1. Today in Health Life Expectancy Turn in Extra Credit POLR Examples
Quiz/Grade
Start Mental/Emotional Health
Characteristics of a Mentally Healthy Person
Computer Lab: Mission Statement

2. Mental & Emotional Health
Health Education
Bondi

3.
Least Most
1. Put in Order: most “mentally healthy” to least on Continuum
2. 3 Adjectives or Characteristics of Mentally Healthy/Unhealthy
*PUT THE ADJECTIVES NOT THE PEOPLE ON YOUR TOP 3 LIST

4. Normality??? Definition? Characteristics?

5. Mental Health:
the ability to accept yourself and others, adapt to and manage emotions, and deal with the demands and challenges you meet in life.
Positive Self-Esteem
Sense of Belonging
Sense of Purpose
Positive Outlook
Autonomy

6. Group Activity
1). Discuss which characteristics are difficult to control? Why? Rate 1-10(10 Hardest)?
2) Either provide example(s) of each or non- example (counter example…)
3) You will be given one characteristic (self esteem, purpose, etc.) as a group
you will have to provide 3 ways you
can improve the characteristic I give you group (and share this with the class).

8. Self-Esteem and Self-Image (the bread and butter of mental health…..)
Changes that took place in Amy
good or bad changes?
The value related to self-esteem
Should people be allowed to get
plastic surgery?

9. Today….. Mission Statement Due Pass Back Papers (Codes):
Share What you Want with Whom
Pass Back Papers (Codes):
First Grade Update
Extreme Makeover
Applicability to Characteristics
Stepping stone to today
Today…Greatest Health Psychology Theory Ever?????
At least the most widely known.
MASLOW’S HIERARCHY

10. “What is necessary to change a person is to change his awareness of himself.” Abraham Maslow

11. I’m like a turtle because… What makes me different than a turtle is probably…

12. Maslow’s Hierarchy of Needs

13. Essential Questions How is Maslow’s Hierarchy like baseball?
What are some reasons why Maslow would have studied this topic?
Why do you feel Maslow thought that only 2% of people reach self-actualization?
What are at least 3 health behaviors that could prevent you from hitting a home run?
What is the relationship between Maslow’s hierarchy and addiction?

14. The real tragedy is the tragedy of the man who never in his life braces himself for his one supreme effort-he never stretches to his full capacity, never stands up to his full stature.
-Arnold Bennett

15. Mini-Xtra Credit Opportunity
1st Team that correctly:
Draws and
Labels
Maslows Hierarchy including
1 Picture and
/or example for each level

16. Self-Image Vs. Self-Esteem

18. Today….. Mission Statements Due Research on goals…
take a couple minutes and…
share WHAT you want with WHO you want
Today # Start Stress Mini Unit:
Tomorrow: Speaker (NAMI of DuPage)
Definition of Stigma?

19. S T R E S S and You

20. The Least You Need to Know:
Stress 101 (Definitions):
(Stress, Stressor, Eustress vs. Distress, Homeostasis)
2. The Purpose of Stress: Stress Response
(3 Stages of GAS)
3. Stress and Personality (Type A versus Type B)
4. Stress and Your Body (Disease & Psychosomatic Illnesses)
5. Basic Stress Management Strategies (Group Presentations)

21. Who Has the Most Stress? K T A E M Put in Order on the Continuum
Least Most
Put in Order on the Continuum
K-Kids (0-11) T-Teens (12-18) A-Adults (18-40)
M-Mid-Adults (40-60) E-Elderly (60 +)

22. Health Update Feedback on Speakers (NAMI) Intro to Stress
Extra Credit for this Week: Page 22
Intro to Stress
Blind Man & Elephant I
Eustress/Distress
Stress Inventory
Hand Back Mission Statements
Grade Update
Friday: Computer Lab
Stress Management Technique Presentations

23. The Blind Men and the Elephant I

24. What exactly is stress?
Is this stress?

25. Stress Defined:

26. STRESS 101
Stress: Body and mind’s reaction to challenging events in life.
Causes of Stress = Stressors
Is all stress bad?
“Bad Stress” (Distress) vs.
Good Stress (Eustress)

27. Do all equate to the same level(s) of stress?
Causes of Stress
Major Life Changes
Everyday Problems
Surroundings 1. 2. 3.
Do all equate to the same level(s) of stress?

