What type of behavior indicates a client may be experiencing an altered stress response?

The presence of panic attacks and chest tightness signals that a client is likely experiencing an altered stress response. These physical symptoms are common manifestations of acute stress or anxiety, which can occur when an individual is unable to effectively manage stressors. The body's fight-or-flight response may be triggered, leading to physiological reactions such as increased heart rate and difficulty breathing, which are characteristic of panic attacks.

In contrast, behaviors like active engagement in social activities, maintaining consistent sleep patterns, and expressing optimism about the future generally indicate positive coping mechanisms and a healthy stress response. When a person is able to connect socially, enjoy regular sleep, and maintain a hopeful outlook, it suggests they are managing stress well rather than experiencing an altered response.