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Stress Management
Youth
Supporting Mental Health And Resiliency Together
©2017 by Canadian Mental Health Association - Calgary Region
Reproduction prohibited in whole or part without express written permission
Stress Test
What is Stress?
Stress Response
Positive Stress
Effects of Stress
Stressors
Enhancing Wellness
Relaxation Techniques
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
1. I have problems falling asleep or staying asleep
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
1. I have problems falling asleep or staying asleep
2. I am uptight and can not seem to relax
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
1. I have problems falling asleep or staying asleep
2. I am uptight and can not seem to relax
3. I get angry if things do not go my way
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
1. I have problems falling asleep or staying asleep
2. I am uptight and can not seem to relax
3. I get angry if things do not go my way
4. I have difficulty concentrating
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
1. I have problems falling asleep or staying asleep
2. I am uptight and can not seem to relax
3. I get angry if things do not go my way
4. I have difficulty concentrating
5. I have a hard time finding fun things to do
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
1. I have problems falling asleep or staying asleep
2. I am uptight and can not seem to relax
3. I get angry if things do not go my way
4. I have difficulty concentrating
5. I have a hard time finding fun things to do
6. I feel tired during the day
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
1. I have problems falling asleep or staying asleep
2. I am uptight and can not seem to relax
3. I get angry if things do not go my way
4. I have difficulty concentrating
5. I have a hard time finding fun things to do
6. I feel tired during the day
7. I worry a lot about things going on in my life
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
8. I feel run down, sick, or unmotivated.
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
8. I feel run down, sick, or unmotivated.
9. I use alcohol, cigarettes, caffeine, or drugs.
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
8. I feel run down, sick, or unmotivated.
9. I use alcohol, cigarettes, caffeine, or drugs.
10. I laugh or smile less than I used to.
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
8. I feel run down, sick, or unmotivated.
9. I use alcohol, cigarettes, caffeine, or drugs.
10. I laugh or smile less than I used to.
11. I feel sad or disappointed.
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
8. I feel run down, sick, or unmotivated.
9. I use alcohol, cigarettes, caffeine, or drugs.
10. I laugh or smile less than I used to.
11. I feel sad or disappointed.
12. I like to be in control.
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
8. I feel run down, sick, or unmotivated.
9. I use alcohol, cigarettes, caffeine, or drugs.
10. I laugh or smile less than I used to.
11. I feel sad or disappointed.
12. I like to be in control.
13. I don’t have enough time for all the things in my life.
Stress Test
Rate each of the following statements on a scale of 1 to 4
1 Never or Seldom 2 Sometimes 3 Often 4 Always
8. I feel run down, sick, or unmotivated.
9. I use alcohol, cigarettes, caffeine, or drugs.
10. I laugh or smile less than I used to.
11. I feel sad or disappointed.
12. I like to be in control.
13. I don’t have enough time for all the things in my life.
14. I have a habit of clenching my fists, cracking my knuckles, twirling my hair,
or tapping my fingers.
Scores
Under 20 = Low Stress
21 to 30 = Medium Stress
31 and over = High Stress
What is Stress?
What is Stress?
• Stress is a normal reaction to the demands of life.
• When your brain perceives a threat, your body releases a burst of hormones
to fuel your fight/flight/freeze response.
• When the threat is gone, your body returns to normal.
https://www.youtube.com/watch?v=hnpQrMqDoqE&feature=youtu.be
Stress Response
Fight, Flight or Freeze Relaxed
Heart Rate
Pulse
Blood Pressure
Muscle Tension
Shallow Chest Breathing
Digestive Action
Body Temperature
Heart Rate
Pulse
Blood Pressure
Muscle Tension
Shallow Chest Breathing
Digestive Action
Body Temperature
What is Positive Stress?
Positive Stress
Positive Stress: Eustress
• Motivates and energizes
• Increases performance
• Adds short lived excitement
• Helps accomplish tasks
https://youtu.be/x_DMyF3GjCk
What are the effects of
Stress?
