Worksheet
This guide helps clients understand how the body allocates limited energy across vital functions, stress responses, and long-term repair. Developed with Dr. Martin Picard, an expert in mitochondrial psychobiology, it introduces a hierarchy of energy needs, similar in structure to Maslow's hierarchy, to explain why chronic stress quietly erodes health over time. Clients learn to identify what drains their energy budget and what restores it.


Introduce the hierarchy of energy needs early in a session focused on stress, fatigue, or burnout. Walk clients through the difference between short-term strain, which recovers with rest, and chronic drain, which accumulates and damages health. Use the two comparison lists to help clients identify personal stress costs and recovery behaviors. Close with the reflection prompts, ideally revisited that same evening, to build ongoing awareness of daily energy allocation.
This worksheet is built for individuals navigating chronic illness, environmental burnout, severe occupational exhaustion, sleep disorders, or prolonged relational stress. It offers a practical biological framework for trauma-informed therapists, somatic coaches, health psychologists, and integrative medicine practitioners seeking to anchor cognitive behavioral adjustments inside clear, quantifiable cellular psychobiology.
Related Topics
References
Picard, M., & McEwen, B. S. (2018). Psychological stress and mitochondria: A conceptual framework. Psychosomatic Medicine, 80(2), 126–140.
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396.
McEwen, B. S., & Stellar, E. (1993). Stress and the individual: Mechanisms leading to disease. Archives of Internal Medicine, 153(18), 2093–2101.
Behnke, A., Shaulson, E., Pontzer, H., Kempes, C. P., & Picard, M. (2026). Energy constraint on human health. Trends in endocrinology and metabolism: TEM, S1043-2760(26)00045-7. Advance online publication. https://doi.org/10.1016/j.tem.2026.02.010
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