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  • Our thoughts, feelings and beliefs about a situation can make stress good (pleasant) or bad (unpleasant). For example, Nicole's mother informed her that they will be moving to a new city. Moving to a new place is a stressor that will automatically cause Nicole some stress since it is a "change".
  • How one's body reacts to change can be called stress. These changes can come from feelings, situations, and people. For example, going to a new school is a change that can cause stress.
  • Stress affects the performance of the brain. When people are under stress , their memory suffers. Stress can cause Irritability and nervousness
  • Dave is under stress. Though it is a commonly used term, many people do not understand the physical and emotional implications of stress. The effects of stress make daily tasks such as school, work, and even socializing, difficult. Stress affects the performance of the brain. When people are under stress, their memory suffers. Stress can cause irritability and nervousness. The following are key stress indicators:
  • Too much stress can have a negative affect on one's body, mind, and feelings. How you handle your stress has a lot to do with your health. When stress becomes too frustrating and lasts for long periods, it can become harmful distress . Recognizing the early signs of stress and doing something about it can improve the quality of your life. If you have signs of stress very often ... WATCH OUT!
  • What is a good (happy, excited, etc) stressor for you? Situations that cause us to feel happy, excited, surprised,
  • What is a bad (sad, scared, etc) stressor for you? situations that cause us to feel sad, scared, mad
  • Physical : headache, nervousness, rashes, stomachaches, fast heartbeat, perspiration, increased urination
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    1. 1. Teen Stress Eritrean Orthodox Church Diocese of North America West Coast 2 nd year Youth Retreat July 01-04/2009 Astier M Alem, MD, MSc Nephrology Private Practice, Seattle WA Totem Lake Dialysis Center Medical Director Department Chairperson, Medical Specialties, Evergreen Hospital In the name of the Father, of the Son, of the holy Spirit One God Amen. በስመ ኣብ ወወልድ ወመንፈስ ቅዱስ ኣሓዱ ኣምላክ ኣሜን።
    2. 2. Example 1 <ul><li>Seventeen-year-old Marissa is juggling many roles. She has a demanding part-time job, plays two varsity sports, is studying for the SATs, and is trying to decide where to go to college and how to pay for it. She also has a term paper and an Internet project due this week, needs to find a date and a dress for the prom, is worried that she has gained five pounds, and is afraid that her best friend is mad at her. While Marissa used to feel confident and excited by life's challenges, she has recently been feeling overwhelmed, out of control and &quot;stressed out.&quot; </li></ul>
    3. 3. Marissa's story is typical of the daily pressures teens face.
    4. 4. Example 2 <ul><li>Dave, a college student, has been feeling extremely tense. In addition to taking a full course load at school, he is also working 30 hours a week at a record store. He often feels rushed and irritable—his girlfriend has noticed his short fuse. Sometimes he feels unable to meet the demands of his daily activities. Even though he is exhausted at the end of every day, he has trouble falling asleep. His appetite has decreased, and sometimes he even feels paranoid. He is tired of feeling like he is being pulled in several directions at once. </li></ul>
    5. 5. What is stress?
    6. 6. What Exactly is Stress? <ul><li>Feeling of tension </li></ul><ul><li>Feeling of frustration </li></ul><ul><li>Worry </li></ul><ul><li>Sadness </li></ul><ul><li>Withdrawal </li></ul>
    7. 7. <ul><li>&quot;Stress&quot; is defined as the way our bodies and minds react to life changes. Since adolescence is a period of significant change, including physical, emotional, social, and academic changes, many teens are under more stress than at any other time of life. </li></ul>
    8. 8. Teen Stress According to a survey 85% of teens say they are stressed out
    9. 9. Teen Stress Is very common among adolescents today A local high school survey in 2002: of 815 students that participated, 70% said they were stressed out
    10. 10. Teen Stress <ul><li>Teens experience stress in similar way as adults </li></ul><ul><li>Stress is as common for young individuals as it is for adults </li></ul>
    11. 11. Difference : an adolescent’s body and mind are still developing and adolescents typically are not as skilled in coping with stress as adults
    12. 12. How does teen stress arise Teen stress arises when teenagers face a situation which they think it to be impossible to manage with their physical and emotional resources
