5Mental 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-EsteemSense of BelongingSense of PurposePositive OutlookAutonomy
6Group Activity1). 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 groupyou will have to provide 3 ways youcan improve the characteristic I give you group (and share this with the class).
8Self-Esteem and Self-Image (the bread and butter of mental health…..) Changes that took place in Amygood or bad changes?The value related to self-esteemShould people be allowed to getplastic surgery?
9Today….. Mission Statement Due Pass Back Papers (Codes): Share What you Want with WhomPass Back Papers (Codes):First Grade UpdateExtreme MakeoverApplicability to CharacteristicsStepping stone to todayToday…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
11I’m like a turtle because… What makes me different than a turtle is probably…
13Essential 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?
14The 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
15Mini-Xtra Credit Opportunity 1st Team that correctly:Draws andLabelsMaslows Hierarchy including1 Picture and/or example for each level
18Today….. Mission Statements Due Research on goals… take a couple minutes and…share WHAT you want with WHO you wantToday # Start Stress Mini Unit:Tomorrow: Speaker (NAMI of DuPage)Definition of Stigma?
20The 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)
21Who Has the Most Stress? K T A E M Put in Order on the Continuum Least MostPut in Order on the ContinuumK-Kids (0-11) T-Teens (12-18) A-Adults (18-40)M-Mid-Adults (40-60) E-Elderly (60 +)
22Health Update Feedback on Speakers (NAMI) Intro to Stress Extra Credit for this Week: Page 22Intro to StressBlind Man & Elephant IEustress/DistressStress InventoryHand Back Mission StatementsGrade UpdateFriday: Computer LabStress Management Technique Presentations
36HUMAN HISTORY Years Ago Homo Tools 2,500,000 H. habilis Regular Hunting 1,500,000 H. erectusControl of Fire ,000 H. erectusAgriculture ,000 H. sapiensFirst Cities ,000 H. sapiensIndustrial revolution H. sapiensTechnological revolutionH. sapiens
39Fight-or-Flight Response Things you only see in movies….
40Physiological Adaptations THE STRESS RESPONSEPhysiological AdaptationsHeart RateBlood PressureRespirationConstriction of arteries of skinFibrinogenGlucose and fatty acids for energyEndorphinsBlood FlowTo Muscles
42Physical 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 processesKey chemical messengers during the stress responseNorepinephrine = neurotransmitter released by the sympathetic division to increase body functions; increases attention, awareness, alertnessEpinephrine = hormone secreted by the inner core of the adrenal glandCortisol = steroid hormone secreted by the outer layer of the adrenal glandEndorphin = brain secretions that have pain-inhibiting effects
44Physiological Adaptations THE STRESS RESPONSEPhysiological AdaptationsActivity and AlertnessHungerFat and Glucose StorageImmune Function
45THE 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
46THE 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.”
47WHY 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
51THE STRESS RESPONSE Then: Preparation for fight or flight or environmental challengeResponse to physical stress: animals,rock slides, famine, drought, etc.Most stress limited in time
52THE STRESS RESPONSE Now: Most danger is not physical Response to emotional conflicts: work,finances, bureaucracy, noise, isolationOngoing, chronic stress
53Review………………..Preview Warning Signs Why zebras don’t get ulcers F or Flight Stress: Then versus NowChanges that occur General Adaptation Syndrome
55Overview of This Week Overview Thursday Thru the End of Quarter: ATOD Drug Fair Questions ?Fact Sheets Due ThursdayEverybody Expected To Go Next MondayNO AV available (Bring Own if needed)This Week….Today: Stress AND PersonalityMini-Assignment : Pressure QuoteTuesday: DepressionWednesday: QuizThursday Thru the End of Quarter: ATOD
57General Adaptation Syndrome Alarm Reaction-Homeostasis Disrupted -Fight or Flight Response occurs (Adrenaline) -Geared up to deal with a crisis/protectionStage of Resistance-Continued stress…. -Coping with ^ Demands-Body/Mind Operating ^ Normal levelStage of Exhaustion-CHRONIC Stress / Repeated exposure- Resistance declines-Body has run out of reserves
59Chronic Elevation of Stress Hormones STRESS & DISEASEChronic Elevation of Stress HormonesBlood pressureCholesterolAtherosclerosisBlood clottingHeart attackSuppresses the immune system
60Chronic Elevation of Cortisol STRESS & DISEASEChronic Elevation of CortisolImmune system suppressionInsulin resistanceLoss of bone mineralsLoss of muscle proteinAtrophy of brain cells
61STRESS & 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
62STRESS & 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.”
64What do you mean there is no such thing as stress?
65Overview of This Week Overview Thursday Thru the End of Quarter: ATOD Drug Fair Questions ?Fact Sheets Due ThursdayEverybody Expected To Go Next MondayNO AV available (Bring Own if needed)This Week….Today: Stress AND PersonalityMini-Assignment : Pressure QuoteTuesday: DepressionWednesday: QuizThursday Thru the End of Quarter: ATOD
66How Can Two People View a Situation Differently? WW You D:
67Stress & Personality Type A Type B Perfectionism Negative Thinking Hardiness (Resiliency)
68Type 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 BThe 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.
