Learn about stress and its impact on health and how using strategies including cognitive restructuring, progressive muscle relaxation and mindfulness can help you more effectively manage daily stress and promote overall wellness.
3. Sources of Stress
The Good
Get married
Have children
Buy a new home
Go on vacation
New job
Promotion
The Bad
Break a leg
Spouse loses job
Child gets in
trouble
Lose your wallet
In-laws coming
The Ugly
Nasty car accident
Bankruptcy
Divorce
Illness
Loved one dying
6. It is a Matter of Perception
ďˇ Stress and its associated physical reactions is your body
preparing itself for a threatening situation
ďˇ When we perceive Threat we prepare ourselves for action
ďˇ Very rarely attacked by Bears so threat is now:
ďˇ Social
ďˇ Emotional
ďˇ Financial
ďˇ Work related
7. ⢠When demands are in balance with your coping abilities
and resources you do not feel stressed.
⢠When demands are greater than your coping abilities you
feel stressed.
8. Stress is Good in Small Doses
ďˇ Gives you a burst of energy when you need it
ďˇ Increases your motivation to complete tasks
ďˇ Protects you from harm
(Prevents you from walking down a dark alley way
at night)
10. Emotional Reactions
ďˇ Feeling angry, irritable or easily frustrated
ďˇ Feeling overwhelmed
ďˇ Feeling nervous or anxious
ďˇ Feeling that you canât overcome difficulties in your life
ďˇ Having trouble functioning in your job or personal life
ďˇ Feeling afraid or worried
ďˇ Feeling Helpless or Hopeless
ďˇ Desire to hide or runaway
11. Cognitive Reactions
⢠Difficulty Making Decisions
⢠Confusion
⢠Difficulty Naming Familiar Items
⢠Poor Concentration
⢠Blaming Others
⢠Memory Problems
⢠Replaying Events Over & Over
⢠Thinking the Future is bad
12. Behavioral Reactions
⢠Difficulty functioning at work or home
⢠Withdrawal
⢠Isolation
⢠Suspiciousness
⢠Working more and being less productive
⢠Excessive Humor or Silence
⢠Increased Smoking, Alcohol or Food
⢠Change in Activity Level
⢠Angry Outbursts
⢠Crying Spells
⢠Sleep
13. Burnout
A State of Mental Exhaustion
⢠Powerlessness
ďˇ Hopelessness
ďˇ Emotional exhaustion
ďˇ Detachment
ďˇ Isolation
ďˇ Irritability
ďˇ Frustration
ďˇ Being trapped
ďˇ Failure
ďˇ Despair
ďˇ Cynicism
ďˇ Apathy
14. Stress Burnout
ďˇ Characterized by over-engagement ďˇ Characterized by disengagement
ďˇ Emotions are over-reactive ďˇ Emotions are blunted
ďˇ Produces urgency and hyperactivity ďˇ Produces helplessness and hopelessness
ďˇ Loss of energy ďˇ Loss of motivation, ideals, and hope
ďˇ Leads to anxiety disorders ďˇ Leads to detachment and depression
ďˇ Primary damage is physical ďˇ Primary damage is emotional
ďˇ May kill you prematurely ďˇ May make life seem not worth living
Stress vs. Burnout
15. So what can we
do about it?
A bunch of things . . .
16. We can change . . .
1. The situation
2. The way we think
about the situation
3. The way our body
responds
17. Change the situation
1. Defining the problem
2. Brainstorming solutions
3. Choosing and trying solutions
4. Evaluating the results
5. REPEAT
by . . .
18. Change your thought content
1. Identifying worry thoughts
2. Evaluating evidence for and against
3. Generating alternative thoughts
(this is called Cognitive Restructuring)
by . . .
19. Change your thought process
1. Noticing thinking
2. Bringing attention back to the
other senses
3. REPEAT, REPEAT, REPEAT
by . . .
20. Multitasking Exercise
1. See something in the room AND
2. Hear sounds in the room AND
3. Feel your back against the chair
4. Try to do these all at the same time
5. Raise your hand when one of these RE-APPEARS
(meaning you had lost awareness of it)
21. 3 flashlights
& 6 things to shine them on:
Seeing, hearing, feeling,
smelling, tasting, thinking
Itâs like your brain has
22. 1, 2 or all 3 of them are always focused on . .
THINKING
The problems is . . .
23. So if this is the problem:
THINKING
Seeing Hearing Feeling
Smelling Tasting
27. And when 3 seconds later they go back
to . . . THINKING
28. BRING THEM BACK AGAIN! To . . .
Smelling
Tasting
SEEING
FEELING
HEARING
Thinking
29. And when 3 seconds later they go back
to . . . THINKING
30. BRING THEM BACK AGAIN! To . . .
Smelling
Tasting
SEEING
FEELING
HEARING
Thinking
31. THATâS MINDFULNESS OR
MEDITATION IN ACTIVITY
Meditation and Mindfulness are not:
Keeping the mind still or not thinking
Meditation and Mindfulness are:
Bringing the mind back to itâs focus every
time it starts thinking (which will be OFTEN)
34. Breathing Retraining
The Calming Response
(Parasympathetic Response)
⢠Oxygen Consumption Decreases
⢠Breathing Slows
⢠Heart Rate Slows
⢠Blood Pressure Decreases
⢠Muscle Tension Decreases
⢠Growing Sense of Ease In Body, Calmness in Mind
35. Breathing Retraining
⢠Comfortable, quiet location
⢠Count one breath in and think ârelaxâ on
breath out
⢠Focus attention on breathing and counting
⢠Expand diaphragm on breath in and keep
chest still
⢠Count up to 5 and back to 1
⢠Practice 2x/day, 10 minutes each time
36. ⢠Comfortable, quiet location
⢠Develop an image or scene
⢠Increase vividness of the image
⢠Notice any changes after exercise
VISUAL IMAGERY
37. Progressive Muscle
Relaxation
⢠Comfortable, quiet location
⢠Loose clothing
⢠Tense for 5 seconds and relax for 10
seconds the major muscle groups:
Lower legs to upper forehead
⢠Count from 1 to 5 to deepen relaxation,
breath slowly for 2 minutes, count from 5
to 1 to be more alert
⢠Practice 2 xâs day
38. RESOURCES
BOOKS
Cognitive Therapy:
Book: Mind Over Mood: Change How You Feel by Changing the Way You
Think (Greenberger & Padesky)
Mindfulness:
Book: Mindfulness: An Eight-Week Plan for Finding Peace in a Frantic World (Williams,
Penman, Kabat-Zinn)
AUDIOS AND VIDEOS
Mindfulness and Meditation
http://elishagoldstein.com/videos/
http://marc.ucla.edu/body.cfm?id=22
http://health.ucsd.edu/specialties/mindfulness/programs/mbsr/Pages/au
dio.aspx
Progressive Muscle Relaxation and Guided Imagery:
https://www.dartmouth.edu/~healthed/relax/downloads.html