Presentation is loading. Please wait.

Presentation is loading. Please wait.

Observation of mental health week at Jagjivan Ram Hospital Western Rly Mumbai Central Following activities were carried out 1 – Public awareness lecture.

Similar presentations


Presentation on theme: "Observation of mental health week at Jagjivan Ram Hospital Western Rly Mumbai Central Following activities were carried out 1 – Public awareness lecture."— Presentation transcript:

1 Observation of mental health week at Jagjivan Ram Hospital Western Rly Mumbai Central Following activities were carried out 1 – Public awareness lecture by Dr Charles Pinto, Dr Malay Dave and Dr J P Rawat on the importance of psychological issues in chronic medical illnesses 7 and 8 th October – poster exhibition on the theme of mental health week th to 10 th October stress management programmed for the medical personnel on 9 th October 2010

2 Mental Health Day Theme (WFMH) MENTAL HEALTH AND CHRONIC PHYSICAL ILLNESSES THE NEED FOR CONTINUED AND INTEGRATED CARE

3 10 Strategies to manage the Psychological Impact of Chronic Illness Nutrition Exercise Spiritual Health care Communication Education Pace yourself Humour Relationships STRESS Management

4

5

6

7

8

9 STRESS MANAGEMENT BY: DR.J.P. RAWAT PSYCHIATRIST Sr DMO JRH BCT

10 What is stress? What is stress? Who is affected – living, age ? Who is affected – living, age ? Why they are affected? – Role of Good parenting, Why they are affected? – Role of Good parenting, Temperament > Personality and develops good Coping mechanism Temperament > Personality and develops good Coping mechanism Is it preventable? Is it preventable? Whether it is manageable? Whether it is manageable?

11 WHAT IS STRESS ? Stress is the wear and tear our minds and bodies experience as we attempt to cope with our continually changing environment Stress is the wear and tear our minds and bodies experience as we attempt to cope with our continually changing environment I HATE YOU

12 WHAT IS STRESS ? Stress is the reaction people have to excessive pressures or other types of demand placed upon them. It arises when they worry that they cant cope. Stress is the reaction people have to excessive pressures or other types of demand placed upon them. It arises when they worry that they cant cope. HELP ME!

13 Stress is not in our environment … … it is what we perceive in our mind and body.

14 DEFINITION S = P > R Stress occurs when the pressure is greater than the resource

15 Internal state which can be caused by: 1. Physical demand on the body: Exercise Exercise Disease Disease 2. Environmental factors: Extremes of temperatures: Extremes of temperatures: Natural calamities Natural calamities 3. Social situations When these are evaluated as potentially harmful, uncontrollable or exceeding our resources for coping.

16 STRESSORS STRESS DISTRESS Varies from person to person. Varies from person to person. Some stressors are common to all: Some stressors are common to all: 1. Infection. 2. Injuries. 3. Dangerous events. 4. Actual threat to self-esteem.

17 Stages Duration Optimum out come Unfavorable ratio 1. Basic Trust Vs Basic mistrust Up to 1 yr. ADMO 25years HopeDepression, Autonomy Vs shame & doubt 1-3 yrs. ADMO Self controlOCD, delinquent behavior 3. Initiative Vs Guilt 3-5 yrs. ADMO DMO Sense of purposeGAD, phobia 4. Industry Vs Inferiority 6-11 yrs. DMO, SrDMO, Sense of competence & pleasure in work Inferiority 5. Identity Vs role confusion yrs. JAG Sense of consistency295, conduct disorder 6. Intimacy Vs isolation yrs. SAG Loving relationshipSchizoid 7. Generativity Vs stagnation yrs. CMD Productivity & creativity, CARE Depression 8. Ego Identity Vs despair 65 yrs. DGRHS Uses WisdomPsychosomatic illness, hypo chondriasis

18 1. Physiological needs 2. Safety needs 3. Belonging & love needs 4. Esteem needs 5. Self actualization FOR ATTENDING THE TOP POSTS - NEEDS IN THE HIERARACHY ARE :

