STRESS

UNDERSTANDING STRESS
By Elliott Sewell

Opening Remarks Follow the slides below and see my PowerPoint presentation which will educated you about the nature or stress, includes its causes and how it affects you. I use a variety of techniques proven to work in stress reduction and will find approaches that will help you.

We are going to find out about what stress is, how it affects our bodies, how it works. Ask yourselves what is most stressful in your life.
4

FOUR KINDS OF STRESS

1. There is the positive kind called EUSTRESS, which is short term stress and actually arises to strengthen us for immediate action, creativity and times when we need inspiration and motivation.

2. DISTRESS is negative and harmful and causes us to adapt to changing situations; there is the short-term variety of acute stress that passes quickly, and long-term chronic stress. 3. HYPERSTRESS is when we get so stressed out that we just overload because it is just too much for us to handle. 4. HYPOSTRESS means just not enough stress. We need a little bit in our lives, otherwise we feel bored and have nothing challenging us. 6

ONE RECENT STUDY

This study compared causes of stress between adolescents and their parents.
8

TEENS STUDY ACADEMIC 43% FAMILY RELATIONSHIP18% SOCIAL PRESSURE 10% DRUGS, ALCOHOL 1% SEX, DATING, RELATIONSHIPS 16% RELATIONSHIP with TEACHERS 1% OTHER 7%

PARENTS STUDY ACADEMIC 21% FAMILY RELATIONSHIP 13% SOCIAL PRESSURE 16% DRUGS, ALCOHOL 3% SEX, DATING, RELATIONSHIPS 29% RELATIONSHIP with TEACHERS 7% OTHER 7%

 Can you name any of the causes of stress in your lives that perhaps werent on this list? OK. Here is my list: Some causes of stress, or stressors:
10

 Teen pregnancy Death of a family member Parental Divorce, or Remarriage Involvement in drugs Getting drunk with alcohol Smoking tobacco Change in peer status Failing an entire year of school Abortion

Failing a class Getting a job Starting to drive Getting injured in a sport Surgery Moving to a new city Not making the team Getting arrested or ticketed Temperature Extremes
11

 Breaking up with a boyfriend or girlfriend Beginning to date Getting suspended from school Loss of a parents job or change in l income Beginning high school Death of a pet Taking finals Winning a competition or game

Being accepted at a college of your choice Public recognition TV Appearance Birth of a sibling Vacation Holidays Christmas, Easter, etc. Traveling long distances with family Large crowds Traffic
12

Knowledge of Stress Quiz

13

 1. Which hormone, with increased levels in states of both acute and chronic stress, is known as the "stress hormone"? a) estrogen b) cortisol c) thyroid hormone T3 d) testosterone A. b) Cortisol is a hormone which is found in elevated levels in states of acute and chronic stress. Since cortisol levels rise rapidly in response to physical or emotional stresses, this hormone is called the "stress 14 hormone".

 2. True or false: "stressed-out" people are more likely to catch a cold than persons experiencing minimal stress. a) true b) false A. a) True. It's not just in your head that when your schedule is overloaded and your stress is maximum, you're more likely to get sick. Lots of scientific evidence shows that extreme stress can have a negative effect on our immune systems, making us more susceptible to all kinds of infections. Of course, our overall health condition - including nutrition status and practicing healthy behaviors - also has an influence upon our readiness to catch a cold or other infections.
15

 3. The term insomnia most accurately refers to: a) getting <4 hours of sleep per night b) getting <8 hours of sleep c) inadequate or poor-quality sleep d) taking more than 1 hour to fall asleep A. c) Insomnia refers to the perception or complaint of poor-quality or inadequate sleep. Because sleep requirements and patterns vary greatly among normal individuals, no specific rules concerning length of sleep or time required to fall asleep can be applied in defining insomnia. Changes in sleep patterns or transient insomnia can be a sign of excessive stress.
16

 4. Which of the following has been promoted as "nature's anti-stress drug"? a) alcohol b) vitamin C c) vitamin D d) kava kava A. d) Kava kava has been used in the ceremonial and cultural lives of South Pacific Islanders for thousands of years. Traditionally a strong tea, kava is commonly taken in capsule form. It produces a relaxed and mildly euphoric state, and it is often used to treat symptoms of anxiety, stress, and tension. Even though this is an over-the-counter nutritional supplement, I do not endorse the taking of this or any herbal supplement without the advice and consent of your parent, guardian or physician.