Effects of Stress
Mental
EmotionalBehavioral
Physical
STRESS
Effects of Stress
Mental
EmotionalBehavioral
Physical
STRESS
• No concentration
• Indecisiveness
• Confusion
• Loss of sense of
humor
• Negative thinking
• Over thinking
Effects of Stress
Mental
EmotionalBehavioral
Physical
STRESS
• No concentration
• Indecisiveness
• Confusion
• Loss of sense of
humor
• Negative thinking
• Over thinking
• Crying
• Anxiety
• Nervousness
• Depression
• Anger
• Frustration
• Worry
• Fear of
Failure
Effects of Stress
Mental
EmotionalBehavioral
Physical
STRESS
• No concentration
• Indecisiveness
• Confusion
• Loss of sense of
humor
• Negative thinking
• Over thinking
• Crying
• Anxiety
• Nervousness
• Depression
• Anger
• Frustration
• Worry
• Fear of
Failure
• Eat more or less
• Aggressiveness
• Increase in bad
habits
• Drinking
• Smoking
• Social Withdrawal
Effects of Stress
Mental
EmotionalBehavioral
Physical
STRESS
• Fatigue
• Headaches
• Muscle Aches
• Illness
• Sweating
• Can’t sleep
• Dizziness
• Decreased
immune
function
• No concentration
• Indecisiveness
• Confusion
• Loss of sense of
humor
• Negative thinking
• Over thinking
• Crying
• Anxiety
• Nervousness
• Depression
• Anger
• Frustration
• Worry
• Fear of
Failure
• Eat more or less
• Aggressiveness
• Increase in bad
habits
• Drinking
• Smoking
• Social Withdrawal
What causes Stress?
Causes of Stress
• Rumors/Drama/Bullying
• Try outs/Sports/Performances
• Break ups
• Fighting with friends
• Parents/Siblings
• Relationships
• Work
• Weather
• Traffic/Transit
• Noisy or crowded places
• Trouble with teachers
• Switching schools/Moving
• Exams/Grades
• Graduation
• Parent/Teacher expectations
• Homework
• Not enough time
• Too many commitments
External Stressors
Causes of Stress
• Death of a loved one
• Physical/Mental Illness
• Accidents/Injury
• Abuse
• Sexual identity
• Loss of a pet
External Stressors
Highly Stressful
• Moving to a new country
• Employment changes
• Divorce or break-up
• Problems with legal system
• Natural disasters
Causes Of Stress
• Thoughts, feelings, attitude towards external stressors
• Not getting enough sleep
• Procrastination
• Pressure to succeed
• Anticipating/imaging the worst case scenario
• Not making decisions/avoidance
• Low self-esteem
• Negative thinking
• Feeling disorganized
• Overall health and fitness levels
Internal Stressors
What is Wellness?
Wellness is Balance.
Enhancing our wellness decreases our stress.
Physical
Social
Emotional
Environment
Occupational
Intellectual
Spiritual
Finding Physical Wellness
• Get plenty of sleep and
rest
• Do relaxation techniques
• Eat healthy
• Drink water
• Play sports
• Walk or run
• Go for a bike ride
• Exercise
Finding Physical Wellness
Finding Social Wellness
Finding Social Wellness
• Talk about your feelings
• Find someone who understands
• Volunteer in the community
• Spend time with loved ones
• Ask for help
• Be around pets
Finding Emotional Wellness
Finding Emotional Wellness
• Set time for yourself
• Listen to music
• Read
• Watch a movie
• Be creative
• Journal
• Keep a sense of humor
• Thinking positively
Finding Environmental Wellness
Finding Environmental Wellness
• Creating home and school environments that are safe and clean
• Get outside for fresh air and sunlight
• Surround yourself with supportive positive people
• Find a place at school to take breaks
• Grow plants
Finding Occupational Wellness
Finding Occupational Wellness
• Talk to teachers or counsellors
• Use day timers and calendars
• Balance school and leisure activities
• Learn new study strategies
• Join a club, team or activity
• Ask for help
• Take breaks
Finding Intellectual Wellness
Finding Intellectual Wellness
• Learn something new that you want to
• Read or write
• Ask for help
• Problem solve
• Set realistic goals
• Look for areas to grow
• Create
Finding Spiritual Wellness
Finding Spiritual Wellness
• Enhance the things that give a purpose to life
• Practice religious or spiritual beliefs
• Be grateful for something every day
• Do what you believe is ethical and right
• Read a religious or spiritual text
• Yoga
• Travel
• Think positively
Stress Management
Unhealthy Coping Strategies
• Drugs, alcohol, smoking
• Unhealthy food
• Caffeine, energy drinks
• Not talking about feelings
• Venting
• Avoiding friends/family
• Physical violence
• Not saying “no” to others in an
attempt to make them happy
Where to go to get help
www.kidshelpphone.ca
www.brotalk.ca
http://calgaryconnecteen.com/
www.youthsmart.ca
www.cmha.calgary.ab.ca
www.teenmentalhealth.org
•Distress Center Teen Line:
403-264-8336 (call 24/7)
587-333-2724 (text evenings/weekends)
•Distress Center:
403-266-4357
•Kids Help Phone:
1-800-668-6868
•Bro Talk:
1-866-393-5933
Relaxation Techniques
Deep Breathing Exercise
Sit comfortably in your chair
Inhale through your nose for a count of three seconds
Hold for three seconds
Exhale through your mouth for three seconds.
Hold for three seconds.
Repeat 10 times
Relaxation Techniques
Progressive Muscle Relaxation
Tense a muscle and notice how it feels, then release the tension and pay
attention to that feeling.
Can be done while sitting or lying down
Helps if done in a quiet location
Concentrate on deep breathing
Tense each area for 3-5 seconds
Start with arms, then neck and shoulders, finish with facial muscles
Classroom Yoga Poses
Tortoise
Sit or Stand. Hunch your shoulders as close to your ears as you can. Gently
rock your head back and forth while humming. Hold for 15- 30 seconds.
Keep your shoulders hunched and extend your neck toward your chest.
Allow your shoulders to fall and exhale with a sigh. Repeat.
The pose helps to release tension in shoulders, neck, throat, jaw, skull, and upper back.
Classroom Yoga Poses
Slump/Hunch
Stand up. Allow your knees to bend and arms to fall towards your feet. Tuck
your chin towards your chest; gently, allow your head to hang. Let your
back and shoulders round. Breathe deep.
The pose helps to relax your internal organs (stomach, liver, small intestine, and
kidneys). Some Yogi’s suggest that most of our fear is stored in this area (referred to as
the solar plexus). This is where our fight/flight response begins.
Classroom Yoga Poses
Willow
Stand with knee slightly bent. Extend your arms above your head. Gently
bend to the right, keeping your hips facing forward (bend from your waist).
Make sure your shoulders do not hunch toward your ears, allow them to
soften and roll back into the socket. Inhale. On the exhale come back to the
center. Repeat to the left side.
The pose helps to stretch and strengthen cores abdominal muscles.
Classroom Yoga Poses
Spinal Twist Spiral
Stand, with your knees slightly bent. Inhale. Lift your arms up to your chest-
allow for a slight bend in your arm. Exhale and turn your head to the right.
Inhale. Exhale and gently twist your shoulders and then your chest to the
right. Inhale. Exhale and slightly drop your chin. Hold for two breaths. To
move back to the center: look back up, start with you chest, then your
shoulders, and then your head. Repeat on the left side.
The pose stimulates and cleanses the liver, massages internal organs, and is suggested
to “cure all diseases.”

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Stress Management Senior High 2017 2018

  • 1. Stress Management Youth Supporting Mental Health And Resiliency Together ©2017 by Canadian Mental Health Association - Calgary Region Reproduction prohibited in whole or part without express written permission
  • 2. Stress Test What is Stress? Stress Response Positive Stress Effects of Stress Stressors Enhancing Wellness Relaxation Techniques
  • 3. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 1. I have problems falling asleep or staying asleep
  • 4. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 1. I have problems falling asleep or staying asleep 2. I am uptight and can not seem to relax
  • 5. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 1. I have problems falling asleep or staying asleep 2. I am uptight and can not seem to relax 3. I get angry if things do not go my way
  • 6. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 1. I have problems falling asleep or staying asleep 2. I am uptight and can not seem to relax 3. I get angry if things do not go my way 4. I have difficulty concentrating
  • 7. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 1. I have problems falling asleep or staying asleep 2. I am uptight and can not seem to relax 3. I get angry if things do not go my way 4. I have difficulty concentrating 5. I have a hard time finding fun things to do
  • 8. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 1. I have problems falling asleep or staying asleep 2. I am uptight and can not seem to relax 3. I get angry if things do not go my way 4. I have difficulty concentrating 5. I have a hard time finding fun things to do 6. I feel tired during the day
  • 9. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 1. I have problems falling asleep or staying asleep 2. I am uptight and can not seem to relax 3. I get angry if things do not go my way 4. I have difficulty concentrating 5. I have a hard time finding fun things to do 6. I feel tired during the day 7. I worry a lot about things going on in my life
  • 10. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 8. I feel run down, sick, or unmotivated.
  • 11. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 8. I feel run down, sick, or unmotivated. 9. I use alcohol, cigarettes, caffeine, or drugs.
  • 12. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 8. I feel run down, sick, or unmotivated. 9. I use alcohol, cigarettes, caffeine, or drugs. 10. I laugh or smile less than I used to.
