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Stress and Depression
      Common Causes
 Common Signs and Symptoms
      Coping Strategies
   Caring & Treatment Tips
What Is Stress?



• Stress is the way your body
 relates to life’s pressures.
What Are Some Common
Sources of Stress?
• Situations in the home
  –   Parents’ separation or divorce,
  –   A new stepparent,
  –   A new brother or sister,
  –   A single parent household,
  –   Little or no emotional support,
  –   Neglect (personal needs not met),
  –   Abuse (physical or sexual)…
What Are Some Common
Sources of Stress?
• Situations in life:
  – Death of a loved one or friend,
  – Moving to a new town or new school,
  – Illness or hospitalization,
  – Violence in the neighborhood, community,
    world,
  – Natural disasters or other emergencies…
What Are Some Common
Sources of Stress?

• Situations at school:
  –   Problems with friends,
  –   Gangs, threats from others, bullies,
  –   Competition,
  –   Popularity,
  –   Homework, grades, pressures to excel,
  –   No support for school work…
Reactions to Stress

• Reactions to stress   • Reactions to stress
  can be                  can affect a person’s
  – Short term            –   Physical health
  – Long term
                          –   Emotional health
  – Extreme and life
    threatening           –   Thinking
                          –   Social activity
What Are Some Common
Symptoms of Stress?

• Thoughts:
  –   Difficulty communicating or listening,
  –   Lack of concentration,
  –    Memory problems,
  –   Difficulty making decisions,
  –   Disorientation and confusion,
  –   Loss of objectivity…
What Are Some Common
Symptoms of Stress?
• Feelings
  –   Frequent crying, show of emotions,
  –   Hyper-vigilance or excessive worry,
  –   Irritability, outbursts of anger, frequent arguments,
  –   Depression,
  –   Apathy,
  –   Denial,
  –   Anxiety or fear,
  –   Guilt,
  –   Grief…
What Are Some Common
Symptoms of Stress?

• Physical Changes
  – Short-term physical reactions:
       – Oxygen
           Extra oxygen reaches the brain because the
            bronchioles dilate
       – Endorphins
       – Adrenaline
           Extra blood reaches the organs because the heart
            rate increases
What Are Some Common
Symptoms of Stress?

• Physical Symptoms
  – Effects on the Body: Long Term
     • Damage to the cardiovascular, immune, and
         nervous systems,
     •   People develop patterns of response,
     •   These responses may indicate need for corrective
         action to limit their impact.
What Are Some Common
Symptoms of Stress?

• Change in behavior
  –   Increase or decrease in activity level,
  –   Substance use or abuse (alcohol or drugs),
  –   Decline in school performance, absenteeism,
  –   Avoidance of activities or places (isolation),
  –   Becoming accident prone,
  –   Inability to rest or relax,
  –   Blaming,
  –   Difficulty in giving or accepting support or help,
  –   Inability to experience pleasure or have fun…
What Is Depression?

• Depression is a common and serious
 medical condition characterized by
 extreme sadness and loss of pleasure in
 life.
What Is Depression?

 – Depression can lead to suicide.
 – Depression can happen in anyone’s life.
    • Any race
    • Any social standing
    • Any age – 1 in 8 adolescents have some
     symptoms
What Causes Depression?
• Precise causes are not known.
  – Biological - genetic factors
  – Psycho - social factors
     • Ex: continued distress from any of the previously
         identified “stressors”,
     •   Ex: distorted, negative thinking patterns…
Contributing Factors for
Depression in Teens:

• Stressors such as fear of not meeting
    expectations of parents, teachers, others…
•   When things go wrong at school or at home
    teens may feel unsure of abilities or question
    how they fit in…
•   Facing choices about friendship, sex, alcohol,
    and drugs…
•   Facing conflicting messages from parents,
    teachers, friends and society…
Danger Signs in Depressed
Teens
When students……
• Experience a humiliating or anxiety provoking
  situation,
• Show more than five major signs of depression
  for over two weeks (see student handout: Signs
  of Depression),
• Demonstrate or verbalize suicidal thoughts,
• Increase risk-taking behavior,
• Show signs of personality changes,
• Seriously neglect self-care…
Stress and Depression

