Stress Management 
MUS WELLNESS 
CRISTIN STOKES & NEAL ANDREWS 
1
Objectives 
Stress defined 
How stress affects our bodies and minds 
Strategies with how to deal with stress 
2
Wellness Model 
Chronic Stress compromises all of these areas! 
3
A Stressful Question: 
 During the past work week, due to busyness or stress, I have: 
 Lost at least an hour of sleep 
 Skipped a workout 
 Skipped a meal 
Made a poor nutritional choice 
 Missed a social outing 
Neglected a loved one 
4
2013 Wellness Survey: What do you consider your 
biggest health concern(s) at this time? 
42.45 
37.98 37.64 
2013 Data, n=1477 
21.94 
14.22 13.81 
6.7 
50 
40 
30 
20 
10 
0 
Weight Control Stress Physical Fitness Quality of Life Anxiety Depression CVD/Cancer 
2013 Data, n=1477 
5
Understanding Stress 
 What is Stress? 
 Traditionally a noun, today also a verb. 
 Psychological state of stress 
 Physiological response to stress 
 Stress, by definition, is something that threatens the body’s state of 
equilibrium or homeostasis 
 Eustress and Distress 
 Eustress is “positive stress”, stress that the body and mind need to 
perform 
 Distress is negative stress 
6
The Stress Response 
 Fight or Flight! 
 Acute effects from stressful stimulus 
 Release of adrenaline and other hormones 
 Heart Rate (HR), Blood Pressure (BP), Blood sugar, Ventilation, and resting 
muscle tension increase 
 Blood directed away from extremities and GI tract 
 Pupils dilate 
 Hearing is more acute 
 Sweat 
 READY FOR ACTION!!! 
7
The Stress Response 
 Chronic: effects of stress response remaining on constantly 
 Increase in glucocorticoids (stress hormones) 
 Impairs digestion, immune response, tissue repair and maintenance 
 Sex drive 
 Effects nearly every system in the body! 
 Psychosomatic symptoms 
 Muscular tension, hypertension, headaches, back/neck pain, indigestion, insomnia 
 Chronic disease risk increases 
 Premature aging 
 Can damage brain structures tied to memory 
8 
Clinical Anxiety Disorder 
affects 40 million Americans, 
making it the most common 
psychiatric disorder.
The Stress Response 
 Conditions linked to Chronic Stress 
 Hypertension 
 Elevated Blood Sugar 
 High Cholesterol 
 Increased frequency of heart attack and 
stroke 
 Heart Arrhythmias 
 Decreased Mental Acuity 
 Headaches 
 Pain 
 Irritable Bowel Syndrome 
 Depression 
 Fatigue 
 Sleep Disruption 
 Heartburn 
 Weight fluctuation 
 Poor Performance 
 Aging 
9
The Stress Response 
 Chronic Stress and the Human Being 
 Brain gets locked into same pattern 
 “Marked by pessimism, fear, and retreat” –Ratay, Spark 
 “The mind is so powerful that we can set off the [stress] response just 
by imagining ourselves in a threatening situation.” 
 The End of Stress as we Know it, Bruce McEwen, Rockefeller University 
Neuroscientist 
 Humans are unique in this way—we are the only animal that can think 
ourselves into a frenzy, without an actual stress stimulus. 
 “…you lose the capacity to compare the situation to other memories 
or to recall that you can grab a jump rope and immediately relieve the 
stress or that you have friends to talk to or that it’s not the end of the 
world. Positive and realistic thoughts become less accessible, and 
eventually brain chemistry can shift toward anxiety or depression.” 
 Ratay, Spark 
10
Key Stressors 
 Drastic Changes 
 Loss of Control 
 Loss 
 Positive Life events cause stress too! 
 Marriage, birth of child, etc. 
 Work 
 Minor Stressors 
 Accumulation 
Holmes and Rahe Stress Scale 
1. Death of a spouse 
2. Divorce 
3. Marital Separation 
4. Imprisonment 
5. Death of close family member 
6. Personal injury or illness 
7. Marriage 
8. Dismissal from Work 
9. Marital reconciliation 
10. Change in health of family 
member 
11. Pregnancy 
42. Christmas 
11 
Don’t Sweat the Small Stuff!
Quarterbacking 
 Game Manager, or All-Pro? 
12 
“Change your thoughts and you can change 
your world.” 