17

 5. Which of the following medical conditions can be worsened by increased stress, at home or at work? a) diabetes b) heart disease c) asthma d) all of the above A. d) all of the above: Psychological stress can exacerbate many medical conditions. Stress is known to worsen existing heart disease, and high stress levels can also cause high blood sugar levels in diabetics. Recent studies also show that asthma attacks, in some cases, can be precipitated by stress. 18

 6. Where is the "stress hormone" cortisol produced in the body? a) adrenal glands b) pancreas c) brain d) in the nerves A. a) The stress hormone cortisol is made in the cortex, or outer portion, of the adrenal glands. The adrenal glands are adjacent to the kidneys and produce a number of hormones important for body function. Secretion of cortisol is controlled by signals from the pituitary gland that stimulate the adrenal glands to produce cortisol. 19

 7. Which of the following is known to decrease the amount of stress you experience? a) a low cholesterol level b) a routine, boring job c) having close friendships d) elevated estrogen levels A. c) Having close connections with friends, family, and strong social support systems can decrease the amount of stress you experience. Many research studies have shown that persons who report low levels of social support often have higher stress levels than those with strong social support .
20

 8. Epinephrine and norepinephrine are: a) areas of the brain involved in mood regulation b) types of prescription sedative drugs c) hormones released during agitated states d) natural substances that cause relaxation A. c) Epinephrine and norepinephrine, also known as adrenaline and noradrenaline, are released from the medulla (central portion) of the adrenal gland in threatening situations and lead to the so-called "flight or fight" reaction or "stress reaction." Results of this reaction include a faster heart rate and increased blood pressure. 21

 9. Stress has NOT been shown to cause: a) elevated blood cholesterol levels b) schizophrenia c) increased predisposition to heart attacks d) delayed wound healing A. b) Stress is known to predispose individuals to certain diseases such as heart disease. In fact, stress may worsen many medical conditions and can lead to poor immune responses and delayed tissue repair (wound healing). Schizophrenia is a psychiatric disorder in which patients have an altered sense of reality and are not able to reason appropriately. Stress is not known to be a 22

 10. The term "hypertension" refers to: a) elevated blood pressure b) tightness in the muscles c) nervousness and irritability d) both b and c are correct

A. a) Hypertension is the medical term for high blood pressure. Stress is known to be a contributing factor in high blood pressure
23

The Lifestyle Stress Quiz

This eight-question quiz is designed to help you evaluate your risk for severe stress and its associated physical and emotional symptoms. Each question will ask you to choose an answer from four possible choices; your answers will tell you if the particular habit or behavior is "high risk," "average risk", or "low risk" for burnout and serious stress.
24

 1. Which pattern most accurately describes your interactions with friends? 1a) I have lots of casual acquaintances and contacts but ve

a) HIGH RISK! People with a large support network, including close friends and family members, have fewer stress symptoms and can manage stress better. Lack of intimate friendships is also a risk factor for stress even if you have a wide circle of acquaintances and colleagues. Persons without close friendships also tend to experience more physical symptoms than those with larger social networks.
25

 1b) I have a few good friends and lots of acqua b) AVERAGE RISK: Having close friendships is a positive factor and lowers your risk of severe stress. However, if you don't have time to spend with them, it can't be a very effective buffer against severe stress symptoms.
26

 1c) I have good friends whom I see or commun c) LOW RISK: Regular contact with persons close to you provides you with emotional support through any stressful situation. Research has even shown that persons who have close friendships have fewer stress symptoms than those without them.
27

 1d) I live in a different city than most of my real d) AVERAGE RISK: Having close friendships is a positive factor and decreases your risk of severe stress; however, being far away from your support system might not have all the stress-fighting power of a tight social network nearby.
28

 2. In how many hobbies and outside-of-work interests do you actively participate? 2a) One or two hobbies, clubs, sports, etc. that I enjo

a) LOW RISK: Spending time with an outside interest on a regular basis is a healthy habit, especially if you are over-engrossed with work. Sports are ideal because of the added stress-reduction and health benefits of physical workout
29

 2b) At least three times per week I'm involved i b) AVERAGE TO HIGH RISK: Having hobbies and outside interests is a good way to keep active and emotionally fit, but you can overdo it too and can become physically or emotionally burned out. You must learn your limits.
30

 2c) I have lots of old hobbies or interests I'd lik c) HIGH RISK: Despite good intentions, having no time or energy to pursue outside interests may mean emotional burnout. Examine your diet or sedentary lifestyle if that is the problem, and try to make appropriate changes.
31

 2d) None- there's no time! d) HIGH RISK: Having "no time" can be a sign of seriously rising levels of stress or of poor stress management techniques. Try to rework your schedule and eliminate what isnt necessary so that you can have some relaxation time.

