Which statement best describes nonpharmacologic methods in stress management?

• A. They should be avoided if a patient has any anxiety.
• B. They should be tried first, with pharmacologic options considered if distress impairs function.
• C. They are ineffective for most patients.
• D. They are always sufficient without pharmacologic help.

Answer: (B)

Nonpharmacologic methods for stress management are often used first because they teach practical skills that reduce the body's stress response with minimal risk. Regular exercise, good sleep hygiene, paced breathing or progressive muscle relaxation, mindfulness or meditation, time management, social support, and cognitive coping strategies can lower arousal, improve mood, and enhance daily functioning. These approaches empower patients to manage stress and can be tailored to individual preferences, which is why they’re typically tried before medications. If distress remains severe or function is impaired, pharmacologic options can be considered as an addition after thoughtful assessment of risks, benefits, and patient preferences. Combining nonpharmacologic strategies with medications when needed is common and often more effective than relying on either alone. Statements suggesting these methods should be avoided in anxiety, are ineffective for most patients, or are always sufficient without medication don’t align with how stress management is best practiced.