Norman Vincent 
Peale, author of 
The Power of 
Positive Thinking
Stress Hardiness 
 Understanding/Envisioning stressors as opportunities, rather than threats 
 The “right” amount of tension is required for optimum performance. 
 Too much tension—everything has a breaking point. 
 For our bodies and mind, a degree of stress is necessary for growth. 
 Muscular system 
 Cardiovascular system 
 Skeletal system 
 Central Nervous system as well! 
13
Yerkes-Dodson Stress Graph 
14
Stress Hardiness 
 Achieved by: 
 Feeling in control of life circumstances 
 Focus on your locus of control—your psychological response to stress 
 Sense of commitment to homes, families, and work 
 Good social network 
 Good self-care 
 Balance 
15
Stress Management Techniques 
 Behavioral Modification 
 Cognitive Restructuring 
 Changing negative thoughts into 
positive or neutral thoughts 
 Assertiveness Training 
 Learning to say “no” 
 using “I” statements, strong posture, eye 
contact 
 Mindful Breathing 
 Progressive Relaxation 
 Meditation 
16 
“Today there is an ever-widening gap between 
the evolution of our biology and our society. 
We don’t have to run from lions, but we’re 
stuck with the instinct…The trick is how you 
respond. The way you cope with stress can 
change not only how you feel, but also how it 
transforms [your] brain.” 
 John J. Ratay, Spark
Stress Management Techniques 
 Sleep 
 7-8 hours of quality sleep recommended for adults 
 1/3 of adults do not get recommended amount 
 Sleep deprivation affects ability to: 
Handle Stress 
Control Mood 
Judge Mood of others 
Tolerate Pain 
17
Stress Management Techniques 
 Exercise 
 “When we exercise in response to stress, we’re doing what human beings have 
evolved to do over the past several million years.” 
 John J. Ratay, Spark 
 Fight or Flight gets us ready to be physical. 
 A 2002 article in the Journal of Applied Physiology studied physical activity 
patterns of early man (Paleolithic rhythm) 
 Found that modern man’s average energy expenditure per unit of body mass is less 
than 38% of our early ancestors. 
 Paleolithic man had to walk 5 to 10 miles on average per day, in order to find food to 
survive. 
 10,000 Steps!!! 
18
Stress Management Techniques 
 Stress and Exercise Research in the Literature 
 2004 Study at Leeds Metropolitan University in England 
 Workers who used company gym were more productive and felt better 
able to handle their workloads. 
 Based on questionnaire, 65% fared better in colleague interaction, time 
management, and meeting deadlines on days in which they exercised. 
 Northern Gas Company employees who participate in corporate 
exercise program took 80% fewer sick days. 
19
Stress Management Techniques 
 Nutrition 
 People tend to respond to stress in two ways nutritionally: eat too 
much or lose appetite 
 Best strategy: Eat nutritionally dense, balanced foods on a regular basis 
for stable energy 
 Reduce added sugars 
 Sugars trigger release of endorphins, but can be followed by crash in blood 
glucose 
 Limit caffeine, alcohol 
 Stay Hydrated! 
20
Stress Management Techniques 
 Social Support 
21
Stress Management Techniques 
 Other Avenues: 
 Yoga 
 Tai Chi 
 Massage Therapy 
 Aromatherapy 
 Pet Therapy 
 Mental Imagery/Guided Imagery 
 Time Management (Fall Webinar!) 
 Planning and Prioritizing 
 Music 
 Hobbies 
 Biofeedback 
 Autogenic Training 
22
Counseling Benefit 
 MUS insured plan members eligible for 4 free 
counseling sessions per year with an in-network 
provider 
23
Life is Difficult 
 “Life is difficult. This is a great truth, one of the greatest 
truths. It is a great truth because once we truly see this truth, 
we transcend it. Once we truly know that life is difficult—once 
we truly understand and accept it—then life is no longer 
difficult. Because once it is accepted, the fact that life is 
difficult no longer matters… 
 Life is a series of problems. Do we want to moan about them 
or solve them? Do we want to teach our children to solve 
them?” 
 Excerpt from opening page of The Road Less Traveled, M. Scott Peck. 
24
Be a Hero! 
 We idolize characters in life that weather the storm—that are cool under 
pressure. Perhaps because we can all relate to stressful situations, and 
understand on a deep level that we are built to cope with stress, and not 
only survive but strive under stressful situations. This is our legacy as 
human beings. 
25
Sources 
 The Relaxation & Stress Reduction Workbook, 6th ed. Davis, 
Eshelman, & McKay. 
