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Dealing with
Stress
Dr Mahendra Perera
Consultant Psychiatrist
MBBS, PhD, MD(Psych), MRCPsych, FRANZCP, FAChAM
WHAT IS STRESS ??
• Perception
• Feeling
• Emotional reaction
• Generally occurs in the context of a
situation
Is the confusion created when
one’s mind overrides the body’s
basic desire to choke the living
shit out of some asshole who
desperately needs it!!!
IF you can change something then go ahead
and do so
If you can not then worrying will not change
it anyway
Sources of Stress
• Messages
– Mail
– Email
– SMS
– Phone Calls – call waiting !!!!!
• Deadlines
• Conflict
• Personal
• Customers
What happens
EMOTIONAL
• Anger
• Poor concentration
• Anxiety/depressive
states
• Arguments
• Office boy kicked the
cat
PHYSICAL
• Blood Pressure
• Heart Rate
• Muscle tension
– Aches and pains
• Blood sugar
• Health conditions
Psychological
FEAR
ANXIETY
DREAD
WORRY
When U R
worried/anxious/tense
• ‘Stress’ hormones are secreted
• Blood pressure is elevated
• Blood sugar is increased
• Muscle tension rises
Is stress Helpful?
The Rubber Band
Exercise
GETTING THINGS
DONE
I HAVE NO TIME
‘NO’
When you can not complete
tasks it creates STRESS !!
Travel
Meetings
In waiting areas
Doing simple household tasks
YOUR OWN EXAMPLES
Killers of your time
• Phone calls
• Emails
• Unsolicited visits
• Meetings
• Procrastination
TIME TABLE
Week Days Week end
Time Mon Tue Wed Thu Fri Sat Sun
4am 5am
5am 6am
6am 7am
7am 8am
8am 9am
AT WORK 10am
4pm 11am
5pm 12 noon
6pm 1pm
7pm 2pm
8pm 3pm
9pm 4pm
10pm 5pm
11pm 6pm
7pm
8pm
9pm
10pm
11pm
Comments:
HAVE AN ACTION PLAN
 Prepare for the day the day before
 Write down what you will do and when
 Be specific
 Have a mental picture of getting it done
 Once you have done it cross it out
 If you didn’t get it done re-program
USEFUL TOOLS
• Diary/ Wall Planner/Note book
• Google Calendar
• Reminders
• Omnifocus
Learn to ask the Question
WHAT IF ???
IF ALL ELSE FAILS
 You could consider one of the two options
on the next two slides
 The choice is yours
The last great act of defiance
The Rat is giving the finger to the eagle before
being killed
Row, row, row your boat
gently down the stream
Merrily, merrily, merrily,
Life is but a dream
TEA TIME
Let’s go to work
Issues at Work
• From Superiors
• Clients
• Peers
Pressure
(inevitable)
Stress
(impaired
performance,
distress)
Possible Outcomes
 Poor relationships
at work
 Demands on your
time
 Work outside
hours
 Dangers
Job-Related Stressors
Job-Related Stressors
• High demands with
little or no control
• Insufficient or
excessive supervision
• Lack of recognition
• Work overload
• Uncertainty of
responsibility
• Interference from
superiors
JUMPING TO CONCLUSIONS
FLYING OFF THE HANDLE,
RUNNING DOWN THE BOSS,
DODGING RESPONSIBILITIES,
PUSHING THEIR LUCK
MANAGING STRESS
OUTSIDE
OF YOUR WORK
ENVIRONMENT
Problems of present day living
Cornerstones to wellbeing
(REST)
• Relaxation
• Exercise
• Sleep
• Thoughts
Minimise stress
 Decision, decision
decision
 Start today  now 
this minute
 Practice, practice
practice
 Diet
 Exercise & relaxation
 Adequate sleep
 Nurture relationships
Dealing with Stress

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Dealing with Stress