What Really Makes Stress Harmful

Listen to the AI-generated audio version of this article. (Beta)

It’s just past one, and you’re awake. Nothing has happened, no one is at the door, tomorrow will be a day like any other. And yet your body lies there as if something were coming. The heart runs too fast, the shoulders are drawn up though there’s nothing to carry. The thoughts circle through the day behind you and the one ahead. Your alarm system is running at operating temperature, for a danger that isn’t there.

This is what we call stress, and most of us have only one answer to it, without ever having chosen it: this is harmful, it has to go. Whether that assumption even holds is what a team led by the health scientist Abiola Keller tested over eight years on nearly thirty thousand people, with a bleak question in the background: which of them would die sooner over that span? At the start, everyone had been asked two things. How much stress did you have in the past year? And do you believe that stress is harming your health?

The result was clear and surprising at once. A lot of stress raised the risk of dying early by forty-three percent, but only among those who were also convinced the stress was making them ill. Those who reported just as much stress but didn’t consider it harmful carried no elevated risk. The belief that one’s own stress makes one ill did something the stress alone did not.

It’s an uncomfortable finding, because it’s aimed straight at you. What do you actually believe while your heart beats faster before a meeting? For most of us the answer, without our ever having chosen it, runs: this is bad for me, I should calm down. And that very thought is suspected of being part of the problem itself.

The Story You Tell Your Racing Heart

The psychologist Alia Crum has shown how much this appraisal plays a part. In her studies, people watched short films that presented stress to one group as something that cripples and weakens, and to the other as something that sharpens and makes you grow. That framing alone changed how their bodies later responded to a real strain, down to the stress hormones in the blood. Those who understood stress as a helpful mobilisation showed a more balanced hormone profile and were more inclined to seek feedback on their performance than to avoid it.

It gets more concrete with Jeremy Jamieson. He took people aside before a stressful task and reinterpreted the pounding heart and quicker breath for them. These reactions, he explained, are the body sending blood and oxygen where they’re about to be needed, equipment for the moment and not a herald of failure. The participants prepared this way didn’t just perform better. Their blood vessels stayed measurably more relaxed and the heart worked more efficiently, a state closer to anticipation than to threat. The same arousal, a different text about it, and to some extent the physiology follows the text.

This finding just shouldn’t be stretched too far, and the popular version does exactly that. Keller’s numbers show a link, not a proof. Perhaps the unworried people were more resilient to begin with, because they had already found more than once that they come through a hard stretch, and so read their tension as a passing signal rather than a threat. In that case the same hard-won calm would be keeping them healthier and giving the relaxed answer at the same time. Whether the thought really protects or merely marks out who was sturdier anyway, this one study can’t say. Either way the pattern points the same direction: what happens to you depends less on the amount of stress than on your relationship to it.

Reading the tension differently helps above all in the short moment, before the talk or the call you dread, if less powerfully than the popular story promises. What’s meant is ordinary tension, not panic or real overload, which need their own ways through. The stress that weighs on you over time is of another kind, the kind that never ebbs away.

The Zebra Goes Back to Grazing

Why this lasting stress arises at all is captured by an image the biologist Robert Sapolsky coined. A zebra that has just fled a lion is grazing again two minutes later as if nothing had happened. Its alarm system switches on when needed and afterwards switches fully off again. In humans it stays on. We carry the tension to the dinner table and into bed, often for dangers that never physically arrive and that you can neither run from nor fight.

Here sits the second lever, overlooked as much as the first. The work psychologist Sabine Sonnentag has spent years studying what best predicts exhaustion. It’s less the amount of work than whether someone genuinely switches off mentally after hours. Whoever stays in their head with the open emails all evening never lets their stress system come all the way down, even when the body has long been on the sofa. Sonnentag’s term for it is psychological detachment, and in her data it protects wellbeing even when the load is high.

The tricky part is that unbroken tension comes to feel normal over time. You no longer notice the alarm is running, because it never went off. That is exactly where the difference lies between short strain and lasting strain. The short kind rises and falls again. The lasting kind finds no end.

Two Dials

Set the two findings side by side, and a different picture of stress emerges. It isn’t a substance that piles up in the body and slowly poisons it. It’s a response built to ramp up and come back down. What becomes of it depends less on its amount than on how you handle it.

That makes for a simple sequence. First, to notice the stress at all, instead of hauling it around as a vague standing condition. Then, when the tension flares, to read it as what it is, an activation that lends you strength for the moment. And to take it seriously enough to see that it powers down again, before it turns into a permanent state. The reading shifts the single moment a little. The powering-down decides whether your system stays healthy over the long run. And where a strain genuinely makes you ill, neither helps much; then the strain itself has to change.

An exercise for the coming week: Ramping Up, Coming Down

Over the next few days, set out to catch two moments, one during the day and one in the evening. The first is the one where your body ramps up, before a meeting or a call you keep putting off. Notice what you automatically tell yourself about the tension, and lay a second reading beside it. The faster heart, the alert body, that’s the activation your system is handing you for this exact moment. In this form stress is nothing bad, it makes you able to act, and you don’t have to get rid of it to cope.

The second moment is after work. Pause for a bit and go through your body. Are the shoulders still raised, the breath shallow? Are your thoughts still circling the day though it’s over? Then the activation is still running after it has long served its purpose, and this is exactly where useful stress turns into the harmful kind. Do something that powers it down, a walk in the open air or a clear cut between work and evening. The activation is allowed to come. It just needs to go again once there’s nothing left to handle.

And once the reason is gone, does the tension go too, or does it keep running?

Sources

  • Keller, A., Litzelman, K., Wisk, L. E., Maddox, T., Cheng, E. R., Creswell, P. D. & Witt, W. P. (2012). Does the Perception That Stress Affects Health Matter? The Association With Health and Mortality. Health Psychology, 31(5), 677–684.
  • Crum, A. J., Salovey, P. & Achor, S. (2013). Rethinking Stress: The Role of Mindsets in Determining the Stress Response. Journal of Personality and Social Psychology, 104(4), 716–733.
  • Jamieson, J. P., Nock, M. K. & Mendes, W. B. (2012). Mind Over Matter: Reappraising Arousal Improves Cardiovascular and Cognitive Responses to Stress. Journal of Experimental Psychology: General, 141(3), 417–422.
  • Bosshard, M. & Gomez, P. (2024). Effectiveness of Stress Arousal Reappraisal and Stress-Is-Enhancing Mindset Interventions on Task Performance Outcomes: A Meta-Analysis of Randomized Controlled Trials. Scientific Reports, 14, 7923.
  • Sonnentag, S. & Fritz, C. (2015). Recovery from Job Stress: The Stressor-Detachment Model as an Integrative Framework. Journal of Organizational Behavior, 36(S1), S72–S103.
  • Sonnentag, S., Binnewies, C. & Mojza, E. J. (2010). Staying Well and Engaged When Demands Are High: The Role of Psychological Detachment. Journal of Applied Psychology, 95(5), 965–976.
  • Sapolsky, R. M. (2004). Why Zebras Don’t Get Ulcers (3. Aufl.). Holt.

Feedback

Terms of use

Terms of use for the use of the Mindvise platform for online psychological counseling

Date of last update: 20.05.2025

1. Service description
Mindvise provides a digital platform that gives company employees access to online psychological counseling by qualified, freelance psychologists. The psychologists act independently and determine the content of the consultations themselves.

2. Qualification of consultants
All consultants working on the platform have at least a degree in psychology (Master of Science or diploma). Their suitability is checked by Mindvise before they start working.

3. Confidentiality
All contents of the counseling sessions are subject to confidentiality. Personal information will not be passed on to third parties, in particular to the employer, except in the case of express consent or legal obligation.

4. Disclaimer
Use of the platform is voluntary and at your own risk. Psychological counseling is not a substitute for medical or psychotherapeutic treatment. Mindvise accepts no liability for direct or indirect consequences arising from the use of counseling services.

5. Code of conduct
Respectful, professional interaction is a prerequisite. Discrimination, insults or behavior that violates boundaries will not be tolerated. The advisors are entitled to terminate conversations in the event of inappropriate behavior.

6. Cancellation policy
Consultation appointments must be canceled at least 12 hours before the start. If an appointment is canceled later, up to 80% of the fee can be claimed as expenses, depending on the employer’s regulations.

7. Restrictions on use
Use is not suitable if:

* You are in an acute mental health crisis or emergency. In such cases, please contact the medical on-call service (116117) or the emergency number 112.
* You have a serious mental illness that requires continuous specialist care.
* You are a minor and do not have the consent of your legal guardian.

If you are currently undergoing psychotherapeutic treatment, we recommend that you consult with your treating specialist before using the platform.

8. Consent to data processing
By using the platform, you agree to the terms of use and the privacy policy. You agree that your voluntarily submitted information on mental stress may be processed by Mindvise (including health data in accordance with Art. 9 GDPR). This consent is voluntary and can be revoked at any time.

