Have you noticed your heart beating faster, pounding, or becoming more noticeable during stressful or anxious situations? Stress and anxiety can cause palpitations. When the brain perceives a threat or pressure, the body activates its fight-or-flight response and releases stress hormones such as adrenaline. You may experience: • Faster heartbeat • Pounding or thumping in the chest • Awareness of your heartbeat • Sweating or trembling • Feeling restless or on edge • Rapid breathing • Light-headedness • A sense of fear or uneasiness These symptoms can occur during periods of intense stress, anxiety, or panic. Caffeine, nicotine, poor sleep, dehydration, and some medications may also contribute to palpitations. Relaxation techniques, slow breathing, regular physical activity, adequate sleep, and reducing excessive caffeine can support stress management. However, palpitations should not automatically be assumed to be caused by stress. Recurrent or persistent palpitations, or those associated with chest pain, fainting, or significant breathlessness, require medical evaluation. Understanding the connection between stress, anxiety, palpitations, and the fight-or-flight response can help reduce unnecessary fear while ensuring concerning symptoms are appropriately assessed. Dr. Aditya Patil | Consultant Psychiatrist Mana Sajjana Clinic, Pimple Saudagar, Pune 9975573437