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Stress Management Presentation

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Pk Doctors
Pk Doctors

This document discusses stress management and provides strategies for coping with stress. It defines stress and outlines its causes such as life events, work, and lifestyle factors. The physical and psychological symptoms of stress are described. The document also explains how the body's stress response system works and covers strategies for managing stress through changing one's thinking, behavior, and lifestyle habits like diet, exercise, and relaxation techniques. Alternative therapies for reducing stress are also mentioned.

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STRESS MANAGEMENT By Dr. M. Nasar Sayeed Khan Head department of psychiatry, services Institute of Medical Sciences & Services hospital, Lahore
Presentation Outline Part 1 - General Awareness Part 2 - Stress at Work Part 3 - Self - help
Part 1 General Awareness
Part 1 - Outline What is Stress ? Types of Stresses Individuals Stress origins & body systems Adaptation Syndrome Symptoms Costs of Stress Discussion & Questions
WHAT IS STRESS ? Stress is the reaction people have to excessive pressures or other types of demand placed upon them. It arises when they worry that they can’t cope. HELP ME!
WHAT IS STRESS ? Stress is the “wear and tear” our minds and bodies experience as we attempt to cope with our continually changing environment I HATE YOU
DEFINITION S = P > R Stress occurs when the pressure is greater than the resource
STRESS FEELINGS Worry Tense Tired Frightened Elated Depressed Anxious Anger
TYPES OF STRESSORS External Internal
EXTERNAL STRESSORS Physical Environment Social Interaction Organisational Major Life Events Daily Hassles
PHYSICAL ENVIRONMENT Noise Bright Lights Heat Confined Spaces
SOCIAL INTERACTION Rudeness Bossiness Aggressiveness by others Bullying
ORGANISATIONAL Rules Regulations Deadlines
MAJOR LIFE EVENTS Birth Death Lost job Promotion Marital status change
DAILY HASSLES Commuting Misplaced keys Mechanical breakdowns
INTERNAL STRESSORS Lifestyle choices Negative self - talk Mind traps Personality traits
LIFESTYLE CHOICES Caffeine Lack of sleep Overloaded schedule
NEGATIVE SELF - TALK Pessimistic thinking Self criticism Over analysing
MIND TRAPS Unrealistic expectations Taking things personally All or nothing thinking Exaggeration Rigid thinking
PERSONALITY TRAITS Perfectionists Workaholics
TYPES OF STRESS Negative stress Positive stress
NEGATIVE STRESS It is a contributory factor in minor conditions, such as headaches, digestive problems, skin complaints, insomnia and ulcers. Excessive, prolonged and unrelieved stress can have a harmful effect on mental, physical and spiritual health.
POSITIVE STRESS Stress can also have a positive effect, spurring motivation and awareness, providing the stimulation to cope with challenging situations. Stress also provides the sense of urgency and alertness needed for survival when confronting threatening situations.
THE INDIVIDUAL Everyone is different, with unique perceptions of, and reactions to, events. There is no single level of stress that is optimal for all people. Some are more sensitive owing to experiences in childhood, the influence of teachers, parents and religion etc.
Most of the stress we experience is self-generated. How we perceive life - whether an event makes us feel threatened or stimulated, encouraged or discouraged, happy or sad - depends to a large extent on how we perceive ourselves.
Self-generated stress is something of a paradox, because so many people think of external causes when they are upset. Recognising that we create most of our own upsets is an important first step towards coping with them.
The Stress Response 1930’s Dr. Hans Selye Dr. Walter Cannon ‘ Flight or Fight Response’
Endocrine System Stress response controlled by the Endocrine System. Demands on the physical or mental systems of the body result in hormone secretion (Adrenaline, testosterone)
ENDOCRINE SYSTEM RESPONSES Increased pupil dilatation Perspiration Increased heart rate and blood pressure Rapid breathing Muscle tenseness Increased mental alertness
GENERAL ADAPTATION SYNDROME Alarm response Adaptation Exhaustion
ALARM RESPONSE This is the “ Fight or Flight” response that prepares the body for immediate action.
