The Paradox of Positive Change: Understanding Stress in the Face of Beneficial Transitions

Mohamad-Ali Salloum, PharmD • July 30, 2024

Share

  • Slide title

    Write your caption here
    Button
  • Slide title

    Write your caption here
    Button
  • Slide title

    Write your caption here
    Button
  • Slide title

    Write your caption here
    Button

Change is an inevitable part of life, and while it often brings growth and new opportunities, it can also be a significant source of stress. This paradox is particularly intriguing when the change is positive, such as a promotion, marriage, or moving to a dream home. Understanding why positive changes can induce stress requires delving into psychological concepts and examining real-life examples.


The Nature of Stress


Stress is a psychological and physiological response to perceived challenges or threats. It activates the body’s “fight or flight” response, releasing hormones like cortisol and adrenaline. While this response is crucial for survival, chronic stress can lead to various health issues, including anxiety, depression, and cardiovascular problems.


Positive Change and Stress


Positive changes, despite their benefits, can disrupt our routines and challenge our coping mechanisms. This phenomenon can be explained through several psychological theories and concepts:


  1. Cognitive Appraisal Theory: Proposed by Lazarus and Folkman, this theory suggests that stress is a result of how we appraise or interpret an event. Even positive changes can be appraised as stressful if they are perceived as overwhelming or if they require significant adjustment.
  2. Homeostasis and Allostasis: Homeostasis refers to the body’s ability to maintain a stable internal environment. Allostasis, on the other hand, is the process of achieving stability through change. Positive changes can disrupt homeostasis, requiring the body and mind to adapt, which can be stressful.
  3. Uncertainty and Ambiguity: Positive changes often come with uncertainty and ambiguity. For example, a promotion might bring new responsibilities and expectations, leading to uncertainty about one’s ability to meet these demands.


Analogies and Examples


To illustrate how positive changes can induce stress, consider the following analogies and examples:


1. Starting a New Job


While landing a new job is exciting, it can also be stressful. The need to learn new skills, adapt to a different work culture, and establish relationships with new colleagues can be overwhelming. The pressure to perform well and meet expectations adds to the stress.


2. Becoming a Parent


The birth of a child is a joyous event, but it brings significant changes and responsibilities. New parents often experience stress due to sleep deprivation, the need to balance work and family life, and concerns about their parenting abilities. The transition to parenthood requires substantial adjustment and can be a source of anxiety.


3. Graduating from College


Graduating from college is a major milestone, but it also marks the beginning of a new phase in life. The uncertainty of finding a job, moving to a new city, and becoming financially independent can be stressful. The shift from the structured environment of academia to the unpredictability of the job market can cause anxiety.


4. Buying a Home


Purchasing a home is a significant achievement, but it involves a complex process that can be stressful. The financial commitment, the paperwork, and the potential for unexpected issues with the property can create anxiety. Additionally, moving and settling into a new neighborhood requires adjustment.


5. Retirement


Retirement is often seen as a time to relax and enjoy life, but it can also be a source of stress. The loss of a structured daily routine, changes in social interactions, and concerns about financial security can cause anxiety. Adjusting to a new lifestyle and finding meaningful activities to fill the time can be challenging.


6. Winning a Lottery or Receiving a Large Inheritance


While receiving a large sum of money is generally positive, it can also bring stress. The sudden change in financial status can lead to concerns about managing the money, making wise investments, and dealing with requests for financial help from friends and family. The fear of losing the money or making poor decisions can be overwhelming.


7. Starting a New Relationship


Entering a new romantic relationship is exciting, but it can also be stressful. The process of getting to know someone, building trust, and navigating the dynamics of a new relationship can cause anxiety. The fear of vulnerability and the potential for conflict or disappointment can add to the stress.


8. Achieving a Major Personal Goal


Accomplishing a significant personal goal, such as completing a marathon or writing a book, is a positive change. However, the pressure to maintain the achievement, set new goals, and live up to one’s own expectations can be stressful. The transition from striving towards a goal to maintaining the success can be challenging.


9. Traveling or Relocating Abroad


Moving to a new country for work or study is an exciting opportunity, but it involves significant adjustments. Adapting to a new culture, language, and lifestyle can be stressful. The process of building a new social network and dealing with homesickness adds to the anxiety.


10. Starting a Business


Launching a new business is a positive change that brings the potential for growth and success. However, it also involves significant risks and uncertainties. The pressure to secure funding, attract customers, and manage operations can be overwhelming. The responsibility of being an entrepreneur and the fear of failure can cause stress.


These examples highlight how even positive changes can disrupt our routines and challenge our coping mechanisms, leading to stress. Understanding this paradox can help us better prepare for and manage the stress associated with beneficial transitions.


Coping with Stress from Positive Changes


To manage stress associated with positive changes, consider the following strategies:

  1. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing, and yoga can help reduce stress by promoting relaxation and present-moment awareness.
  2. Social Support: Seeking support from friends, family, or support groups can provide emotional comfort and practical advice during times of change.
  3. Gradual Adjustment: Allowing time for gradual adjustment to new roles and environments can help reduce the overwhelming nature of change.
  4. Positive Reappraisal: Reframing the change as an opportunity for growth and learning can shift the focus from stress to positive outcomes.


Conclusion


While positive changes are often welcomed, they can also be significant sources of stress. Understanding the psychological mechanisms behind this paradox can help individuals better navigate transitions and maintain their well-being. By employing effective coping strategies, it is possible to embrace change while minimizing its stressful impact. To know more about these strategies, check this article.



References

  1. Lazarus RS, Folkman S. Stress, Appraisal, and Coping. New York: Springer Publishing Company; 1984.
  2. McEwen BS. Stress, Adaptation, and Disease: Allostasis and Allostatic Load. Ann N Y Acad Sci. 1998;840:33-44.
  3. Selye H. The Stress of Life. New York: McGraw-Hill; 1956.
  4. Folkman S, Moskowitz JT. Positive Affect and the Other Side of Coping. Am Psychol. 2000;55(6):647-654.


List of Services

    • Slide title

      Write your caption here
      Button
    • Slide title

      Write your caption here
      Button
    • Slide title

      Write your caption here
      Button
    • Slide title

      Write your caption here
      Button

    ABOUT THE AUTHOR

    Mohamad-Ali Salloum, PharmD

    Mohamad Ali Salloum LinkedIn Profile

    Mohamad-Ali Salloum is a Pharmacist and science writer. He loves simplifying science to the general public and healthcare students through words and illustrations. When he's not working, you can usually find him in the gym, reading a book, or learning a new skill.

    Share

    Recent articles:

    By Mohamad-Ali Salloum, PharmD May 17, 2026
    References: Wood W, Quinn JM, Kashy DA. Habits in everyday life: Thought, emotion, and action. J Pers Soc Psychol . 2002;83(6):1281–1297. Wood W, Neal DT. The habitual consumer. J Consum Psychol . 2009;19(4):579–592. Neal DT, Wood W, Labrecque JS, Lally P. How do habits guide behavior? Perceived and actual triggers of habits in daily life. J Exp Soc Psychol . 2012;48(2):492–498. Wood W, Mazar A, Neal DT. Habits and goals in human behavior: Separate but interacting systems. Perspect Psychol Sci . 2021;16(1):1–16. Graybiel AM. Habits, rituals, and the evaluative brain. Annu Rev Neurosci . 2008;31:359–387. Smith KS, Graybiel AM. Habit formation. Dialogues Clin Neurosci . 2016;18(1):33–43. Yin HH, Knowlton BJ. The role of the basal ganglia in habit formation. Nat Rev Neurosci . 2006;7(6):464–476. Graybiel AM. The basal ganglia and chunking of action repertoires. Neurobiol Learn Mem . 1998;70(1–2):119–136. Schultz W. Dopamine reward prediction error coding. Dialogues Clin Neurosci . 2016;18(1):23–32. Schultz W, Dayan P, Montague PR. A neural substrate of prediction and reward. Science . 1997;275(5306):1593–1599. Nasser HM, Calu DJ, Schoenbaum G, Sharpe MJ. The dopamine prediction error: Contributions to associative models of reward learning. Front Psychol . 2017;8:244. Kahnt T, Schoenbaum G. The curious case of dopaminergic prediction errors and learning associative information beyond value. Nat Rev Neurosci . 2025;26:169–178. Lally P, van Jaarsveld CHM, Potts HWW, Wardle J. How are habits formed: Modelling habit formation in the real world. Eur J Soc Psychol . 2010;40(6):998–1009. American Psychological Association. Harnessing the power of habits. Monitor Psychol . 2020;51(8):78–83.
    By Mohamad-Ali Salloum, PharmD May 15, 2026
    References: Baddeley A. Working memory: theories, models, and controversies. Annu Rev Psychol . 2012;63:1–29. Chai WJ, Abd Hamid AI, Malin Abdullah J. Working memory from the psychological and neurosciences perspectives: a review. Front Psychol . 2018;9:401. Rogers RD, Monsell S. Costs of a predictable switch between simple cognitive tasks. J Exp Psychol Gen . 1995;124(2):207–231. Rubinstein JS, Meyer DE, Evans JE. Executive control of cognitive processes in task switching. J Exp Psychol Hum Percept Perform . 2001;27(4):763–797. Garner KG, Dux PE. Knowledge generalization and the costs of multitasking. Nat Rev Neurosci . 2023;24:98–112. Zhou X, Lei X. Wandering minds with wandering brain networks. Neurosci Bull . 2018;34(6):1017–1028. Sorella S, Crescentini C, Matiz A, et al. Resting‑state default mode network variability predicts spontaneous mind‑wandering. Front Hum Neurosci . 2025;19:1515902. Sweller J. Cognitive load during problem solving: effects on learning. Cogn Sci . 1988;12(2):257–285. 
    By Mohamad-Ali Salloum, PharmD May 13, 2026
    Why do we procrastinate even when tasks matter most? Discover the emotional roots of procrastination and how to stop
    By Mohamad-Ali Salloum, PharmD May 11, 2026
    Confidence and self-esteem are often confused but are psychologically distinct. Learn how they differ, how each develops, and why understanding both matters for real growth.
    By Mohamad-Ali Salloum, PharmD May 9, 2026
    Confidence isn’t about eliminating fear—it’s about acting despite it. Discover how courage, discomfort, and psychological growth build real confidence over time.
    By Mohamad-Ali Salloum, PharmD May 7, 2026
    References: McMurray JJV, Packer M, Desai AS, et al. Angiotensin–neprilysin inhibition versus enalapril in heart failure. N Engl J Med . 2014;371(11):993–1004. Barter PJ, Caulfield M, Eriksson M, et al. Effects of torcetrapib in patients at high risk for coronary events. N Engl J Med . 2007;357:2109–2122. Kastelein JJP, Akdim F, Stroes ESG, et al. Simvastatin with or without ezetimibe in familial hypercholesterolemia. N Engl J Med . 2008;358:1431–1443. Gerstein HC, Miller ME, Byington RP, et al. Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med . 2008;358:2545–2559. Echt DS, Liebson PR, Mitchell LB, et al. Mortality and morbidity in patients receiving encainide, flecainide, or placebo. N Engl J Med . 1991;324:781–788. Packer M, Anker SD, Butler J, et al. Effect of empagliflozin on cardiovascular and renal outcomes. N Engl J Med . 2020;383:1413–1424. Ioannidis JPA. Surrogate endpoints in clinical trials: are we being misled? BMJ . 2013;346:f314.
    By Mohamad-Ali Salloum, PharmD May 4, 2026
    References: Wager TD, Atlas LY. The neuroscience of placebo effects: connecting context, learning and health. Nat Rev Neurosci . 2015;16(7):403‑18. Frisaldi E, Shaibani A, Benedetti F, Pagnini F. Placebo and nocebo effects associated with pharmacological interventions: an umbrella review. BMJ Open . 2023;13:e077243. Colloca L, Finniss D. Nocebo effects, patient‑clinician communication, and therapeutic outcomes. JAMA . 2012;307(6):567‑8. Howard JP, Wood FA, Finegold JA, et al. Side effect patterns in a blinded, randomized trial of statin, placebo, and no treatment. N Engl J Med . 2021;385(23):2180‑9. Penson PE, Mancini GBJ, Toth PP, et al. Introducing the “drucebo” effect in statin therapy. J Cachexia Sarcopenia Muscle . 2018;9(6):1023‑33. Barnes K, Faasse K, Geers AL, et al. Can positive framing reduce nocebo side effects? Front Pharmacol . 2019;10:167. Caliskan EB, Bingel U, Kunkel A. Translating knowledge on placebo and nocebo effects into clinical practice. Pain Rep . 2024;9(2):e1142. von Wernsdorff M, Loef M, Tuschen‑Caffier B, Schmidt S. Effects of open‑label placebos in clinical trials: a systematic review and meta‑analysis. Sci Rep . 2021;11:3855.
    By Mohamad-Ali Salloum, PharmD May 4, 2026
    References: Zaniletti I, Larson DR, Lewallen DG, Berry DJ, Maradit Kremers H. How to distinguish correlation from causation in orthopaedic research. J Arthroplasty. 2023;38(4):634–637. Rush J, Ajami M, Look KA, Margolis A. Statistics review part 10: causality and confounding. J Pharm Soc Wis. 2014;17(1):45–52. Koopmans E, Schiller C. Understanding causation in healthcare: an introduction to critical realism. Qual Health Res. 2022;32(8–9):1207–1214. Kahlert J, Gribsholt SB, Gammelager H, Dekkers OM, Luta G. Control of confounding in the analysis phase – an overview for clinicians. Clin Epidemiol. 2017;9:195–204. Shi AX, Zivich PN, Chu H. A comprehensive review and tutorial on confounding adjustment methods for estimating treatment effects using observational data. Appl Sci (Basel). 2024;14(9):3662. Gao Y, Xiang L, Yi H, Song J, Sun D, Xu B, et al. Confounder adjustment in observational studies investigating multiple risk factors: a methodological study. BMC Med. 2025;23:132. Ho FK, Brown J, Galwey NW. Regression adjustment for causal inference. BMJ Med. 2025;4:e000816. Correia LCL, Mascarenhas RF, Menezes FSC, Oliveira Junior JS, Vaccarino V, Ross JS, et al. Confounder selection in observational studies in high‑impact medical and epidemiological journals. JAMA Netw Open. 2025;8(7):e2524176.
    By Mohamad-Ali Salloum, PharmD May 1, 2026
    Explore the difference between Sensitivity and Specificity
    By Mohamad-Ali Salloum, PharmD April 29, 2026
    References: Zaniletti I, Larson DR, Lewallen DG, Berry DJ, Maradit Kremers H. How to Distinguish Correlation from Causation in Orthopaedic Research. J Arthroplasty. 2022;38(4):634‑637. [pmc.ncbi.nlm.nih.gov] Association of Health Care Journalists. Correlation vs. Causation. [healthjournalism.org] Rush J, Ajami M, Look K, Margolis A. Statistics Review Part 10: Causality and Confounding. J Pharm Soc Wis. [jpswi.org] Biostat Prime. Correlation vs Causation: Meaning, Differences & Examples. [biostatprime.com] Koopmans E, Schiller C. Understanding Causation in Healthcare: An Introduction to Critical Realism. Qual Health Res. 2022;32(8–9):1207–1214. [pmc.ncbi.nlm.nih.gov] 
    More Posts