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LIFE 
STRESS MANAGEMENT 
Dr. S. Krishnan, MBBS, MD, DPM, DIP.NB, MNAMS 
Associate Professor of Psychiatry 
MO-in-Charge, Holistic and Stress Research Clinic 
Department of Psychiatry 
Medical College, Thiruvananthapuram
May God Bless You All
Self 
Awareness 
Empathy 
IPR 
Effective 
Communication 
Creative 
Thinking 
Critical 
Thinking 
COPING WITH STRESS 
Problem 
Solving 
Coping with 
Emotions 
Decision 
Making
Congrats!!! You too are Stressed!!!
Bad Equation 
High 
demands 
Need for 
perfection 
Burnout 
Fewer 
rewards
When under Stress 
50 
45 
40 
35 
30 
25 
20 
15 
10 
5 
0 
adapt to negative stress sit on fence exhibit positive 
adaptation 
When under Stress (%)
The Stress – Performance Curve
What is Stress
Not all stress is Bad 
Good Bad 
Cumulative 
stress
Common Manifestations 
Physical 
Emotional 
Cognitive 
Behavioral 
Relational
Physical Symptoms 
Headaches 
Indigestion 
Sleep problems 
Back pain and muscle tension 
Restlessness
Behavioral Symptoms 
Excess smoking 
Excessive use of alcohol 
Compulsive eating 
Aggressiveness 
Inability to get things done
Emotional Symptoms 
Crying 
Nervousness 
Overwhelming sense of pressure 
Loneliness 
Easily upset
Cognitive symptoms 
Trouble thinking clearly 
Forgetfulness 
Lack of creativity 
Trouble making decisions and problem solving 
Loss of sense of humor
Spiritual symptoms 
Emptiness 
Doubt 
Cynicism 
Apathy 
Need to ‘prove’ self
Relational symptoms 
Isolation 
Intolerance 
Lashing out 
Nagging 
Lack of intimacy 
Distrust
Medial Problems Associated with Stress 
Cardiac – hypertension, heart attacks 
Nervous system - stroke 
Gastrointestinal – peptic ulcer 
Dermatological – dermatitis, psoriasis 
Respiratory –allergy, asthma 
Sexual problems – irregular menstruation, sexual 
dysfunction to infertility 
Psychiatric – depression, anxiety
How people deal with Stress 
Talking to others 
Exercise 
Work harder 
Bottle things up 
Try to focus on the positive 
Snack 
Turn to substances 
Avoid the problem
A 5 step Guide to Managing Stress 
•Step 1: Identify if you are stressed 
•Step 2: Identify the stressor(s) 
•Step 3: Identify the reason for the 
stressor(s) 
•Step 4: CHANGE – Behavior, 
Emotions, Situations, Thinking  
BEST LIFE 
•Step 5: Practice. Practice. Practice
10 easy steps to manage stress 
1. Knowledge 
2. Share 
3. Prioritize 
4. Don’t be too hard on yourself 
5. Don’t worry about things of past and future 
6. Proper sleep 
7. Proper food 
8. Proper relaxation techniques 
9. Be realistic 
10. Learn life skills
Mindful Life Management
Mindfulness 
• Self directed practice of relaxing 
the body and mind 
• Attending to present moment to 
moment experience 
nonjudgmental using simple 
exercises
Health Benefits of Mindfulness 
• Sleep disorders 
• Anxiety 
• Depression 
• Cardiovascular disorders 
• Type A Behavior 
• GI Distress 
• Psychosomatic 
disorders – Diabetes, 
Hypertension 
• Skin disorders – 
Psoriasis 
• Cancer 
• Chronic Pain, 
Fibromyalgia 
• Respiratory problems 
– Asthma 
• Infertility 
• Headaches – 
Migraine, TVH 
• Somatization disorder
Uses of Mindfulness 
Decreases depression and anxiety 
Prevents relapse of depression 
Helps stress management 
Helps management of substance use problems 
Helps better patient care 
Helps growth of the brain
Attend to your Breath
Take Home Message 
“Stress is a normal part of 
normal life”. 