28. Holmes-Rahe Stress Test

29. Review:

30. A Good Question? What should you feel like?
MENTALLY .
HOMEOSTASIS:
PHYSICALLY
Harmonious Internal Environment Or
When all your body’s systems are functioning smoothly and your mind is at ease.

32. Early Warning Signs of Stress
Physical
Emotional
Behavioral

34. Have you ever wondered what is the purpose of stress?

35. Review:

36. HUMAN HISTORY Years Ago Homo Tools 2,500,000 H. habilis
Regular Hunting 1,500,000 H. erectus
Control of Fire ,000 H. erectus
Agriculture ,000 H. sapiens
First Cities ,000 H. sapiens
Industrial revolution H. sapiens
Technological revolution
H. sapiens

37. It wasn’t all that long ago….

39. Fight-or-Flight Response
Things you only see in movies….

40. Physiological Adaptations
THE STRESS RESPONSE
Physiological Adaptations
Heart Rate
Blood Pressure
Respiration
Constriction of arteries of skin
Fibrinogen
Glucose and fatty acids for energy
Endorphins
Blood Flow
To Muscles

42. Physical Response to Stressors = Fight-or-Flight Reaction
Endocrine system = system of glands, tissues, and cells that secrete hormones into the bloodstream; influences metabolism and body processes
Key chemical messengers during the stress response
Norepinephrine = neurotransmitter released by the sympathetic division to increase body functions; increases attention, awareness, alertness
Epinephrine = hormone secreted by the inner core of the adrenal gland
Cortisol = steroid hormone secreted by the outer layer of the adrenal gland
Endorphin = brain secretions that have pain-inhibiting effects

43. THE STRESS RESPONSE Perception of Persistent Danger Hypothalamus
Pituitary Gland Releases - ACTH
Adrenal Cortex
Cortisol
(stress hormone)

44. Physiological Adaptations
THE STRESS RESPONSE
Physiological Adaptations
Activity and Alertness
Hunger
Fat and Glucose Storage
Immune Function

45. THE STRESS RESPONSE
“Is what empowers us to handle and adapt to changes in our environment. Even if we perceive these changes as stressful, the intricate, elegant system…exists for the very purpose of helping us cope.”
Bruce McEwen, The End Of Stress As We Know It

46. THE STRESS RESPONSE
“Whether we need to fight, stand firm, bolt to safety, or concentrate on a task at hand, the stress response provides the tools – energy, oxygen, muscle power, fuel, pain resistance, mental acuity and a temporary bulwark against infection.”

47. WHY ZEBRAS DON’T GET ULCERS
“A zebra’s stress response kicks in when the zebra is chased by a lion; when the zebra escapes, the stress response shuts off. In between predation attempts the zebra is at ease. It doesn’t flood itself with stress hormones wondering when the next lion is going to show up”
Robert Sapolsky

50. …AND WHY HUMANS DO
“The human mind is so powerful, the connections between perception and physiological response so strong, that we can set off the fight-or-flight response by just imagining ourselves in a threatening situation.”
The End of Stress

51. THE STRESS RESPONSE Then: Preparation for fight or flight or
environmental challenge
Response to physical stress: animals,
rock slides, famine, drought, etc.
Most stress limited in time

52. THE STRESS RESPONSE Now: Most danger is not physical
Response to emotional conflicts: work,
finances, bureaucracy, noise, isolation
Ongoing, chronic stress

53. Review………………..Preview Warning Signs Why zebras don’t get ulcers
F or Flight Stress: Then versus Now
Changes that occur General Adaptation Syndrome

54. vs
Review

55. Overview of This Week Overview Thursday Thru the End of Quarter: ATOD
Drug Fair Questions ?
Fact Sheets Due Thursday
Everybody Expected To Go Next Monday
NO AV available (Bring Own if needed)
This Week….
Today: Stress AND Personality
Mini-Assignment : Pressure Quote
Tuesday: Depression
Wednesday: Quiz
Thursday Thru the End of Quarter: ATOD