• Continued stress can lead to depression.
• Continued depression can lead to suicide.
• Managing stress can prevent or reduce
  depression and suicide.
• It is important to manage both stress and
  depression.
Stress & Depression:
Comparing Physical
Symptoms
• Stress                        • Depression
  – Gastrointestinal problems
                                  –   Stomachaches
  – Headaches, other aches
    and pains                     –   Headaches
  – Chronic fatigue or sleep      –   Sleeping problems
    disturbances
  – Weight loss or gain           –   Weight changes
  – Sweating or chills            –   Appetite changes
  – Tremors or muscle             –   Lack of energy
    twitching
  – Being easily startled         –   Joint or backaches
  – Immune system disorders
  – Visual disturbances
Stress & Depression:
Comparing Thoughts
• Stress                    • Depression
  – Lack of concentration     – Difficulty concentrating
  – Memory problems           – Difficulty making
  – Difficulty making           decisions
    decisions                 – Problems completing
  – Disorientation and          school work
    confusion                 – Problems maintaining
  – Loss of objectivity         grades
Stress & Depression:
Comparing Feelings
• Stress                • Depression
  –   Depression          – Sadness
  –   Apathy              – Lack of enjoyment of
  –   Denial                everyday pleasures
  –   Anxiety or fear     – Hopelessness
  –   Guilt               – Worthlessness
  –   Grief               – Emptiness
                          – Guilt
Stress & Depression:
Comparing Actions
• Stress                      • Depression
  – Isolation                   –   Restless
  – Blaming                     –   Not wanting to go to
                                    school – cutting
  – Difficulty in giving or         classes
    accepting support or        –   Wanting to be alone
    help
                                –   Difficulty getting along
  – Inability to experience     –   Dropping out of sports,
    pleasure or have fun            hobbies, activities
                                –   Drinking, drug use
Coping Strategies

• Coping with Stress
  –   There are many resources for stress management.
  –   Be aware of signs and symptoms of stress:
       • Take practical action to reduce the stress as soon as
         possible.
  – Identify ways to manage / reduce source of
    symptoms:
      • Ex: relaxation and meditation techniques to help with
         physical symptoms of stress,
       • Ex: discuss your thoughts and feelings with a responsible
         adult…
Coping Strategies

• Coping with Depression
  – Recognize the signs of depression.
  – Remember that depression is not a sign of
    weakness nor is it something you can “snap
    out of”.
  – Depression is a serious condition that needs
    medical attention.
  – Depression can be successfully treated and
    the emotional pain can be relieved.
Caring and Treatment Tips

• Stress –
  –   Offer to listen,
  –   Suggest a responsible person / resource to go
      to for help,
• Depression –
  – Offer to listen - show concern,
  – Trust your instincts - alert an adult to your
    concern about a depressed person.
Extreme Stress

   • Chronic or traumatic stress is potentially very
       destructive and can deprive [youth] of physical and
       mental health.
   •   If stress is extreme and not managed, some
       individuals may experience post traumatic stress
       disorder (PTSD).
   •   PTSD is a psychiatric disorder that can occur
       following the experience or witnessing of life-
       threatening events.