    13. 13. Normal Changes occurring in Teens <ul><li>Physical Changes </li></ul><ul><ul><li>Growth spurt </li></ul></ul><ul><ul><li>Increase in weight </li></ul></ul><ul><ul><li>Change in voice (boys) </li></ul></ul><ul><ul><li>Start of menstruation and breast development (girls) </li></ul></ul><ul><li>Emotional changes </li></ul><ul><ul><li>A time when young people are caught in the middle between childhood and adulthood </li></ul></ul><ul><ul><li>Trying to break free from their families </li></ul></ul><ul><ul><li>Making own decisions </li></ul></ul>
    14. 14. Teen Stressors <ul><li>Most common causes of stress </li></ul><ul><li>School work </li></ul><ul><li>Parents </li></ul><ul><li>Relationships disputes with friends </li></ul><ul><li>Siblings </li></ul>
    15. 15. Some Common Reasons for Stress <ul><li>The pressure of expectations from self and from others </li></ul><ul><li>The pressure at school from teachers, coaches </li></ul><ul><li>Career decisions </li></ul><ul><li>The pressures due to grades and homework </li></ul><ul><li>Strained relationship with classmates </li></ul><ul><li>Pressure to fit in with peer groups and measure up to others </li></ul>
    16. 16. Some Common Reasons for Stress <ul><li>Strained relationship with parents/siblings </li></ul><ul><li>Physical and biological changes in the body during adolescence </li></ul><ul><li>Negative feelings about oneself/low self-esteem </li></ul><ul><li>Heated arguments with or between parents </li></ul><ul><li>Pressure to try drugs, alcohol or sex </li></ul>
    17. 17. More Common Reasons for Stress <ul><li>Financial problems in the family </li></ul><ul><li>Tragedy in the family (e.g. death, divorce, cancer, AIDS) </li></ul><ul><li>Break up with boyfriend/girlfriend </li></ul><ul><li>Separation or divorce of parents </li></ul><ul><li>Pressure to wear certain types of clothing or hairstyles </li></ul>
    18. 18. More Common Reasons for Stress <ul><li>High crime rate in the living environment/neighborhood </li></ul><ul><li>Moving to a new surroundings </li></ul><ul><li>Changing to a new school </li></ul><ul><li>Horrifying events like 9/11 terrorist attacks or war </li></ul>
    19. 19. More causes of Stress overload <ul><li>Being bullied </li></ul><ul><li>Ongoing problems with school work and learning disability </li></ul><ul><li>Crammed schedules, not having enough time to rest and relax and always being on the go </li></ul>
    20. 20. Stress is A normal physiological response of the body to situations or stimulus which are perceived as ‘dangerous’ to the body.
    21. 21. <ul><li>When a person is exposed to dangerous situation his body gets ready to face it. It needs more energy for that and the extra energy is got by-Fight or Flight’ response </li></ul>
    22. 22. Fight or Flight response <ul><li>Think about the last time you got a scare. You might have almost fallen over, you might have had a near miss with a car – anything that made you jump and experience fear. </li></ul>
    23. 23. 'Fight of flight' doesn't allow you to think too much, but motivates you to take action
    24. 24. What happens to your body? <ul><li>Some common reactions in the body are: </li></ul><ul><ul><li>Your heart beats faster </li></ul></ul><ul><ul><li>Your muscles tighten </li></ul></ul><ul><ul><li>You begin to tremble </li></ul></ul>
    25. 25. <ul><li>Mind feels the danger and the body tackles it . Actions coordinated by hormones (adrenaline and cortisol) </li></ul><ul><li>Once trigger is gone , hormones return to normal level and the body returns to normal </li></ul>
    26. 26. Are there benefits to stress? When working properly, the body’s stress response enhances a person’s ability to perform well under pressure.
    27. 27. What happens if stress persists? <ul><li>But if this happens repeatedly, then all hormone levels are persistently high not allowing the body to come back to normal </li></ul><ul><li>Soon the hormonal and energy stores get exhausted </li></ul>
    28. 28. <ul><li>Vital link between mind and body is lost and the person suffers </li></ul><ul><li>Mind gets disturbed by the fact that the threat is there but the body is too tired to handle it </li></ul>
    29. 29. Stress ‘ Undue or Unrelieved Stress
    30. 30. <ul><li>Stress can affect anyone and every one at some point of time in their life </li></ul><ul><li>When it occurs frequently it affects health </li></ul><ul><li>It can occur as a short term, delayed response or prolonged response </li></ul>
    31. 31. ‘ Good stress” or ‘Bad Stress’ <ul><li>While mild stress is beneficial and it can spur you into action, motivate and energize </li></ul><ul><li>It is often the build up of the little things that can really stress you out </li></ul>
    32. 32. Good stress
    33. 33. Bad stress?
