I am a 40 yr old with CAH and I can tell you from my experience that emotional stress is just as bad on me as physical stress. I have asked the last 3 (finally found a good one) endo's that I have had about their opinion on the issue and all said that it's only physical stress that you have to worry about. A good example that I have is about 4 yrs ago I was home and heard a crash outside at 11:00 PM. I looked outside and noticed that someone had hit my truck and my truck was now in the middle of the street two houses down from where I lived. The guy then drove off, but my neighbors went out and chased him down (he was drunk, of course) anyway, I went outside and waited for the police to arrive and looked at my truck which had been totalled. Sitting there waiting for the police I started shaking and I couldn't stop. (Lots of the adults with CAH talk about the shaking when under stress, or low on cortisol)By the time the police got there I was shaking so badly that my teeth were chattering. I went in and took some dexamethsone and within an hour felt better. There have been NUMEROUS times that emotional stress has made me feel sick. I posted a message about scary movies on the late-onset message board and had quite a few replys to that. Interesting that when I was growing up my mother didn't want my brother and me to watch scary movies because she thought I'd have nightmares- this was before I was diagnosed too (maybe she had seen me react badly at some time) well, I don't like scary movies and never really knew why, well the reason is: (mom's with kids with CAH, take this to heart) that we can't deal with the stress of a scary movie. Several adults said that they just felt sick after watching one (I always did too, and for the rest of the evening) It seems for me anything having to do with fear is hard on my body. As a teenager I didn't call my mom when I was out late because I thought I would be in trouble but then of course I felt sicker as the time went on because I knew I would be in trouble for not calling. People with CAH just can't handle stress like normal people and will do anything to get out of it subconsciously. Well, I've written enough, but this just happens to be one of my personal soapboxes. Susan A.