Toxic stress is different from everyday stress, as it is the result of prolonged exposure to intensely difficult situations, such as abusive or neglectful family relationships, poverty, or parental substance abuse or mental illness. Health conditions including mental illness, obesity, diabetes and heart disease are linked to toxic stress.
As a culture we need to value the primary care clinician, not only in the form of payment equal to the more lucrative subspecialties, but in the form of recognizing the role of relationships in healing. It makes sense that if we are recognizing the importance of family relationships in preventing poor health outcomes, that we should recognize the importance of doctor-patient relationships in supporting these families.
When primary care clinicians take time to carefully listen to stressed parents, parents feel supported in their efforts to carefully listen to their children, thus promoting healthy development. In turn, our culture needs to support and value primary care clinicians ( and its not only pediatricians, the subject of this policy statement, but all those entrusted with primary care of children.)
Image: Upset child, via Shutterstock.