 Stressaholic, Heidi Hanna. 
 Spark, The Revolutionary New Science of Exercise and the 
Brain, John J. Ratey. 
 Managing Stress, Brian Luke Seaward. 
 The Healthiest You, Kelly Traver. 
26
Online Resources 
 wellness.mus.edu 
 muswell.limeade.com 
montanamovesandmeals.com 
 wellness@montana.edu 
27
28

Stress management

  • 1.
    Stress Management MUSWELLNESS CRISTIN STOKES & NEAL ANDREWS 1
  • 2.
    Objectives Stress defined How stress affects our bodies and minds Strategies with how to deal with stress 2
  • 3.
    Wellness Model ChronicStress compromises all of these areas! 3
  • 4.
    A Stressful Question:  During the past work week, due to busyness or stress, I have:  Lost at least an hour of sleep  Skipped a workout  Skipped a meal Made a poor nutritional choice  Missed a social outing Neglected a loved one 4
  • 5.
    2013 Wellness Survey:What do you consider your biggest health concern(s) at this time? 42.45 37.98 37.64 2013 Data, n=1477 21.94 14.22 13.81 6.7 50 40 30 20 10 0 Weight Control Stress Physical Fitness Quality of Life Anxiety Depression CVD/Cancer 2013 Data, n=1477 5
  • 6.
    Understanding Stress What is Stress?  Traditionally a noun, today also a verb.  Psychological state of stress  Physiological response to stress  Stress, by definition, is something that threatens the body’s state of equilibrium or homeostasis  Eustress and Distress  Eustress is “positive stress”, stress that the body and mind need to perform  Distress is negative stress 6
  • 7.
    The Stress Response  Fight or Flight!  Acute effects from stressful stimulus  Release of adrenaline and other hormones  Heart Rate (HR), Blood Pressure (BP), Blood sugar, Ventilation, and resting muscle tension increase  Blood directed away from extremities and GI tract  Pupils dilate  Hearing is more acute  Sweat  READY FOR ACTION!!! 7
  • 8.
    The Stress Response  Chronic: effects of stress response remaining on constantly  Increase in glucocorticoids (stress hormones)  Impairs digestion, immune response, tissue repair and maintenance  Sex drive  Effects nearly every system in the body!  Psychosomatic symptoms  Muscular tension, hypertension, headaches, back/neck pain, indigestion, insomnia  Chronic disease risk increases  Premature aging  Can damage brain structures tied to memory 8 Clinical Anxiety Disorder affects 40 million Americans, making it the most common psychiatric disorder.
  • 9.
    The Stress Response  Conditions linked to Chronic Stress  Hypertension  Elevated Blood Sugar  High Cholesterol  Increased frequency of heart attack and stroke  Heart Arrhythmias  Decreased Mental Acuity  Headaches  Pain  Irritable Bowel Syndrome  Depression  Fatigue  Sleep Disruption  Heartburn  Weight fluctuation  Poor Performance  Aging 9
  • 10.
    The Stress Response  Chronic Stress and the Human Being  Brain gets locked into same pattern  “Marked by pessimism, fear, and retreat” –Ratay, Spark  “The mind is so powerful that we can set off the [stress] response just by imagining ourselves in a threatening situation.”  The End of Stress as we Know it, Bruce McEwen, Rockefeller University Neuroscientist  Humans are unique in this way—we are the only animal that can think ourselves into a frenzy, without an actual stress stimulus.  “…you lose the capacity to compare the situation to other memories or to recall that you can grab a jump rope and immediately relieve the stress or that you have friends to talk to or that it’s not the end of the world. Positive and realistic thoughts become less accessible, and eventually brain chemistry can shift toward anxiety or depression.”  Ratay, Spark 10
  • 11.
    Key Stressors Drastic Changes  Loss of Control  Loss  Positive Life events cause stress too!  Marriage, birth of child, etc.  Work  Minor Stressors  Accumulation Holmes and Rahe Stress Scale 1. Death of a spouse 2. Divorce 3. Marital Separation 4. Imprisonment 5. Death of close family member 6. Personal injury or illness 7. Marriage 8. Dismissal from Work 9. Marital reconciliation 10. Change in health of family member 11. Pregnancy 42. Christmas 11 Don’t Sweat the Small Stuff!
  • 12.
    Quarterbacking  GameManager, or All-Pro? 12 “Change your thoughts and you can change your world.” Norman Vincent Peale, author of The Power of Positive Thinking
  • 13.
