1. Stress Management Provided Courtesy of Nutrition411.com Review Date 7/14 G-1104 Contributed by Shawna Gornick-Ilagan, MS, RD, CWPC Updated by Nutrition411.com staff

2. Why managing stress is important Consequences of not managing stress Benefits of reducing stress Barriers that prevent people from reducing stress Strategies for managing stress Overview

3. What Is Stress? Stress: The inability to cope with a threat to your well- being (real or imagined), which results in a series of responses and adaptations by your body Stress can lead to poor health and even injury

4. Types of Stress

5. Stress Defined Good stress: – Getting married – Moving to a new home – Starting a new job – Getting ready to perform in a sporting event/race

6. Stress Defined (cont’d) Bad stress: – Deadlines – Death of a loved one – Chronic illness – Family problems – Unresolved conflicts – Downsizing

7. Financial Daily hassles Environmental Family related Health related Work related Stressors

8. Signs and Symptoms MentalPhysicalBehavioral Nervousness Impatience Low self-image Depression Crying easily Frustration Headache GI distress Tight muscles High BP Sleeping issues Fatigue Overeating Substance abuse Lack of interest Irritability Blaming others BP=blood pressure, GI=gastrointestinal

9. Why Worry About This? Chronic stress is possibly the ultimate risk factor, causing: – 50% of all disease – Cancer – Heart disease Stress has a dramatic effect on your immune system

10. Why Worry About This? (cont’d) Stress also is linked to a number of other conditions, including: – Accidents – Headaches – Digestive problems – Anxiety disorder – Depression – Sleeping problems – Heart problems – Lower resistance to infection

11. Good News You can make your life less stressful Managing and reducing stress can protect you against the negative health consequences of stress This also may improve your quality of life Everyone can do something to decrease their stress

12. Healthy Coping Skills Unhealthy Coping Skills Exercise Downtime for self-care Balance between work and play Time management— initiate a schedule Alcohol or drug use Avoidance of event Procrastination Overeating Stress Management Coping Skills

13. Keeps you calm when things go wrong Helps you stay focused and positive Improves the quality of sleep Improves the immune function Increases your energy level Improves digestion Prevents illnesses Benefits of Stress Management

14. “I just ‘deal’ with my stress. It’s not a big issue.” “It’s just stress. I don’t need counseling.” “Stress is just a part of my job.” “I don’t have time to deal with my stress.” “I thrive on stress.” “People who are stressed just can’t cope with reality.” Barriers to Managing Stress

15. “If I just make it through these next few weeks, I’ll be OK.” “I’m so stressed, I don’t even know where to start.” “Dealing with my stress would just be too expensive.” “I’m always stressed. It hasn’t made a difference so far.” Barriers to Managing Stress (cont’d)

16. First, it is important to understand the process of how people change When changing behaviors, such as those associated with reducing stress, most people go through a cycle known as the “Stages of Change ” Making Stress Management a Priority

17. Stages of Change Stage 1: “Nope, I’m not interested right now.” Stage 2: “Hmm, I am seriously considering stress management.” Stage 3: “Yep, I am getting ready to start dealing with stress.” Stage 4: “Let’s do it. I’m starting to find ways to manage my stress.” Stage 5: “It’s old news. I’ve coped with my stress for a long time.”

18. 18 What Stage Are You In? Determining what stage you are in is an important first step in learning to manage stress Once you know whether or not you are ready to change, you are better equipped to cope with whatever life throws at you

19. 19 Learning to manage stress is a process Chances are you will find yourself in each stage at some point in the process Key Point: Change Is A Process

20. How to Manage Stress: WELLNESS Way of thinking Exercise Laughter Let it go! iNvolvement Eat a balanced diet Set priorities Sleep

21. W=Way of Thinking Attitude Perception

22. E=Exercise Get moving Why move

23. L=Laughter Did you know? Power of humor

24. L=Let It Go! All of It! Desk stretches Deep breathing Guided relaxation

25. N=iNvolvement With Others Social support system Friendships Interaction

26. E=Eat a Balanced Diet Know that food is fuel Visit ChooseMyPlate.gov Make healthy eating a way of life

27. S=Set Priorities What is really important? Personal reflection

28. S=Sleep How much is enough? Tips for better sleep

29. “OK, someone hand me my cigarettes, a cup of black coffee, and my Prozac ®, and I will be fine…”

30. How to Reduce Stress?

31. Stress Reduction Kit Directions: 1.Place kit on firm surface. 2.Follow directions in circle. 3.Repeat step 2 as necessary or until unconscious. 4.If unconscious, cease stress reduction activity.

32. Stress Management Strategies Stress management is a decision-making process When under stress, we can deal with it using three main methods The ABCs of stress: – A=alter it, avoid it, and accept it – B=build your resistance – C=change your perception

33. Stress Management Techniques Relaxation techniques – Progressive muscle relaxation – Deep breathing – Guided imagery

34. Any Questions?