By Nathan Myers<br />Stress and Anxiety Disorders Related to Exercise<br />
Overview<br />Pathophysiology<br />Hans Selye<br />Definition of Stress:<br />General Adaptation Syndrome (GAS)<br />Alarm...
Relevance<br />There are disagreements in the way “stress” is defined.<br />Contemporary view<br />However, there is no di...
Relevance<br />Because its prevalent in the human population, as a physical therapist, coach, or a personal trainer, we mu...
Types of Anxiety Disorders<br />Panic disorder<br />Generalized anxiety disorder<br />Social phobia<br />Post-traumatic st...
Categories of Meds<br />Azaspirones/Buspirone<br />Benzodiazepines<br />Beta Blockers<br />Tricyclics (TCA)<br />Monoamine...
Signs/Symptoms of Anxiety<br />Emotional Symptoms<br />Feelings of dread<br />Trouble concentrating<br />Feeling tense and...
Sign/Symptoms of Anxiety<br />Physical symptoms<br />Pounding heart<br />Sweating<br />Upset stomach or dizziness<br />Fre...
 Symptoms of Anxiety Attacks<br />Surge of overwhelming panic<br />Feeling of losing control<br />Heart palpitations or ch...
Causes of Stress/Anxiety Disorders<br />Primarily genetic<br />Situational<br />Depends on each individual and how they re...
Benefits from exercise<br />Best results for reduction in anxiety involves more aerobic exercise than resistance training....
Risks with Exercise in subjects who are taking Medications<br />Overtraining- pushing the body beyond physical and psychol...
Considerations in Evaluating Subject<br />Medications can reduce functional capacity, induce dizziness, inhibit motor func...
Importance of Supervision<br />Due to possibilities of med or condition related side effects<br />Report any increased fee...
Example of an Exercise Prescription<br />
References<br />ACSM’s Exercise Management for Persons with chronic disease and disabilities, 3rd edition. Chapter 50, str...
Video<br />http://www.youtube.com/watch?v=Oh-RUBsqZJc&feature=player_detailpage<br />
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Stress and anxiety disorders related to exercise

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

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