32

 3. Have any major losses (e.g.- death of a loved one, divorce or breakup, loss of a job or home) occurred in your life over the past year? 3a) No a) LOW RISK: Since significant losses are associated with an increased risk for stress and its associated medical problems, it is good in that sense not to have suffered loss. 3b) Yes, 1-2. b) HIGH RISK: . Most stress assessment systems rate potential for stress based on the number of significant life changes and losses over the past year.
33

 3c) Yes, 3 or more. c) VERY HIGH RISK: This is an unusually high number of things to deal with in the recent past. 3d) None this past year, but some in the year . d) HIGH RISK: Time heals, but not always within a year. Grief can ameliorate but still endure
34

 4. Which pattern best describes your feeling at the end of the day? 4a) Tired, but feel I've done a lot. I'm thinking ahead to to a) AVERAGE RISK: Being tired at the end of the day can be a sign of productivity and planning ahead to the next day can also be a sign of enthusiasm. Its fine as long as you dont become obsessive and drain all of your energy. 4b) Exhausted, but I'm unable to unwind. b) HIGH RISK: If you're so tired that you can't relax you're likely to be under a significant amount of stress.
35

 4c) Discouraged. I don't want to face tomorrow. c) VERY HIGH RISK: This can be dangerous. If you feel that you cant go on in your present situation it might signify that you are at risk for serious depression and its consequences. Seeing a counselor or therapist might help to get you through this situation. 4d) Sleepy or tired, looking forward to a quiet evening. d) LOW RISK: Being able to unwind and enjoy your evening without focusing too strongly on the day's stressful events or the upcoming day's tasks is a great stress management tool.
36

 5. How would you best describe your health? 5a) Excellent - no serious problems. a) LOW RISK: Being healthy and fit is an excellent way to combat excess stress.

5b) Pretty good, but I don't always eat right or exe b) AVERAGE RISK: Learning to eat healthier foods and getting away from a sedentary lifestyle are both helpful in keeping stress to a minimum
37

 5c) I'm run down- no major diseases, but I feel . c) HIGH RISK: Feeling constantly tired or "run down", frequent headaches and infections can be a sign of illness or of poorlymanaged stress and this can have significant health consequences. Studies show that stressed persons are more susceptible to colds and other infections than those who suffer less stress.
38

 5d) I suffer from one or more chronic and/or d) HIGH RISK Just the fact of having chronic diseases and conditions can be a significant source of stress; in addition they make it more difficult to manage other stresses.
39

 6. How do you feel about your job? 6a) Generally OK - I'd like to work a bit less and/or re a) AVERAGE RISK A positive work environment decreases your risk for stresses and the medical complications often related to them. No jobs are stress-free; we just have to be able to strike a balance. 6b) I hate it - but I need the money. b) HIGH RISK: Studies show that a stressful job can more than double your risk of having a heart attack, and other medical complications can also arise. Maybe a change is what you need.

40

 6c) I like it a lot - although I work hard, I feel pro c) LOW RISK: Since we spend so much time on the job, having a positive work environment decreases your risk for stress and its complications.

6d) Neutral - but I look forward to the end of eac d) AVERAGE RISK: There is no stated problem here,
41

 7. If you suddenly were given three extra hours today to spend as you choose, what would you most likely do?7a) Catch up on the "in" pile at work. a) HIGH RISK: If you enjoy your work and find the extra time spent rewarding, then you're not necessarily in the "high risk" group for job stress. But if you feel obligated to spend your free time working when you'd rather not, then you may be in danger for high stress and its consequences. 7b) Play a sport - or take a walk or run. b) LOW RISK: This is stress-lowering activity.
42

 7c) Sleep. c) HIGH RISK: Feeling chronically deprived of sleep is a sign of hyper stress. You should try to find out what is causing your tiredness or is increasing your stress. A regular sleep/wake cycle is an ideal way to manage stress. 7d) Read, watch a movie, or catch up on my outside i d) LOW RISK: Having outside hobbies and interests are a balancing force; they add enjoyment, and distract from possible day-to-day stresses.
43

 8. If you feel overwhelmed by stress, what are you most likely to do?8a) Call a friend or family member and talk things ove a) LOW RISK: Having close ties to family or friends is one of the best defenses against burnout and stress. 8b) Try to forget it - this too shall pass. b) AVERAGE TO HIGH RISK: Denying stress or trying to ignore it can lead to burnout. Using your social support network is sometimes the best thing to do. It is true, however, that some people can successfully distract themselves from stress by involving themselves in something enjoyable.
44