    34. 34. Persistent stress can lead to many health problems
    35. 35. Stress and Health
    36. 36. Physical symptoms : such as headache, fatigue
    37. 37. Mental symptom : such as poor concentration
    38. 38. Emotional symptoms: such as irritability and depression
    39. 39. Social symptom : isolation and resentment
    40. 40. Stress and Health It is not the problems that can kill us but our reaction to the problems
    41. 41. Stress and Health <ul><li>It is very important for teens to learn to handle stress, as long-term build-up of stress that is not handled effectively may lead to problems, including physical illness , anxiety or depression , which call for professional help. </li></ul>
    42. 42. What is a sign of stress for you?
    43. 43. Teenage &quot;Stress Overload&quot; Signs <ul><li>Anxiety or panic attacks </li></ul><ul><li>Feeling down , on edge , guilty or tired </li></ul><ul><li>Feeling of being constantly pressured </li></ul><ul><li>Anger, irritable lashing out at others </li></ul><ul><li>Feeling resentful of others </li></ul><ul><li>Not enjoying activities you used to enjoy </li></ul><ul><li>Feeling you have too many things you have to do </li></ul>
    44. 44. Teenage &quot;Stress Overload&quot; Signs: <ul><li>&quot;shutting down&quot; and withdrawal from people and activities </li></ul><ul><li>increased anger or increased tearfulness and feelings of hopelessness </li></ul><ul><li>chronic feelings of worry and nervousness </li></ul><ul><li>difficulty sleeping and eating </li></ul><ul><li>difficulty concentrating </li></ul>
    45. 45. Signs of stress overload <ul><li>Physical symptoms such as stomach problems , headache or even chest pain </li></ul><ul><li>Allergic reaction-eczema or asthma </li></ul><ul><li>Problem sleeping </li></ul><ul><li>Drinking too much, smoking or doing drugs </li></ul><ul><li>Sadness or depression </li></ul>
    46. 46. Biggest cause of Stress-Baltimore Survey <ul><li>School work (78%) </li></ul><ul><li>Parents (78%) </li></ul><ul><li>Romantic relationships (64%) </li></ul><ul><li>Problems with friends (64%) </li></ul><ul><li>Siblings (64%) </li></ul>
    47. 47. Survey results <ul><li>Girls are affected more than boys </li></ul><ul><li>Boys tend to respond by ignoring it or getting away from it </li></ul><ul><li>Girls are more likely to ask for help dealing with their stress levels, by taking actions to reduce or remove stress </li></ul><ul><li>While teen’s family can be a source of stress, young people turn to family for support </li></ul>
    48. 48. Teens cope in variety of ways- healthy and unhealthy ways
    49. 49. Potential health hazards of teen stress
    50. 50. Eating disorder
    51. 51. Depression
    52. 52. Drug abuse
    53. 53. Hurting yourself or teen suicide
    54. 54. Alcohol abuse
    55. 55. How do Teens respond to Stress?
    56. 56. Discussion: What do you do to handle the stress in your life? (Make a list how each one of you copes with stress)
    57. 57. Positive Way to deal with Stress <ul><li>Most of you respond by doing something relaxing and positive </li></ul><ul><li>By seeking friendship and support from others then move ahead with life </li></ul>
    58. 58. <ul><li>Other positive approach activities –listening to music , watching TV, keeping up friendships </li></ul><ul><li>Figuring out solutions to problems by drawing strength from family and friends </li></ul>
    59. 59. Other Ways Teens Manage Stress <ul><li>Some teens are not able to cope with stress </li></ul><ul><ul><li>these tend to come from families where they do not feel they can confide or come to for problems </li></ul></ul><ul><ul><li>Feeling overburdened </li></ul></ul><ul><ul><li>Shy </li></ul></ul>
    60. 60. How do other teens react to stress?
    61. 61. Everyone experiences stress a little differently
    62. 62. Some become angry and act out their stress or take it out on others
    63. 63. Some internalize it and develop eating disorder or substance abuse problems
    64. 64. Some people with chronic illness, may find their illness worsen or flare up under overload of stress
    65. 65. What is so bad about Bad Stress? <ul><li>If unattended then it leads to </li></ul><ul><ul><li>School drop-out </li></ul></ul><ul><ul><li>Teen depression </li></ul></ul><ul><ul><li>Teen suicide </li></ul></ul><ul><ul><li>Unable to handle or cope with major changes later in adulthood- leads to unemployment , depression , unable to maintain relationship , crime, substance abuse such as drugs, alcohol , smoking, narcotic abuse …. </li></ul></ul>
    66. 66. Coping with Stress? Studies help show how handling stress improves health
    67. 67. Since stress will be with us the rest of our lives, it is important to know some ways of dealing with stress.
