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Why do I feel so…

                   Sleep, Stress &                                                  SLEEP DEPRIVATION
                                                                                    •   Fatigue
                                                                                                                      STRESS
                                                                                                                      •   Fatigue
                                                                                                                                                  DEPRESSION
                                                                                                                                                  •   Fatigue
                                                                                    •   Depressed mood                •   Depressed mood          •   Depressed mood

                     Depression                                                     •   Muscular skeletal
                                                                                        pains/Headaches
                                                                                                                      •   Muscular skeletal
                                                                                                                          pain/Headache
                                                                                                                                                  •
                                                                                                                                                  •
                                                                                                                                                      Change in appetite
                                                                                                                                                      Sleep changes
                                                                                    •   Increased appetite            •   Changes in appetite     •   Diminished interest in activities
                                                                                    •   Anxiety/Panic                 •   Anxiety                 •   Restlessness or slowness
                   Just Between Women                                               •
                                                                                    •
                                                                                        Irritability
                                                                                        Poor
                                                                                                                      •
                                                                                                                      •
                                                                                                                          GI problems
                                                                                                                          High blood pressure
                                                                                                                                                  •
                                                                                                                                                  •
                                                                                                                                                      Feeling
                                                                                                                                                      F li worthless or guilt
                                                                                                                                                                 thl
                                                                                                                                                      Poor concentration /
                                                                                                                                                                              ilt

                                                                                        concentration/memory          •   Relationship problems       indecisiveness
                                  Lisa Mesaros, PAC                                 •   Lack of coordination          •   Trouble Sleeping        •   Recurrent thoughts of death
                                                                                    •   Decreased Libido              •   Weight gain or loss     •   Nonspecific symptoms of
                                                                                    •   Decreased immune                                              depression (Abdominal pain,
                                                                                        function                                                      Back pain, Headache, Joint
                       Date: February 28th, 2013                                    •   Worsening diabetes                                            pain, Neck pain & Weakness)
                                                                                    •   High blood pressure
                                                                                    •   Increased risks for Heart
                                                                                1       attack and stroke
                                                                                                                                                                                2




Symptoms = A visit to your primary care
                                                                                        Prescribing treatment
provider

A Typical Visit / Patient                           A Typical Visit / Provider                 •     Treatment must address sleep, stress & possible depression for
• “Why am I so tired?”                              • “Are you getting enough                        symptom improvement
                                                       sleep”                                  •     Consider medication (short term vs. long term)
•   “Why do I have daily                                                                       •     Practice good sleep hygiene
    headaches?”                                     •   “What are your life                    •     Consider counseling
                                                        stressors”
                                                                                               •     Stress reduction
•   “Why
    “Wh can’t I sleep?”
           ’t l      ?”
                                                    •   Could this be a major
•   “Why am I anxious /                                 depressive disorder
    depressed / irritable?”

•   “Why is my memory poor?”                                                                            Your provider may not be capable of addressing all of
    •   “Umm, I forgot the last                                                                                          your problems…
        question….”
              “I love this provider! She is really on to something”
                                       VS.
        “Just give me the medications to fix me…I have more important
                                                                                3                                                                                               4
                                  things to do”
                                      g




Providers do not work miracles…                                                         Tips for managing symptoms / stress


                                                                                           •       Don’t worry about thing you can’t control
                                                                                           •       Prepare as best you can for event you know may be stressful
                                                                                           •       Work to resolve conflicts with others
                                                                                           •       Ask for help when you need it
                                                                                           •       Set realistic goals
                                                                                           •       Exercise regularly
                                                                                           •       Set aside time to do things you enjoy
                                                                                           •       Eat well balanced meals and get enough sleep
                                                                                           •       Meditation or other relaxation techniques
                                                                                                   (www.Mediationoasis.com)




                                                                                5                                                                                               6




                                                                                                                                                                                          1
Physical
                        Symptoms

            Fatigue                        Depressed mood

                                          Anxiety/Panic
Change in appetite
                          Sleep
                        Deprivation
                                                          Irritability




        Stress                                Depression

  Anxiety/Panic
                      Muscular skeletal pains/Headaches




                                                                         7




                                                                             2

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Sleep,stress,depression

  • 1. Why do I feel so… Sleep, Stress & SLEEP DEPRIVATION • Fatigue STRESS • Fatigue DEPRESSION • Fatigue • Depressed mood • Depressed mood • Depressed mood Depression • Muscular skeletal pains/Headaches • Muscular skeletal pain/Headache • • Change in appetite Sleep changes • Increased appetite • Changes in appetite • Diminished interest in activities • Anxiety/Panic • Anxiety • Restlessness or slowness Just Between Women • • Irritability Poor • • GI problems High blood pressure • • Feeling F li worthless or guilt thl Poor concentration / ilt concentration/memory • Relationship problems indecisiveness Lisa Mesaros, PAC • Lack of coordination • Trouble Sleeping • Recurrent thoughts of death • Decreased Libido • Weight gain or loss • Nonspecific symptoms of • Decreased immune depression (Abdominal pain, function Back pain, Headache, Joint Date: February 28th, 2013 • Worsening diabetes pain, Neck pain & Weakness) • High blood pressure • Increased risks for Heart 1 attack and stroke 2 Symptoms = A visit to your primary care Prescribing treatment provider A Typical Visit / Patient A Typical Visit / Provider • Treatment must address sleep, stress & possible depression for • “Why am I so tired?” • “Are you getting enough symptom improvement sleep” • Consider medication (short term vs. long term) • “Why do I have daily • Practice good sleep hygiene headaches?” • “What are your life • Consider counseling stressors” • Stress reduction • “Why “Wh can’t I sleep?” ’t l ?” • Could this be a major • “Why am I anxious / depressive disorder depressed / irritable?” • “Why is my memory poor?” Your provider may not be capable of addressing all of • “Umm, I forgot the last your problems… question….” “I love this provider! She is really on to something” VS. “Just give me the medications to fix me…I have more important 3 4 things to do” g Providers do not work miracles… Tips for managing symptoms / stress • Don’t worry about thing you can’t control • Prepare as best you can for event you know may be stressful • Work to resolve conflicts with others • Ask for help when you need it • Set realistic goals • Exercise regularly • Set aside time to do things you enjoy • Eat well balanced meals and get enough sleep • Meditation or other relaxation techniques (www.Mediationoasis.com) 5 6 1
  • 2. Physical Symptoms Fatigue Depressed mood Anxiety/Panic Change in appetite Sleep Deprivation Irritability Stress Depression Anxiety/Panic Muscular skeletal pains/Headaches 7 2