  • 13. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 8. I feel run down, sick, or unmotivated. 9. I use alcohol, cigarettes, caffeine, or drugs. 10. I laugh or smile less than I used to. 11. I feel sad or disappointed.
  • 14. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 8. I feel run down, sick, or unmotivated. 9. I use alcohol, cigarettes, caffeine, or drugs. 10. I laugh or smile less than I used to. 11. I feel sad or disappointed. 12. I like to be in control.
  • 15. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 8. I feel run down, sick, or unmotivated. 9. I use alcohol, cigarettes, caffeine, or drugs. 10. I laugh or smile less than I used to. 11. I feel sad or disappointed. 12. I like to be in control. 13. I don’t have enough time for all the things in my life.
  • 16. Stress Test Rate each of the following statements on a scale of 1 to 4 1 Never or Seldom 2 Sometimes 3 Often 4 Always 8. I feel run down, sick, or unmotivated. 9. I use alcohol, cigarettes, caffeine, or drugs. 10. I laugh or smile less than I used to. 11. I feel sad or disappointed. 12. I like to be in control. 13. I don’t have enough time for all the things in my life. 14. I have a habit of clenching my fists, cracking my knuckles, twirling my hair, or tapping my fingers.
  • 17. Scores Under 20 = Low Stress 21 to 30 = Medium Stress 31 and over = High Stress
  • 19. What is Stress? • Stress is a normal reaction to the demands of life. • When your brain perceives a threat, your body releases a burst of hormones to fuel your fight/flight/freeze response. • When the threat is gone, your body returns to normal. https://www.youtube.com/watch?v=hnpQrMqDoqE&feature=youtu.be
  • 20.
  • 21. Stress Response Fight, Flight or Freeze Relaxed Heart Rate Pulse Blood Pressure Muscle Tension Shallow Chest Breathing Digestive Action Body Temperature Heart Rate Pulse Blood Pressure Muscle Tension Shallow Chest Breathing Digestive Action Body Temperature
  • 22. What is Positive Stress?
  • 23. Positive Stress Positive Stress: Eustress • Motivates and energizes • Increases performance • Adds short lived excitement • Helps accomplish tasks https://youtu.be/x_DMyF3GjCk
  • 24. What are the effects of Stress?
  • 26. Effects of Stress Mental EmotionalBehavioral Physical STRESS • No concentration • Indecisiveness • Confusion • Loss of sense of humor • Negative thinking • Over thinking
  • 27. Effects of Stress Mental EmotionalBehavioral Physical STRESS • No concentration • Indecisiveness • Confusion • Loss of sense of humor • Negative thinking • Over thinking • Crying • Anxiety • Nervousness • Depression • Anger • Frustration • Worry • Fear of Failure
  • 28. Effects of Stress Mental EmotionalBehavioral Physical STRESS • No concentration • Indecisiveness • Confusion • Loss of sense of humor • Negative thinking • Over thinking • Crying • Anxiety • Nervousness • Depression • Anger • Frustration • Worry • Fear of Failure • Eat more or less • Aggressiveness • Increase in bad habits • Drinking • Smoking • Social Withdrawal
  • 29. Effects of Stress Mental EmotionalBehavioral Physical STRESS • Fatigue • Headaches • Muscle Aches • Illness • Sweating • Can’t sleep • Dizziness • Decreased immune function • No concentration • Indecisiveness • Confusion • Loss of sense of humor • Negative thinking • Over thinking • Crying • Anxiety • Nervousness • Depression • Anger • Frustration • Worry • Fear of Failure • Eat more or less • Aggressiveness • Increase in bad habits • Drinking • Smoking • Social Withdrawal
  • 31. Causes of Stress • Rumors/Drama/Bullying • Try outs/Sports/Performances • Break ups • Fighting with friends • Parents/Siblings • Relationships • Work • Weather • Traffic/Transit • Noisy or crowded places • Trouble with teachers • Switching schools/Moving • Exams/Grades • Graduation • Parent/Teacher expectations • Homework • Not enough time • Too many commitments External Stressors
  • 32. Causes of Stress • Death of a loved one • Physical/Mental Illness • Accidents/Injury • Abuse • Sexual identity • Loss of a pet External Stressors Highly Stressful • Moving to a new country • Employment changes • Divorce or break-up • Problems with legal system • Natural disasters
  • 33. Causes Of Stress • Thoughts, feelings, attitude towards external stressors • Not getting enough sleep • Procrastination • Pressure to succeed • Anticipating/imaging the worst case scenario • Not making decisions/avoidance • Low self-esteem • Negative thinking • Feeling disorganized • Overall health and fitness levels Internal Stressors
  • 34. What is Wellness? Wellness is Balance. Enhancing our wellness decreases our stress. Physical Social Emotional Environment Occupational Intellectual Spiritual
