This study examined the ways and to what degree, if any, school superintendents perceive stress and what, if any, coping mechanisms were engaged. Study findings revealed that there is a statistical difference between the types of coping mechanisms utilized and effectiveness between male and female superintendents. While no significant difference exists between the overall occupational stressors experienced by gender, the data identified high levels of stress among over 50 percent of the superintendents. Qualitative findings established the board of education provided no known support to superintendents in developing stress management skills and coping strategies. Implications of this research study were identified in the areas of leadership preparatory programs, as well as education in stress management skills reform at the district level.