According to Elaine Moore in her book Thyroid Eye Disease , (see p. 79 in chapter 8) ". . .stress is known to be the number one trigger for Graves' disease and is known to worsen symptoms in patients with Graves Ophthalmopathy."
I have absolutely no doubt that stress was high on the list of factors in my case. I've spent years working in stressful jobs at my employer (love the work, but it's intense!), moved 5 times in 7 years criss-crossing the country (all job transfers), had assignments where I worked 60-70 hours a week for months on end. Not exactly a good work-life balance situation. Stress takes its toll and even good things that happen to you can be stressful.
Then, in early 2005, we had just over 100 people in our department. By the end of the first quarter more than half were gone, encouraged to leave the company with "buyout" packages. We restructured, the 2nd time since I'd joined the department in January 2004, and we all took on more work. With half the people. As one of the leaders of the group, it was my responsibility to not only sit down with many employees and ask them to leave the company, but then I also lead and guided the remaining employees on my team through a very difficult transition. We'd just gone through this a couple of years ago too.
Then my father got sick in the early morning hours following father's day--what was thought to be appendicitis turned out to be colon cancer and one week later he had major surgery. It was when my mom and I would go visit him in the hospital that I noticed, and mentioned to her, that my eyelids opened at different rates. I'd never noticed it before. There was a reason. It was the start of all the symptoms I would later experience. Then just a few short months later I'd put a name with them--Graves Disease.
Again, I have no doubt that the work stress and personal stress I experienced over the years likely triggered my Graves Disease.
More to come on coping with stress, but it's essential that you do. The affect stress has on your autoimmune system is HUGE. Take it from me and my firsthand experience.
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