    68. 68. How do you balance the stress in your life?
    69. 69. Ways to handle too much stress
    70. 70. Technique to manage Stress <ul><li>Strictly avoid junk foods. Eat healthy food on time. Avoid eating on the run </li></ul><ul><li>Exercise regularly </li></ul><ul><li>Sleep well ( 8-10hrs/night) </li></ul>
    71. 71. Technique to manage Stress (cont’d) <ul><li>If activity schedule too jam packed then modify schedule </li></ul><ul><li>Have at least one person to confide </li></ul><ul><li>Learn relaxation techniques </li></ul><ul><li>Volunteer </li></ul>
    72. 72. Technique to manage Stress (cont’d) <ul><li>Avoid excess caffeine intake e.g. cola, coffee because caffeine increases the feelings of anxiety and agitation </li></ul><ul><li>Do not use illegal drugs, stimulants </li></ul><ul><li>Alcohol and tobacco </li></ul>
    73. 73. Be Realistic <ul><li>Don’t try to be perfect- no one is </li></ul><ul><li>Expecting others to be perfect can add to your own stress level too. </li></ul><ul><li>If you need help on something, like schoolwork ask for it </li></ul>
    74. 74. Over scheduling <ul><li>If feeling stretched, consider cutting out an activity or two. Opting for just the ones that are most important to you </li></ul>
    75. 75. Sleep <ul><li>Get a good night sleep: keep your body and mind in top shape, making you better equipped to deal with any negative stressors. </li></ul>
    76. 76. Role of sleep in stress management <ul><li>Scientists have documented that when we are sleep deprived </li></ul><ul><ul><li>Our immune system suffers- get sick more frequently </li></ul></ul><ul><ul><li>Our thinking and judgment are impaired </li></ul></ul><ul><ul><li>Our fuse becomes very very short </li></ul></ul><ul><li>Getting enough sleep 8-10 hrs </li></ul><ul><li>Having bedtime routine – no crime shows, news </li></ul>
    77. 77. Role of sleep in stress management <ul><li>Clearing your mind- finding ways to put the worries and concerns of the day aside </li></ul><ul><li>Feeling Thankful- thinking back on the events of the day for which you are thankful </li></ul><ul><li>Circumstances and people for whom we should be grateful </li></ul>
    78. 78. Ways to handle too much stress
    79. 79. What do you find relaxing?
    80. 80. Learn to Relax <ul><li>Relaxation response: it is your body’s opposite of stress and creates a sense of well being and calm </li></ul><ul><li>Simple breathing exercises </li></ul><ul><li>Reading a good book </li></ul><ul><li>Making time for a hobby or spending time with your pet or taking a bath </li></ul>
    81. 81. Relaxation <ul><li>Reduce stress without medication, mood music or a massage therapist. Learning to relax is easier than you think. Just follow the technique below and see for yourself. </li></ul>
    82. 82. Relaxation exercise <ul><li>Sit comfortably in a quiet place and close your eyes. </li></ul><ul><li>Relax your muscles. </li></ul><ul><li>Breathe naturally through your nose. Silently repeat a word (or sound) with each exhalation.  </li></ul><ul><li>When distracting thoughts enter your mind, let them go and concentrate on your breathing. </li></ul><ul><li>Continue for 10 to 20 minutes. Open your eyes and gradually stand up. </li></ul>
    83. 83. Try this technique in the morning and before bedtime. The more you practice, the longer you will be able to stay focused, enjoy the calming benefits and reduce tension in your daily life. 