19 1. Authoritative and caring parents a) Firm about rules & expected high level of maturity & achievements. b) Nurtuant and responsive to their children Result: Energetic, friendly, curious & self –reliant 2. Permissive parents: Little self reliance, poor self control Result: Impulsive and aggressive 3. Highly controlling authoritarian: HITLER Result: Apprehensive, withdrawn, unhappy, distrustful PARENTING:

20 AROUSAL & PERFORMANCE Arousal energizes performance. Arousal energizes performance. Optimal level Optimal level

21 STRESS RATING SCALE` STRESS RATING SCALE` Life event 1. Death of life partner 2. Major injury/illness 3. Marriage 4. Being fired at work 5. Argument with spouse 6. Major change in work responsbility-prm/dem/trf 7. Trouble with boss 8. Major change in living conditions 9. Debt for small purposes 10. Major change in sleeping habits Adolescent Adult Elderly

22 Life event 11. Major change in health of fly. memb 12. Pregnancy 13. Gaining a new family member 14. Death of close friend 15. Son/daughter leaving home 16. Major change in eating habit 17. Vacations 18. Minor violation of law 19. Outstanding personal achievement Adolescent Adult Elderly

23 GRADES OF STRESS By adding the life change units, a life crisis score can be obtained for that year By adding the life change units, a life crisis score can be obtained for that year MILD: life change units MILD: life change units MODERATE: MODERATE: MAJOR: >300 MAJOR: >300

24 The Stress Response 1930s Dr. Hans Selye Dr. Walter Cannon Flight or Fight Response Flight or Fight Response

25 How body reacts with stress psycho physiologically Alarm response Alarm response Adaptation Adaptation Exhaustion Exhaustion

26 ALARM RESPONSE This is the Fight or Flight response that prepares the body for immediate action. This is the Fight or Flight response that prepares the body for immediate action.

27 ADAPTATION PHASE If the source persists, the body prepares for long- term protection, secreting hormones to increase blood sugar levels. If the source persists, the body prepares for long- term protection, secreting hormones to increase blood sugar levels. This phase is common and not necessarily harmful, but must include periods of relaxation and rest to counterbalance the stress response. This phase is common and not necessarily harmful, but must include periods of relaxation and rest to counterbalance the stress response. Fatigue, concentration lapses, irritability and lethargy result as the stress turns negative. Fatigue, concentration lapses, irritability and lethargy result as the stress turns negative.

28 EXHAUSTION In chronic stress situations, sufferers enter the exhaustion phase: - emotional, physical and mental resources suffer heavily, In chronic stress situations, sufferers enter the exhaustion phase: - emotional, physical and mental resources suffer heavily, the body experiences adrenal exhaustion leading to decreased stress tolerance, progressive mental and physical exhaustion, illness and collapse. the body experiences adrenal exhaustion leading to decreased stress tolerance, progressive mental and physical exhaustion, illness and collapse.

29 TYPES OF STRESSORS External External Internal Internal

30 EXTERNAL STRESSORS Physical Environment Physical Environment Social Interaction Social Interaction Organisational Organisational Major Life Events Major Life Events Daily Hassles Daily Hassles

31 PHYSICAL ENVIRONMENT Noise Noise Bright Lights Bright Lights Heat Heat Confined Spaces Confined Spaces

32 SOCIAL INTERACTION Rudeness Rudeness Bossiness Bossiness Aggressiveness by others Aggressiveness by others Bullying Bullying

33 ORGANISATIONAL Rules Rules Regulations Regulations Red - Tape Red - Tape Deadlines Deadlines

34 MAJOR LIFE EVENTS Birth Birth Death Death Lost job Lost job Promotion Promotion Marital status change Marital status change

35 DAILY HASSLES Commuting Commuting Misplaced keys Misplaced keys Mechanical breakdowns Mechanical breakdowns

36 INTERNAL STRESSORS Lifestyle choices Lifestyle choices Negative self - talk Negative self - talk Mind traps Mind traps Personality traits Personality traits

37 LIFESTYLE CHOICES Caffeine Caffeine Lack of sleep Lack of sleep Overloaded schedule Overloaded schedule

38 NEGATIVE SELF - TALK Pessimistic thinking Pessimistic thinking Self criticism Self criticism Over analysing Over analysing