If you have any questions or concerns, please contact:
[kontakt@mindvise.de](mailto:kontakt@mindvise.de)

Privacy policy

1. General information on data protection

Thank you for using our services. The protection of your personal data is important to us. This privacy policy explains how we process personal data, when you use our services. We only collect the data that is necessary for the use of our platform, and do not pass it on to third parties without your consent.

2. Person responsible for data processing

Responsible within the meaning of the General Data Protection Regulation (GDPR):

Mindvise
Pascal Seitz
Lamprecht Str. 51
63739 Aschaffenburg, Germany

Phone: 01579-2526192
E-mail: kontakt@mindvise.de
Website: https://mental.mindvise.de

3. Collection and use of personal data

We only collect the data provided by you (first name, e-mail address, telephone number, business code, consultation topic, additional information transmitted on the consultation request) that was transmitted when booking consultation appointments. This data is stored on our server for 30 days and then backed up locally for 12 months. Our freelance consultants receive your data when an appointment is booked and also store it locally for a maximum of 12 months. For service agreements with a limit on monthly consultations per employee, the data is used to monitor compliance with the set limits.

4. Booking via hotline

As an alternative to online booking, you have the option of booking appointments via the hotline listed above so that you do not have to enter any data via the booking system.

5. Voluntariness of use

Use of the advisory services via the platform is voluntary. There are no disadvantages if you do not wish to take advantage of the offer.

6. Legal basis of the processing

Your data is processed on the following legal bases:

  • Consent (Art. 6 para. 1 lit. a GDPR): Your voluntary consent when providing the data for booking appointments.
  • Fulfillment of a contract (Art. 6 para. 1 lit. b GDPR): Processing of data for the provision of our services.
  • Protection of legitimate interests (Art. 6 para. 1 lit. f GDPR): Data processing is carried out in the interest of the smooth operation of our services, provided that no interests of the data subject worthy of protection prevail.

7. Processing of special categories of data

As part of the consultation, information may be processed that allows conclusions to be drawn about your mental health (e.g. through free text information on stress or concerns). This data is considered special categories of personal data within the meaning of Art. 9 GDPR. The processing takes place exclusively with your express consent in accordance with Art. 9 para. 2 lit. a GDPR. This consent is voluntary and can be revoked at any time.

8. Video communication

For video communication, we recommend using Jitsi Meet on our server at https://meet.mindvise.de. Advisors are free to decide whether to use this server or choose an alternative platform, which will be communicated to you in advance by e-mail. In this case, the data protection provisions of the chosen provider apply. If you do not wish to use an alternative provider as a video communication tool, you can communicate this by sending an e-mail to the selected consultant in advance. When using the Mindvise-hosted Jitsi Meet instance, personal data such as IP addresses may be collected. This data is used exclusively to enable communication and is not passed on to third parties.

9. Mental Health Assistent (ChatGPT API)

When using the digital mental health assistant, your voluntary free text entries can be transmitted to the OpenAI API for processing. The processing is pseudonymized (without direct name or identity assignment) and exclusively for the provision of the assistant function. The transfer is secured by the conclusion of standard contractual clauses in accordance with Art. 46 GDPR and OpenAI’s participation in the EU-U.S. Data Privacy Framework.

10. Technical and organizational measures (TOMs)

We have implemented the following measures to ensure the protection of your data:

  • Access control: The servers are provided by ISO-certified providers (Netcup, Alfahosting).
  • Access control: Access is only granted via password-protected systems with strict password guidelines.
  • Encryption and data backup: All data transmissions are SSL-encrypted. Data is deleted every 30 days and backed up locally.
  • Forwarding control: Encrypted communication channels (e-mail, SSL) are used.
  • Separation control: Logical separation of test and production data.
  • Integrity control: Regular backups and version controls ensure data integrity.
  • Roles and rights system: Administrative access is restricted; there is no access to personal content.

11 Rights of the data subjects

You have the right, to request information about the personal data stored about you at any time and to request the correction, deletion or restriction of the processing of this data. You also have the right to data portability and the right to object. You can withdraw your consent to the processing of personal data at any time.

12. Right to erasure (“right to be forgotten”)

You have the right to request the deletion of your personal data if:

  • the data is no longer required for the original purpose;
  • You withdraw your consent and there is no other legal basis for processing;
  • You object to the processing and there are no overriding legitimate grounds;
  • the data was processed unlawfully;
  • the deletion is necessary to fulfill a legal obligation.