    84. 84. <ul><li>Think about situations that cause emotional stress. Now play-act and practice these situations and come out with stress busting solutions </li></ul><ul><li>Break Up stressful tasks into smaller, manageable and simple tasks </li></ul>
    85. 85. Avoid Negative Talk <ul><li>Do not talk negatively about anyone particularly about yourself. If you feel that you have an intrinsic defect ( physical look or shy or low self esteem) and then analyze that defect and write down solutions that will solve your condition. Always try to maintain positive feelings about yourself </li></ul>
    86. 86. <ul><li>What can you do to deal with stress overload or better yet to avoid it in the first place? </li></ul><ul><li>Stress management skills work best when used regularly. </li></ul>
    87. 87. Solve little problems <ul><li>Learning to solve every day problems can give you a sense of control but avoiding them can leave you have little control and that just adds to stress </li></ul>
    88. 88. Conclusion TEEN STRESS <ul><li>Teenagers, like adults, may experience stress everyday and can benefit from learning stress management skills.  Most teens experience more stress when they perceive a situation as dangerous, difficult, or painful and they do not have the resources to cope.  Some sources of stress for teens include school, family…etc </li></ul>
    89. 89. When you can’t control the source of the stress, work on controlling your own response. These strategies will help reduce negative stress in your life. <ul><li>Plan ahead </li></ul><ul><li>Set your priorities </li></ul><ul><li>Redirect your energy </li></ul><ul><li>Talk to someone </li></ul><ul><li>Relax </li></ul>
    90. 90. Social Network <ul><li>A break always helps. Music , friends, singing, writing, painting…etc. can help a lot when you are confronted with a stressful situation </li></ul><ul><li>Building a social circle will automatically help you in times of stress </li></ul>
    91. 91. Watch what you are thinking <ul><li>Your outlook, attitude and thoughts influence the way you see the things </li></ul><ul><li>Is your cup half full or half empty </li></ul><ul><li>Optimism can help you make best of stressful circumstance </li></ul>
    92. 92. My recommendation <ul><li>Take the following steps to minimize stress </li></ul><ul><ul><li>Spiritual support </li></ul></ul><ul><ul><li>Humor </li></ul></ul><ul><ul><li>Finance- spend wisely. Make a budget, don’t spend what you don’t have, save money </li></ul></ul><ul><ul><li>Physical relaxation: massage, hobbies, art, music, volunteer help those more needy </li></ul></ul><ul><ul><li>Nutrition and exercise: exercise, eat healthy, sleep well </li></ul></ul>
    93. 93. Studies have shown that daily prayer/meditation can be major stress reducers
    94. 94. Teens that develop a &quot;relaxation response” and other stress management skills feel less helpless and have more choices when responding to stress
    95. 95. Thank You!
    96. 97. Stress Management Tips <ul><li>Making little changes in your life can really add up to a big feeling of relief. </li></ul><ul><li>Learn to recognize when you are feeling stressed and simple ways you can relax. </li></ul><ul><li>Take a break. Have a cold drink, get some fresh air, or close your eyes for a minute to refocus. </li></ul><ul><li>Stay positive to help friends and family cope with stress. </li></ul><ul><li>Let others know you're feeling overwhelmed and tell them how they can help. </li></ul><ul><li>Allow yourself to simply say &quot;no&quot; to friends and family when you know you cannot meet their demands without becoming overwhelmed.    </li></ul><ul><li>Be prepared for unexpected problems such as traffic, a lost pet or a family emergency. </li></ul><ul><li>Prioritize. Take control of your &quot;to do&quot; list by deciding what's really most important on your list. </li></ul><ul><li>Write down feelings of sadness, frustration or anger to get a clearer perspective of your emotions. </li></ul><ul><li>Enjoy life's simple pleasures like colorful flowers, dancing  and candlelit dinners. </li></ul><ul><li>Share your talents to better the lives of others as well as your sense of well-being.  </li></ul>
    97. 98. Reading Recommnedations <ul><li>Best Selling Author of two books: Sean Covey </li></ul><ul><li>The 6 Most Important Decisions You’ll Ever Make </li></ul><ul><li>The 7 Habits Of Highly Effective Teens </li></ul>
    98. 99. The 7 Habits of Highly Effective Teens <ul><li>Habit 1:Be Proactive-be the captain of your ship </li></ul><ul><li>Habit 2: Begin with the end in mind </li></ul><ul><li>Habit 3:Put first things first </li></ul><ul><li>Habit 4: Think ‘Win-win’-useful in parent child relation </li></ul><ul><li>Habit 5:Seek to understand then to be understood </li></ul><ul><li>Habit 6: Synergize-two or more people together can create something better than anyone could alone </li></ul><ul><li>Habit 7:Sharpen the saw </li></ul>
    99. 100. “ ኣብ ቤት እግዚኣብሔር ማለት ኣብታ ናይ ሓቂ ዓንድን መሰረትን ዝኾነት ቤተክርስትያን ህያው ኣምላኽ፡ ከመይ ጌርና ክንነብር ከም ዝግብኣና ክትፈልጥ ጽሒፈልካ ኣሎኹ።” 1 ይ መልእኽቲ ጳውሎስ ናብ ብመንፈስ ወዱ ዝኾነ ጢሞቴዎስ 3 ፡ 15 ። ንብፁእ ውቅዱስ ሣልሳይ ፓትርያርክ ኣቡነ እንጦንዮስ ብጥዕናን ሰላምን ይሓልወልና ! ንቤተክርስትያንናን ሃገርናን ድማ ሰላሙ ይሃብ። <ul><li>ክፉት መድረኽ ንሕቶን ርእይቶን </li></ul>
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