ADAPTATION PHASE If the source persists, the body prepares for long-term protection, secreting hormones to increase blood sugar levels. This phase is common and not necessarily harmful, but must include periods of relaxation and rest to counterbalance the stress response. Fatigue, concentration lapses, irritability and lethargy result as the stress turns negative.
EXHAUSTION In chronic stress situations, sufferers enter the exhaustion phase: emotional, physical and mental resources suffer heavily, the body experiences ‘ adrenal exhaustion’ leading to decreased stress tolerance, progressive mental and physical exhaustion, illness and collapse.
SYMPTOMS OF STRESS Physical symptoms Mental symptoms Behavioural symptoms Emotional symptoms
PHYSICAL SYMPTOMS Sleep pattern changes Fatigue Digestion changes Loss of sexual drive Headaches Aches and pains Infections Indigestion Dizziness Fainting Sweating & trembling Tingling hands & feet Breathlessness Palpitations Missed heartbeats
MENTAL SYMPTOMS Lack of concentration Memory lapses Difficulty in making decisions Confusion Disorientation Panic attacks
BEHAVIOURAL SYMPTOMS Appetite changes - too much or too little Eating disorders - anorexia, bulimia Increased intake of alcohol & other drugs Increased smoking Restlessness Fidgeting Nail biting Hypochondria
EMOTIONAL SYMPTOMS Bouts of depression Impatience Fits of rage Tearfulness Deterioration of personal hygiene and appearance
STRESS RELATED ILLNESSES Stress is not the same as ill-health, but has been related to such illnesses as; Cardiovascular disease Immune system disease Asthma Diabetes
Digestive disorders Ulcers Skin complaints - psoriasis Headaches and migraines Pre-menstrual syndrome Depression
COSTS OF STRESS 80% of all modern diseases have their origins in stress. In the UK, 40 million working days per year are lost directly from stress - related illness. Costs in absenteeism to British industry is estimated at £1.5 billion pounds per year.
Summary - Part 1 What is Stress ? Types of Stresses Individuals Stress origins & body systems Adaptation Syndrome Symptoms Costs of Stress
Part 3 Self - help
Part 3 - Outline Causes of Stress Identification and admission Coping strategies Summary
Statement Not all the stress we experience is generated at work !!
Causes of Stress External Stresses Internal Stresses
External Stresses - Major Life Events Death of a loved one Divorce / separation Imprisonment Injury/illness ( self / family ) Marriage/ engagement Loss of job Retirement Pregnancy Sexual Problems Change in financial status Change of job / work Mortgage or loan Foreclosure of mortgage/loan Change in responsibilities Moving house Holidays Christmas Minor violations of the law
RECOGNISE THE PROBLEM The most important point is to recognise the source of the negative stress. This is not an admission of weakness or inability to cope! It is a way to identify the problem and plan measures to overcome it.
STRESS CONTROL A B C STRATEGY
ABC STRATEGY A = AWARENESS What causes you stress? How do you react?
ABC STRATEGY B = BALANCE There is a fine line between positive / negative stress How much can you cope with before it becomes negative ?
ABC STRATEGY C = CONTROL What can you do to help yourself combat the negative effects of stress ?
Stress Management Techniques Change your thinking Change your behaviour Change your lifestyle
Change your Thinking Re-framing Positive thinking
Re-framing Re-framing is a technique to change the way you look at things in order to feel better about them. There are many ways to interpret the same situation so pick the one you like. Re-framing does not change the external reality, but helps you view things in a different light and less stressfully.
Positive Thinking Forget powerlessness, dejection, despair, failure Stress leaves us vulnerable to negative suggestion so focus on positives; Focus on your strengths Learn from the stress you are under Look for opportunities Seek out the positive - make a change.
