SlideShare a Scribd company logo
1 of 53
Stress: The difference between Wellness and Illness Stephen Amos, PhD KUSM-W Dept of Pediatrics
 
Definitions ,[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],Definitions  (Continued)
The Stress Response ,[object Object]
This response is governed by the Autonomic Nervous System   (rules involuntary body functions) ,[object Object],[object Object],[object Object],[object Object]
Stress begins in the Brain ,[object Object],[object Object],amygdala (crucial early warning system & emotional regulation) hypothalamus (major command center for hormone activation)
 
Inside the Stress Response
Inside the Stress Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Another Look  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Positive Side of Stress ,[object Object],[object Object],[object Object]
Yerkes-Dodson Law As stress increases, performance initially rises and then declines. Performance Performance or efficiency Stress or anxiety
[object Object],[object Object],[object Object]
Factors Affecting the Stress Response ,[object Object],[object Object],[object Object]
Distress vs. Eustress ,[object Object],[object Object],EVENT  SCORE Spouse’s death  100 Divorce  73 Marriage separation  65 Jail term  63 Injury or illness  53 Pregnancy  40 Retirement  45 Change in finances  38 EVENT  SCORE Trouble with in-laws  29 Difficulty with boss  23 Shift in job hours or conditions  20 Change in residence  20 Change in recreation  19 Shift in sleep habits  16 Vacation  13 Christmas  12
 
Personality and Stress ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Individual Differences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Physical Difference between  Anxiety  (Irrational Fear)  and Fear itself. ,[object Object],[object Object],Anxiety Fear Unknown or ill defined threat. Well defined threat.
[object Object],Anxiety vs. Fear
When Stress is Chronic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When Stress is Chronic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Another way to Assess Stress
Stress and Sleep ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chronic Disease Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chronic Disease Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How do we participate? ,[object Object],Activating Event (A) Consequent Feeling/Behavior (C) We Believe that Belief system (Personal Perspective) (B) Causes There is a living organism between A-(Activating Event) and C-(Consequent Feeling/Behavior).  This “living organism” is an information processor governed by a complex system of attitudes, beliefs, and expectations concerning how life does and should work.  So it is the perceptual experience of the individual that predetermines psychological (Cognitive/Behavioral) outcomes. REALITY  = To get form A to C, A must go through B.
A BEHAVIORAL COGNITIVE DISPLAY (ABCD’S) A B C D ACTIVATING EVENT: BELIEF SYSTEM CONSEQUENT FEELINGS/BEHAVIORS DECISION POINT (Deal with it/Do it right) (Antecedent i.e. comes before)  Something happens representing some triggering event to an emotional state Personal Perspective: Private ideas and attitudes that occur spontaneously and seem more like automatic thinking Negative Emotional State  (and resultant negative behavioral actions) which tend to lead to self-fulfilling negative personal positions To overcome the negative effects of “B” (Belief System) we must engage in a cognitive/behavioral (thoughtful and active) shift in our personal perspectives. THE FOUR WAYS THINGS GO WRONG: Distorted Thinking Irrational Beliefs Unrealistic Expectations Family Scripting Problem Feedings: Depression Anxiety Panic Anger Resentment Phobias, etc. DEVICES FOR PERSPECTIVE SHIFTING= Meditation and/or visualization, thought stopping, relaxation, Prayer, etc. & BEHAVIORS: Acting out  Avoidance Withdrawal Substance abuse Unfair fighting Verbal abuse, etc. DISTRACT: Do a different physical activity such as gardening, playing an instrument, cleaning house, begin a painting, etc. DIVERT: Do a different mental activity such as listen to tapes, do crossword puzzle, write a poem/song. Etc. DISPUTE/DEBATE: Challenge the “enemy” within i.e. the gremlin/negative self talk by using the scientific method of the friend within (the “baker of your own cake metaphor”).  Remember that the language of the self talk of the friend within is logical, objective, practical, realistic, common sense, beneficial, adult/adult conversation.
Lets Look at Anger 2 X 2 Table of Anger Appropriate Expression Inappropriate Expression Appropriate Anger Inappropriate Anger 100 %
Lets Look at Anger 25 % 25 % 25% 25% 2 X 2 Table of Anger Appropriate Expression Inappropriate Expression Appropriate Anger Inappropriate Anger 100 % Note the Four Cells – Leaving only one cell (25%) appropriate both for anger and expression of anger
But its even more complicated ,[object Object],[object Object]
Four Ways Things Go Wrong ,[object Object],[object Object],[object Object],[object Object]
When these are active, the appropriate expression  of appropriate anger cell is depleted. ? 25% 25% Appropriate Expression Inappropriate Expression Appropriate Anger Inappropriate Anger 100 % ?
So what to do?
Managing Stress ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Managing Stress
Managing Stress  (continued) ,[object Object],[object Object],[object Object]
 
Managing Stress  (continued) ,[object Object],[object Object],[object Object],[object Object]
“ My wife left me for health reasons. She was sick of me.”
Managing Stress  (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Managing Stress  (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
X X X X
Stress over time with Meditation X X X
Managing Stress  (continued) ,[object Object],[object Object],[object Object]
 
 
Questions ?

