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STRESS MANAGEMENT
PRESENTOR: MS. RITIKA SONI
HISTORICAL BACKGROUND
 Walter Cannon and Hans Selye used animal studies
to establish the earliest scientific basis for the
study of stress.
 They measured the physiological responses of
animals to external pressures, such as heat and
cold, prolonged restraint, and surgical procedures,
then extrapolated from these studies to human
beings.
 Subsequent studies of stress in humans by Richard
Rahe and others established the view that stress
is caused by distinct, measureable life stressors.
 Hans Selye was one of the founding fathers of
stress research. His view in 1956 was that "stress
is not necessarily something bad – it all depends on
how you take it.
INTRODUCTION
 A lot of research has been conducted into stress
over the last hundred years. Some of the theories
behind it are now settled and accepted; others are
still being researched and debated.
 Stress may be viewed as an individual reaction or
response to any change, which can be physical,
mental or emotional. Responses directed at
stabilizing internal biological processes and
preserving self-esteem.
WHAT IS STRESS?
 Stress is individuals mind and body’s response or
reaction to a real or imagined threat, event or
change.
 The threat, event or change are commonly called
stressors.
 Stressor: A biological, psychological, social factor
that causes physical or emotional tension and may
be the factor in the etiology of certain illnesses.
 Environmental stressors: noise, pollution, traffic,
crowding, weather.
 Physiological stressors: illness, injuries, hormonal
fluctuation, inadequate sleep or nutrition.
 Social stressors: financial problems, work
demands, social events, losing a loved one etc.
 Thoughts: negative self talk, catastrophizing and
perfectionism.
Stress as an biological
response
 In 1956, Seleye described that stress is the “
state manifested by a specific syndrome 'which
consist of all the non-specific changes with in a
biological system. This specific syndrome of
symptoms has come to be known as the “fight or
flight reaction”.
 He called this general reaction of the body to
stress , the General Adaptation syndrome.
 He described the reaction in 3 distinct stages:
STAGES OF STRESS
Alarm stage
Resistance stage
Exhaustion stage
ALARM STAGE
During this stage, the physiological
responses of the fight or flight
syndrome are initiated. As you begin
to experience a stressful event or
perceive something to be stressful,
psychological changes occur in your
body.
STRESSOR
STIMULATES
HYPOTHALAMUS
STIMULATES
SYMPATHETIC NERVOUS SYSTEM
STIMULATES
ADRENAL MEDULLA
RELEASES
CATECHOLAMINE
ALARM STAGE (FIGHT OR FLIGHT RESPONSE)
EXAMPLES
 Cardiac - increased heart rate
 Respiratory - increased respiration
 Skin - decreased /increased
temperature
 Hormonal - increased stimulation of
adrenal genes which produce an adrenal
rush.
RESISTANCE STAGE
It is initiated by regulating hormones
secreted by the hypothalamus, is along
term reaction.
STRESSOR
HYPOTHALAMUS
stimulate
PITUTARY GLAND
secrete
ACTH ADH GH THYROTROPIC GONADOTROPINE
retention BP Serum glucose Breakdown of or libido
of Na & water &FFA CHO
Frigidity & impotence
Cont…..
 During this stage body tries to cope
or adapt to the stressors by
beginning a process of repairing any
damage the stressor has caused. If
adaptation occurs, the 3rd stage is
prevented or delayed. Physiological
symptoms may disappear
EXAMPLES
 Behavior indicators include: lack of
enthusiasm for family, school, work or
life in general, withdrawal, change in
eating habits, insomnia, hypersonic,
anger, fatigue.
 Cognitive Indicators include: poor
problem solving, confusion, nightmares,
hyper-vigilance.
RESISTANCE STAGE
MORE EXAMPLES
Emotional indicators include:
 tearfulness
 fear
 anxiety
 panic
 guilt
 agitation
 depression
EXHAUSTION STAGE
During this stage the stressor is not
being managed effectively and the body
and mind are not able to repair the
damage.
When there is a prolonged exposure to
the stressor to which body has become
adjusted. The adapted energy is
depleted.