Change your Behaviour Be assertive Get organised Ventilation Humour Diversion and distraction
Be Assertive Assertiveness helps to manage stressful situations, and will , in time, help to reduce their frequency. Lack of assertiveness often shows low self - esteem and low self - confidence. The key to assertiveness is verbal and non - verbal communication. Extending our range of communication skills will improve our assertiveness.
Equality and Basic Rights 1) The right to express my feelings 2) The right to express opinions / beliefs 3) The right to say ‘Yes/No’ for yourself 4) Right to change your mind 5) Right to say ‘I don’t understand’ 6) Right to be yourself, not acting for the benefit of others
7) The right to decline responsibility for other people’s problems 8) The right to make reasonable requests of others 9) The right to set my own priorities 10) The right to be listened to, and taken seriously
Being Assertive Being assertive involves standing up for your personal rights and expressing your thoughts, feelings and beliefs directly, honestly and spontaneously in ways that don’t infringe the rights of others.
Assertive People Respect themselves and others Take responsibility for actions and choices Ask openly for what they want Disappointed if ‘want’ denied Self - confidence remains intact Not reliant on the approval of others
Assertive Skills Establish good eye contact / don’t stare Stand or sit comfortably - don’t fidget Talk in a firm, steady voice Use body language ‘ I think’ / ‘I feel’ ‘ What do you think?’ ‘How do you feel ?’ Concise and to the point
Benefits Higher self-esteem Less self-conscious Less anxious Manage stress more successfully Appreciate yourself and others more easily Feeling of self-control
Get Organised Poor organisation is one of the most common causes of stress. Structured approaches offer security against ‘out of the blue’ problems. Prioritising objectives, duties and activities makes them manageable and achievable. Don’t overload your mind. Organisation will help avoid personal and professional chaos.
Time Management Make a list What MUST be done What SHOULD be done What would you LIKE to do Cut out time wasting Learn to drop unimportant activities Say no or delegate
Plan your day Set achievable goals Don’t waste time making excuses for not doing something
Ventilation ‘ A problem shared is a problem halved’ Develop a support network through friends or colleagues to talk with. It’s not always events that are stressful but how we perceive them. Writing a diary or notes may help release feelings but do not re-read what has been written.
Humour Good stress - reducer Applies at home and work Relieves muscular tension Improves breathing Pumps endorphins into the bloodstream - the body’s natural painkillers
Diversion and Distraction Take time out Get away from things that bother you Doesn’t solve the problem Reduce stress level Calm down Think logically
Change Your Lifestyle Diet Smoking & Alcohol Exercise Sleep Leisure Relaxation
Diet Healthy eating habits Caffeine (Stimulant) Salt
Smoking and Alcohol Stop or at-least your consumption to bare minimum
Benefits of Exercise Uses up excess energy released by the ‘Fight or Flight’ reaction. Improves blood circulation Lowers blood pressure Clears the mind of worrying thoughts Improves self image Makes you feel better about yourself Increases social contact
Sleep Good stress reducer Difficult to cope when tired Wake refreshed after night’s sleep Plenty of daytime energy
Leisure Interest Gives you a ‘break’ from stresses Provides outlet for relief Provides social contact
Benefits of Relaxation Lowers blood pressure Combats fatigue Promotes sleep Reduces pain Eases muscle tension
Decreases mental worries Increases concentration Increases productivity Increases clear thinking
Alternatives Conventional Medicine Counselling & psychotherapy Relaxation Meditation Massage Yoga Acupuncture Aromatherapy Floatation Herbalism Biofeedback Homeopathy Hypnotherapy Osteopathy Religious Therapy Reflexology
Summary Causes of stress Identification and admission Ways to control stress Alternative methods

More Related Content

Stress Management Presentation

  • 1. STRESS MANAGEMENT By Dr. M. Nasar Sayeed Khan Head department of psychiatry, services Institute of Medical Sciences & Services hospital, Lahore
  • 2. Presentation Outline Part 1 - General Awareness Part 2 - Stress at Work Part 3 - Self - help
  • 3. Part 1 General Awareness
  • 4. Part 1 - Outline What is Stress ? Types of Stresses Individuals Stress origins & body systems Adaptation Syndrome Symptoms Costs of Stress Discussion & Questions
  • 5. WHAT IS STRESS ? Stress is the reaction people have to excessive pressures or other types of demand placed upon them. It arises when they worry that they can’t cope. HELP ME!
  • 6. WHAT IS STRESS ? Stress is the “wear and tear” our minds and bodies experience as we attempt to cope with our continually changing environment I HATE YOU
  • 7. DEFINITION S = P > R Stress occurs when the pressure is greater than the resource
  • 8. STRESS FEELINGS Worry Tense Tired Frightened Elated Depressed Anxious Anger
  • 9. TYPES OF STRESSORS External Internal
  • 10. EXTERNAL STRESSORS Physical Environment Social Interaction Organisational Major Life Events Daily Hassles
  • 11. PHYSICAL ENVIRONMENT Noise Bright Lights Heat Confined Spaces
  • 12. SOCIAL INTERACTION Rudeness Bossiness Aggressiveness by others Bullying
  • 14. MAJOR LIFE EVENTS Birth Death Lost job Promotion Marital status change
  • 15. DAILY HASSLES Commuting Misplaced keys Mechanical breakdowns
  • 16. INTERNAL STRESSORS Lifestyle choices Negative self - talk Mind traps Personality traits
  • 17. LIFESTYLE CHOICES Caffeine Lack of sleep Overloaded schedule
  • 18. NEGATIVE SELF - TALK Pessimistic thinking Self criticism Over analysing
  • 19. MIND TRAPS Unrealistic expectations Taking things personally All or nothing thinking Exaggeration Rigid thinking
  • 21. TYPES OF STRESS Negative stress Positive stress
  • 22. NEGATIVE STRESS It is a contributory factor in minor conditions, such as headaches, digestive problems, skin complaints, insomnia and ulcers. Excessive, prolonged and unrelieved stress can have a harmful effect on mental, physical and spiritual health.
  • 23. POSITIVE STRESS Stress can also have a positive effect, spurring motivation and awareness, providing the stimulation to cope with challenging situations. Stress also provides the sense of urgency and alertness needed for survival when confronting threatening situations.
  • 24. THE INDIVIDUAL Everyone is different, with unique perceptions of, and reactions to, events. There is no single level of stress that is optimal for all people. Some are more sensitive owing to experiences in childhood, the influence of teachers, parents and religion etc.
  • 25. Most of the stress we experience is self-generated. How we perceive life - whether an event makes us feel threatened or stimulated, encouraged or discouraged, happy or sad - depends to a large extent on how we perceive ourselves.
  • 26. Self-generated stress is something of a paradox, because so many people think of external causes when they are upset. Recognising that we create most of our own upsets is an important first step towards coping with them.
  • 27. The Stress Response 1930’s Dr. Hans Selye Dr. Walter Cannon ‘ Flight or Fight Response’
  • 28. Endocrine System Stress response controlled by the Endocrine System. Demands on the physical or mental systems of the body result in hormone secretion (Adrenaline, testosterone)
  • 29. ENDOCRINE SYSTEM RESPONSES Increased pupil dilatation Perspiration Increased heart rate and blood pressure Rapid breathing Muscle tenseness Increased mental alertness
  • 30. GENERAL ADAPTATION SYNDROME Alarm response Adaptation Exhaustion
  • 31. ALARM RESPONSE This is the “ Fight or Flight” response that prepares the body for immediate action.
  • 32. ADAPTATION PHASE If the source persists, the body prepares for long-term protection, secreting hormones to increase blood sugar levels. This phase is common and not necessarily harmful, but must include periods of relaxation and rest to counterbalance the stress response. Fatigue, concentration lapses, irritability and lethargy result as the stress turns negative.