More Related Content

What's hot

Stress Causes, Effects and Management. By Dr. Ali Garatli
Stress Causes, Effects and Management. By Dr. Ali GaratliStress Causes, Effects and Management. By Dr. Ali Garatli
Stress Causes, Effects and Management. By Dr. Ali GaratliDr Ghaiath Hussein
 
The Biology of Calming Ourselves Workbook
The Biology of Calming Ourselves WorkbookThe Biology of Calming Ourselves Workbook
The Biology of Calming Ourselves WorkbookDebBlum
 
Stress and coping
Stress and coping Stress and coping
Stress and coping nadan bunery
 
Stress management
Stress managementStress management
Stress managementMUSWellness
 
7 ways anxiety might be slowly eating away your life | Improve self esteem | ...
7 ways anxiety might be slowly eating away your life | Improve self esteem | ...7 ways anxiety might be slowly eating away your life | Improve self esteem | ...
7 ways anxiety might be slowly eating away your life | Improve self esteem | ...Kumar Vikram
 
All about stress
All about stressAll about stress
All about stresslwangberg
 
Stress management and sports
Stress management  and sportsStress management  and sports
Stress management and sportsbksportswing
 
Stress And Health Presentation Final Pdf
Stress And Health Presentation Final PdfStress And Health Presentation Final Pdf
Stress And Health Presentation Final Pdfglassiter1120
 
Stress Psychology a perfect presentation based on the three models
Stress Psychology a perfect presentation based on the three modelsStress Psychology a perfect presentation based on the three models
Stress Psychology a perfect presentation based on the three modelsmsnsela
 
Stress
StressStress
StressTJHSST
 
Chapter 14 (stress and health)
Chapter 14 (stress and health)Chapter 14 (stress and health)
Chapter 14 (stress and health)dcrocke1
 

What's hot (19)

Employees' stress handbook
Employees' stress handbookEmployees' stress handbook
Employees' stress handbook
 
Stress Causes, Effects and Management. By Dr. Ali Garatli
Stress Causes, Effects and Management. By Dr. Ali GaratliStress Causes, Effects and Management. By Dr. Ali Garatli
Stress Causes, Effects and Management. By Dr. Ali Garatli
 
The Biology of Calming Ourselves Workbook
The Biology of Calming Ourselves WorkbookThe Biology of Calming Ourselves Workbook
The Biology of Calming Ourselves Workbook
 
Stress
StressStress
Stress
 
Stress and coping
Stress and coping Stress and coping
Stress and coping
 
Stress management
Stress managementStress management
Stress management
 
7 ways anxiety might be slowly eating away your life | Improve self esteem | ...
7 ways anxiety might be slowly eating away your life | Improve self esteem | ...7 ways anxiety might be slowly eating away your life | Improve self esteem | ...
7 ways anxiety might be slowly eating away your life | Improve self esteem | ...
 
All about stress
All about stressAll about stress
All about stress
 
Stress management
Stress managementStress management
Stress management
 
Stress management and sports
Stress management  and sportsStress management  and sports
Stress management and sports
 
Stress And Health Presentation Final Pdf
Stress And Health Presentation Final PdfStress And Health Presentation Final Pdf
Stress And Health Presentation Final Pdf
 
Stress management workshop
Stress management workshopStress management workshop
Stress management workshop
 
Stress Psychology a perfect presentation based on the three models
Stress Psychology a perfect presentation based on the three modelsStress Psychology a perfect presentation based on the three models
Stress Psychology a perfect presentation based on the three models
 
Stress management
Stress managementStress management
Stress management
 
Stress
StressStress
Stress
 
Stress
Stress Stress
Stress
 
Chapter 14 (stress and health)
Chapter 14 (stress and health)Chapter 14 (stress and health)
Chapter 14 (stress and health)
 
Stress
StressStress
Stress
 
Good stress bad stress
Good stress bad stress Good stress bad stress
Good stress bad stress
 