.
EXAMPLES
Digestive disorders, withdrawal,
headaches, tension, insomnia, loss of
temper ,violent behavior, suicide.
LEVELS OF STRESS
EUSTRESS
Eustress or positive stress occurs when
your level of stress is high enough to
motivate you to move into action to get
things accomplished.
e.g.: Pre-pone of final examination,
promoted at work,
becoming newly married.
DISTRESS
Distress or negative stress occurs when
your level of stress is either too high or
too low and your body and/or mind begin
to respond negatively to the stressors.
STUDENT STRESS RATING
SCALEThe following are events that occur in the life of a college student. Place a check in the left-
hand column for each of those events that has happened to you during the last 12 months.
___ Death of a close family member - 100 points
____ Jail term - 80 points
____ Final year or first year in college - 63 points
____ Pregnancy (to you or caused by your) - 60 points
____ Severe personal illness or injury - 53 points
____ Marriage - 50 points
____ Any interpersonal problems - 45 points
____ Financial difficulties - 40 points
____ Death of a close friend - 40 points
____ Arguments with your roommate (more than every other day) - 40 points
____ Major disagreements with your family - 40 points’
____ Major change in personal habits - 30 points
____ Change in living environment - 30 points
____ Beginning or ending a job - 30 points
____Problems with your boss or professor - 25 points
____ Outstanding personal achievement - 25 points
____ Failure in some course - 25 points
____ Final exams - 20 points
____ Increased or decreased dating - 20 points
____ Changes in working conditions - 20 points
____ Change in your major
____ Change in your sleeping habits - 18 points
____ Several-day vacation - 15 points
____ Change in eating habits - 15 points
____ Family reunion - 15 points
____ Change in recreational activities - 15 points
____ Minor illness or injury - 15 points
____ Minor violations of the law - 11 points
Score: _________________
INTERPRETING YOUR SCORE
 Less than 150 points : relatively low stress level in
relation to life events
 150 - 300 points : borderline range
 Greater than 300 points : high stress in relation to life
events
Note: From Girdano, D.A., Everly, G. S., Jr., & Dusek, D. E.
(1990). Controlling stress and tension (3rd edition),
ENnglewood Cliffs, NJ: Prentice Hall.
ADAPTIVE COPING STRATEGIES
1.Become Aware of
Stressors
- Notice when you are stressed, don’t
ignore it
- Find out what stresses you out
- Learn how it affects your body
(sweats, stomach ache, etc)
- As one becomes aware of stress,
he/she can omit, avoid, or accept
them.
2.Recognize what you can
change
 change your stressors by avoiding or
eliminating them.
 shorten your exposure to stress.
 Search for calm
places.
3. Reduce the intensity of
emotional reactions
 Avoid passive assertiveness(expecting
to please everyone)
 Avoid overreacting.
Psychologist views, see stress as
something you can cope with, not
something that overpowers you
Do not labor on the negative things.
4. Learn to balance
physical reactions to
stress
 Slow, deep breathing will bring your
heart rate and respiration back to
normal
 Relaxation techniques can reduce
muscle tension.
 Medications, when prescribed by a
physician can help in the short term.
5. Build your physical
reserves.
 Exercise for cardiovascular fitness 3
– 4 times a week
 Eat well-balanced, nutritious meals
 Maintain your ideal weight
 Avoid nicotine, excessive caffeine and
other stimulants
 Take breaks
 Get enough sleep.
-Be consistent with your sleep
schedule.
6.Maintain your
emotional reserves
 Develop mutually,
supportive
friendships/relationships
 Pursue realistic goals
which are meaningful
 Expect some
frustrations, failures and
sorrows
 Always be kind and gentle
with yourself – be a
friend to yourself.
7.Eliminating Stress From
Your Environment
 A poorly organized living
space can be a major
source of stress.
 If your environment is well
organized and pleasant,
then it can help to reduce
stress and increase
productivity.
 Some people under stress
need a calm environment,
others may enjoy the
raised levels of arousal.
