There is no doubt that emotional and physical stress can have negative effects on the immune system, and many believe that stress triggers outbreaks of their herpes. Recent studies have shown that stress does not in fact cause frequent outbreaks; instead, those with herpes may become stressed as the virus is reactivating, possibly even before they notice symptoms. Then, when an outbreak occurs, they believe it was the stress that triggered the outbreak. However, it is often difficult to draw such fine distinctions between cause and effect, and techniques to lower stress do make herpes more manageable for most people.
Counseling may be helpful to deal with the emotional issues that many face when dealing with herpes. Regular exercise can reduce stress as well as provide other benefits. Setting aside adequate time for sleep and taking a break every day for relaxation (even as little as fifteen minutes) can also be helpful. Meditation practices, such as yoga and tai chi, have shown positive results for some people, not only in controlling herpes, but also in maintaining overall well-being. Biofeedback has shown promising results. Techniques such as respiration-based relaxation, guided imagery, and cognitive stress management may help to shorten herpes outbreaks, lessen their severity, and decrease the tension resulting from herpes outbreaks.
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