The symptoms of Prolonged Adaptive Stress Syndrome (PASS) that can occur after years of adapting or Falsifying Type, include: fatigue, hypervigilance, immune system alterations, memory impairment, altered brain chemistry, diminished frontal lob functions, discouragement and/or depression, and self-esteem problems. (Benziger, Katherine, PhD. Thriving in Mind: The Art and Science of Using Your Whole Brain. p 266-272. IL: KBA, 2009.)