To improve air quality:
 Ban smoking
 Open windows
 Use an ionizer
 Have plants in the room.
 Bad lighting can cause eye
strain and increase fatigue,
as can light that is too bright,
or light that shines directly into
your eyes.
 Use a window or using full
spectrum bulbs in your desk
lamp. This will improves the
quality of working environment.
10.Decoration and
Tidiness
 A chaotic and cluttered living adds to
stress.
 Have calming and happy decorations.
Large amounts of background noise during
the day can cause irritability, tension and
headaches in addition to loss of
concentration.
Solutions:
use of quiet rooms when concentration is
needed
Try a pleasantly assertive approach. Ask that
music is turned down or that the person use
headphones
 The essence of meditation is to quiet
your thoughts by focusing completely
on just one thing/object.
 Keep your body relaxed. It should be
in a position that you can comfortably
sustain for a period of time (20 - 30
minutes is ideal).
Focusing on an object
 Completely focus attention on
examination of an object.

 Examine the shape, color
differences, texture,
temperature and movement of
the object.
 Objects often used are
flowers, or flowing designs.
However you can use other
objects equally effectively
(e.g. alarm clocks, desk lamps,
or even coffee mugs!)
Some people like to focus
on sounds/chants. The
classic example is the
Sanskrit word 'Om‘-
meaning 'perfection'.
 Create a mental
image of a pleasant
and relaxing place in
your mind. Involve all
your senses in the
imagery:
- see the place, hear
the sounds, smell the
aromas, feel the
temperature and the
movement of the wind.
- Enjoy the location in
your mind.
Others:
 Laughter therapy
 Think positively
 Have a good cry
 Avoid self- medication
 Pets
 Music, Dance.
MORE STRATEGIES
 “What is Stress” Web Site. http//www.teachhealth.com
 How to reduce and relieve stress “Web Site. http//www.family.com
 “Stress Relievers” Web Site. http//www.residentassistant.com
 “Massage” Downing, G. (1972). Massage Book. New York: Random
House.
 “Aromatherapy” Web Site.
http//www/aromaweb.com/articles/wharoma.as
 “Yoga” Web Site. http//www.kevala.co.uk/yoga/overview.htr

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Stress mxt Riti

  • 2. HISTORICAL BACKGROUND  Walter Cannon and Hans Selye used animal studies to establish the earliest scientific basis for the study of stress.  They measured the physiological responses of animals to external pressures, such as heat and cold, prolonged restraint, and surgical procedures, then extrapolated from these studies to human beings.
  • 3.  Subsequent studies of stress in humans by Richard Rahe and others established the view that stress is caused by distinct, measureable life stressors.  Hans Selye was one of the founding fathers of stress research. His view in 1956 was that "stress is not necessarily something bad – it all depends on how you take it.
  • 4. INTRODUCTION  A lot of research has been conducted into stress over the last hundred years. Some of the theories behind it are now settled and accepted; others are still being researched and debated.  Stress may be viewed as an individual reaction or response to any change, which can be physical, mental or emotional. Responses directed at stabilizing internal biological processes and preserving self-esteem.
  • 5. WHAT IS STRESS?  Stress is individuals mind and body’s response or reaction to a real or imagined threat, event or change.  The threat, event or change are commonly called stressors.
  • 6.  Stressor: A biological, psychological, social factor that causes physical or emotional tension and may be the factor in the etiology of certain illnesses.  Environmental stressors: noise, pollution, traffic, crowding, weather.  Physiological stressors: illness, injuries, hormonal fluctuation, inadequate sleep or nutrition.  Social stressors: financial problems, work demands, social events, losing a loved one etc.  Thoughts: negative self talk, catastrophizing and perfectionism.
  • 7. Stress as an biological response  In 1956, Seleye described that stress is the “ state manifested by a specific syndrome 'which consist of all the non-specific changes with in a biological system. This specific syndrome of symptoms has come to be known as the “fight or flight reaction”.  He called this general reaction of the body to stress , the General Adaptation syndrome.  He described the reaction in 3 distinct stages:
  • 8. STAGES OF STRESS Alarm stage Resistance stage Exhaustion stage
  • 9. ALARM STAGE During this stage, the physiological responses of the fight or flight syndrome are initiated. As you begin to experience a stressful event or perceive something to be stressful, psychological changes occur in your body.
