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The long-term effects of living in survival mode

by Staff Bona

Many South Africans are navigating ongoing financial pressures, work stress, family responsibilities and uncertainty.

While pushing through challenges can feel necessary, living in a constant state of ‘survival mode’ can have significant long-term effects on both physical and mental well-being.

Also see: Top 5 habits making your mornings more stressful

What does survival mode mean?

Survival mode refers to a prolonged state of stress where the body remains on high alert. Triggered by ongoing challenges rather than immediate danger, this response keeps stress hormones such as cortisol elevated. While helpful in short bursts, chronic activation can take a toll over time.

The impact on mental health

One of the most common long-term effects of survival mode is emotional exhaustion. People may experience persistent anxiety, irritability, difficulty concentrating and feelings of overwhelm.

According to Psychology Today, chronic stress can increase the risk of burnout, depression and other mental health challenges over time.

Many individuals also find it difficult to switch off, even during periods of rest. This can affect sleep quality, leaving them feeling constantly fatigued and unable to fully recharge.

Also see: Feeling stressed? These are the best stress relievers to try

Physical health consequences

The body is not designed to remain in a prolonged stress response. Extended periods of survival mode have been linked to headaches, digestive issues, weakened immunity and increased inflammation.

According to Healthline, research also suggests that chronic stress may contribute to a higher risk of heart disease, high blood pressure and other long-term health conditions.

Reclaiming balance

Recognising the signs of survival mode is the first step towards recovery. Prioritising rest, setting boundaries, engaging in regular physical activity and seeking support from trusted friends, family or mental health professionals can help regulate the nervous system.

While resilience is often celebrated, true well-being comes from more than simply coping. Creating opportunities for rest, connection, and recovery is essential for protecting both mental and physical health in the long run.

Also see: Soft life vs survival mode: Are South African women allowed to rest?

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