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80% of all doctor visits are stress related. Teach people the seriousness of stress and how to deal with it in a healthy way.

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  1. 1. STRESS!!! Dr. Michael Vanella
  2. 2. Stress has Been Called: <ul><li>The spice of life </li></ul><ul><li>The common cold of the psyche </li></ul><ul><li>A socially acceptable form of mental illness </li></ul>
  3. 3. Stress can be Beneficial <ul><li>For example a deadline can help us focus, be more alert, and </li></ul><ul><li>efficient. </li></ul>
  4. 4. Persistent or Excessive Stress <ul><li>Can undermine performance </li></ul><ul><li>Make us vulnerable to health problems such as: </li></ul><ul><ul><li>Cancer </li></ul></ul><ul><ul><li>Heart disease </li></ul></ul><ul><ul><li>Substance abuse </li></ul></ul><ul><ul><li>Obesity </li></ul></ul>
  5. 5. What is Stress? <ul><li>Stress is a physical and mental </li></ul><ul><li>response to the difference </li></ul><ul><li>between our expectations and our </li></ul><ul><li>personal experience whether it be real or imaginary. </li></ul><ul><li>Expectations - Experience = Stress </li></ul>
  6. 6. When Reacting to Stress <ul><li>The body goes through 3 stages: </li></ul><ul><li>Alarm </li></ul><ul><ul><li>Body goes into fight or flight mode </li></ul></ul><ul><ul><li>Releases the hormone epinephrine (adrenaline) </li></ul></ul><ul><ul><li>Heart rate, blood pressure, and glucose levels all increase </li></ul></ul><ul><li>Resistance </li></ul><ul><ul><li>Body then releases cortisol (hydrocortisone) </li></ul></ul><ul><ul><li>Which gives the body anti-inflammatory and immuno-suppressing effects </li></ul></ul><ul><li>Exhaustion </li></ul>
  7. 7. Consequences of Chronic Stress
  8. 8. <ul><li>Persistent stress is much too </li></ul><ul><li>taxing on the body. </li></ul>
  9. 9. Consequences of Chronic Stress <ul><li>Excessive levels of cortisol (Resistance stage) </li></ul><ul><li>Hinder growth </li></ul><ul><li>Delay wound healing </li></ul><ul><li>Increase risk of infection </li></ul>
  10. 10. Chronic Stress Leads to: <ul><li>Constant anticipation </li></ul><ul><li>Belief that we must always be on guard </li></ul><ul><li>Anxiety </li></ul><ul><li>Feelings of hopelessness </li></ul><ul><li>Avoid problem solving </li></ul><ul><li>Depression </li></ul>
  11. 11. Past or present psychological distress can lead to pain <ul><li>Low back pain with leg pain </li></ul><ul><li>Headaches </li></ul><ul><li>Sleep problems </li></ul><ul><li>Anxiety </li></ul><ul><li>Depression </li></ul>
  12. 12. Common Stressors
  13. 13. Common Stressors <ul><li>Bright lights and loud noises </li></ul><ul><li>Major events (births, deaths, war, reunions, weddings, divorce, moving) </li></ul><ul><li>Financial problems </li></ul><ul><li>Deadlines, rush hour traffic, or exams </li></ul><ul><li>Personal relationships and conflicts </li></ul><ul><li>Smoking, excessive drinking, insufficient sleep, and poor diet </li></ul>
  14. 14. Stress Facts <ul><li>Stress is highly individualized </li></ul><ul><li>Stress in early childhood can negatively affect a person’s stress reaction as an adult </li></ul><ul><li>Gender also determines how we handle stress </li></ul>
  15. 15. Women’s Biggest Stressors <ul><li>Household problems </li></ul><ul><li>Conflicts with people </li></ul><ul><li>Illnesses in people they know </li></ul>
  16. 16. Women & Stress <ul><li>Depression in women is more </li></ul><ul><li>likely to spring from interpersonal </li></ul><ul><li>conflicts or low social support, </li></ul><ul><li>particularly from family. </li></ul>