Viewers also liked

Candidate feedback
Candidate feedbackCandidate feedback
Candidate feedbackt013378
 
#FIRMday 15th nov 2013 jutta kremer gartner candidate care from an internat...
#FIRMday 15th nov 2013 jutta kremer gartner   candidate care from an internat...#FIRMday 15th nov 2013 jutta kremer gartner   candidate care from an internat...
#FIRMday 15th nov 2013 jutta kremer gartner candidate care from an internat...Gary Franklin
 
Cc understanding cross cultural business nigel paterson pmb 15 5 2012
Cc understanding cross cultural business nigel paterson pmb 15 5 2012Cc understanding cross cultural business nigel paterson pmb 15 5 2012
Cc understanding cross cultural business nigel paterson pmb 15 5 2012Dr.Nigel Paterson
 
Candidate feedback
Candidate feedbackCandidate feedback
Candidate feedbackt013164
 
The Candidate: Getting User Feedback on a New Platform for Civic Engagement
The Candidate: Getting User Feedback on a New Platform for Civic EngagementThe Candidate: Getting User Feedback on a New Platform for Civic Engagement
The Candidate: Getting User Feedback on a New Platform for Civic EngagementErica Swallow
 
Types of hr strategies - specific hr strategies - strategic human resource ...
Types of hr strategies -   specific hr strategies - strategic human resource ...Types of hr strategies -   specific hr strategies - strategic human resource ...
Types of hr strategies - specific hr strategies - strategic human resource ...manumelwin
 
Types of hr strategies - overarching hr strategies - strategic human resourc...
Types of hr strategies -  overarching hr strategies - strategic human resourc...Types of hr strategies -  overarching hr strategies - strategic human resourc...
Types of hr strategies - overarching hr strategies - strategic human resourc...manumelwin
 
HR Strategy: What is it? Why do we need it?
HR Strategy: What is it? Why do we need it?HR Strategy: What is it? Why do we need it?
HR Strategy: What is it? Why do we need it?CreativeHRM
 
Verbal & Non-Verbal Communication
Verbal & Non-Verbal CommunicationVerbal & Non-Verbal Communication
Verbal & Non-Verbal CommunicationAmit Jha
 

Viewers also liked (10)

Candidate feedback
Candidate feedbackCandidate feedback
Candidate feedback
 
#FIRMday 15th nov 2013 jutta kremer gartner candidate care from an internat...
#FIRMday 15th nov 2013 jutta kremer gartner   candidate care from an internat...#FIRMday 15th nov 2013 jutta kremer gartner   candidate care from an internat...
#FIRMday 15th nov 2013 jutta kremer gartner candidate care from an internat...
 
1 coeuta.erik
1 coeuta.erik1 coeuta.erik
1 coeuta.erik
 
Cc understanding cross cultural business nigel paterson pmb 15 5 2012
Cc understanding cross cultural business nigel paterson pmb 15 5 2012Cc understanding cross cultural business nigel paterson pmb 15 5 2012
Cc understanding cross cultural business nigel paterson pmb 15 5 2012
 
Candidate feedback
Candidate feedbackCandidate feedback
Candidate feedback
 
The Candidate: Getting User Feedback on a New Platform for Civic Engagement
The Candidate: Getting User Feedback on a New Platform for Civic EngagementThe Candidate: Getting User Feedback on a New Platform for Civic Engagement
The Candidate: Getting User Feedback on a New Platform for Civic Engagement
 
Types of hr strategies - specific hr strategies - strategic human resource ...
Types of hr strategies -   specific hr strategies - strategic human resource ...Types of hr strategies -   specific hr strategies - strategic human resource ...
Types of hr strategies - specific hr strategies - strategic human resource ...
 
Types of hr strategies - overarching hr strategies - strategic human resourc...
Types of hr strategies -  overarching hr strategies - strategic human resourc...Types of hr strategies -  overarching hr strategies - strategic human resourc...
Types of hr strategies - overarching hr strategies - strategic human resourc...
 
HR Strategy: What is it? Why do we need it?
HR Strategy: What is it? Why do we need it?HR Strategy: What is it? Why do we need it?
HR Strategy: What is it? Why do we need it?
 