 8c) Drink too much, start smoking again, or take a tranqu c) HIGH RISK: Substance abuse is a dangerous habit and puts you at further risk for health problems and emotional burnout. Once again, try to get the help of a good friend or family member to discuss your situation. 8d) Go online to chat, post in forums, or read things that might help. d) LOW TO AVERAGE RISK: An online support community can be like an extended support or family group, and can also provide needed strength and support, although you may not feel as close to this group than with persons you meet regularly. There are good resources and support groups online, however. 45

 From these results, Im sure we all see that we all have areas of stress in our lives because of the nature of our lifestyles. Does anyone have anything to say about what you have learned so far including the level of stress in your life? In this last section we will take another little quiz about stress reduction or relaxation and then discuss various methods of easing the stress in our lives. No handouts. Lets do these together.

46

47

RELAXATION QUIZ
Test your knowledge of relaxation programs and their effects on the body. The following eleven questions will test your knowledge of the effects and practice of relaxation therapies. There is probably some new material for everyone. Lets do this one together without any handouts.
48

 1. Regular practice of meditation has been shown by researchers to have which of the following effects on the body? a) A decrease in blood pressure b) Improved emotional well-being c) A decreased need for sleep d) Both a and b

A. d) both a and b: Meditative therapies have been shown to have many beneficial health effects including lowering blood pressure and pulse and increasing emotional stability. Meditation is a form of relaxation, but doesnt reduce the need for sleep at night. 49

 SOME OF THE MEDITATIVE FORMS: Deep Breathing Listening Deep Centering Connecting to Nature Mantras Transcendental Meditation
50

 2. The form of relaxation therapy that stresses mindbody awareness by focusing on specific 'formulas' or 'states' is called: a) Progressive muscle relaxation b) Autogenic training c) Cognitive behavior therapy d) Biofeedback

A. b) Autogenic training is a form of relaxation therapy that involves practicing different states in the achievement of body awareness. It is based upon passive concentration and body awareness of specific sensations. It has been shown effective in relieving many stress-related disorders including anxiety with chronic medical conditions ranging from migraine, colitis, irritable bowel syndrome, diabetes, high blood pressure, to thyroid disease and many other conditions. 51

 3. The technique of progressive muscle relaxation (PMR) can best be characterized by: a) Tensing then relaxing specific muscle groups in a pr b) Learning to relax more and more with each practice c) Slow relaxation of various body parts d) Involuntary relaxation of muscles in times of great st A. a) Progressive muscle relaxation (PMR) involves the progressive, or sequential, tensing and then relaxing of specific muscle groups. Progressive muscle relaxation is one example of a deep relaxation technique that can be used to reduce symptoms of stress, anxiety, insomnia, and certain types of chronic pain. 52

 4. True or false: Meditation therapies are all connected with a religion or specific set of religious beliefs. a) True b) False

A. b) FALSE - While many religious and spiritual beliefs involve and recommend meditative exercises, meditation itself is a relaxation technique that is not necessarily connected to specific beliefs.

53

54

 5. Tai Chi and Qigong are best classified as: a) Religions b) Types of physical exercise c) Herbal relaxation therapies d) Martial arts A. d) Tai Chi and Qigong are examples of martial arts that may be used to aid in relaxation and stress management. The martial arts combine body motion and awareness with Eastern philosophy and meditation/relaxation practices
55

 6. When sufficient relaxation is not achieved, stress levels soar and can have which of the following bodily effects? a) Increased pulse b) Worsening of cardiovascular disease c) Weight gain d) All of the above

A. d) Stress can take its toll on almost every bodily function or condition. The secretion of the stress hormone cortisol can lead to weight gain, while the typical acute stress reactions boost heart rate and blood pressure, which can lead to worsening of 56 cardiovascular diseases.

