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    2018 Counseling Patients On Stress Management

    Uploaded by

    Majid Khan
    Here are some suggestions I would provide for managing stress without medication: - Deep breathing exercises - Taking slow, deep breaths can help calm the nervous system. - Progressive muscle relaxation - Tensing and relaxing different muscle groups can relieve physical tension. - Mindfulness meditation - Learning to focus on the present moment non-judgmentally can help reduce worrying. - Yoga or tai chi - Gentle movement combined with breathing can relax both body and mind. - Talk therapy - Speaking to a counselor or therapist can help develop healthier coping strategies. - Social support - Spending time with supportive friends and family provides a buffer against stress. - Adequate sleep and nutrition - Taking care

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    Download as PPTX, PDF, TXT or read online from Scribd

    2018 Counseling Patients On Stress Management

    Uploaded by

    Majid Khan
    13 views8 pages
    Here are some suggestions I would provide for managing stress without medication: - Deep breathing exercises - Taking slow, deep breaths can help calm the nervous system. - Progressive muscle relaxation - Tensing and relaxing different muscle groups can relieve physical tension. - Mindfulness meditation - Learning to focus on the present moment non-judgmentally can help reduce worrying. - Yoga or tai chi - Gentle movement combined with breathing can relax both body and mind. - Talk therapy - Speaking to a counselor or therapist can help develop healthier coping strategies. - Social support - Spending time with supportive friends and family provides a buffer against stress. - Adequate sleep and nutrition - Taking care

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    2018 Counseling Patients on Stress Management

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    Here are some suggestions I would provide for managing stress without medication: - Deep breathing exercises - Taking slow, deep breaths can help calm the nervous system. - Progressive muscle relaxation - Tensing and relaxing different muscle groups can relieve physical tension. - Mindfulness meditation - Learning to focus on the present moment non-judgmentally can help reduce worrying. - Yoga or tai chi - Gentle movement combined with breathing can relax both body and mind. - Talk therapy - Speaking to a counselor or therapist can help develop healthier coping strategies. - Social support - Spending time with supportive friends and family provides a buffer against stress. - Adequate sleep and nutrition - Taking care

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    13 views8 pages

    2018 Counseling Patients On Stress Management

    Uploaded by

    Majid Khan
    Here are some suggestions I would provide for managing stress without medication: - Deep breathing exercises - Taking slow, deep breaths can help calm the nervous system. - Progressive muscle relaxation - Tensing and relaxing different muscle groups can relieve physical tension. - Mindfulness meditation - Learning to focus on the present moment non-judgmentally can help reduce worrying. - Yoga or tai chi - Gentle movement combined with breathing can relax both body and mind. - Talk therapy - Speaking to a counselor or therapist can help develop healthier coping strategies. - Social support - Spending time with supportive friends and family provides a buffer against stress. - Adequate sleep and nutrition - Taking care

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 8

    Counseling Patients on

    Stress Management
    Nicole Jacobs, Ph.D., Lisa Calvo, M.D., Aaron Dieringer, M.D.
    Practice of Medicine
    Stress: Its Not Just for Medical
    Students
     Many of your patients will tell you they are stressed

     Long term stress contributes to many health problems


     Sahler & Carr: Majority of illness seen by PCP’s
     Patients somaticize stress
     Felleti: ACE scores lead to illness
     Stress contributes to hypertension and cardiovascular disease
     Stress can have an impact on mortality

     Patients with stress are more likely to see physicians than


    mental health specialists
     Physicians should talk with patients about stress management
    Stress Management Strategies

     Coping Strategies: Action, Palliation, Avoidance

     Defense Mechanisms: Immature and mature

     Cognitive flexibility: perception

     Social Support

     Sleep

     Activity, fun, pleasant events

     Distraction
    Stress Management Strategies

     Relaxation (deep breathing, yoga, meditation, mindfulness)

     Progressive muscle relaxation

     Biofeedback

     Religion/Spirituality

     Support groups

     Therapy

     Medication (antidepressants, anxiolytics)

     Apps for relaxation, deep breathing, muscle relaxation, meditation

     Others?
    Assess for Negative Coping

     Alcohol/Drugs

     Psychotic, Immature, Neurotic Defense Mechanisms

     Avoidance

     Withdrawal/Social isolation

     Some negative coping can lead to psychiatric illness (OCD,


    Depression, suicidal ideation, etc.)
     Self injurious behaviors (cutting, burning, bingeing and
    purging, etc.)
     For adolescents: HEADSS assessment
    Counseling Patients on
    Stress Management
     Normalize and validate stress

     Discourage negative coping strategies

     Discuss connection between stress and medical condition

     Educate patients about positive coping alternatives

     Can use motivational interviewing techniques

     What has worked well in the past for the patient?

     What is the patient willing to do?

     Put it in the treatment plan


     Consider a behavioral prescription

     Role play in pairs


    Case 1
     Very anxious patient with hypertension, tension
    headaches. How do you counsel him/her on stress
    management?
    Case 2
     Patient complains of panic attacks due to stress from
    work, and doesn’t want to take medications. What
    do you suggest for managing stress?

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