39 MIND TRAPS Unrealistic expectations Unrealistic expectations Taking things personally Taking things personally All or nothing thinking All or nothing thinking Exaggeration Exaggeration Rigid thinking Rigid thinking

40 PERSONALITY TRAITS Perfectionists Perfectionists Workaholics Workaholics

41 TYPES OF STRESS Negative stress Negative stress Positive stress Positive stress

42 NEGATIVE STRESS It is a contributory factor in minor conditions, such as headaches, digestive problems, skin complaints, insomnia and ulcers. It is a contributory factor in minor conditions, such as headaches, digestive problems, skin complaints, insomnia and ulcers. Excessive, prolonged and unrelieved stress can have a harmful effect on mental, physical and spiritual health. Excessive, prolonged and unrelieved stress can have a harmful effect on mental, physical and spiritual health.

43 POSITIVE STRESS Stress can also have a positive effect, spurring motivation and awareness, providing the stimulation to cope with challenging situations. Stress can also have a positive effect, spurring motivation and awareness, providing the stimulation to cope with challenging situations. Stress also provides the sense of urgency and alertness needed for survival when confronting threatening situations. Stress also provides the sense of urgency and alertness needed for survival when confronting threatening situations.

44 THE INDIVIDUAL Everyone is different, with unique perceptions of, and reactions to events. Everyone is different, with unique perceptions of, and reactions to events. There is no single level of stress that is optimal for all people. There is no single level of stress that is optimal for all people. Some are more sensitive owing to experiences in childhood, the influence of teachers, parents and religion etc. Some are more sensitive owing to experiences in childhood, the influence of teachers, parents and religion etc.

45 Self Perception Most of the stress we experience is self- generated. Most of the stress we experience is self- generated. How we perceive life - whether an event makes us feel threatened or stimulated, encouraged or discouraged, happy or sad - depends to a large extent on how we perceive ourselves. How we perceive life - whether an event makes us feel threatened or stimulated, encouraged or discouraged, happy or sad - depends to a large extent on how we perceive ourselves.

46 Introspection Self-generated stress is something of a paradox, because so many people think of external causes when they are upset. Self-generated stress is something of a paradox, because so many people think of external causes when they are upset. Recognising that we create most of our own upsets is an important first step towards coping with them. Recognising that we create most of our own upsets is an important first step towards coping with them.

47 SYMPTOMS OF STRESS Physical symptoms Physical symptoms Mental symptoms Mental symptoms Behavioural symptoms Behavioural symptoms Emotional symptoms Emotional symptoms

48 PHYSICAL SYMPTOMS Sleep pattern changes Sleep pattern changes Fatigue Fatigue Digestion changes Digestion changes Loss of sexual drive Loss of sexual drive Headaches Headaches Aches and pains Aches and pains Infections Infections Indigestion Indigestion Dizziness Fainting Sweating & trembling Tingling hands & feet Breathlessness Palpitations Missed heartbeats

49 MENTAL SYMPTOMS Lack of concentration Lack of concentration Memory lapses Memory lapses Difficulty in making decisions Difficulty in making decisions Confusion Confusion Disorientation Disorientation Panic attacks Panic attacks

50 BEHAVIOURAL SYMPTOMS Appetite changes - too much or too little Appetite changes - too much or too little Eating disorders - anorexia, bulimia Eating disorders - anorexia, bulimia Increased intake of alcohol & other drugs Increased intake of alcohol & other drugs Increased smoking Increased smoking Restlessness Restlessness Fidgeting Fidgeting Nail biting Nail biting Hypochondria Hypochondria

51 EMOTIONAL SYMPTOMS Bouts of depression Bouts of depression Impatience Impatience Fits of rage Fits of rage Tearfulness Tearfulness Deterioration of personal hygiene and appearance Deterioration of personal hygiene and appearance

52 STRESS RELATED ILLNESSES Stress is not the same as ill-health, but has been related to such illnesses as; Stress is not the same as ill-health, but has been related to such illnesses as; Cardiovascular disease Cardiovascular disease Immune system disease Immune system disease Asthma Asthma Diabetes Diabetes

