Stress, Brain Wiring, Empathy and Morality

Stress, Brain Wiring, Empathy and Morality

By Mithu Storoni, MD, PhD

Guest Writer for Wake Up World

Is it a coincidence that people in high-octane jobs seem to have a streak of impulsivity, aggression and even unkindness? It is easy to assume that people with these character traits have simply chosen such work as their career, but is this fair? Instead, could it be that when people begin such jobs they have a completely different personality, yet over time, as chronic stress changes their brain wiring, their personality is completely altered?

Science seems to suggest the latter.

Stress shrinks key parts of the brain that affect rational thinking.

The ‘prefrontal cortex’ is our ‘logical brain’ and amongst other things, parts of it modulate our emotional brain networks and interact with our reward center, in order to solve problems and make decisions. It may call on a part of the brain, which is expert at filing memories (the ‘hippocampus’) to provide contextual information as it collates all the information it is being given. Studies are increasingly showing that chronic stress may shrink parts of the hippocampus and the prefrontal cortex.

Stress and impulsivity

There is a specific region within the prefrontal cortex (the dorsomedial cortex) that plays a role in impulsivity and the tendency for rash and risky behaviour. This type of behaviour has been found to inversely correlate with the size of this region. [1] [2] When we look at brain scans of people with depression, we often find this area to have been affected by shrinkage. [3] Chronic stress is a known trigger for depression and activity within this region of the brain has been shown to be reduced in proportion to the severity of post-traumatic stress disorder in one study on children. [4]

We need further studies to confirm whether stress reduces the size of this region, as this may explain how stress could potentially lead to risky behaviour and impulsivity.

Stress and moral behaviour

Chronic stress might affect empathy and morality through its effect on neurotransmitters within the brain, primarily serotonin. Although the relationship between serotonin and depression is complex, we find that most effective anti-depressant medications work by raising levels of serotonin, implying that serotonin availability is defective in depression. [5]

Some studies suggest that chronic stress may also cause a reduction in serotonin availability. [6] [7]

If something affects serotonin, it has the potential of profoundly affecting one’s moral compass, as demonstrated by a rather striking study published earlier this year. A group of healthy volunteers were asked if they were willing to put themselves and others through an electric shock in return for a cash reward. The higher their serotonin level, the more reluctant they were to put others and themselves through this ordeal, despite the temptation of the reward. This remarkable finding shows how serotonin levels can affect kindness, empathy and even moral behaviour.

Chronic stress might change personality

We need more studies to confirm these findings and see exactly how this dynamic would translate into the context of chronic stress. If serotonin levels are perturbed through chronic stress, as some studies seem to suggest, then this imbalance has the potential to affect a person’s judgment, empathy and even personality. [8]

Some work sectors are notorious for levels of stress and it is perhaps no coincidence that workers in these sectors are seen as being impulsive, aggressive and lacking in empathy. It seems plausible that this behaviour is merely a reflection of the cumulative effects of chronic stress on the brain.

Correcting these changes in the brain through directed stress-prevention strategies could potentially reverse negative personality changes, reduce aggression and unkindness and improve empathy, happiness and teamwork within the workplace. Highly stressful jobs are often blamed for marital disharmony and a breakdown in relationships and correcting the effects of chronic stress could also offer protection against such fallout.

The implications of this could be immense.

Greater levels of empathy, happiness and moral behaviour within occupations where stress and burnout are common for instance, within the military, medical and corporate sectors, could have wide-ranging implications on health, international relations and diplomacy whilst at the same time improving the moral compass of society as a whole.


[1] Manes F., Sahakian B., Clark L., Rogers R., Antoun N., Aitken M., Robbins T. Decision-making processes following damage to the prefrontal cortex. Brain. 2002;125(Pt 3):624–639.

[2] Muhlert N, Lawrence AD. Brain structure correlates of emotion-based rash impulsivity. Neuroimage. 2015;115:138-146.

