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Understanding & Managing
Stress
DR. SANJAY CHUGH
M.D. (PSYCH.)
CONSULTANT PSYCHIATRIST
Understanding & Managing
Stress
Understanding & Managing
Stress
The time necessary to learn all the
rules for effective living now
exceeds your life expectancy!!
Understanding & Managing
Stress
SOME FACTS
• 75-90% of adult visits to primary care
physicians are for stress related
problems.
• The commonest problems world-wide are
a mixture of anxiety and depression.
Understanding & Managing
Stress
SOME FACTS
• MAXIMUM absenteeism on an average
workday is because of stress related
problems
• More heart attacks on Monday, 9:00
A.M. than at any other time of the week.
Understanding & Managing
Stress
MORE FACTS
• Life after death is all okay but what
about life after birth?
• The only time there is a total
absence of stress is in death
• Stress is essentially the rate of all
the wear and tear caused by life
Understanding & Managing
Stress
Understanding & Managing
Stress
• Driving your car in rush hour
• Getting a last minute work assignment
• Misplacing something in the house….
Understanding & Managing
Stress
• Having something break while using it
• Dealing with incompetence at work
• Planning your budget
• Being blamed for something
• Waiting in a long line at the store or
bank
Understanding & Managing
Stress
WHAT IS STRESS?
Understanding & Managing
Stress
Stimulus ------------- Reaction
Understanding & Managing
Stress
EUSTRESS
vs.
DISTRESS
Understanding & Managing
Stress
The BAD News :
Stress is an inescapable part of modern life
The GOOD News :
Stress isn't altogether
bad news
Understanding & Managing
Stress
• ADAPTATIONADAPTATION
• Body has only a finite, non-renewable reserve
of adaptation energy
• Eventually, it is consumed and death results
• Stress is how people react to demands placed on
them
• Important is our perception and subjective
interpretation of the stressor.
Understanding & Managing
Stress
WHAT ARE STRESSORS?
Stressors are events that threaten or challenge
people
Understanding & Managing
Stress
SOURCES OF STRESS
• DAILY HASSLES
• MAJOR LIFE EVENTS
• CATASTROPHES
Understanding & Managing
Stress
TOP FEW DAILY HASSLES
• INTERPERSONAL CONFLICTS
• CONCERNS ABOUT WEIGHT
• HEALTH OF A FAMILY MEMBER
• RISING PRICES OF COMMON GOODS
• HOME MAINTENANCE
• TOO MANY THINGS TO DO
Understanding & Managing
Stress
SOCIALSOCIAL
MANIFESTATIONSMANIFESTATIONS ….….
Understanding & Managing
Stress
• Experience of
sense of isolation
• Suffer from
loneliness
• Frequently nag
others
• Lack of intimacy
• Often distrustful
• Seldom go out
with family
• Harbour
resentments
• Lash out at others
• Reduced contact
with friends
• Disturbed family
relationships
• Tend to use people
for personal gain
Understanding & Managing
Stress
PSYCHOLOGICAL
EFFECTS
• Depressed
• Bored
• Urge to cry
• Urge to hide
• Suspiciousness
• Negative attitude/thoughts
• Loneliness
Understanding & Managing
Stress
PSYCHOLOGICAL EFFECTS
• Anxious
• Nervous
• Worry
• Nightmares
• Helplessness
• Confusion
Understanding & Managing
Stress
PSYCHOLOGICAL
EFFECTS
• Irritable
• Feelings of unreality
• Urge to run
• Unable to concentrate
• Lethargy
• Decision making- both major &
minor- becomes difficult
Understanding & Managing
Stress
PSYCHOLOGICAL EFFECTS
• Excessive daydreaming about
“getting away from it all”
• Use of sleeping pills
• Thoughts trail while speaking or
writing
• Sudden outbursts of temper or
hostility
Understanding & Managing
Stress
PSYCHOLOGICAL EFFECTS
• Forgetfulness regarding
appointments,dates, deadlines
• Frequent spells of brooding
and a feeling of inadequacy
• Reversals in usual behaviour
Understanding & Managing
Stress
BEHAVIOURAL EFFECTS
• Cigarette smoking
• Impulsive behavior
• Inappropriate crying
• Aggressive
• Overeating
• Lack of initiative
Understanding & Managing
Stress
BEHAVIOURAL EFFECTS
• Using people
• Drug/Alcohol abuse
• Cynical
• Fault finding
• Antisocial
• Under eating
• Lowered sex drive
Understanding & Managing
Stress
BEHAVIOURAL EFFECTS
• Accident prone
• Blaming
• Nervous laughing
• Reclusive
• Inflexible
• Nagging
Understanding & Managing
Stress
PHYSIOLOGICAL EFFECTS
• Hypertension
• Coronary heart disease
• Migraine, tension headache
• Ulcers
• Asthmatic conditions
• Chronic backaches
• Arthritis
Understanding & Managing
Stress
PHYSIOLOGICAL EFFECTS
• Allergies
• Skin disorders
• Hyperthyroidism
• Vertigo
• More frequent infections
• Sexual dysfunctions
Understanding & Managing
Stress
PHYSIOLOGICAL EFFECTS
• Heart pounding
• Bowel alterations