69ResiliencyResiliency 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.
70Group Activity:Describe 2 Famous People that you feel fit the criteria of:Type AType BResiliency
71The Big Two Questions Which is Better? TRICK Question: Who Has More Stress ….Type A or Type B?Can you change your personality?
72What do you mean there is no such thing as stress?
77Perspective 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.
78It 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.
79She 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
80Dad, 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-Assignment½ page to a page reactionExplain quoteUse examples from your own experiencesDiscuss the concept of perception.
82What Are Our Goals? Limit NOT Eliminate stress Use stress in a positive wayUse it to improve our performanceThose 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?
84STRESS “MANAGEMENT” Sleep, Physical Activity, Nutrition, Relaxation Meditation, Yoga, Tai Chi,Family, Friends, Community= Support SystemDon’t Underestimate humorSense of Control / PerceptionMUST HAVE AN OUTLET!
85Overview of This Week Overview End of Quarter….: ATOD Drug Fair Questions ?Everybody Expected To Go Next WednesdayNO AV available (Bring Own if needed)This Week….Today: Finish Mental/Emotional Health UnitYou’ll decide on QuizEnd of Quarter….: ATOD
86Stress Continuum Not Enough Optimal Too Much Boredom Insomnia Lack of Impairedmotivation memoryNegativity Poorjudgement
88The Least You Need To Know: Define DepressionWarning Signs/SymptomsReactive vs. Major DepressionDefine StigmaSuicide general:
89One in four women and one in six men will suffer from depression at some point in their lives.
90Depression: Defining a Construct Prolonged Feelings of:HopelessnessHelplessSadnessGuiltTake the Quiz!
91Some Depression is “Normal” What’s Normal?Reactive vs. Major DepressionTime Frame/Impact on Your LifeThe key difference between depressed moods and serious depression is the length of symptoms.
92Causes of DepressionDepression has no single cause; often, results from a combination of:Family historyTrauma and stressPessimistic personalityPhysical conditionsOther psychological disorders.
93What 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.
94More 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
95Depression: A Brain and Body Disease Depression Is a Multisymptom Disorder With High Direct and Indirect CostsU.S. Cost in 2006 – $50 BillionDepression: A Brain and Body DiseaseDepression increases chance of dying from heart attackDepression increases chance of stroke, diabetes, osteoporosisTreating depression helps control diabetesSource: Glass RM. Awareness about depression: Important for all physicians. JAMA. 2003:289:
96Success in Treating Depression Exceeds Success in Understanding It Specific Biomarkers and Tests for Depression Do Not Currently ExistWe don’t knowSpecific gene(s) causing depressionHow nerves affect moodsHow stress changes brain and body functionWe do know70% of treated patients see symptoms decrease by 50%Medications boost chemical neurotransmittersPsychotherapy can be effectiveSource: Insel TR, Charney DS. Research on major depression: Strategies and priorities. JAMA. 2003;289:
99Failure to Identify and Treat Depression is Often Fatal Depression and Suicide1999: 30,000 suicides (2X homicides)90% of suicides were associated with mental illness, usually depression75% of successful suicides on a repeat attempt occurred in patients receiving NO mental health therapyPatients With DepressionOnly 25% receive appropriate therapySource: Glass RM. Awareness about depression: Important for all physicians. JAMA. 2003:289:
100The Best Treatment…?The benefits of exercise for depression and anxiety:Confidence.Distraction.Interactions.Healthy coping.Literally Changes Brain ChemistryIncrease in NT’s including SerotoninIncrease in Neuro-tropins (Fertilizer for the brain)Increase in New Cell GrowthEven better than Medicine!!!!!!!!!!!
102Stigma 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 IllnessAddictionHIV/AIDSSexual Identity
103A _________ solution to a __________ problem. SuicideA _________ solution to a __________ problem.
107Describe a time when you needed help? How did you feel when you needed help?Who helped you?How did it make you feel?
108This Week in Health Quiz Wednesday Look Over Review Presentations Monday/Tuesday1 RubricAV MuteVolume (if Needed)Order (who cannot go?)Quiz WednesdayLook Over ReviewComputer Lab Thursday
109Advanced Health Feedback on Graded Discussion Friday Course Update: Mine/You Feedback?Grades Continually Updated3rd Quarter Project?Don’t Worry about Write Up Yet…This WeekGraded Discussion: Med. MarijuanaComputer Lab: W-F
1101-5. 5 Character. of a Mentally Healthy Person Maslow’s HierarchyGood stress/Bad stress: word/termstages of stress in order (circle F/F)changes that take place during F/F17. 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 & Elephantadjectives describe Type A24 2 adjectives describe Type B25. Who has more stress Type A or Type B?26. Difference between reactive and major depression.Warning Signs of Depression.28. Define Stigma29. Suicide is a __________ solution to a _________ problem.30. What are three places to get help in school?
111US Preventive Services Task Force Depression Is Significantly Underdiagnosed but Relatively Easy to ScreenUS Preventive Services Task Force2-Question Screen1. 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: