.
2020;36(4):295-303. doi:10.1097/MOG.0000000000000646.
2. Greeson JM, Chin GR. Mindfulness and physical disease: a concise review. Curr Opin Psychol. 2019;28:204-210. doi:10.1016/j.
copsyc.2018.12.014.
3. National Center for Complementary and Integrative Health. Relaxation techniques: what you need to know. Last updated June
2021. Accessed January 26, 2022. https://www.nccih.nih.gov/health/relaxation-techniques-what-you-need-to-know.
4. Li J, Cai Z, Li X, et al. Mindfulness-based therapy versus cognitive behavioral therapy for people with anxiety symptoms: a
systematic review and meta-analysis of random controlled trials. Ann Palliat Med. 2021;10(7):7596-7612. doi:10.21037/apm-21-
1212.
5. Sinha MK, Barman A, Goyal M, Patra S. Progressive muscle relaxation and guided imagery in breast cancer: a systematic review
and meta-analysis of randomised controlled trials. Indian J Palliat Care. 2021;27(2):336-344. doi:10.25259/IJPC_136_21.
6. Lehto RH, Wyatt G, Sender J, Miller SE. An evaluation of natural environment interventions for informal cancer caregivers in the
community. Int J Environ Res Public Health. 2021;18(21):11124. doi:10.3390/ijerph182111124.
7. Liao CC, Lan SH, Yen YY, Hsieh YP, Lan SJ. Aromatherapy intervention on anxiety and pain during first stage labour in
nulliparous women: a systematic review and meta-analysis. J Obstet Gynaecol. 2021;41(1):21-31. doi:10.1080/01443615.2019.
1673707.
8. Lundstrom TH, Rocheleau CA, Guerra DF, Erickson CA. Participation in a yoga study decreases stress and depression scores for
incarcerated women. Int J Yoga Therap. 2021;31(1):Article_6. doi:10.17761/2021-D-19-00064.
• Listen to music that relaxes you
• Dance to your favorite music
• Diffuse a soothing essential oil, such as sweet orange or lavender,
in your home or car
• Give yourself a foot massage
• Enjoy a warm water footbath with lavender essential oil
• Take 5 minutes to focus on breathing deeply
• Visualize in detail a scene that relaxes you, such as the beach,
mountains, or a flower garden
• Spend time with a pet
• Talk with supportive friends or family
• Try yoga, tai chi, or qigong
• Journal about a challenging situation
• Connect with nature, such as by gardening, hiking, or feeding birds
• Be creative, such as by coloring, painting, woodworking, knitting,
scrapbooking, or other crafting
• Sit in a sauna or soak in a hot tub
• Get a professional massage or swap massages with a partner that
you trust
• Enjoy a funny movie or book
• Try a laughter yoga session, such as by joining others to imitate
different types of laughs
• Spend time in spiritual or religious practicesVersion 3
© 2022 The Institute for Functional Medicine
9. Paschali AA, Peppou LE, Benroubi M. Relaxation training significantly reduced blood glucose levels in patients with type 1
diabetes mellitus. Hormones (Athens). 2020;19(2):215-222. doi:10.1007/s42000-020-00187-w.
10. Gu Q, Hou JC, Fang XM. Mindfulness meditation for primary headache pain: a meta-analysis. Chin Med J (Engl).
2018;131(7):829-838. doi:10.4103/0366-6999.228242.
11. Seminowicz DA, Burrowes SAB, Kearson A, et al. Enhanced mindfulness-based stress reduction in episodic migraine:
a randomized clinical trial with magnetic resonance imaging outcomes. Pain. 2020;161(8):1837-1846. doi:10.1097/j.
pain.0000000000001860.
12. Gathright EC, Salmoirago-Blotcher E, DeCosta J, et al. Stress management interventions for adults with heart failure:
systematic review and meta-analysis. Health Psychol. 2021;40(9):606-616. doi:10.1037/hea0001084.
13. Yau KK, Loke AY. Effects of forest bathing on pre-hypertensive and hypertensive adults: a review of the literature. Environ
Health Prev Med. 2020;25(1):23. doi:10.1186/s12199-020-00856-7.
14. Chen TL, Chang SC, Hsieh HF, Huang CY, Chuang JH, Wang HH. Effects of mindfulness-based stress reduction on sleep
quality and mental health for insomnia patients: a meta-analysis. J Psychosom Res. 2020;135:110144. doi:10.1016/j.
jpsychores.2020.110144.
15. Denuwara B, Gunawardena N, Dayabandara M, Samaranayake D. A systematic review and meta-analysis of the effectiveness of
individual-level interventions to reduce occupational stress perceptions among teachers. Arch Environ Occup Health. 2021;1-
15. doi:10.1080/19338244.2021.1958738.
16. Taylor P, Dorstyn DS, Prior E. Stress management interventions for multiple sclerosis: a meta-analysis of randomized controlled
trials. J Health Psychol. 2020;25(2):266-279. doi:10.1177/1359105319860185.
17. Gorsky K, Black ND, Niazi A, et al. Psychological interventions to reduce postoperative pain and opioid consumption: a
narrative review of literature. Reg Anesth Pain Med. 2021;46(10):893-903. doi:10.1136/rapm-2020-102434.
18. Roberts LR, Boostrom GG, Dehom SO, Neece CL. Self-reported parenting stress and cortisol awakening response following
mindfulness-based stress reduction intervention for parents of children with developmental delays: a pilot study. Biol Res Nurs.
2020;22(2):217-225. doi:10.1177/1099800419890125.