• Stomach distress
• Dizziness
• Lingering cold
• Dry mouth
• Fatigue
Understanding & Managing
Stress
PHYSIOLOGICAL EFFECTS
• Weakness
• Fidgeting
• Sweating
• Anorexia
• Insomnia
• Muscle tension
• Generalized aches and pains
Understanding & Managing
Stress
MENTAL STRESSMENTAL STRESS
• Mental attitudes generally negative
• Mental lethargy
• Rarely develop new ideas
Understanding & Managing
Stress
MENTAL STRESSMENTAL STRESS
• Difficulty in concentration
• Confusion
• Rarely express your feelings through
music, art, dance or writing
• No intellectual relaxation
• Make negative self-statements
Understanding & Managing
Stress
MENTAL STRESSMENTAL STRESS
• Fail to keep abreast of current events
• Mind is often in a whirl
• Rarely introduce innovations into work
• Frequently suffer from forgetfulness
Understanding & Managing
Stress
BURN OUT EFFECTS
• Complaints of fatigue, being overworked,
exhaustion
• Shows loss of enthusiasm, energy, drive, pep
team spirit
• Shows loss of imagination, creativity, refusal to
take risks
Understanding & Managing
Stress
BURN OUT
• Becomes defensive easily, has poor
relationships with key people
• Is disorganized, has poor recall, memory
loss
Understanding & Managing
Stress
Basic Guidelines For CopingBasic Guidelines For Coping
• Recognise and admit that you are feeling
stressed and anxious
Understanding & Managing
Stress
Basic Guidelines For CopingBasic Guidelines For Coping
• Give yourself permission to feel anxious about
whatever it is that is bothering you. But ask “How
much anxiety is too much"
• Try to pinpoint what it is you are anxious about. If
you can't pinpoint it, don't worry too much about it
and move on
• Become aware of your body's symptoms. Don't let
them scare you, let them talk to you
Understanding & Managing
Stress
Basic Guidelines For CopingBasic Guidelines For Coping
• If you do know what it is that is bothering
you, what can you do to eliminate or
minimise the situation?
Understanding & Managing
Stress
Basic Guidelines For CopingBasic Guidelines For Coping
• Most importantly, how can you react differently
so you won't be so affected by this situation?
• Listen to the dialogue within yourself. Are you
filling yourself with negative thoughts about a
certain situation?
• Listen to the dialogue of those around you. Is
someone around you being negative and
dragging you down with them?
Understanding & Managing
Stress
Basic Guidelines For CopingBasic Guidelines For Coping
• Are you overwhelming yourself with "shoulds"
and high expectations? If so, which ones would
you eliminate?
• Give yourself positive reinforcement for even the
smallest accomplishments.
• Are you blaming someone else for your anxieties,
unhappiness, poor health, lack of success or
whatever?
• Take responsibility for yourself and make some
positive changes?
Understanding & Managing
Stress
The Ten Commandments
• Thou shalt regularly do those things that are most
enjoyable to thee without harming others or self
• Thou shalt take time to physically relax or
meditate daily
• Thou shalt exercise aerobically 3-5 times each
week
• Thou shalt sleep 7-8 hours each night
Understanding & Managing
Stress
The Ten Commandments
• Thou shalt not take thyself so seriously
• Thou shalt grant yourself the right to make
mistakes
• Thou shalt share your feelings each day
• Thou shalt eat a healthy, balanced diet
• Thou shalt do the important things first
• Thou shalt respect and express your own
opinions
Understanding & Managing
Stress
EXPECTATIONS Vs FULFILMENTEXPECTATIONS Vs FULFILMENT
• Realistic Vs Unrealistic Expectations
• Flexibility Vs Rigidity
• Must recognise own ability and potential
Understanding & Managing
Stress
Remember that …….
• In the short run, anyone, can be a
victim, even you
• In the long run,there are no
victims--- only willing participants
Understanding & Managing
Stress
Remember that …….
The key to winning back your time
is to be more effective at being
rather than doing
Understanding & Managing
Stress
Remember that …….
Albert Einstein didn’t remember his
telephone number. He didn’t want to
clutter his mind with information that
could be accessed anytime.
Understanding & Managing
Stress
Remember that …….
• You are more resourceful than you often
acknowledge and
• You always have more options than you
know
Understanding & Managing
Stress
Remember that …….
• You don’t have to catch the ball
every time someone throws it at you
• Learn how to say NO!!

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Understanding Stress Management in 40 Characters