  • 10. STRESSOR STIMULATES HYPOTHALAMUS STIMULATES SYMPATHETIC NERVOUS SYSTEM STIMULATES ADRENAL MEDULLA RELEASES CATECHOLAMINE ALARM STAGE (FIGHT OR FLIGHT RESPONSE)
  • 11. EXAMPLES  Cardiac - increased heart rate  Respiratory - increased respiration  Skin - decreased /increased temperature  Hormonal - increased stimulation of adrenal genes which produce an adrenal rush.
  • 12. RESISTANCE STAGE It is initiated by regulating hormones secreted by the hypothalamus, is along term reaction.
  • 13. STRESSOR HYPOTHALAMUS stimulate PITUTARY GLAND secrete ACTH ADH GH THYROTROPIC GONADOTROPINE retention BP Serum glucose Breakdown of or libido of Na & water &FFA CHO Frigidity & impotence
  • 14. Cont…..  During this stage body tries to cope or adapt to the stressors by beginning a process of repairing any damage the stressor has caused. If adaptation occurs, the 3rd stage is prevented or delayed. Physiological symptoms may disappear
  • 15. EXAMPLES  Behavior indicators include: lack of enthusiasm for family, school, work or life in general, withdrawal, change in eating habits, insomnia, hypersonic, anger, fatigue.  Cognitive Indicators include: poor problem solving, confusion, nightmares, hyper-vigilance.
  • 16. RESISTANCE STAGE MORE EXAMPLES Emotional indicators include:  tearfulness  fear  anxiety  panic  guilt  agitation  depression
  • 17. EXHAUSTION STAGE During this stage the stressor is not being managed effectively and the body and mind are not able to repair the damage. When there is a prolonged exposure to the stressor to which body has become adjusted. The adapted energy is depleted. .
  • 18. EXAMPLES Digestive disorders, withdrawal, headaches, tension, insomnia, loss of temper ,violent behavior, suicide.
  • 20. EUSTRESS Eustress or positive stress occurs when your level of stress is high enough to motivate you to move into action to get things accomplished. e.g.: Pre-pone of final examination, promoted at work, becoming newly married.
  • 21. DISTRESS Distress or negative stress occurs when your level of stress is either too high or too low and your body and/or mind begin to respond negatively to the stressors.
  • 22. STUDENT STRESS RATING SCALEThe following are events that occur in the life of a college student. Place a check in the left- hand column for each of those events that has happened to you during the last 12 months. ___ Death of a close family member - 100 points ____ Jail term - 80 points ____ Final year or first year in college - 63 points ____ Pregnancy (to you or caused by your) - 60 points ____ Severe personal illness or injury - 53 points ____ Marriage - 50 points ____ Any interpersonal problems - 45 points ____ Financial difficulties - 40 points ____ Death of a close friend - 40 points ____ Arguments with your roommate (more than every other day) - 40 points ____ Major disagreements with your family - 40 points’ ____ Major change in personal habits - 30 points ____ Change in living environment - 30 points ____ Beginning or ending a job - 30 points ____Problems with your boss or professor - 25 points ____ Outstanding personal achievement - 25 points ____ Failure in some course - 25 points ____ Final exams - 20 points ____ Increased or decreased dating - 20 points ____ Changes in working conditions - 20 points ____ Change in your major ____ Change in your sleeping habits - 18 points ____ Several-day vacation - 15 points ____ Change in eating habits - 15 points ____ Family reunion - 15 points ____ Change in recreational activities - 15 points ____ Minor illness or injury - 15 points ____ Minor violations of the law - 11 points Score: _________________
  • 23. INTERPRETING YOUR SCORE  Less than 150 points : relatively low stress level in relation to life events  150 - 300 points : borderline range  Greater than 300 points : high stress in relation to life events Note: From Girdano, D.A., Everly, G. S., Jr., & Dusek, D. E. (1990). Controlling stress and tension (3rd edition), ENnglewood Cliffs, NJ: Prentice Hall.