57. General Adaptation Syndrome
Alarm Reaction
-Homeostasis Disrupted -Fight or Flight Response occurs (Adrenaline) -Geared up to deal with a crisis/protection
Stage of Resistance
-Continued stress…. -Coping with ^ Demands
-Body/Mind Operating ^ Normal level
Stage of Exhaustion
-CHRONIC Stress / Repeated exposure
- Resistance declines
-Body has run out of reserves

59. Chronic Elevation of Stress Hormones
STRESS & DISEASE
Chronic Elevation of Stress Hormones
Blood pressure
Cholesterol
Atherosclerosis
Blood clotting
Heart attack
Suppresses the immune system

60. Chronic Elevation of Cortisol
STRESS & DISEASE
Chronic Elevation of Cortisol
Immune system suppression
Insulin resistance
Loss of bone minerals
Loss of muscle protein
Atrophy of brain cells

61. STRESS & DISEASE
“Between 60 and 90% of all our population’s visits to doctor’s offices are stress-related and probably cannot be detected, much less treated effectively, with the medications and procedures on which the medical profession relies almost exclusively.”
Dr. Herbert Benson, Timeless Healing

62. STRESS & DISEASE
“Distorting this process to the point where it causes harm is a comparatively recent development in the history of life on this planet. It is a uniquely human problem in which our thoughts and emotions exert a powerful influence for good or bad.”

63. PSYCHO SOMA TIC illnesses Heart Disease High Blood Pressure
Acid Reflux
Ulcers
Asthma Attacks
Common Cold?
…………………………………………………Decreased Immunity

64. What do you mean there is no such thing as stress?

65. Overview of This Week Overview Thursday Thru the End of Quarter: ATOD
Drug Fair Questions ?
Fact Sheets Due Thursday
Everybody Expected To Go Next Monday
NO AV available (Bring Own if needed)
This Week….
Today: Stress AND Personality
Mini-Assignment : Pressure Quote
Tuesday: Depression
Wednesday: Quiz
Thursday Thru the End of Quarter: ATOD

66. How Can Two People View a Situation Differently?
WW You D:

67. Stress & Personality Type A Type B Perfectionism Negative Thinking
Hardiness (Resiliency)

68. Type A vs Type B Type A Type B
Generally lives at a higher stress level and typically:
They enjoy achievement of goals (thus constantly working hard to achieve these).
They find it difficult to stop, even when they have achieved goals.
They feel the pressure of time, constantly working flat out.
They are highly competitive and will, if necessary create competition.
They hate failure and will work hard to avoid it.
They are generally pretty fit and often well-educated (a result of their anxiety).
Type B
The Type B personality generally lives at a lower stress level typically:
They work steadily, enjoying achievements but not becoming stressed when they are not achieved.
When faced with competition, they do not mind losing and either enjoy the game or back down.
They may be creative and enjoy exploring ideas and concepts.
They are often reflective, thinking about the outer and inner worlds.

69. Resiliency
Resiliency is the ability to spring back from and successfully adapt to adversity.
Generally, building resiliency involves doing two difficult things simultaneously in a stressful situation: self-soothing and self-confronting.
Self-soothing is taking deliberate steps to calm oneself while facing a stressful situation.
Self-Confronting-The idea here is to ask yourself why you are upset and learn what this tells you about yourself.

70. Group Activity:
Describe 2 Famous People that you feel fit the criteria of:
Type A
Type B
Resiliency

71. The Big Two Questions Which is Better? TRICK Question:
Who Has More Stress ….
Type A or Type B?
Can you change your personality?

72. What do you mean there is no such thing as stress?

73. What Do You See?

74. Back by Popular Demand….

75. Food for Thought: Stress is a perspective, not an activity
Food for Thought: Stress is a perspective, not an activity. It can be caused by any experience, because stress itself is neutral.

76. The Blind Man and the Elephant II

77. Perspective for Your Parents
A father passing by Vishal’s bedroom was astonished to see that his bed was nicely made and everything was picked up. Then he saw an envelope, propped up prominently on the pillow that was addressed to "Dad.“
With the worst premonition he opened the envelope with trembling hands and read the letter.

