You need to take action soon in order to prevent stress from escalating. Start making some positive changes within the next few days. It may be useful to sit down with your family and discuss which matters can be resolved. See Coping with stress further on. 40 points and above You are under a great deal of pressure and should take these symptoms seriously.
Action is needed NOW to reduce stress.
You may wish to see your GP for a general health check. If your score is over 50 you need to take immediate action now to safeguard your physical and emotional health. Seek outside help if necessary. It is wise to consult your GP if any symptoms are distressing or persistent. It is often simple to make a difference to your stress levels with fairly small changes.