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Navigating midlife stress: Tips to prevent elevated cortisol

Midlife is a powerful and transformative time in a woman’s life, a bridge between younger and older adulthood. It’s a phase filled with growth, change, and often, a whole lot of responsibility. For many women, the midlife years bring a unique set of stressors: aging parents, growing children, demanding careers, shifting relationships, and often little time to care for ourselves. 

The goal of this article is to help you understand how your body naturally responds to stress, what happens when that system is overwhelmed, and most importantly, how you can support yourself through it. Don’t add to your stress with a complete lifestyle overhaul; just a few small, steady changes that work with your life, not against it can be very helpful.

The body’s stress response, simplified

Your body’s stress response is designed to protect you. When you sense a threat—whether it’s a real danger or just an overwhelming email—your brain flips on an internal alarm system. A tiny brain region called the hypothalamus acts as a command centre, signaling your adrenal glands to release stress hormones like adrenaline and cortisol.

Adrenaline acts fast: your heart races, your airways open, and blood rushes to your muscles. You’re instantly primed to react. Cortisol follows, helping you stay alert and energized by prompting your liver to release stored glucose (sugar), and boosting your blood sugar levels so your brain has quick access to fuel. It also diverts resources from what it considers less urgent functions—like digestion, reproduction, repair, and growth—so your body can focus on survival. Cortisol even helps regulate inflammation, blood pressure, and your sleep-wake cycle.

Cortisol dysregulation and the toll of chronic stress 

Under healthy conditions, once the stressor is gone, your body gradually returns to baseline. Heart rate and blood pressure settle, stress hormones decline, and your digestion and immune systems resume their normal jobs.

But when life feels like one stressor after another—whether it’s caregiving, work, finances, or emotional strain—your body never gets that chance to reset. Instead, the stress response stays switched “on.” Over time, this can lead to allostatic load, the wear and tear on your body from being in survival mode for too long.

This burden can affect nearly every body system, contributing to:

  • Anxiety and depression
  • Metabolic disease (insulin resistance, diabetes, etc.)
  • Digestive problems
  • Headaches and muscle tension
  • High blood pressure, heart disease, and stroke
  • Sleep disturbances
  • Weight gain
  • Memory and concentration difficulties

Normally, your body manages cortisol through the HPA (hypothalamic-pituitary-adrenal) axis. But when stress is unrelenting, this system becomes dysregulated. You may develop cortisol resistance, where the immune system stops responding to cortisol’s effects due to constant exposure. Inflammation builds, the adrenal glands become overworked, and eventually cortisol levels may drop too low, leading to what’s sometimes called adrenal fatigue—a state marked by low energy, irritability, and poor stress tolerance. At this point, even minor stressors can feel overwhelming, perpetuating a cycle of exhaustion and physiological imbalance. 

High cortisol is often observed through the following symptoms:

  • High blood sugar
  • Weight gain in face and belly
  • High blood pressure
  • Excessive hair growth in females
  • Muscle weakness (often in upper arms and thighs)

If this cycle sounds familiar, you’re not alone and there are ways to break it. While we may not be able to erase stress from our lives, we can change how we respond to it and how we care for ourselves through it.

Tips for stress management

A great place to begin is by identifying what’s causing you stress. Try writing it all out, then ask: Which of these are within my control? Which aren’t? This simple act of sorting can help you feel more grounded, and more intentional about where your energy goes. Once you’ve done this, small daily habits can make a meaningful difference.

Quick calm (1-5 minutes) – Often most effective for acute stress

  • Three part breath – Breathwork is a powerful reset tool. This full yogic breath engages your whole lungs. Use it when stress feels heavy or to unwind before bed.
    • Sit comfortably on the floor or in a chair, elongating your spine. Breathe naturally to begin.
    • First, direct your breath downward towards your hips, allowing your abdomen to expand gently forward and out to the sides.
    • Continue inhaling so your ribs and chest expand for the incoming air.
    • Continue inhaling so your upper chest begins to fill. Lift your shoulders up and pull the abdomen in to force air upward.
    • Without pausing, release the air in reverse order. Slowly lower your shoulders, relax your chest, and decompress your abdomen. Try to make the exhale twice as long as the inhale if you can. 
    • Repeat this process for up to 10 rounds before returning your breath to normal.

  • Cold Face Test (CFT) – Splashing cold water on your face or wrists, or using a cold compress, can calm your body almost instantly. It activates your parasympathetic nervous system and has been shown to reduce cortisol levels after acute stress.

Daily rituals (5-30 minutes) – Dual impact: May help reduce chronic cortisol elevation over time, while also acting as daily regulators for acute prevention

  • Meditation and flow states – Meditation doesn’t need to be perfect or lengthy to work. Studies show that even a few minutes of mindful breathing, a body scan, or guided imagery can help regulate stress markers like cortisol and inflammation. Find a comfortable position and try focusing all your attention on breathing deeply and slowly.
    • And if traditional meditation isn’t your thing, try activities that absorb your attention like gardening, dancing, painting, even cooking, as these can bring you into a calming flow state. You may want to check out Insight Timer. It’s a mobile app offering a wide range of free guided meditations led by renowned psychologists, spiritual mentors, and mindfulness experts from around the world.