  • 24.
  • 26. 1.Become Aware of Stressors - Notice when you are stressed, don’t ignore it - Find out what stresses you out - Learn how it affects your body (sweats, stomach ache, etc) - As one becomes aware of stress, he/she can omit, avoid, or accept them.
  • 27. 2.Recognize what you can change  change your stressors by avoiding or eliminating them.  shorten your exposure to stress.  Search for calm places.
  • 28. 3. Reduce the intensity of emotional reactions  Avoid passive assertiveness(expecting to please everyone)  Avoid overreacting. Psychologist views, see stress as something you can cope with, not something that overpowers you Do not labor on the negative things.
  • 29. 4. Learn to balance physical reactions to stress  Slow, deep breathing will bring your heart rate and respiration back to normal  Relaxation techniques can reduce muscle tension.  Medications, when prescribed by a physician can help in the short term.
  • 30. 5. Build your physical reserves.  Exercise for cardiovascular fitness 3 – 4 times a week  Eat well-balanced, nutritious meals  Maintain your ideal weight  Avoid nicotine, excessive caffeine and other stimulants  Take breaks  Get enough sleep. -Be consistent with your sleep schedule.
  • 31. 6.Maintain your emotional reserves  Develop mutually, supportive friendships/relationships  Pursue realistic goals which are meaningful  Expect some frustrations, failures and sorrows  Always be kind and gentle with yourself – be a friend to yourself.
  • 32. 7.Eliminating Stress From Your Environment  A poorly organized living space can be a major source of stress.  If your environment is well organized and pleasant, then it can help to reduce stress and increase productivity.  Some people under stress need a calm environment, others may enjoy the raised levels of arousal.
  • 33. To improve air quality:  Ban smoking  Open windows  Use an ionizer  Have plants in the room.
  • 34.  Bad lighting can cause eye strain and increase fatigue, as can light that is too bright, or light that shines directly into your eyes.  Use a window or using full spectrum bulbs in your desk lamp. This will improves the quality of working environment.
  • 35. 10.Decoration and Tidiness  A chaotic and cluttered living adds to stress.  Have calming and happy decorations.
  • 36. Large amounts of background noise during the day can cause irritability, tension and headaches in addition to loss of concentration. Solutions: use of quiet rooms when concentration is needed Try a pleasantly assertive approach. Ask that music is turned down or that the person use headphones
  • 37.  The essence of meditation is to quiet your thoughts by focusing completely on just one thing/object.  Keep your body relaxed. It should be in a position that you can comfortably sustain for a period of time (20 - 30 minutes is ideal).
  • 38. Focusing on an object  Completely focus attention on examination of an object.   Examine the shape, color differences, texture, temperature and movement of the object.  Objects often used are flowers, or flowing designs. However you can use other objects equally effectively (e.g. alarm clocks, desk lamps, or even coffee mugs!)
  • 39. Some people like to focus on sounds/chants. The classic example is the Sanskrit word 'Om‘- meaning 'perfection'.
  • 40.  Create a mental image of a pleasant and relaxing place in your mind. Involve all your senses in the imagery: - see the place, hear the sounds, smell the aromas, feel the temperature and the movement of the wind. - Enjoy the location in your mind.
  • 41. Others:  Laughter therapy  Think positively  Have a good cry  Avoid self- medication  Pets  Music, Dance.
  • 42. MORE STRATEGIES  “What is Stress” Web Site. http//www.teachhealth.com  How to reduce and relieve stress “Web Site. http//www.family.com  “Stress Relievers” Web Site. http//www.residentassistant.com  “Massage” Downing, G. (1972). Massage Book. New York: Random House.  “Aromatherapy” Web Site. http//www/aromaweb.com/articles/wharoma.as  “Yoga” Web Site. http//www.kevala.co.uk/yoga/overview.htr