53 STRESS RELATED ILLNESSES Digestive disorders Digestive disorders Ulcers Ulcers Skin complaints - psoriasis Skin complaints - psoriasis Headaches and migraines Headaches and migraines Pre-menstrual syndrome Pre-menstrual syndrome Depression Depression

54 DISTRESS CYCLE DISTRESS CYCLE Stressors: Immediate Immediate effect : effect : Long term effect : Overall cost: Overall cost: ChemicalEmotionalSocial CommunityFamilyWork DecisionPlanPhobic Stress overloading Stress overloading BehavioralPhysiologicalEmotionalCognitiveOvereating alcohol intake Smoking muscle tension, HR, BP muscle tension, HR, BP Anger, anxiety, Depression Concern traction Concern traction Obesity, alcoholism HT, IHD, DM, migraine anxiety dep phobia, personality Sleep, memory, obsessive. DecreasedproductivityEnjoyment & intimacy

55 STRESS CONTROL A B C STRATEGY

56 A = AWARENESS What causes you stress? How do you react?

57 ABC STRATEGY B = BALANCE There is a fine line between positive / negative stress How much can you cope with before it becomes negative ?

58 ABC STRATEGY C = CONTROL What can you do to help yourself combat the negative effects of stress ?

59 Stress Management Techniques Change your thinking Change your thinking Change your behaviour Change your behaviour Change your lifestyle Change your lifestyle

60 Change your Thinking Re-framing Re-framing Positive thinking Positive thinking

61 Re-framing Re-framing is a technique to change the way you look at things in order to feel better about them. Re-framing is a technique to change the way you look at things in order to feel better about them. There are many ways to interpret the same situation so pick the one you like. There are many ways to interpret the same situation so pick the one you like. Re-framing does not change the external reality, but helps you view things in a different light and less stressfully. Re-framing does not change the external reality, but helps you view things in a different light and less stressfully.

62 Positive Thinking Forget powerlessness, dejection, despair, failure Forget powerlessness, dejection, despair, failure Stress leaves us vulnerable to negative suggestion so focus on positives; Stress leaves us vulnerable to negative suggestion so focus on positives; Focus on your strengths Focus on your strengths Learn from the stress you are under Learn from the stress you are under Look for opportunities Look for opportunities Seek out the positive - make a change. Seek out the positive - make a change.

63 Change your Behaviour Be assertive Be assertive Get organised Get organised Ventilation Ventilation Humour Humour Diversion Diversion

64 Being Assertive Being assertive involves standing up for your personal rights and Being assertive involves standing up for your personal rights and expressing your thoughts, feelings and beliefs expressing your thoughts, feelings and beliefs directly, honestly and spontaneously in ways that dont infringe the rights of others. directly, honestly and spontaneously in ways that dont infringe the rights of others.

65 Get Organised Poor organisation is one of the most common causes of stress. Poor organisation is one of the most common causes of stress. Structured approaches offer security against out of the blue problems. Structured approaches offer security against out of the blue problems. Prioritising objectives, duties and activities makes them manageable and achievable. Prioritising objectives, duties and activities makes them manageable and achievable. Dont overload your mind. Dont overload your mind. Organisation will help avoid personal and professional chaos. Organisation will help avoid personal and professional chaos.

66 Time Management Make a list Make a list What MUST be done What MUST be done What SHOULD be done What SHOULD be done What would you LIKE to do What would you LIKE to do Cut out time wasting Cut out time wasting Learn to drop unimportant activities Learn to drop unimportant activities Say no or delegate Say no or delegate

67 Time Management Plan your day Plan your day Set achievable goals Set achievable goals Dont waste time making excuses for not doing something Dont waste time making excuses for not doing something

68 Ventilation A problem shared is a problem halvedA problem shared is a problem halved Develop a support network through friends or colleagues to talk with. Its not always events that are stressful but how we perceive them. Develop a support network through friends or colleagues to talk with. Its not always events that are stressful but how we perceive them. Writing a diary or notes may help release feelings but do not re-read what has been written. Writing a diary or notes may help release feelings but do not re-read what has been written.