  • 36. • Get plenty of sleep and rest • Do relaxation techniques • Eat healthy • Drink water • Play sports • Walk or run • Go for a bike ride • Exercise Finding Physical Wellness
  • 38. Finding Social Wellness • Talk about your feelings • Find someone who understands • Volunteer in the community • Spend time with loved ones • Ask for help • Be around pets
  • 40. Finding Emotional Wellness • Set time for yourself • Listen to music • Read • Watch a movie • Be creative • Journal • Keep a sense of humor • Thinking positively
  • 42. Finding Environmental Wellness • Creating home and school environments that are safe and clean • Get outside for fresh air and sunlight • Surround yourself with supportive positive people • Find a place at school to take breaks • Grow plants
  • 44. Finding Occupational Wellness • Talk to teachers or counsellors • Use day timers and calendars • Balance school and leisure activities • Learn new study strategies • Join a club, team or activity • Ask for help • Take breaks
  • 46. Finding Intellectual Wellness • Learn something new that you want to • Read or write • Ask for help • Problem solve • Set realistic goals • Look for areas to grow • Create
  • 48. Finding Spiritual Wellness • Enhance the things that give a purpose to life • Practice religious or spiritual beliefs • Be grateful for something every day • Do what you believe is ethical and right • Read a religious or spiritual text • Yoga • Travel • Think positively
  • 49. Stress Management Unhealthy Coping Strategies • Drugs, alcohol, smoking • Unhealthy food • Caffeine, energy drinks • Not talking about feelings • Venting • Avoiding friends/family • Physical violence • Not saying “no” to others in an attempt to make them happy
  • 50. Where to go to get help www.kidshelpphone.ca www.brotalk.ca http://calgaryconnecteen.com/ www.youthsmart.ca www.cmha.calgary.ab.ca www.teenmentalhealth.org •Distress Center Teen Line: 403-264-8336 (call 24/7) 587-333-2724 (text evenings/weekends) •Distress Center: 403-266-4357 •Kids Help Phone: 1-800-668-6868 •Bro Talk: 1-866-393-5933
  • 51. Relaxation Techniques Deep Breathing Exercise Sit comfortably in your chair Inhale through your nose for a count of three seconds Hold for three seconds Exhale through your mouth for three seconds. Hold for three seconds. Repeat 10 times
  • 52. Relaxation Techniques Progressive Muscle Relaxation Tense a muscle and notice how it feels, then release the tension and pay attention to that feeling. Can be done while sitting or lying down Helps if done in a quiet location Concentrate on deep breathing Tense each area for 3-5 seconds Start with arms, then neck and shoulders, finish with facial muscles
  • 53. Classroom Yoga Poses Tortoise Sit or Stand. Hunch your shoulders as close to your ears as you can. Gently rock your head back and forth while humming. Hold for 15- 30 seconds. Keep your shoulders hunched and extend your neck toward your chest. Allow your shoulders to fall and exhale with a sigh. Repeat. The pose helps to release tension in shoulders, neck, throat, jaw, skull, and upper back.
  • 54. Classroom Yoga Poses Slump/Hunch Stand up. Allow your knees to bend and arms to fall towards your feet. Tuck your chin towards your chest; gently, allow your head to hang. Let your back and shoulders round. Breathe deep. The pose helps to relax your internal organs (stomach, liver, small intestine, and kidneys). Some Yogi’s suggest that most of our fear is stored in this area (referred to as the solar plexus). This is where our fight/flight response begins.
  • 55. Classroom Yoga Poses Willow Stand with knee slightly bent. Extend your arms above your head. Gently bend to the right, keeping your hips facing forward (bend from your waist). Make sure your shoulders do not hunch toward your ears, allow them to soften and roll back into the socket. Inhale. On the exhale come back to the center. Repeat to the left side. The pose helps to stretch and strengthen cores abdominal muscles.
  • 56. Classroom Yoga Poses Spinal Twist Spiral Stand, with your knees slightly bent. Inhale. Lift your arms up to your chest- allow for a slight bend in your arm. Exhale and turn your head to the right. Inhale. Exhale and gently twist your shoulders and then your chest to the right. Inhale. Exhale and slightly drop your chin. Hold for two breaths. To move back to the center: look back up, start with you chest, then your shoulders, and then your head. Repeat on the left side. The pose stimulates and cleanses the liver, massages internal organs, and is suggested to “cure all diseases.”