1. Three A’s of Stress Management Awareness Acceptance Action Plan

2. Awareness of Stress What is stress? What causes stress? What are the results of stress? How do we manage stress to avoid negative outcomes?

3. Stress is defined as........ Our body’s physical and emotional reaction to circumstances or events that scare, aggravate, confuse, excite, or endanger us. (Hamilton McCubbin) A mismatch between the demands in our lives and the resources we have to deal with those demands. (Great Performance, Inc.)

4. Stress is defined as........ A state of anxiety produced when events and responsibilities exceed one’s coping abilities (Richard Lazarus) The body’s response to any demand. Usually perceived as a mental strain, urgency, or pressure.

5. Stress is......... Inevitable and universal—a part of daily life Personal Positive Negative A result of accumulated small hassles of everyday life (called stressors) A result of large events (stressors and crises)

6. Types of Stress Eustress: good stress (for example, getting married, getting a promotion) Motivates Is short-term Feels exciting Improves performance Is pleasant and beneficial Is vital for health and well-being Focuses energies and sharpens the mind

7. Types of Stress Neustress: neutral stress (for example, an airplane crash in another country)

8. Types of Stress Distress: Bad stress: such as death of close friend Acute stress: high intensity, short duration Chronic stress: low intensity, prolonged time— accumulation of chronic stress is related to heart disease, ulcers,strokes, migraine headaches, allergies, asthma, high blood pressure, colitis, arthritis, skin disorders, and cancer. Up to three- fourths of diseases may be stress-related. Can be controlled with healthy lifestyles, relaxation, and stress reducing techniques

9. A Holistic View of Stress Stress is the inability to cope with a perceived or real (or imagined) threat to one’s mental, physical, emotional, and spiritual well-being, which results in a series of physiological responses and adaptations, known as the stress response, or the “fight or flight”—a survival instinct to fight or run.

10. The Stress Response No matter if the threat is real (car accident) or perceived (a noise at night), the stress response occurs. The stress response occurs in proportion to the perceived danger.

11. What Happens to the Body During the Stress Response? Increased heart rate Increased blood rate Breathing becomes shallow Vasodilatation of arteries to body’s arms and legs—muscles tense up Increased serum glucose levels—to provide energy for fight or flight Immune system shuts down

12. What Happens to the Body During the Stress Response? Increased free fatty acid mobilization Increased blood coagulation and decreased clotting Increased muscular strength Decreased gastric movement Increased sweating to cool body core temperature

13. What Causes Stress? To manage stress, we must recognize it—the causes and the symptoms. Each of us responds to different stressors in different ways.

14. “Stressors” or “Triggers” Internal stressors include: Lifestyle choices: caffeine, not enough sleep, overloaded schedule Negative self-talk: pessimistic thinking, self- criticism, over-analyzing Mind traps: unrealistic expectations, taking things personally, all-or-nothing thinking, exaggerating, rigid thinking Stressful personality traits: Type A, perfectionist, workaholic, pleaser

15. “Stressors” or “Triggers” External stressors include: Physical environment: noise, bright lights, heat, confined spaces. Social (interaction with people): rudeness, bossiness or aggressiveness Organizational: rules, regulations, “red tape,” deadlines Major life events: death of a relative, lost job, promotion, new baby Daily hassles: commuting (traffic), misplacing keys, mechanical breakdowns

16. Recognizing Stress Symptoms: Physical Headaches Tight neck and shoulders Pounding heart Chest pain High blood pressure Upset stomach Fatigue Cold or sweaty hands Eyestrain Excessive sweating Constipation Diarrhea Nervous tics Rashes Teeth grinding Tightened muscles Sleeplessness Dizziness Faintness Frequent urination

17. Recognizing Stress Symptoms: Emotions Depression Anger Irritability Low self-esteem Apathy Impatience Nervousness Anxiety Agitation Feelings of worthiness Inability to slow down Lack of interest in food, sex, life Inability to concentrate Restlessness Nightmares Inability to make decisions

18. Recognizing Stress Symptoms: Behavior Overeating Increase in smoking or drinking Change in sleeping habits Reckless driving Crying Drug use Negativity

19. Recognizing Stress Symptoms: Behavior Pacing Fidgeting Nervous habits Yelling Swearing Blaming Hitting or throwing things

20. Recognizing Stress Symptoms: Mental Decrease in concentration and memory Indecisiveness Mind racing or going blank Confusion Loss of sense of humor

21. Acceptance of Stress To learn to manage stress we must answer the following questions: How important is the stressor? Can I control the event?