69 Humour Good stress - reducer Good stress - reducer Applies at home and work Applies at home and work Relieves muscular tension Relieves muscular tension Improves breathing Improves breathing Pumps endorphins into the bloodstream - the bodys natural painkillers Pumps endorphins into the bloodstream - the bodys natural painkillers

70 Diversion Take time out Take time out Get away from things that bother you Get away from things that bother you Calm down Calm down Think logically Think logically

71 Change Your Lifestyle Diet Diet Smoking & Alcohol Smoking & Alcohol Exercise Exercise Sleep Sleep Leisure Leisure Relaxation Relaxation

72 Diet Healthy eating habits Healthy eating habits Avoid Caffeine (Stimulant) Avoid Caffeine (Stimulant) Avoid Sugar and Salt Avoid Sugar and Salt Avoid Fast Foods Avoid Fast Foods Regular Meals Regular Meals

73 Smoking and Alcohol Avoid or Moderate your consumption Avoid or Moderate your consumption No to DRUGS No to DRUGS

74 Benefits of Exercise Uses up excess energy released by the Fight or Flight reaction. Uses up excess energy released by the Fight or Flight reaction. Improves blood circulation Improves blood circulation Lowers blood pressure Lowers blood pressure Clears the mind of worrying thoughts Clears the mind of worrying thoughts Improves self image Improves self image Makes you feel better about yourself Makes you feel better about yourself Increases social contact Increases social contact

75 Sleep Good stress reducer Good stress reducer Difficult to cope when tired Difficult to cope when tired Wake refreshed after nights sleep Wake refreshed after nights sleep Plenty of daytime energy Plenty of daytime energy

76 Leisure Interest Interest Gives you a break from stresses Gives you a break from stresses Provides outlet for relief Provides outlet for relief Provides social contact Provides social contact

77 Benefits of Relaxation Lowers blood pressure Lowers blood pressure Combats fatigue Combats fatigue Promotes sleep Promotes sleep Reduces pain Reduces pain Eases muscle tension Eases muscle tension

78 Relaxation Decreases mental worries Decreases mental worries Increases concentration Increases concentration Increases productivity Increases productivity Increases clear thinking Increases clear thinking

79 Spirituality Yoga beneficial Yoga beneficial Meditation Useful Meditation Useful Prayers and Reading Holy Books helps in changing mindset and attitude Prayers and Reading Holy Books helps in changing mindset and attitude Inner Healing and self Awareness decreases stress Inner Healing and self Awareness decreases stress Faith, beliefs not Rituals are vital Faith, beliefs not Rituals are vital

80 WELLNESS CYCLE Stress Health promoting lifestyle responses Techniques & skills: Adaptive Adaptive Adaptive Behavioral Physical Cognitive & emotional Behavioral Physical Cognitive & emotional Responses Responses Responses Responses Responses Responses assertiveness, nutrition stress inoculation, assertiveness, nutrition stress inoculation, time mgmt. Exercise cognitive restructure time mgmt. Exercise cognitive restructure relaxation relaxation Long term effects: self esteem improved improved mental health self respect self respect physical Resistance to future Long term effects: self esteem improved improved mental health self respect self respect physical Resistance to future self confidence health & stresses self confidence health & stresses resistance to resistance to disease disease Overall benefits: productivity, enjoyment & intimacy

81 CONCLUSION Prevention is better than cure. Prevention is better than cure. For preventing the mental illness there is no vaccine like polio,DPT Etc. For preventing the mental illness there is no vaccine like polio,DPT Etc. Identify the stressors & develop good coping mechanism so that stress can be managed before it kills you. Identify the stressors & develop good coping mechanism so that stress can be managed before it kills you. Perception – Analysis – Action Perception – Analysis – Action

82 THOUGHT FOR THE DAY Never blame anyone in your life because - Never blame anyone in your life because - good people give happiness good people give happiness bad people give experience bad people give experience worst people give you a lesson worst people give you a lesson and best people give you memories. and best people give you memories.

83 Dr Charles Pinto Dr Malay Dave Dr Ravi Kamath Staff of JRH FOR MAKING THIS MENTAL HEALTH WEEK SUCESSFUL SPECIAL THANKS TO -


Download ppt "Observation of mental health week at Jagjivan Ram Hospital Western Rly Mumbai Central Following activities were carried out 1 – Public awareness lecture."

Similar presentations


Ads by Google