YYoung and Profiting
← All frameworks
MindsetDr. Aditi Nerurkar

Adaptive vs Maladaptive Stress

Stress is not the enemy; the goal is balance, not zero.

Difficulty
Easy
Time to result
~ongoing to results
Steps
3
Confidence
82%

Nerurkar reframes stress as a biological phenomenon with two forms: adaptive stress, the good, healthy, productive kind that excites you and drives life forward, and maladaptive stress, the unhealthy, dysfunctional kind. Founding a company, rooting for your team, or graduating all generate healthy stress; the trouble starts only when that good stress gets high, out of balance, and off-kilter. Because a little stress is needed just to get up in the morning, the goal of life is not zero stress, which is impossible, but stress in balance that serves rather than harms you. She argues stress can and should be quantified like blood pressure, measured with a score and monitored over time.

Origin

This reframe emerged from Nerurkar's research into what actually happens in the brain and body under stress, which overturned her own assumption that stress simply does not happen to resilient people.

Core principles

  • 01There are two kinds of stress: adaptive (good, healthy, productive) and maladaptive (unhealthy, dysfunctional)
  • 02A little healthy stress is what gets you up and drives your life forward
  • 03Problems arise only when good stress goes high, out of balance, and off-kilter
  • 04Stress can be quantified and monitored like blood pressure

How to run it

  1. 1

    Distinguish the two stresses

    Learn that adaptive stress is healthy and driving while maladaptive stress is dysfunctional and harmful.

    Pro tip Name your own examples of healthy stress, like launching a project or expanding a team.

  2. 2

    Watch the tipping point

    Notice when good, healthy stress climbs too high and goes out of balance, which is when it transforms into unhealthy stress.

    Watch out The danger is not stress itself but stress that has gone off-kilter and started going haywire.

  3. 3

    Quantify and monitor

    Treat stress like blood pressure: take a stress score, try interventions, and re-measure every four weeks to see it move.

    Pro tip Data-minded people respond well to a number they can track down over time.

In the wild

The stress-as-blood-pressure reframe

Nerurkar notes that 60 to 80% of doctor visits have a stress component yet only 3% of doctors counsel patients on it. She proposes measuring stress with a quiz and re-scoring every four weeks, exactly as you would monitor blood pressure.

Stress becomes a trackable, treatable metric rather than a vague, unmanageable force.

Common mistakes

Chasing a stress-free life

Aiming for zero stress is biologically impossible; you need a little healthy stress to function, so the real target is balance.

Is it for you?

Best for

Anyone who treats stress as a purely negative force to be stamped out.

Not ideal for

Situations of acute clinical crisis that need direct medical care rather than reframing.

From the transcript

The good kind of stress, scientifically, we call that adaptive stress, and the bad kind is maladaptive stress.

Dr. Aditi Nerurkar · 04:30

stress can be quantified just like blood pressure, and we should start treating it like that.

Dr. Aditi Nerurkar · 22:30

From the episode

Dr. Aditi Nerurkar: How to Rewire Your Brain to Stress Less and Relax More

Dr. Aditi Nerurkar