[3] Bora E., Fornito A., Pantelis C., Yucel M. Gray matter abnormalities in Major Depressive Disorder: a meta-analysis of voxel based morphometry studies. J. Affect. Disord. 2012;138(1–2):9–18.

[4] Wolf RC, Herringa RJ. Prefrontal-Amygdala Dysregulation to Threat in Pediatric Post-Traumatic Stress Disorder. Neuropsychopharmacology. 2015 Jul 14.

[5] Mahar I, Bambico FR, Mechawar N, Nobrega JN. Stress, serotonin, and hippocampal neurogenesis in relation to depression and antidepressant effects. Neurosci Biobehav Rev. 2014 Jan;38:173-92.

[6] Ahmad, A., Rasheed, N., Banu, N., Palit, G., 2010. Alterations in monoamine levels and oxidative systems in frontal cortex, striatum, and hippocampus of the rat brain during chronic unpredictable stress. Stress 13, 355–364.

[7] Bekris, S., Antoniou, K., Daskas, S., Papadopoulou-Daifoti, Z., 2005. Behavioural and neurochemical effects induced by chronic mild stress applied to two different rat strains. Behavioural Brain Research 161, 45–59. 117, 257–262.

[8] Crockett MJ, Siegel JZ, Kurth-Nelson Z, Ousdal OT, Story G, Frieband C, Grosse-Rueskamp JM, Dayan P, Dolan RJ. Dissociable Effects of Serotonin and Dopamine on the Valuation of Harm in Moral Decision Making. Curr Biol. 2015 Jul20;25(14):1852-9.

About the author:

Brain BoostMithu Storoni MD, PhD is a medical doctor, science nerd, writer, yoga teacher, blogger and all round brain enthusiast dedicated to defeating stress from everyone’s lives. Backed by a Medical degree from the University of Cambridge, a PhD in Neuro-ophthalmology and experience in Neuroscience research, Mithu blogs about this on She has just written a book on stress and the brain which is in the pipeline.

You can connect with Mithu Storoni at and


Wake Up World's latest videos


Join Wake Up World's Ever Evolving Social Communities

Facebook Twitter Pinterest Google Plus


  • Natalie

    I work in mental health at a nursing facility with individuals struggling with severe and persistent mental disorders (e.g. schizophrenia, borderline personality disorder, schizoaffective disorder). My job involves crisis intervention, prevention, teaching life skills, and helping individuals manage their illness through behavioral and thought restructuring. If you can tell me that my job is not high stress, I invite you to spend a day there. Let’s also include a supervising boss who has utilized psychological techniques to manipulate “appropriate” (subordinate) behavior from employees, once telling me that “I wish euthanasia was legal, it might do some of you good,” after I has been sick and off work for a week.

    I have depression to the point of once expressing, despite constantly thinking it, that if things get to the point where I can’t handle it anymore, at least I can kill myself. I have anxiety. The compassion necessary for my job apparently deteriorates once you become management for a for-profit company. Yet, each day, I love my clients and would do anything for them. I have no desire to hurt strangers, no matter the money, otherwise I wouldn’t do this job, trust me.

    So, the end of the day, your article presents a conundrum for me. Knowing very well how neurology functions and impacts behavior in the way that industry has taught it during university courses, (as I haven’t seen neurotransmitters myself, nor I have ever read verifiable objective data about replicated experiments proving the neurotransmitter/electrochemical imbalance theory touted by pharma) I can’t have both high serotonin and low serotonin at exactly the same moment. And the argument that depression is hostility towards self is different than prosocial behavior experiments, which by the way, are often highly misrepresented from the actual research method utilized during the experimental phase as well as the statistical data, as most don’t understand ANOVAs or Pearson correlations or, for that matter, what statistical significance means, and just read another person’s interpretation of the article instead of reading it for themselves (much like the Bible and any other religious text). Despite the fact that yes, biological factors differ in people, but unfortunately, not that much, I’m curious as to your explanation of my miraculous experiences. Hmm, maybe I’m a deity.