78. It is with great regret and sorrow that I'm writing you
It is with great regret and sorrow that I'm writing you. I had to elope with my new girlfriend because I wanted to avoid a scene with mom and you. I have been finding real passion with Stacy and she is so nice. But I knew you would not approve of her because of all her piercings’, and tattoos, and tight motorcycle clothes and the fact that she is much older than I am. But it's not only the passion...Dad, she's pregnant. Stacy said that we will be very happy.

79. She owns a trailer in the woods and has a stack of firewood for the whole winter. We share a dream of having many more children. Stacy has opened my eyes to the fact that marijuana doesn't really hurt anyone. We'll be growing it for ourselves and trading it with the other people that live nearby for cocaine and ecstasy. In the meantime we will pray that science will find a cure for AIDS so Stacy can get better. She deserves it. Don't worry Dad. I'm 15 and I know how to take care of myself. Someday I'm sure that we will be back to visit so that you can get to know your grandchildren.
Love,
Your Son Vishal

80. Dad, none of the above is true. I'm over at Tommy's house
Dad, none of the above is true. I'm over at Tommy's house. I just wanted to remind you that there are worse things in life than the report card that's in my center desk drawer. I love you. Call me when it's safe to come home.
P.S.

81. “PRESSURE is what happens to you, STRESS is how you react to these pressures.”
Mini-Assignment
½ page to a page reaction
Explain quote
Use examples from your own experiences
Discuss the concept of perception.

82. What Are Our Goals? Limit NOT Eliminate stress
Use stress in a positive way
Use it to improve our performance
Those who get stressed easily…
Try asking the 3 Questions:
1. Is this important? Does this really matter?
2. Is it reasonable for me to be angry?
3. Can I modify or change the situation?

83. vs
Review

84. STRESS “MANAGEMENT” Sleep, Physical Activity, Nutrition, Relaxation
Meditation, Yoga, Tai Chi,
Family, Friends, Community
= Support System
Don’t Underestimate humor
Sense of Control / Perception
MUST HAVE AN OUTLET!

85. Overview of This Week Overview End of Quarter….: ATOD
Drug Fair Questions ?
Everybody Expected To Go Next Wednesday
NO AV available (Bring Own if needed)
This Week….
Today: Finish Mental/Emotional Health Unit
You’ll decide on Quiz
End of Quarter….: ATOD

86. Stress Continuum Not Enough Optimal Too Much Boredom Insomnia
Lack of Impaired
motivation memory
Negativity Poor
judgement

87. How are stress and depression related?

88. The Least You Need To Know:
Define Depression
Warning Signs/
Symptoms
Reactive vs. Major Depression
Define Stigma
Suicide general:

89. One in four women and one in six men will suffer from depression at some point in their lives.

90. Depression: Defining a Construct
Prolonged Feelings of:
Hopelessness
Helpless
Sadness
Guilt
Take the Quiz!

91. Some Depression is “Normal”
What’s Normal?
Reactive vs. Major Depression
Time Frame/Impact on Your Life
The key difference between depressed moods and serious depression is the length of symptoms.

92. Causes of Depression
Depression has no single cause; often, results from a combination of:
Family history
Trauma and stress
Pessimistic personality
Physical conditions
Other psychological disorders.

93. What is the Relationship between Drug use and depression?
Depression and recreational drug use are both common and can occur together purely by chance as individual problems.

94. More often, however, there is an interaction between the two and this can take several forms:
a person may be suffering from depressive symptoms and take drugs in the hope of gaining some relief.
depressive symptoms may develop as a direct result of taking drugs, or as part of withdrawal symptoms when drug-taking stops. (Low mood in withdrawal may be brief and self-limiting, but sometimes it can lead to a serious, prolonged depressive illness.)
a person may take drugs to 'escape' from a problem during a particularly stressful time in their life; this stress may also be the trigger for an episode of depression.
heavy drug use can lead to major financial problems, difficulties with relationships or trouble with the law. A person taking recreational drugs is likely to have more of these pressures, which may trigger depression.
people who are depressed may use recreational drugs in an attempt to end their life.
drug use is particularly common in other psychiatric illnesses