  17. 17. Women’s Coping Mechanisms <ul><li>Seek out social </li></ul><ul><li>support </li></ul><ul><li>Self blame </li></ul><ul><li>Wishful thinking </li></ul>
  18. 18. Men’s Biggest Stressors <ul><li>Job loss </li></ul><ul><li>Legal problems </li></ul><ul><li>Work related issues </li></ul>
  19. 19. Men & Stress <ul><li>Depression in men </li></ul><ul><li>usually comes from </li></ul><ul><li>divorce, separation, </li></ul><ul><li>and work problems. </li></ul>
  20. 20. Men’s Coping Mechanisms <ul><li>Plan rational </li></ul><ul><li>solutions to </li></ul><ul><li>problems </li></ul><ul><li>Positive thinking </li></ul><ul><li>Humor </li></ul><ul><li>Day dreaming </li></ul><ul><li>Fantasies </li></ul>
  21. 21. Stress & Personality
  22. 22. <ul><li>Our personality influences how we </li></ul><ul><li>cope with stressful life events </li></ul><ul><li>3 Major factors are: </li></ul><ul><li>Optimism </li></ul><ul><li>Self esteem </li></ul><ul><li>Anger </li></ul>
  23. 23. Optimism Improves our Coping Ability by: <ul><li>Make positive choices </li></ul><ul><li>Set goals </li></ul><ul><li>Expect positive </li></ul><ul><li>outcomes </li></ul>
  24. 24. Making Better Choices <ul><li>Optimistic people often choose to eliminate, reduce, or manage stressors or emotions. </li></ul><ul><li>– instead of ignoring, avoiding, or </li></ul><ul><li>withdrawing from the problem, </li></ul><ul><li>reactions that are often unhealthy . </li></ul>
  25. 25. Predict Better Outcomes <ul><li>Associated in healthy aging </li></ul><ul><li>Lower cardiovascular mortality </li></ul><ul><li>Prevents depression in the elderly </li></ul>
  26. 26. Optimism Linked To <ul><li>Lower cortisol levels </li></ul><ul><li>Better stress responses </li></ul><ul><li>Lower heart rate in men </li></ul><ul><li>Lower systolic blood pressure (top number) </li></ul>
  27. 27. Self-Esteem <ul><li>Affects perception of </li></ul><ul><li>past events as more </li></ul><ul><li>positive than originally </li></ul><ul><li>perceived </li></ul><ul><li>So negative events </li></ul><ul><li>have less of an affect </li></ul>
  28. 28. Anger <ul><li>Doesn’t help with stress management </li></ul><ul><li>Related to many health problems </li></ul><ul><li>Prolongs tension type headaches </li></ul><ul><li>Leads to depression </li></ul><ul><li>Increases inflammation </li></ul><ul><li>Slows wound healing </li></ul>
  29. 29. Stress on the Job
  30. 30. <ul><li>The work place has become a major stressor, contributing to the risk of hypertension and heart disease. </li></ul><ul><li>However, what stresses us out is not so much the job demands, but our attitude towards them. </li></ul>
  31. 31. <ul><li>People who react with anger to their high job strain or who are worried about their chronic work overload have much higher cortisol levels in the morning. </li></ul>
  32. 32. <ul><li>Lack of sense of control over a job </li></ul><ul><li>is also associated with higher </li></ul><ul><li>blood pressure, especially in </li></ul><ul><li>women. </li></ul>
  33. 33. Family Stress
  34. 34. <ul><li>Marital problems can also make </li></ul><ul><li>us feel stressed out, and elevate </li></ul><ul><li>our cortisol levels and blood </li></ul><ul><li>pressure. </li></ul>
  35. 35. Strategies for Stress Relief
  36. 36. Think Positively <ul><li>“ Adopt the right attitude </li></ul><ul><li>can convert a </li></ul><ul><li>negative stress into positive” </li></ul><ul><li>~ Hans Seyle </li></ul>
  37. 37. Think Positively <ul><li>When optimism is hard to muster you may want to think about seeing a therapist. </li></ul><ul><li>Cognitive behavior therapy, </li></ul><ul><ul><li>which trains people to recognize </li></ul></ul><ul><ul><li>negative thinking and replace </li></ul></ul><ul><ul><li>it with constructive ones. </li></ul></ul><ul><li>Can help reduce the risk of chronic </li></ul><ul><ul><li>stress and depression. </li></ul></ul>