19. Angelopoulou E, Anagnostouli M, Chrousos GP, Bougea A. Massage therapy as a complementary treatment for Parkinson’s
disease: a systematic literature review. Complement Ther Med. 2020;49:102340. doi:10.1016/j.ctim.2020.102340.
20. Stanley PF, Wan LF, Karim RA. A randomized prospective placebo-controlled study of the effects of lavender aromatherapy on
preoperative anxiety in cataract surgery patients. J Perianesth Nurs. 2020;35(4):403-406. doi:10.1016/j.jopan.2019.12.004.
21. Kim H, Lee KS. Association of stress management with success of smoking cessation in Korean female emotional labor workers
for service and sales. Int J Environ Res Public Health. 2021;18(6):3023. doi:10.3390/ijerph18063023.
22. Sousa GM, Lima-Araújo GL, Araújo DB, Sousa MBC. Brief mindfulness-based training and mindfulness trait attenuate
psychological stress in university students: a randomized controlled trial. BMC Psychol. 2021;9(1):21. doi:10.1186/s40359-021-
00520-x.
23. Noma N, Watanabe Y, Shimada A, et al. Effects of cognitive behavioral therapy on orofacial pain conditions. J Oral Sci.
2020;63(1):4-7. doi:10.2334/josnusd.20-0437.
24. Mücke M, Ludyga S, Colledge F, Gerber M. Influence of regular physical activity and fitness on stress reactivity as measured
with the Trier Social Stress Test protocol: a systematic review. Sports Med. 2018;48(11):2607-2622. doi:10.1007/s40279-018-
0979-0.
25. Jiang D. Feeling gratitude is associated with better well-being across the life span: a daily diary study during the COVID-19
outbreak. J Gerontol B Psychol Sci Soc Sci. 2020;gbaa220. doi:10.1093/geronb/gbaa220.
26. Zamanifar S, Bagheri-Saveh MI, Nezakati A, Mohammadi R, Seidi J. The effect of music therapy and aromatherapy with
chamomile-lavender essential oil on the anxiety of clinical nurses: a randomized and double-blind clinical trial. J Med Life.
2020;13(1):87-93. doi:10.25122/jml-2019-0105.
27. Steinberg-Oren SL, Krasnova M, Krasnov IS, Baker MR, Ames D. Let’s dance: a holistic approach to treating veterans with
posttraumatic stress disorder. Fed Pract. 2016;33(7):44-49.
28. Mirhosseini S, Abbasi A, Norouzi N, Mobaraki F, Basirinezhad MH, Mohammadpourhodki R. Effect of aromatherapy massage
by orange essential oil on post-cesarean anxiety: a randomized clinical trial. J Complement Integr Med. 2021;18(3):579-583.
doi:10.1515/jcim-2020-0138.
29. O’Hair CM, Armstrong K, Rutherford HJV. The potential utility for massage therapy during pregnancy to decrease stress and
tobacco use. Int J Ther Massage Bodywork. 2018;11(3):15-19.
30. Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Taghizadeh M, Mohammadi A. Effect of lavender
cream with or without foot-bath on anxiety, stress and depression in pregnancy: a randomized placebo-controlled trial. J Caring
Sci. 2015;4(1):63-73. doi:10.5681/jcs.2015.007.
31. Lei Chui P, Wai S, Lai LL, See MH, Tan SB. Mindful breathing: effects of a five-minute practice on perceived stress and
mindfulness among patients with cancer. Clin J Oncol Nurs. 2021;25(2):174-180. doi:10.1188/21.CJON.174-180.
32. Ein N, Li L, Vickers K. The effect of pet therapy on the physiological and subjective stress response: a meta-analysis. Stress
Health. 2018;34(4):477-489. doi:10.1002/smi.2812.
33. Heimgartner N, Meier S, Grolimund S, et al. Randomized controlled evaluation of the psychophysiological effects of social
support stress management in healthy women. PLoS One. 2021;16(6):e0252568. doi:10.1371/journal.pone.0252568.
34. Wang F, Szabo A. Effects of yoga on stress among healthy adults: a systematic review. Altern Ther Health Med.
2020;26(4):AT6214.
35. Yang G, Li W, Klupp N, et al. Does tai chi improve psychological well-being and quality of life in patients with cardiovascular
disease and/or cardiovascular risk factors? A systematic review. BMC Complement Med Ther. 2022;22(1):3. doi:10.1186/
s12906-021-03482-0.
36. Bechard E, Evans J, Cho E, et al. Feasibility, acceptability, and potential effectiveness of an online expressive writing
intervention for COVID-19 resilience. Complement Ther Clin Pract. 2021;45:101460. doi:10.1016/j.ctcp.2021.101460.
37. Jones R, Tarter R, Ross AM. Greenspace interventions, stress and cortisol: a scoping review. Int J Environ Res Public Health.
2021;18(6):2802. doi:10.3390/ijerph18062802.
38. Martin L, Oepen R, Bauer K, et al. Creative arts interventions for stress management and prevention-a systematic review. Behav
Sci (Basel). 2018;8(2):28. doi:10.3390/bs8020028.
39. Hussain JN, Greaves RF, Cohen MM. A hot topic for health: results of the Global Sauna Survey. Complement Ther Med.
2019;44:223-234. doi:10.1016/j.ctim.2019.03.012.
40. Meier M, Wirz L, Dickinson P, Pruessner JC. Laughter yoga reduces the cortisol response to acute stress in healthy individuals.
Stress. 2021;24(1):44-52. doi:10.1080/10253890.2020.1766018.
41. Smothers ZPW, Koenig HG. Spiritual interventions in veterans with PTSD: a systematic review. J Relig Health. 2018;57(5):2033-
2048. doi:10.1007/s10943-018-0680-5.