Stress and anxiety in the disabled patient

This article focuses on patients' feelings of anxiety and fear and the relationship of these feelings to stress. A model is described that identifies four steps in the perception of environmental stress and the emotional responses to it. A second model describes the stages of responses to stress. Both models are applied to the patient experience, and suggestions are offered for basic facilitative physical therapist behaviors. A strong request is made for physical therapists to observe the affective behavior of patients, perceive it in the context of stress, and respond effectively.