  38. 38. Get Out and Enjoy Nature <ul><li>Lessens the affects of stress on the nervous system </li></ul><ul><li>Reduces attention deficits </li></ul><ul><li>Decreases aggression </li></ul><ul><li>Enhances spiritual well-being </li></ul>
  39. 39. “ Smell the Roses” <ul><li>Aromatherapy or smelling essential plant oils can help you unwind. </li></ul><ul><li>Orange and lavender scents have been shown to enhance relaxation and reduce anxiety. </li></ul>
  40. 40. Relax with a Cup of Tea <ul><li>During stressful times coffee helps </li></ul><ul><li>to keep us going. To give yourself </li></ul><ul><li>a break, consider drinking tea. </li></ul><ul><li>Drinking tea for 6 weeks helps </li></ul><ul><li>lower post stress cortisol levels and </li></ul><ul><li>increase relaxation. </li></ul>
  41. 41. Laugh It Off <ul><li>Humor relives stress </li></ul><ul><li>and anxiety </li></ul><ul><li>Prevents depression </li></ul><ul><li>Helps keep troubles in perspective </li></ul><ul><li>Boost the immune system </li></ul><ul><li>Increase pain tolerance </li></ul><ul><li>Enhance mood and creativity </li></ul><ul><li>Lower blood pressure </li></ul>
  42. 42. Build a Support System <ul><li>Relationships are a key to health and happiness (esp. women) </li></ul><ul><li>Active and social seniors are at a lower risk for dementia and Alzheimer’s </li></ul>
  43. 43. Employ the Relaxing Power of Music <ul><li>Music, especially classical serves as a powerful stress reliever </li></ul><ul><li>Relieves pain </li></ul><ul><li>Reduces anxiety and depression </li></ul><ul><li>Elevates mood </li></ul><ul><li>Positively affects the immune system </li></ul><ul><li>Reduces fatigue </li></ul><ul><li>Improves self acceptance </li></ul>
  44. 44. Calm Your Mind <ul><li>Many forms of meditation </li></ul><ul><li>Help to tune out distractions </li></ul><ul><li>Reduce anxiety </li></ul><ul><li>and depression </li></ul><ul><li>Better acceptance </li></ul><ul><li>of our </li></ul><ul><li>circumstances </li></ul>
  45. 45. Enjoy the Warmth of Human Touch <ul><li>Just as the mind </li></ul><ul><li>can affect the body, </li></ul><ul><li>the body can </li></ul><ul><li>influence the mind. </li></ul>
  46. 46. Virginia Satir (psychotherapist) <ul><li>People need: </li></ul><ul><li>4 hugs/day to prevent depression </li></ul><ul><li>8 for psychological stability </li></ul><ul><li>12 for emotional growth </li></ul>
  47. 47. <ul><li>If asking for hugs doesn’t work for </li></ul><ul><li>you, then try a massage. Shown </li></ul><ul><li>to reduce anxiety, depression, </li></ul><ul><li>aggression, and hostility. </li></ul>
  48. 48. Give Exercise a Shot <ul><li>Get the best of both </li></ul><ul><li>worlds, affecting </li></ul><ul><li>mind and body while </li></ul><ul><li>getting into good </li></ul><ul><li>physical shape. </li></ul>
  49. 49. How Can Stress Affect Your Spine?
  50. 50. How Can Stress Affect Your Spine? <ul><li>With each stressor, your body tightens up and the weakest joints of your spine are forced out of their normal position.  </li></ul><ul><li>Your body then loses its capacity to respond to the full range of human experience. The freedom to move around is simply not there. </li></ul>
  51. 51. What Can A Doctor of Chiropractic Do? <ul><li>Perform chiropractic adjustments to improve spinal function and alleviate the stress on your system. </li></ul><ul><li>Provide nutritional advice, recommending a change in diet and perhaps the addition of vitamins. </li></ul><ul><li>Offer advice on posture, ergonomics (work postures), exercises and relaxation techniques. </li></ul>
  52. 52. Thank You