  • 33. EXHAUSTION In chronic stress situations, sufferers enter the exhaustion phase: emotional, physical and mental resources suffer heavily, the body experiences ‘ adrenal exhaustion’ leading to decreased stress tolerance, progressive mental and physical exhaustion, illness and collapse.
  • 34. SYMPTOMS OF STRESS Physical symptoms Mental symptoms Behavioural symptoms Emotional symptoms
  • 35. PHYSICAL SYMPTOMS Sleep pattern changes Fatigue Digestion changes Loss of sexual drive Headaches Aches and pains Infections Indigestion Dizziness Fainting Sweating & trembling Tingling hands & feet Breathlessness Palpitations Missed heartbeats
  • 36. MENTAL SYMPTOMS Lack of concentration Memory lapses Difficulty in making decisions Confusion Disorientation Panic attacks
  • 37. BEHAVIOURAL SYMPTOMS Appetite changes - too much or too little Eating disorders - anorexia, bulimia Increased intake of alcohol & other drugs Increased smoking Restlessness Fidgeting Nail biting Hypochondria
  • 38. EMOTIONAL SYMPTOMS Bouts of depression Impatience Fits of rage Tearfulness Deterioration of personal hygiene and appearance
  • 39. STRESS RELATED ILLNESSES Stress is not the same as ill-health, but has been related to such illnesses as; Cardiovascular disease Immune system disease Asthma Diabetes
  • 40. Digestive disorders Ulcers Skin complaints - psoriasis Headaches and migraines Pre-menstrual syndrome Depression
  • 41. COSTS OF STRESS 80% of all modern diseases have their origins in stress. In the UK, 40 million working days per year are lost directly from stress - related illness. Costs in absenteeism to British industry is estimated at £1.5 billion pounds per year.
  • 42. Summary - Part 1 What is Stress ? Types of Stresses Individuals Stress origins & body systems Adaptation Syndrome Symptoms Costs of Stress
  • 43. Part 3 Self - help
  • 44. Part 3 - Outline Causes of Stress Identification and admission Coping strategies Summary
  • 45. Statement Not all the stress we experience is generated at work !!
  • 46. Causes of Stress External Stresses Internal Stresses
  • 47. External Stresses - Major Life Events Death of a loved one Divorce / separation Imprisonment Injury/illness ( self / family ) Marriage/ engagement Loss of job Retirement Pregnancy Sexual Problems Change in financial status Change of job / work Mortgage or loan Foreclosure of mortgage/loan Change in responsibilities Moving house Holidays Christmas Minor violations of the law
  • 48. RECOGNISE THE PROBLEM The most important point is to recognise the source of the negative stress. This is not an admission of weakness or inability to cope! It is a way to identify the problem and plan measures to overcome it.
  • 49. STRESS CONTROL A B C STRATEGY
  • 50. ABC STRATEGY A = AWARENESS What causes you stress? How do you react?
  • 51. ABC STRATEGY B = BALANCE There is a fine line between positive / negative stress How much can you cope with before it becomes negative ?
  • 52. ABC STRATEGY C = CONTROL What can you do to help yourself combat the negative effects of stress ?
  • 53. Stress Management Techniques Change your thinking Change your behaviour Change your lifestyle
  • 54. Change your Thinking Re-framing Positive thinking
  • 55. Re-framing Re-framing is a technique to change the way you look at things in order to feel better about them. There are many ways to interpret the same situation so pick the one you like. Re-framing does not change the external reality, but helps you view things in a different light and less stressfully.
  • 56. Positive Thinking Forget powerlessness, dejection, despair, failure Stress leaves us vulnerable to negative suggestion so focus on positives; Focus on your strengths Learn from the stress you are under Look for opportunities Seek out the positive - make a change.