57

 7. Botanical remedies that have been used to promote relaxation include: a) Alcohol b) Kava kava c) Licorice d) All of the above A. b) Kava kava is a botanical substance that has been used in ceremonies and rituals of native peoples of the South Pacific. It has been promoted as a relaxation remedy in recent years. While alcohol can lead to feelings of relaxation, it is not a botanical substance (but is plant derived). Licorice is a plant substance, but has not been shown to be a relaxation aid.
58

Other Useful Stress-Lowering Herbs

Chamomile, which is a gentle relaxant and a sleeping aid Valerian Root, which keeps the nervous system from overwhelmed and is also another useful sleeping being aid. Ginseng Root enhances adrenal gland function and improves stress reactions
59

 8.The technique of self-hypnosis as relaxation therapy requires: a) An experienced coach or teacher b) A darkened room c) A suggestion or idea you'd like to send to your subco d) Previous experience with hypnotic states A. c) It is possible to learn self-hypnosis relaxation techniques without the aid of a coach or teacher, even if you have never been hypnotized. A dark room is not necessary. Most self-hypnosis techniques require that you decide on a thought or idea that you would like to send to your subconscious state during the process. 60

 9. Music therapy has been used to aid relaxation and has been shown to improve symptoms in which conditions: a) Depression b) Advanced cancer c) Lifestyle stress d) All of the above A. d) Music therapy has been used in clinical situations to improve well-being and symptoms in many medical conditions, including the three listed in the question. Listening to favorite music can be a great way to unwind. But the soothing and therapeutic properties of music can do more than just help you relax at the end of a busy day. Music therapy is a branch of health care dedicated to the use of music for emotional, physical, functional, and educational improvement in a broad range of settings.

61

62

 10. You visit your doctor complaining of lifestyle stress and the inability to relax. As a first line of treatment, he/she is most likely to recommend: a) Behavioral changes b) Anti-anxiety medications c) Antidepressant medications d) Benzodiazepine drugs (e.g. valium)

A. a) While antidepressant and anti-anxiety medications have been used to treat short, severe life stresses, their use is generally limited to severe events that are not controllable by behavioral changes, behavioral therapies, or counseling. Benzodiazepines are a class of antianxiety drugs. The first treatment for lifestyle stress should consist of behavioral modifications such as improved diet, exercise, relaxation programs, and other stress control techniques.
63

 Standard pharmaceutical therapy is generally not indicated for the management of daily life stresses such as work- or family-related stress. Stress is a part of life, and we will all experience stress throughout our lives in various degrees, just as we will experience joy, contentment, disappointment, sadness, and other emotions. Since stress is an important part of life, stress counselors speak of stress management rather than stress reduction.
64

 11. You are feeling a great deal of stress and wish to talk to a professional who can help you. Which professional would be appropriate to visit? a) Clinical Psychologist b) Psychiatric social worker c) Mental Health Counselor d) All of the above A. d) All of the above is correct. Any of these three professionals may be trained to help you to work through and understand your stress. 65

CAN ANYBODY NAME ANY OTHER METHODS THAT YOU MIGHT USE FOR REDUCING STRESS, OR THAT YOU MIGHT USE, NOW THAT WE HAVE HAD THIS PRESENTATION HERE?
66

 HERE ARE SOME OF MY SUGGESTIONS

67

68

 Laughter is the best medicine, you have

heard it said, and there is truth to that. It is very difficult indeed to remain stressed and tense when youre bursting with laughter. Scientifically speaking, laughter is very beneficial as it increases oxygen supply and relaxes muscles in the diaphragm and chest. What happens when you laugh? Your brain produces endorphins which are neurotransmitters of happiness. Laughing is also contagious. If you get a group of friends together and watch funny movies if one starts laughing, soon all the others join in. Laughter can even heal cancer not just stress.
69

MASSAGE CAN BE HEALING!

70

FORGIVE OTHERS & YOURSELF

71

GET ADEQUATE SLEEP & REST

72

Play Sports and Exercise

73

EAT A HEALTHY DIET

74

YOGA is a useful stress reducing exercise; The harmony with which the body moves, in sync with the breath has therapeutic and calming effects.

75

 AROMATHERAPY Essential oils work because of their small molecular size which allows them to penetrate bodily tissues easily. They also create a pleasant smell that emotionally lifts the user. The neurochemical makeup of the brain is altered through the olfactory sense.

And Bach Flowers

76

HAVING HOBBIES HELPS

77

FENG SHUI Ancient Wisdom

Feng Shui is the ancient art of creating harmony in your environment. It can contribute to stress relief by de-cluttering your environment and enhancing vital, lifepromoting chi. It employs the 9 celestial cures: Mirrors, goldfish, household pets, harmonious sounds, color, plants and flowers, moving items, heavy items and musical instruments.
78

MATISSE

79

JUST TWO MORE ALTERNATIVE METHODS FOR DEALING WITH STRESS !

80

81

82

83

A DEEP BREATH AND RELAX

84