Q: When Iโ€™m stressed at school, my asthma tends to flare up. What can I do to reduce my stress level?ย 

Wesley Sublett, MD: There is good research that psychological stress plays a role with asthma. It can make asthma more difficult to control and increase the likelihood of asthma flares. And it can also increase the duration and severity of symptoms.

Itโ€™s important to identify stressors that may be playing a role with your asthma. It could be your amount of schoolwork, bullying at school or through social media, or feeling different from your peers. It could be that youโ€™re simply stressed about controlling your asthma at school.

Or it could be a personal issue, such as conflict with a family member or friend, or the death of a loved one.

In addition to working with a board-certified allergist to make sure your asthma is well controlled, you may want to reach out to a mental health specialist or social worker to figure out stressors and how to manage them so they donโ€™t affect your asthma โ€“ and your daily life.

Consider what is going on in your life and if stress is playing a part in it. Keep a record of stressful situations or experiences to see if thereโ€™s a pattern, and then work with your allergist to modify your Asthma Action Plan.


Wesley Sublett, MD, is a board-certified allergist and immunologist for Family Allergy and Asthma in Louisville, Kentucky and a fellow with the American College of Allergy, Asthma and Immunology.


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