  • 57. Change your Behaviour Be assertive Get organised Ventilation Humour Diversion and distraction
  • 58. Be Assertive Assertiveness helps to manage stressful situations, and will , in time, help to reduce their frequency. Lack of assertiveness often shows low self - esteem and low self - confidence. The key to assertiveness is verbal and non - verbal communication. Extending our range of communication skills will improve our assertiveness.
  • 59. Equality and Basic Rights 1) The right to express my feelings 2) The right to express opinions / beliefs 3) The right to say ‘Yes/No’ for yourself 4) Right to change your mind 5) Right to say ‘I don’t understand’ 6) Right to be yourself, not acting for the benefit of others
  • 60. 7) The right to decline responsibility for other people’s problems 8) The right to make reasonable requests of others 9) The right to set my own priorities 10) The right to be listened to, and taken seriously
  • 61. Being Assertive Being assertive involves standing up for your personal rights and expressing your thoughts, feelings and beliefs directly, honestly and spontaneously in ways that don’t infringe the rights of others.
  • 62. Assertive People Respect themselves and others Take responsibility for actions and choices Ask openly for what they want Disappointed if ‘want’ denied Self - confidence remains intact Not reliant on the approval of others
  • 63. Assertive Skills Establish good eye contact / don’t stare Stand or sit comfortably - don’t fidget Talk in a firm, steady voice Use body language ‘ I think’ / ‘I feel’ ‘ What do you think?’ ‘How do you feel ?’ Concise and to the point
  • 64. Benefits Higher self-esteem Less self-conscious Less anxious Manage stress more successfully Appreciate yourself and others more easily Feeling of self-control
  • 65. Get Organised Poor organisation is one of the most common causes of stress. Structured approaches offer security against ‘out of the blue’ problems. Prioritising objectives, duties and activities makes them manageable and achievable. Don’t overload your mind. Organisation will help avoid personal and professional chaos.
  • 66. Time Management Make a list What MUST be done What SHOULD be done What would you LIKE to do Cut out time wasting Learn to drop unimportant activities Say no or delegate
  • 67. Plan your day Set achievable goals Don’t waste time making excuses for not doing something
  • 68. Ventilation ‘ A problem shared is a problem halved’ Develop a support network through friends or colleagues to talk with. It’s not always events that are stressful but how we perceive them. Writing a diary or notes may help release feelings but do not re-read what has been written.
  • 69. Humour Good stress - reducer Applies at home and work Relieves muscular tension Improves breathing Pumps endorphins into the bloodstream - the body’s natural painkillers
  • 70. Diversion and Distraction Take time out Get away from things that bother you Doesn’t solve the problem Reduce stress level Calm down Think logically
  • 71. Change Your Lifestyle Diet Smoking & Alcohol Exercise Sleep Leisure Relaxation
  • 72. Diet Healthy eating habits Caffeine (Stimulant) Salt
  • 73. Smoking and Alcohol Stop or at-least your consumption to bare minimum
  • 74. Benefits of Exercise Uses up excess energy released by the ‘Fight or Flight’ reaction. Improves blood circulation Lowers blood pressure Clears the mind of worrying thoughts Improves self image Makes you feel better about yourself Increases social contact
  • 75. Sleep Good stress reducer Difficult to cope when tired Wake refreshed after night’s sleep Plenty of daytime energy
  • 76. Leisure Interest Gives you a ‘break’ from stresses Provides outlet for relief Provides social contact
  • 77. Benefits of Relaxation Lowers blood pressure Combats fatigue Promotes sleep Reduces pain Eases muscle tension
  • 78. Decreases mental worries Increases concentration Increases productivity Increases clear thinking
  • 79. Alternatives Conventional Medicine Counselling & psychotherapy Relaxation Meditation Massage Yoga Acupuncture Aromatherapy Floatation Herbalism Biofeedback Homeopathy Hypnotherapy Osteopathy Religious Therapy Reflexology
  • 80. Summary Causes of stress Identification and admission Ways to control stress Alternative methods