13. Right to lodge a complaint with the supervisory authority

If you believe that the processing of your data violates the GDPR, you have the right to lodge a complaint with the competent data protection authority:

The Bavarian State Commissioner for Data Protection
P.O. Box 22 12 19, 80502 Munich
E-mail: poststelle@datenschutz-bayern.de

14. Duration of data storage

Personal data is stored on our server for a maximum of 30 days. At the end of this period, the data is deleted and backed up locally. Freelance consultants store the data locally for up to 12 months and then delete it permanently.

15. Data transfer to third parties and third countries

We do not pass on personal data to third parties without your consent. Personal data is only transferred to third countries in the context of using the Mental Health Assistant. In this case, the transfer is secured by OpenAI’s participation in the EU-U.S. Data Privacy Framework and by standard contractual clauses (SCCs) in accordance with Art. 46 GDPR.

16. Cookies and similar technologies

We only use technically necessary cookies on our website to enable you to make optimum use of our services. Analytical or marketing cookies are not used.

17. Automated decision-making including profiling

There is no automated decision-making or profiling within the meaning of Art. 22 GDPR.

18. Further processing for other purposes

Further processing of the personal data collected for other purposes is not planned. Should this become necessary in the future, you will be informed accordingly prior to such further processing.

19. Time of provision of the information

This information is provided to you at the latest at the time of data collection and within one month of the data being collected.

20. Adjustments to this privacy policy

We reserve the right to amend this privacy policy if necessary, to comply with legal requirements or to reflect changes to our services.

Feedback

Terms of use

Terms of use for the use of the Mindvise platform for online psychological counseling

Date of last update: 20.05.2025

1. Service description
Mindvise provides a digital platform that gives company employees access to online psychological counseling by qualified, freelance psychologists. The psychologists act independently and determine the content of the consultations themselves.

2. Qualification of consultants
All consultants working on the platform have at least a degree in psychology (Master of Science or diploma). Their suitability is checked by Mindvise before they start working.

3. Confidentiality
All contents of the counseling sessions are subject to confidentiality. Personal information will not be passed on to third parties, in particular to the employer, except in the case of express consent or legal obligation.

4. Disclaimer
Use of the platform is voluntary and at your own risk. Psychological counseling is not a substitute for medical or psychotherapeutic treatment. Mindvise accepts no liability for direct or indirect consequences arising from the use of counseling services.

5. Code of conduct
Respectful, professional interaction is a prerequisite. Discrimination, insults or behavior that violates boundaries will not be tolerated. The advisors are entitled to terminate conversations in the event of inappropriate behavior.

6. Cancellation policy
Consultation appointments must be canceled at least 12 hours before the start. If an appointment is canceled later, up to 80% of the fee can be claimed as expenses, depending on the employer’s regulations.

7. Restrictions on use
Use is not suitable if:

* You are in an acute mental health crisis or emergency. In such cases, please contact the medical on-call service (116117) or the emergency number 112.
* You have a serious mental illness that requires continuous specialist care.
* You are a minor and do not have the consent of your legal guardian.

If you are currently undergoing psychotherapeutic treatment, we recommend that you consult with your treating specialist before using the platform.

8. Consent to data processing
By using the platform, you agree to the terms of use and the privacy policy. You agree that your voluntarily submitted information on mental stress may be processed by Mindvise (including health data in accordance with Art. 9 GDPR). This consent is voluntary and can be revoked at any time.

If you have any questions or concerns, please contact:
[kontakt@mindvise.de](mailto:kontakt@mindvise.de)

Privacy policy

1. General information on data protection

Thank you for using our services. The protection of your personal data is important to us. This privacy policy explains how we process personal data, when you use our services. We only collect the data that is necessary for the use of our platform, and do not pass it on to third parties without your consent.

2. Person responsible for data processing

Responsible within the meaning of the General Data Protection Regulation (GDPR):

Mindvise
Pascal Seitz
Lamprecht Str. 51
63739 Aschaffenburg, Germany

Phone: 01579-2526192
E-mail: kontakt@mindvise.de
Website: https://mental.mindvise.de

3. Collection and use of personal data

We only collect the data provided by you (first name, e-mail address, telephone number, business code, consultation topic, additional information transmitted on the consultation request) that was transmitted when booking consultation appointments. This data is stored on our server for 30 days and then backed up locally for 12 months. Our freelance consultants receive your data when an appointment is booked and also store it locally for a maximum of 12 months. For service agreements with a limit on monthly consultations per employee, the data is used to monitor compliance with the set limits.

4. Booking via hotline

As an alternative to online booking, you have the option of booking appointments via the hotline listed above so that you do not have to enter any data via the booking system.

5. Voluntariness of use

Use of the advisory services via the platform is voluntary. There are no disadvantages if you do not wish to take advantage of the offer.

