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Stress and anxiety disorders related to exercise
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Stress and anxiety disorders related to exercise

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  • 1. By Nathan Myers
    Stress and Anxiety Disorders Related to Exercise
  • 2. Overview
    Pathophysiology
    Hans Selye
    Definition of Stress:
    General Adaptation Syndrome (GAS)
    Alarm reaction
    Adaptation
    exhaustion
  • 3. Relevance
    There are disagreements in the way “stress” is defined.
    Contemporary view
    However, there is no disagreement regarding the fact that stress affects our health.
    40 million Americans suffer from some type of anxiety disorder (NIMH)
    approx. 18% of America (NIMH)
    (National Institute for Mental Health)
  • 4. Relevance
    Because its prevalent in the human population, as a physical therapist, coach, or a personal trainer, we must have a clear understanding of how to approach this specific population.
    In addition, many of the subjects in this population seek exercise regimens in order to control their stress/anxiety levels.
    Therefore, this population will be seeking our help, and it’s our job to provide the correct information and programs.
  • 5. Types of Anxiety Disorders
    Panic disorder
    Generalized anxiety disorder
    Social phobia
    Post-traumatic stress disorder
    Obsessive compulsive disorder
    Western View: Typically treated with medications
    Anxiolytic Drugs
  • 6. Categories of Meds
    Azaspirones/Buspirone
    Benzodiazepines
    Beta Blockers
    Tricyclics (TCA)
    Monoamine oxidase inhibitors (MOI)
    Serotonin reuptake inhibitors
  • 7. Signs/Symptoms of Anxiety
    Emotional Symptoms
    Feelings of dread
    Trouble concentrating
    Feeling tense and jumpy
    Anticipating the worst situation
    Irritability
    Restlessness
    Watching for signs of danger
    Feelings of a blank mind
  • 8. Sign/Symptoms of Anxiety
    Physical symptoms
    Pounding heart
    Sweating
    Upset stomach or dizziness
    Frequent urination or diarrhea
    Shortness of breath
    Tremors and twitches
    Muscle tension
    Headaches
    Fatigue and Insomnia
  • 9. Symptoms of Anxiety Attacks
    Surge of overwhelming panic
    Feeling of losing control
    Heart palpitations or chest pain
    Feeling of passing out
    Trouble breathing
    Hyperventilation
    Hot flashes or chills
    Trembling/Shaking
    Nausea or stomach cramps
  • 10. Causes of Stress/Anxiety Disorders
    Primarily genetic
    Situational
    Depends on each individual and how they respond to a stimulus
  • 11. Benefits from exercise
    Best results for reduction in anxiety involves more aerobic exercise than resistance training.
    Look for results after a few weeks of regular exercise
    Increases self esteem
    Releases endorphins
    Reduces immune system chemicals that may worsen anxiety
    Increases body temperature– provides a calming effect
    Distraction
    Gets mind off of everyday worries
  • 12. Risks with Exercise in subjects who are taking Medications
    Overtraining- pushing the body beyond physical and psychological limitations
    Characterized by:
    Decrease in performance
    Fatigue
    Depression
    Heightened levels of anxiety
    Decreased libido
    Loss of appetite
    Crucial to have appropriate exercise mode and intensity
  • 13. Considerations in Evaluating Subject
    Medications can reduce functional capacity, induce dizziness, inhibit motor function, or reduce the desire to perform at a high level of exertion.
    Important to evaluate neuromuscular function because meds could affect perception, alertness, and coordination.
  • 14. Importance of Supervision
    Due to possibilities of med or condition related side effects
    Report any increased feelings of tiredness or exhaustion
    Shortness of breath or chest discomfort
    Heart palpitations
    Unusual mood swings
    Increased effort in everyday activities
  • 15. Example of an Exercise Prescription
  • 16. References
    ACSM’s Exercise Management for Persons with chronic disease and disabilities, 3rd edition. Chapter 50, stress and anxiety disorders.
  • 17. Video
    http://www.youtube.com/watch?v=Oh-RUBsqZJc&feature=player_detailpage