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Stress and depression

  • 1. Stress and Depression Common Causes Common Signs and Symptoms Coping Strategies Caring & Treatment Tips
  • 2. What Is Stress? • Stress is the way your body relates to life’s pressures.
  • 3. What Are Some Common Sources of Stress? • Situations in the home – Parents’ separation or divorce, – A new stepparent, – A new brother or sister, – A single parent household, – Little or no emotional support, – Neglect (personal needs not met), – Abuse (physical or sexual)…
  • 4. What Are Some Common Sources of Stress? • Situations in life: – Death of a loved one or friend, – Moving to a new town or new school, – Illness or hospitalization, – Violence in the neighborhood, community, world, – Natural disasters or other emergencies…
  • 5. What Are Some Common Sources of Stress? • Situations at school: – Problems with friends, – Gangs, threats from others, bullies, – Competition, – Popularity, – Homework, grades, pressures to excel, – No support for school work…
  • 6. Reactions to Stress • Reactions to stress • Reactions to stress can be can affect a person’s – Short term – Physical health – Long term – Emotional health – Extreme and life threatening – Thinking – Social activity
  • 7. What Are Some Common Symptoms of Stress? • Thoughts: – Difficulty communicating or listening, – Lack of concentration, – Memory problems, – Difficulty making decisions, – Disorientation and confusion, – Loss of objectivity…
  • 8. What Are Some Common Symptoms of Stress? • Feelings – Frequent crying, show of emotions, – Hyper-vigilance or excessive worry, – Irritability, outbursts of anger, frequent arguments, – Depression, – Apathy, – Denial, – Anxiety or fear, – Guilt, – Grief…
  • 9. What Are Some Common Symptoms of Stress? • Physical Changes – Short-term physical reactions: – Oxygen  Extra oxygen reaches the brain because the bronchioles dilate – Endorphins – Adrenaline  Extra blood reaches the organs because the heart rate increases
  • 10. What Are Some Common Symptoms of Stress? • Physical Symptoms – Effects on the Body: Long Term • Damage to the cardiovascular, immune, and nervous systems, • People develop patterns of response, • These responses may indicate need for corrective action to limit their impact.
  • 11. What Are Some Common Symptoms of Stress? • Change in behavior – Increase or decrease in activity level, – Substance use or abuse (alcohol or drugs), – Decline in school performance, absenteeism, – Avoidance of activities or places (isolation), – Becoming accident prone, – Inability to rest or relax, – Blaming, – Difficulty in giving or accepting support or help, – Inability to experience pleasure or have fun…
  • 12. What Is Depression? • Depression is a common and serious medical condition characterized by extreme sadness and loss of pleasure in life.
  • 13. What Is Depression? – Depression can lead to suicide. – Depression can happen in anyone’s life. • Any race • Any social standing • Any age – 1 in 8 adolescents have some symptoms
  • 14. What Causes Depression? • Precise causes are not known. – Biological - genetic factors – Psycho - social factors • Ex: continued distress from any of the previously identified “stressors”, • Ex: distorted, negative thinking patterns…
  • 15. Contributing Factors for Depression in Teens: • Stressors such as fear of not meeting expectations of parents, teachers, others… • When things go wrong at school or at home teens may feel unsure of abilities or question how they fit in… • Facing choices about friendship, sex, alcohol, and drugs… • Facing conflicting messages from parents, teachers, friends and society…
  • 16. Danger Signs in Depressed Teens When students…… • Experience a humiliating or anxiety provoking situation, • Show more than five major signs of depression for over two weeks (see student handout: Signs of Depression), • Demonstrate or verbalize suicidal thoughts, • Increase risk-taking behavior, • Show signs of personality changes, • Seriously neglect self-care…
  • 17. Stress and Depression • Continued stress can lead to depression. • Continued depression can lead to suicide. • Managing stress can prevent or reduce depression and suicide. • It is important to manage both stress and depression.
  • 18. Stress & Depression: Comparing Physical Symptoms • Stress • Depression – Gastrointestinal problems – Stomachaches – Headaches, other aches and pains – Headaches – Chronic fatigue or sleep – Sleeping problems disturbances – Weight loss or gain – Weight changes – Sweating or chills – Appetite changes – Tremors or muscle – Lack of energy twitching – Being easily startled – Joint or backaches – Immune system disorders – Visual disturbances
  • 19. Stress & Depression: Comparing Thoughts • Stress • Depression – Lack of concentration – Difficulty concentrating – Memory problems – Difficulty making – Difficulty making decisions decisions – Problems completing – Disorientation and school work confusion – Problems maintaining – Loss of objectivity grades
  • 20. Stress & Depression: Comparing Feelings • Stress • Depression – Depression – Sadness – Apathy – Lack of enjoyment of – Denial everyday pleasures – Anxiety or fear – Hopelessness – Guilt – Worthlessness – Grief – Emptiness – Guilt
  • 21. Stress & Depression: Comparing Actions • Stress • Depression – Isolation – Restless – Blaming – Not wanting to go to school – cutting – Difficulty in giving or classes accepting support or – Wanting to be alone help – Difficulty getting along – Inability to experience – Dropping out of sports, pleasure or have fun hobbies, activities – Drinking, drug use
  • 22. Coping Strategies • Coping with Stress – There are many resources for stress management. – Be aware of signs and symptoms of stress: • Take practical action to reduce the stress as soon as possible. – Identify ways to manage / reduce source of symptoms: • Ex: relaxation and meditation techniques to help with physical symptoms of stress, • Ex: discuss your thoughts and feelings with a responsible adult…
  • 23. Coping Strategies • Coping with Depression – Recognize the signs of depression. – Remember that depression is not a sign of weakness nor is it something you can “snap out of”. – Depression is a serious condition that needs medical attention. – Depression can be successfully treated and the emotional pain can be relieved.
  • 24. Caring and Treatment Tips • Stress – – Offer to listen, – Suggest a responsible person / resource to go to for help, • Depression – – Offer to listen - show concern, – Trust your instincts - alert an adult to your concern about a depressed person.
  • 25. Extreme Stress • Chronic or traumatic stress is potentially very destructive and can deprive [youth] of physical and mental health. • If stress is extreme and not managed, some individuals may experience post traumatic stress disorder (PTSD). • PTSD is a psychiatric disorder that can occur following the experience or witnessing of life- threatening events.