6. Legal basis of the processing

Your data is processed on the following legal bases:

  • Consent (Art. 6 para. 1 lit. a GDPR): Your voluntary consent when providing the data for booking appointments.
  • Fulfillment of a contract (Art. 6 para. 1 lit. b GDPR): Processing of data for the provision of our services.
  • Protection of legitimate interests (Art. 6 para. 1 lit. f GDPR): Data processing is carried out in the interest of the smooth operation of our services, provided that no interests of the data subject worthy of protection prevail.

7. Processing of special categories of data

As part of the consultation, information may be processed that allows conclusions to be drawn about your mental health (e.g. through free text information on stress or concerns). This data is considered special categories of personal data within the meaning of Art. 9 GDPR. The processing takes place exclusively with your express consent in accordance with Art. 9 para. 2 lit. a GDPR. This consent is voluntary and can be revoked at any time.

8. Video communication

For video communication, we recommend using Jitsi Meet on our server at https://meet.mindvise.de. Advisors are free to decide whether to use this server or choose an alternative platform, which will be communicated to you in advance by e-mail. In this case, the data protection provisions of the chosen provider apply. If you do not wish to use an alternative provider as a video communication tool, you can communicate this by sending an e-mail to the selected consultant in advance. When using the Mindvise-hosted Jitsi Meet instance, personal data such as IP addresses may be collected. This data is used exclusively to enable communication and is not passed on to third parties.

9. Mental Health Assistent (ChatGPT API)

When using the digital mental health assistant, your voluntary free text entries can be transmitted to the OpenAI API for processing. The processing is pseudonymized (without direct name or identity assignment) and exclusively for the provision of the assistant function. The transfer is secured by the conclusion of standard contractual clauses in accordance with Art. 46 GDPR and OpenAI’s participation in the EU-U.S. Data Privacy Framework.

10. Technical and organizational measures (TOMs)

We have implemented the following measures to ensure the protection of your data:

  • Access control: The servers are provided by ISO-certified providers (Netcup, Alfahosting).
  • Access control: Access is only granted via password-protected systems with strict password guidelines.
  • Encryption and data backup: All data transmissions are SSL-encrypted. Data is deleted every 30 days and backed up locally.
  • Forwarding control: Encrypted communication channels (e-mail, SSL) are used.
  • Separation control: Logical separation of test and production data.
  • Integrity control: Regular backups and version controls ensure data integrity.
  • Roles and rights system: Administrative access is restricted; there is no access to personal content.

11 Rights of the data subjects

You have the right, to request information about the personal data stored about you at any time and to request the correction, deletion or restriction of the processing of this data. You also have the right to data portability and the right to object. You can withdraw your consent to the processing of personal data at any time.

12. Right to erasure (“right to be forgotten”)

You have the right to request the deletion of your personal data if:

  • the data is no longer required for the original purpose;
  • You withdraw your consent and there is no other legal basis for processing;
  • You object to the processing and there are no overriding legitimate grounds;
  • the data was processed unlawfully;
  • the deletion is necessary to fulfill a legal obligation.

13. Right to lodge a complaint with the supervisory authority

If you believe that the processing of your data violates the GDPR, you have the right to lodge a complaint with the competent data protection authority:

The Bavarian State Commissioner for Data Protection
P.O. Box 22 12 19, 80502 Munich
E-mail: poststelle@datenschutz-bayern.de

14. Duration of data storage

Personal data is stored on our server for a maximum of 30 days. At the end of this period, the data is deleted and backed up locally. Freelance consultants store the data locally for up to 12 months and then delete it permanently.

15. Data transfer to third parties and third countries

We do not pass on personal data to third parties without your consent. Personal data is only transferred to third countries in the context of using the Mental Health Assistant. In this case, the transfer is secured by OpenAI’s participation in the EU-U.S. Data Privacy Framework and by standard contractual clauses (SCCs) in accordance with Art. 46 GDPR.

16. Cookies and similar technologies

We only use technically necessary cookies on our website to enable you to make optimum use of our services. Analytical or marketing cookies are not used.

17. Automated decision-making including profiling

There is no automated decision-making or profiling within the meaning of Art. 22 GDPR.

18. Further processing for other purposes

Further processing of the personal data collected for other purposes is not planned. Should this become necessary in the future, you will be informed accordingly prior to such further processing.

19. Time of provision of the information

This information is provided to you at the latest at the time of data collection and within one month of the data being collected.

20. Adjustments to this privacy policy

We reserve the right to amend this privacy policy if necessary, to comply with legal requirements or to reflect changes to our services.