A patient has worked in a physically and emotionally demandi…

A pаtient hаs wоrked in а physically and emоtiоnally demanding environment for the past two years. Despite reporting that they are “functioning fine” and rarely missing work, laboratory testing demonstrates persistently elevated stress-hormone activity. The patient also reports intermittent minor respiratory infections that take longer than usual to resolve. Which concept best characterizes the patient’s current physiologic response to stress?