Does stress COPD? I teach in a prison and this week I was given a new timetable that meant I would be teaching four different subjects at two different levels, this resulted in my becoming mega stressed and having a real bad day with my breathing that carried on until I went to bed. I am newly diagnosed with stage 1 COPD (almost two months ago) which I have a inhaler for once a day (Spiriva). Tuesday was the first time I have had to use the rescue inhaler that I have also. Is this common, has anyone else had this? Is this what is known as an exacerbation?