Verbal & Non-Verbal Communication
Verbal & Non-Verbal CommunicationVerbal & Non-Verbal Communication
Verbal & Non-Verbal Communication
 

Similar to 111808

stress and Anxiety Disorder
 stress and Anxiety Disorder   stress and Anxiety Disorder
stress and Anxiety Disorder Heba Essawy, MD
 
Stress management.pptx
Stress management.pptxStress management.pptx
Stress management.pptxFarah Ulain
 
Stress management by dr. Ghulam Dastgeer
Stress management by dr. Ghulam DastgeerStress management by dr. Ghulam Dastgeer
Stress management by dr. Ghulam DastgeerZeeshanKhan740
 
mental+health+presentation (3).pptx
mental+health+presentation (3).pptxmental+health+presentation (3).pptx
mental+health+presentation (3).pptxMaritesFlorentino
 
Stress & Stress Management M D S
Stress &  Stress  Management  M D SStress &  Stress  Management  M D S
Stress & Stress Management M D SManoj Shah
 
Health 11 Stress Lecture Fall 2005
Health 11 Stress Lecture Fall 2005Health 11 Stress Lecture Fall 2005
Health 11 Stress Lecture Fall 2005guestec8288
 
G:\Lavc\Pe Health Classes\Health 11\Powerpoint\Health 11 Stress Lecture Fall ...
G:\Lavc\Pe Health Classes\Health 11\Powerpoint\Health 11 Stress Lecture Fall ...G:\Lavc\Pe Health Classes\Health 11\Powerpoint\Health 11 Stress Lecture Fall ...
G:\Lavc\Pe Health Classes\Health 11\Powerpoint\Health 11 Stress Lecture Fall ...Patty Melody
 
11. emotions 07-08
11. emotions 07-0811. emotions 07-08
11. emotions 07-08Nasir Koko
 
Stress Management
Stress ManagementStress Management
Stress ManagementOmkar Rane
 
Stress & stress management mds
Stress & stress management mdsStress & stress management mds
Stress & stress management mdsManoj Shah
 
Stress & stress management mds
Stress & stress management mdsStress & stress management mds
Stress & stress management mdsManoj Shah
 
STRESS MANAGEMENT BY NITIN
STRESS MANAGEMENT BY NITINSTRESS MANAGEMENT BY NITIN
STRESS MANAGEMENT BY NITINNitin Gurbani
 
Stress Management Conference
Stress Management ConferenceStress Management Conference
Stress Management ConferenceLaurrana Leigon
 

Similar to 111808 (20)

Ch04 01
Ch04 01Ch04 01
Ch04 01
 
stress and Anxiety Disorder
 stress and Anxiety Disorder   stress and Anxiety Disorder
stress and Anxiety Disorder
 
Stress management.pptx
Stress management.pptxStress management.pptx
Stress management.pptx
 
Stress manage
Stress manageStress manage
Stress manage
 
Emotion&stress,Psychology
Emotion&stress,PsychologyEmotion&stress,Psychology
Emotion&stress,Psychology
 
Stress management by dr. Ghulam Dastgeer
Stress management by dr. Ghulam DastgeerStress management by dr. Ghulam Dastgeer
Stress management by dr. Ghulam Dastgeer
 
mental+health+presentation (3).pptx
mental+health+presentation (3).pptxmental+health+presentation (3).pptx
mental+health+presentation (3).pptx
 
U1 Stress management.pdf
U1 Stress management.pdfU1 Stress management.pdf
U1 Stress management.pdf
 
Stress & Stress Management M D S
Stress &  Stress  Management  M D SStress &  Stress  Management  M D S
Stress & Stress Management M D S
 
Stressmanagement
StressmanagementStressmanagement
Stressmanagement
 
Health 11 Stress Lecture Fall 2005
Health 11 Stress Lecture Fall 2005Health 11 Stress Lecture Fall 2005
Health 11 Stress Lecture Fall 2005
 
G:\Lavc\Pe Health Classes\Health 11\Powerpoint\Health 11 Stress Lecture Fall ...
G:\Lavc\Pe Health Classes\Health 11\Powerpoint\Health 11 Stress Lecture Fall ...G:\Lavc\Pe Health Classes\Health 11\Powerpoint\Health 11 Stress Lecture Fall ...
G:\Lavc\Pe Health Classes\Health 11\Powerpoint\Health 11 Stress Lecture Fall ...
 