    Stress Hardiness Understanding/Envisioning stressors as opportunities, rather than threats  The “right” amount of tension is required for optimum performance.  Too much tension—everything has a breaking point.  For our bodies and mind, a degree of stress is necessary for growth.  Muscular system  Cardiovascular system  Skeletal system  Central Nervous system as well! 13
  • 14.
  • 15.
    Stress Hardiness Achieved by:  Feeling in control of life circumstances  Focus on your locus of control—your psychological response to stress  Sense of commitment to homes, families, and work  Good social network  Good self-care  Balance 15
  • 16.
    Stress Management Techniques  Behavioral Modification  Cognitive Restructuring  Changing negative thoughts into positive or neutral thoughts  Assertiveness Training  Learning to say “no”  using “I” statements, strong posture, eye contact  Mindful Breathing  Progressive Relaxation  Meditation 16 “Today there is an ever-widening gap between the evolution of our biology and our society. We don’t have to run from lions, but we’re stuck with the instinct…The trick is how you respond. The way you cope with stress can change not only how you feel, but also how it transforms [your] brain.”  John J. Ratay, Spark
  • 17.
    Stress Management Techniques  Sleep  7-8 hours of quality sleep recommended for adults  1/3 of adults do not get recommended amount  Sleep deprivation affects ability to: Handle Stress Control Mood Judge Mood of others Tolerate Pain 17
  • 18.
    Stress Management Techniques  Exercise  “When we exercise in response to stress, we’re doing what human beings have evolved to do over the past several million years.”  John J. Ratay, Spark  Fight or Flight gets us ready to be physical.  A 2002 article in the Journal of Applied Physiology studied physical activity patterns of early man (Paleolithic rhythm)  Found that modern man’s average energy expenditure per unit of body mass is less than 38% of our early ancestors.  Paleolithic man had to walk 5 to 10 miles on average per day, in order to find food to survive.  10,000 Steps!!! 18
  • 19.
    Stress Management Techniques  Stress and Exercise Research in the Literature  2004 Study at Leeds Metropolitan University in England  Workers who used company gym were more productive and felt better able to handle their workloads.  Based on questionnaire, 65% fared better in colleague interaction, time management, and meeting deadlines on days in which they exercised.  Northern Gas Company employees who participate in corporate exercise program took 80% fewer sick days. 19
  • 20.
    Stress Management Techniques  Nutrition  People tend to respond to stress in two ways nutritionally: eat too much or lose appetite  Best strategy: Eat nutritionally dense, balanced foods on a regular basis for stable energy  Reduce added sugars  Sugars trigger release of endorphins, but can be followed by crash in blood glucose  Limit caffeine, alcohol  Stay Hydrated! 20
  • 21.
    Stress Management Techniques  Social Support 21
  • 22.
    Stress Management Techniques  Other Avenues:  Yoga  Tai Chi  Massage Therapy  Aromatherapy  Pet Therapy  Mental Imagery/Guided Imagery  Time Management (Fall Webinar!)  Planning and Prioritizing  Music  Hobbies  Biofeedback  Autogenic Training 22
  • 23.
    Counseling Benefit MUS insured plan members eligible for 4 free counseling sessions per year with an in-network provider 23
  • 24.
    Life is Difficult  “Life is difficult. This is a great truth, one of the greatest truths. It is a great truth because once we truly see this truth, we transcend it. Once we truly know that life is difficult—once we truly understand and accept it—then life is no longer difficult. Because once it is accepted, the fact that life is difficult no longer matters…  Life is a series of problems. Do we want to moan about them or solve them? Do we want to teach our children to solve them?”  Excerpt from opening page of The Road Less Traveled, M. Scott Peck. 24
  • 25.
    Be a Hero!  We idolize characters in life that weather the storm—that are cool under pressure. Perhaps because we can all relate to stressful situations, and understand on a deep level that we are built to cope with stress, and not only survive but strive under stressful situations. This is our legacy as human beings. 25
  • 26.
    Sources  TheRelaxation & Stress Reduction Workbook, 6th ed. Davis, Eshelman, & McKay.  Stressaholic, Heidi Hanna.  Spark, The Revolutionary New Science of Exercise and the Brain, John J. Ratey.  Managing Stress, Brian Luke Seaward.  The Healthiest You, Kelly Traver. 26
  • 27.
    Online Resources wellness.mus.edu  muswell.limeade.com montanamovesandmeals.com  wellness@montana.edu 27
  • 28.