95. Depression: A Brain and Body Disease
Depression Is a Multisymptom Disorder With High Direct and Indirect Costs
U.S. Cost in 2006 – $50 Billion
Depression: A Brain and Body Disease
Depression increases chance of dying from heart attack
Depression increases chance of stroke, diabetes, osteoporosis
Treating depression helps control diabetes
Source: Glass RM. Awareness about depression: Important for all physicians. JAMA. 2003:289:

96. Success in Treating Depression Exceeds Success in Understanding It
Specific Biomarkers and Tests for Depression Do Not Currently Exist
We don’t know
Specific gene(s) causing depression
How nerves affect moods
How stress changes brain and body function
We do know
70% of treated patients see symptoms decrease by 50%
Medications boost chemical neurotransmitters
Psychotherapy can be effective
Source: Insel TR, Charney DS. Research on major depression: Strategies and priorities. JAMA. 2003;289:

97. Neuroscience and Depression

98. Intermission: A Well Needed Joke

99. Failure to Identify and Treat Depression is Often Fatal
Depression and Suicide
1999: 30,000 suicides (2X homicides)
90% of suicides were associated with mental illness, usually depression
75% of successful suicides on a repeat attempt occurred in patients receiving NO mental health therapy
Patients With Depression
Only 25% receive appropriate therapy
Source: Glass RM. Awareness about depression: Important for all physicians. JAMA. 2003:289:

100. The Best Treatment…?
The benefits of exercise for depression and anxiety:
Confidence.
Distraction.
Interactions.
Healthy coping.
Literally Changes Brain Chemistry
Increase in NT’s including Serotonin
Increase in Neuro-tropins (Fertilizer for the brain)
Increase in New Cell Growth
Even better than Medicine!!!!!!!!!!!

102. Stigma is…..
All unfavorable attitudes, beliefs, and policies directed toward people as well as toward their significant others and loved ones, close associates, social groups, and communities.
Mental Illness
Addiction
HIV/AIDS
Sexual Identity

103. A _________ solution to a __________ problem.
Suicide
A _________ solution to a __________ problem.

105. Where can you go for help?
Parents
Social Workers
Religious Leaders
Guidance Couns.
Teachers
Friends

106. How is Life Like Fishing?

107. Describe a time when you needed help?
How did you feel when you needed help?
Who helped you?
How did it make you feel?

108. This Week in Health Quiz Wednesday Look Over Review
Presentations Monday/Tuesday
1 Rubric
AV Mute
Volume (if Needed)
Order (who cannot go?)
Quiz Wednesday
Look Over Review
Computer Lab Thursday

109. Advanced Health Feedback on Graded Discussion Friday
Course Update: Mine/You Feedback?
Grades Continually Updated
3rd Quarter Project?
Don’t Worry about Write Up Yet…
This Week
Graded Discussion: Med. Marijuana
Computer Lab: W-F

110. 1-5. 5 Character. of a Mentally Healthy Person
Maslow’s Hierarchy
Good stress/Bad stress: word/term
stages of stress in order (circle F/F)
changes that take place during F/F
17. Define Homeostasis-give an example.
Why do zebras not get ulcers?
Word to describe physical ill. related to stress and 1 ex.
22. One word description of the Blind Men & Elephant
adjectives describe Type A
24 2 adjectives describe Type B
25. Who has more stress Type A or Type B?
26. Difference between reactive and major depression.
Warning Signs of Depression.
28. Define Stigma
29. Suicide is a __________ solution to a _________ problem.
30. What are three places to get help in school?

111. US Preventive Services Task Force
Depression Is Significantly Underdiagnosed but Relatively Easy to Screen
US Preventive Services Task Force
2-Question Screen
1. During the past 2 weeks, have you felt down, depressed, or hopeless?
2. During the past 2 weeks, have you felt little interest or pleasure in doing things?
Sources: Glass RM. Awareness about depression: Important for all physicians. JAMA. 2003:289:
Insel TR, Charney DS. Research on major depression: Strategies and priorities. JAMA. 2003;289: