Stress is the amount of ’stuff’ coming at you that needs to be managed. Even positive events are stressful such as the birth of a child, graduation, or a job promotion. Strain is the negative effect that stress can take on us. Strain is the proverbial ‘weight on the shoulders’ which comes from prolonged exposure to stress. Symptoms can affect nearly every site in the body from tension headaches, shoulder and neck pain, back pain, general body weakness, gastro-intestinal distress, fatigue, depression, anxiety, irritability, angry outbursts, etc. Effective stress management involves attitude change, behavior change, as well as learning effective exercises to reduce the harmful effects of stress