  • Digital boundaries – Constant notifications can be mini stressors, keeping you in a state of alert. One study found that increased use of screens among adults had harmful impacts on learning, memory, and mental health while potentially increasing the risk of early neurodegeneration, affecting movement, memory and cognition. Try turning off nonessential alerts, setting screen-free windows during the day, or putting your phone on “Do Not Disturb” before bed. 

Lifestyle foundations (sustainable changes) – Primarily for chronic stress support; however, improving these can make you more resilient to acute stress

  • Quality sleep – Sleep is your body’s most powerful repair tool. It helps regulate mood, supports your immune system, and lowers the risk of many chronic conditions. Aim for 7–9 hours a night, reduce caffeine after noon, and keep a consistent sleep routine (even on weekends).

  • Daily movement – Movement isn’t just good for your body, it’s a mental health tool. Exercise boosts endorphins, lowers tension, and improves sleep and mood. It doesn’t have to be intense; a 30-minute walk, yoga flow, or dance session can do wonders for your stress levels.

  • Nourish with intention – A balanced diet fuels your body to better cope with stress. Whole foods rich in fiber, healthy fats, and antioxidants—like leafy greens and omega-3s—may help regulate cortisol. Mindful eating adds another layer of support by helping you slow down, enjoy your meals, and notice whether you’re eating from true hunger or emotional habit. This gentle awareness can support better digestion, satisfaction, and energy.

Stress may be part of life, but it doesn’t have to run the show. You have the tools within you to shift from surviving to thriving. When you care for your body and mind with intention, midlife becomes a time of strength, clarity, and renewal., with consistency, strength training becomes less of a chore and more of a habit that fuels your energy, resilience, and overall well-being through midlife and beyond.


Disclaimer: The information provided here is for informational purposes only. It is not intended as medical advice. Always consult with your doctor or healthcare provider to determine what is best for your individual health needs.

References:

  1. Cleveland Clinic. Cortisol: What It Is, Function, Symptoms & Levels. Cleveland Clinic. Published October 12, 2021. https://my.clevelandclinic.org/health/articles/22187-cortisol
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  3. Harvard Health. Women and sleep: 5 simple steps to a better night’s rest. Harvard Health. Published November 16, 2015. https://www.health.harvard.edu/womens-health/women-and-sleep-one-simple-step-to-a-longer-healthier-life
  4. Insight Network. insight timer. Insighttimer.com. Published 2020. https://insighttimer.com/
  5. Mayo Clinic. 12 Tips to Tame Stress. Mayo Clinic. Published 2021. https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress-relievers/art-20047257
  6. Mayo Clinic. Chronic stress puts your health at risk. Mayo Clinic. Published August 1, 2023. https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress/art-20046037
  7. Mayo Clinic. Meditation: A simple, fast way to reduce stress. Mayo Clinic. Published December 14, 2023. https://www.mayoclinic.org/tests-procedures/meditation/in-depth/meditation/art-20045858
  8. Neophytou E, Manwell LA, Eikelboom R. Effects of excessive screen time on neurodevelopment, learning, memory, mental health, and neurodegeneration: A scoping review. International Journal of Mental Health and Addiction. 2019;19(3):724-744. doi:https://doi.org/10.1007/s11469-019-00182-2
  9. Pascoe MC, Thompson DR, Jenkins ZM, Ski CF. Mindfulness mediates the physiological markers of stress: Systematic review and meta-analysis. Journal of Psychiatric Research. 2017;95:156-178. doi:https://doi.org/10.1016/j.jpsychires.2017.08.004
  10. Public Health Agency of Canada. Are Canadian adults getting enough sleep? Infographic. Government of Canada. Published September 6, 2019. https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-adults-getting-enough-sleep-infographic.html
  11. Richer R, Zenkner J, Küderle A, Rohleder N, Eskofier BM. Vagus activation by Cold Face Test reduces acute psychosocial stress responses. Scientific Reports. 2022;12(1):1-11. doi:https://doi.org/10.1038/s41598-022-23222-9
  12. The Nutrition Source. Stress and Health. The Nutrition Source. Published October 5, 2020. https://nutritionsource.hsph.harvard.edu/stress-and-health/
  13. Vashist S, Schneider EM. Depression: An Insight and Need for Personalized Psychological Stress Monitoring and Management. Journal of Basic & Applied Sciences. 2014;10:177-182. doi:https://doi.org/10.6000/1927-5129.2014.10.25
  14. What Is yogic breathing? Benefits, types, and how to try. www.medicalnewstoday.com. Published September 16, 2022. https://www.medicalnewstoday.com/articles/what-is-yogic-breathing#Yogic-breathing-techniques%C2%A0

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