Physical:

• your heart is beating fast and you have trouble breathing
• dry mouth, have difficulty swallowing
• feeling weak, lack energy
• weight gain/loss
• stress-relates illnesses, i.e., headaches, ulcers, high blood pressure
• interest in the act of sex changes, e.g., either not wanting or wanting more.

Spiritual:

• feeling angry at your higher power or questioning your beliefs
• may turn to your cultural beliefs for support
• feeling trapped because your culture or religion says you should stay with your partner no matter what.