Stress and Health
Stress and HealthStress and Health
Stress and Health
 
11. emotions 07-08
11. emotions 07-0811. emotions 07-08
11. emotions 07-08
 
Stress Management
Stress ManagementStress Management
Stress Management
 
Stress & stress management mds
Stress & stress management mdsStress & stress management mds
Stress & stress management mds
 
Stress & stress management mds
Stress & stress management mdsStress & stress management mds
Stress & stress management mds
 
STRESS MANAGEMENT BY NITIN
STRESS MANAGEMENT BY NITINSTRESS MANAGEMENT BY NITIN
STRESS MANAGEMENT BY NITIN
 
Stress Management Conference
Stress Management ConferenceStress Management Conference
Stress Management Conference
 
Stress
StressStress
Stress
 

Recently uploaded

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...narwatsonia7
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 

Recently uploaded (20)

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 

111808

  • 1. Stress: The difference between Wellness and Illness Stephen Amos, PhD KUSM-W Dept of Pediatrics
  • 2.  
  • 3.
  • 4.  
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.  
  • 10. Inside the Stress Response
  • 11.
  • 12.
  • 13.
  • 14. Yerkes-Dodson Law As stress increases, performance initially rises and then declines. Performance Performance or efficiency Stress or anxiety
  • 15.
  • 16.
  • 17.
  • 18.  
  • 19.
  • 20.  
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. Another way to Assess Stress
  • 27.
  • 28.
  • 29.
  • 30.
  • 31. A BEHAVIORAL COGNITIVE DISPLAY (ABCD’S) A B C D ACTIVATING EVENT: BELIEF SYSTEM CONSEQUENT FEELINGS/BEHAVIORS DECISION POINT (Deal with it/Do it right) (Antecedent i.e. comes before) Something happens representing some triggering event to an emotional state Personal Perspective: Private ideas and attitudes that occur spontaneously and seem more like automatic thinking Negative Emotional State (and resultant negative behavioral actions) which tend to lead to self-fulfilling negative personal positions To overcome the negative effects of “B” (Belief System) we must engage in a cognitive/behavioral (thoughtful and active) shift in our personal perspectives. THE FOUR WAYS THINGS GO WRONG: Distorted Thinking Irrational Beliefs Unrealistic Expectations Family Scripting Problem Feedings: Depression Anxiety Panic Anger Resentment Phobias, etc. DEVICES FOR PERSPECTIVE SHIFTING= Meditation and/or visualization, thought stopping, relaxation, Prayer, etc. & BEHAVIORS: Acting out Avoidance Withdrawal Substance abuse Unfair fighting Verbal abuse, etc. DISTRACT: Do a different physical activity such as gardening, playing an instrument, cleaning house, begin a painting, etc. DIVERT: Do a different mental activity such as listen to tapes, do crossword puzzle, write a poem/song. Etc. DISPUTE/DEBATE: Challenge the “enemy” within i.e. the gremlin/negative self talk by using the scientific method of the friend within (the “baker of your own cake metaphor”). Remember that the language of the self talk of the friend within is logical, objective, practical, realistic, common sense, beneficial, adult/adult conversation.
  • 32. Lets Look at Anger 2 X 2 Table of Anger Appropriate Expression Inappropriate Expression Appropriate Anger Inappropriate Anger 100 %
  • 33. Lets Look at Anger 25 % 25 % 25% 25% 2 X 2 Table of Anger Appropriate Expression Inappropriate Expression Appropriate Anger Inappropriate Anger 100 % Note the Four Cells – Leaving only one cell (25%) appropriate both for anger and expression of anger
  • 34.
  • 35.
  • 36. When these are active, the appropriate expression of appropriate anger cell is depleted. ? 25% 25% Appropriate Expression Inappropriate Expression Appropriate Anger Inappropriate Anger 100 % ?
  • 37. So what to do?
  • 38.
  • 39.
  • 40.
  • 41.  
  • 42.
  • 43. “ My wife left me for health reasons. She was sick of me.”
  • 44.
  • 45.  
  • 46.
  • 47.  
  • 48. X X X X
  • 49. Stress over time with Meditation X X X
  • 50.
  • 51.  
  • 52.  

Editor's Notes

  1. The hypothalamus, pituitary gland, and adrenal glands make up the HPA axis, which plays a pivotal role in triggering the stress response. By releasing certain chemicals, such as adrenocorticotropic hormone (ACTH) and cortisol, the HPA axis rouses the body for action when it’s faced with a stressor. As the illustration reveals, the effect of this release of hormones is widespread. Senses become sharper, muscles tighten, the heart beats faster, blood pressure rises, and breathing quickens. All of this prepares you to fight or flee in the face of danger.
  2. What Happens? Senses Sharpen Blood pressure rises Breath quickens and we take in more oxygen Heart beats faster Muscles tighten Glucose & Fats are released into the bloodstream Adrenal Glands release Cortisol, adrenaline and noradrenaline Pituitary releases adrenocorticotropin (ACTH Reproductive, digestive and other growth systems are shut down. (energy conservation in the face of crisis) Energy resources are redirected to the elimination of the stressor