A young man sits by the pool with a blanket wrapped around him and blows his nose
Psyche

Post-Vacation Syndrome: Feeling Sick as Soon as Vacation Starts

The summer vacations are just around the corner and then this: migraines, infections, stomach problems. As soon as you've packed your suitcase, you're already lying flat and your vacation is over before it's even begun. Post-stress syndrome - also known as leisure sickness syndrome - strikes stressed people whenever they switch into recovery mode.

At a Glance: What Is Post-Stress Syndrome?

Post-stress syndrome often occurs when people under stress go on vacation and suddenly fall ill. Researchers at the University of Trier have found that people with high stress levels are particularly affected, which manifests itself in symptoms such as migraines, infections or stomach problems. The lack of noradrenaline during recovery is one possible cause.

According to a recent study by IU University, it can be directly linked to stress in everyday working life.

Strategies for coping include good stress management and regular exercise before going on vacation. A test called "Neuropattern" can help to determine the individual risk and take appropriate measures.

 

While others are well rested and tanned and talking about their vacation adventures, have you spent most of your time in bed? "Why does this always happen to me?" you ask yourself. In fact, it's usually the same people who regularly fall ill when their vacation is just around the corner.

This was discovered by a group of researchers from the University of Trier. They surveyed around 1,500 healthy test subjects and patients with acute physical or mental illnesses. The result: healthy people with little stress only very rarely suffer from post-stress symptoms (2.3 percent). In the mentally ill test subjects, the symptoms occurred in 20 to 35 percent.

Leisure sickness: high work pressure puts a strain on many

The phenomenon known as “leisure sickness” or post-stress syndrome is not a recognized illness, but it is more than just a figment of the imagination. According to Prof. Dr. Stefanie André, an expert in health management at IU International University, it can be directly linked to stress in everyday work life.

In the representative study "Leisure Sickness: Exhausted instead of recovered" (2025), 1.9 percent of employees report so-called leisure sickness - i.e. physical complaints such as exhaustion or symptoms of illness that occur on days off or on vacation.

The results of the IU study clearly show what is bothering many employees:

  • High work pressure (33.7%)
  • Lack of support from superiors and colleagues (30.0%)
  • Unclear distribution of tasks (23.4 %)
  • Unbalanced work-life balance (20.8 %)
  • Imprecise tasks (20.8 %)

In addition, long working hours (17.3%) increase the risk of the body rebelling at precisely the time when rest is actually needed - for example at the weekend or on vacation.

Stressed people fall ill four times as often

The most common complaints include tiredness or exhaustion, sleep problems, irritability, headaches and cold symptoms.

The test subjects who most urgently needed a vacation and rest were most likely to suffer from post-stress symptoms, say the Trier scientists. The risk of falling ill on vacation has been four times higher for people under a lot of stress than for people who are not stressed.

Why are you always sick when you go on vacation?

The scientists also investigated why these symptoms break out during the recovery phases.

Professor Dirk Hellhammer from the University of Trier explains:

"Stress mobilizes the neurotransmitter noradrenaline particularly strongly in our central and autonomic nervous system. If the demands are particularly intense and long-lasting, the consumption of noradrenaline exceeds the synthesis of new noradrenaline. During periods of rest, too little noradrenaline is then released, leading to a disturbance in the balance of functions in the nervous and immune systems, which causes post-stress symptoms."

What helps with post-stress syndrome?

95.5 percent of respondents say that leisure time is a useful break from the stress of work (IU study). Only 4 out of 10 employees in Germany stated that they are unable to find the necessary relaxation in their free time

Employers are also in demand here: according to the IU study, 63.6 percent of those surveyed would like more support from their company - for example through health offers or flexible break arrangements.

Well thought-out stress and break management can also help.

Relaxation exercises provide support, as do avoiding stress factors and good time management.

Plan small exercise sessions before your vacation

However, the best stress killer is still exercise. However, it's too late to start relaxing on vacation. It's best to incorporate small units of exercise into your daily routine weeks in advance and, for example, walk around the block during your lunch break. Exercising for 30 minutes three times a week should noticeably reduce our stress levels.

Test: Am I affected by post-stress syndrome?

Anyone who wants to know exactly whether they are suffering from post-stress symptoms can have this reliably measured using a diagnostic procedure ("neuropattern") developed by the Trier scientists. If such symptoms and complaints are detectable, a combination of medication and dietary supplements with stress and break management can be helpful.
 

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FAQ: Questions and Answers About Post-Stress Syndrome (Leisure Sickness)

What is Post-Stress Syndrome (Leisure Sickness)?  