“Coping with Stress is a Skill 
which can be acquired with 
practice”.
Thanks…

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Dr.Krishnan's Stress Management

  • 1. LIFE STRESS MANAGEMENT Dr. S. Krishnan, MBBS, MD, DPM, DIP.NB, MNAMS Associate Professor of Psychiatry MO-in-Charge, Holistic and Stress Research Clinic Department of Psychiatry Medical College, Thiruvananthapuram
  • 2. May God Bless You All
  • 3. Self Awareness Empathy IPR Effective Communication Creative Thinking Critical Thinking COPING WITH STRESS Problem Solving Coping with Emotions Decision Making
  • 4. Congrats!!! You too are Stressed!!!
  • 5. Bad Equation High demands Need for perfection Burnout Fewer rewards
  • 6. When under Stress 50 45 40 35 30 25 20 15 10 5 0 adapt to negative stress sit on fence exhibit positive adaptation When under Stress (%)
  • 7. The Stress – Performance Curve
  • 9. Not all stress is Bad Good Bad Cumulative stress
  • 10. Common Manifestations Physical Emotional Cognitive Behavioral Relational
  • 11. Physical Symptoms Headaches Indigestion Sleep problems Back pain and muscle tension Restlessness
  • 12. Behavioral Symptoms Excess smoking Excessive use of alcohol Compulsive eating Aggressiveness Inability to get things done
  • 13. Emotional Symptoms Crying Nervousness Overwhelming sense of pressure Loneliness Easily upset
  • 14. Cognitive symptoms Trouble thinking clearly Forgetfulness Lack of creativity Trouble making decisions and problem solving Loss of sense of humor
  • 15. Spiritual symptoms Emptiness Doubt Cynicism Apathy Need to ‘prove’ self
  • 16. Relational symptoms Isolation Intolerance Lashing out Nagging Lack of intimacy Distrust
  • 17. Medial Problems Associated with Stress Cardiac – hypertension, heart attacks Nervous system - stroke Gastrointestinal – peptic ulcer Dermatological – dermatitis, psoriasis Respiratory –allergy, asthma Sexual problems – irregular menstruation, sexual dysfunction to infertility Psychiatric – depression, anxiety
  • 18. How people deal with Stress Talking to others Exercise Work harder Bottle things up Try to focus on the positive Snack Turn to substances Avoid the problem
  • 19. A 5 step Guide to Managing Stress •Step 1: Identify if you are stressed •Step 2: Identify the stressor(s) •Step 3: Identify the reason for the stressor(s) •Step 4: CHANGE – Behavior, Emotions, Situations, Thinking  BEST LIFE •Step 5: Practice. Practice. Practice
  • 20. 10 easy steps to manage stress 1. Knowledge 2. Share 3. Prioritize 4. Don’t be too hard on yourself 5. Don’t worry about things of past and future 6. Proper sleep 7. Proper food 8. Proper relaxation techniques 9. Be realistic 10. Learn life skills
  • 22. Mindfulness • Self directed practice of relaxing the body and mind • Attending to present moment to moment experience nonjudgmental using simple exercises
  • 23. Health Benefits of Mindfulness • Sleep disorders • Anxiety • Depression • Cardiovascular disorders • Type A Behavior • GI Distress • Psychosomatic disorders – Diabetes, Hypertension • Skin disorders – Psoriasis • Cancer • Chronic Pain, Fibromyalgia • Respiratory problems – Asthma • Infertility • Headaches – Migraine, TVH • Somatization disorder
  • 24. Uses of Mindfulness Decreases depression and anxiety Prevents relapse of depression Helps stress management Helps management of substance use problems Helps better patient care Helps growth of the brain
  • 25.
  • 26. Attend to your Breath
  • 27. Take Home Message “Stress is a normal part of normal life”. “Coping with Stress is a Skill which can be acquired with practice”.