A phenomenon in which people develop physical symptoms (fatigue, headaches, infections, stomach problems) shortly before or during days off or vacations, often following a prolonged period of stress.

Who is particularly at risk?  

People who are under a great deal of stress—particularly those with high work-related stress or a history of mental health conditions—are at a significantly higher risk.

Why do people tend to get sick during the recovery phase?  

Chronic stress increases the consumption of norepinephrine; during periods of rest, an imbalance develops in the nervous and immune systems, which can trigger symptoms.

What are the typical symptoms?  

Fatigue/exhaustion, sleep disturbances, irritability, headaches, cold symptoms, stomach problems, and migraines.

How can I reduce the risk?  

Specific measures: better stress and break management, regular exercise (e.g., 3×30 minutes per week), relaxation exercises, time management, and reducing stress well in advance of vacation; employers can provide support through wellness programs and flexible policies.

Are there any tests or treatment options?  

Yes—diagnostic methods such as “Neuropattern” can measure the risk. If necessary, a combination of medications, dietary supplements, therapeutic interventions, and structured stress management can help.

zero Applying for a care degree: what you need to know

Age & care

Applying for a care degree: what you need to know

Anyone applying for a care degree should be well prepared for the visit from the Medical Service of the health insurance funds. 

People in need of long-term care are entitled to benefits from long-term care insurance. In order to receive these benefits, the person in need of care (or a relative) must submit an application to their long-term care insurance - a department of their health insurance company. If a need for care is established, the benefits are paid retroactively up to the date of application. It is therefore important to submit the application as soon as possible.

The long-term care insurance then commissions the Medical Service of the Health Insurance Funds (MDK) to draw up an expert opinion on the extent of the need for long-term care. For this purpose, an assessor visits the person in need of care.

The right preparation for a visit from the medical service

A great deal depends on this visit, as the MDK's report is the basis for the care insurance company's decision on whether and what benefits the person in need of care will receive. Relatives and patients should prepare well for this appointment (which must be announced well in advance). For example, it is advisable to keep a care diary for several days in which all care activities that are relevant for the care insurance are noted. It also makes sense to talk to the patient in advance about their need for help in everyday life. Particularly important: Even if patients understandably want to present themselves in a good light, they should clearly demonstrate their need for help at the assessment appointment and not gloss over the situation in any way.

You should have these documents ready

  • Reports from the family doctor, specialists or the discharge report from the hospital, if available. 
  • Current medication plan.
  • If a care service comes, care documentation.
  • Care diary, in which you note down in advance all care activities that are relevant for care insurance.

Compensation possible in the event of delay

The long-term care insurance funds are bound by a deadline when processing applications. A maximum of 25 working days may elapse between the MDK's visit and the decision. If it takes longer, people in need of care or their relatives can claim compensation of 70 euros per week or part thereof. However, this regulation does not apply if the person in need of care lives in a care home and already has at least care level two. Or has no care level been approved at all? In such cases, people in need of care and their relatives can lodge an appeal against the decision. If this is also unsuccessful, there is always the option of going to the social court.

Appeal against the MDK's decision - how to do it

If the Medical Service rejects the application for a care degree, or if the classification is lower than expected, you can lodge an appeal within 28 calendar days. You can also lodge several appeals. If the appeal is rejected twice, the social court will decide.

  • Ask for a reason for the rejection and use this to formulate your objection.
  • The long-term care insurance fund examines the appeal and sends an expert again.
  • If the new assessment is positive, you will receive benefits from long-term care insurance retroactively from the date of the first application.
  • If you are not yet in need of care to the extent that a care degree is approved, you can submit a new application after a certain period of time.
  • You can also submit a new application for long-term care insurance benefits if your state of health changes significantly.


"A lot depends on the visit from the medical service. We recommend that people in need of care and their relatives prepare well for this appointment."

Jürgen Griesbeck, Product Manager Homecare-Eldercare, pme Familienservice Group

 

 
 
 

pme Familienservice Group - Your EAP provider since 1991

On behalf of more than 900 employers, the pme Familienservice Group supports employees in achieving a successful work-life balance and being able to work with a clear head.
The pme Familienservice Group supports employees in crises, e.g. conflicts at work, addiction or partnership problems. With a homecare eldercare service, it relieves the burden on professionals in organizing and financing care services and offers psychosocial support. The pme Academy offers seminars, workshops and coaching on the topics of personnel management and development.
You can find out more about the pme Familienservice Group here: www.familienservice.de/wer-wir-sind

 

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