1. Dr.T.JOTHIMURUGAN DIRECTOR-MBA KLNCE 1

2.  India Today  *One in five children have stress related emotional disorders.  *40% teenagers admit to severe anxiety.  *Apollo Hospitals – a leading chain of hospitals has opened a separate clinic for teenagers – seeing a huge no. of teen patients coming in for treatment for problems like hyper-tension (BP) and obesity 2

3.  *In the past five years, cardiologist Brian Pinto of Nanavati hospital, Mumbai, has seen a 20% increase in teenage patients with hypertension.  * Teen suicide rates have trebled in the past 25 years and 40% suffer from anxiety.  Causes : Academic Pressure, Lack of family support, Bad diet and habits.  Long term Consequences : Most adult depression is rooted in adolescence. 3

4.  IS A PART OF EVERYDAY LIFE  IS NECESSARY  DOES NOT HAVE TO BE NEGATIVE OR OVERWHELMING TIME, MONEY, AND RELATIONSHIPS ENSURE THAT STRESS WILL ALWAYS BE WITH US 4

5. Stress is a physiological response to an imbalance in the mind. 5

6. DEFINITION:  THE NON-SPECIFIC RESPONSE OF THE BODY TO ANY DEMAND  “…STRESS IS ESSENTIALLY REFLECTED BY THE RATE OF ALL THE WEAR AND TEAR CAUSED BY LIFE.” -Hans Selye, MD 6

7.  IT DOES NOT MATTER IF THE STRESSOR IS PLEASANT OR UNPLEASANT, OR THE RESULTS ARE GOOD OR BAD 7

8. NOT ALL STRESS IS NEGATIVE EUSTRESS: POSITIVE STRESS RESULTS FROM EXHILARATING EXPERIENCES: WINNING THE LOTTERY UNEXPECTED PROMOTION AWARD 8

9. DISTRESS STRESS OF: LOSING, FAILING, OVERWORKING AND NOT COPING CAN BE HARMFUL AND IT IS NORMAL FROM TIME TO TIME 9

10. FALL INTO TWO CATEGORIES:  EXTERNAL  INTERNAL 10

11. MAY BE MAJOR LIFE EVENTS:  MOVING ( RESIDENCE,JOB)  DEATH OF SPOUSE, FAMILY MEMBER OR FRIEND  LOVE FAILURE,  DIVORCE 11

12. SUCH AS:  FINANCIAL  DEADLINES  ARGUMENTS  FAMILY CONCERNS  LACK OF SLEEP AND STARVATION 12

13. “INSIDE OURSELVES” THIS TYPE OF STRESSOR MAY PLAY A GREATER ROLE IN THE STRESS OF DAILY LIFE 13

14. EXAMPLES ARE: “VALUES AND BELIEFS” FAITH GOALS SELF-IMAGE EXPECTATIONS OF SELVES & OTHERS 14

15. IS THE AUTOMATIC STATE THAT RESULTS WHEN THE BODY ATTEMPTS TO MAKE CHANGES IN ORDER TO ADAPT TO ANY DEMAND 15

16.  DRIVEN BY HORMONES  HORMONES ACT LIKE A CONDUCTOR  HORMONES INNERVATE BODY SYSTEMS/ORGANS 16

17.  HYPOTHALAMUS STIMULATES PITUITARY  PITUITARY RELEASES ACTH INTO BLOOD  ACTH STIMULATES ADRENAL GLANDS TO SECRETE FURTHER CHEMICALS THAT AFFECT OTHER ORGAN SYSTEMS 17

18.  HEART RATE SPEEDS UP  BP RISES  BREATHING SPEEDS UP  BLOOD TO MUSCLES  SWEATING  BLOOD SUGAR INCREASES 18

19.  PHYSICAL  MENTAL EMOTIONAL  BEHAVIORAL  COGNITIVE 19

20.  MUSCLE TENSION  NAUSEA, VOMITING  HEADACHES  NECK & BACK PAIN  DIARRHEA  SLEEP DISTURBANCES  DRY MOUTH, SWEATY PALMS  UPPER RESPIRATORY INFECTIONS  COLD HANDS  BREATHING CHANGES (E.G., SHALLOW, SIGHING) 20

21.  ANXIETY, WORRY, GUILT, NERVOUSNESS  ANGER, FRUSTRATION  MOODINESS  DEPRESSION  APPETITE VARIES  RACING THOUGHTS  DIMINISHED CONCENTRATION  IMPAIRED MEMORY OR FORGETFULNESS 21

22.  INDECISIVENESS  CLOSE TO TEARS OR CRYING  LONELINESS  FEAR OF GETTING CLOSE  SUICIDAL THINKING  TROUBLE LEARNING NEW INFO  CONFUSED/DISORGANIZED 22

23.  SERIOUS APPEARANCE  NERVOUS BEHAVIOR/HABITS  RUSHING/PACING  ON EDGE  INCREASED FRUSTRATION/IRRITABLE  MORE ACCIDENTS  OVERREACTING 23

24.  REDUCED PRODUCTIVITY  SOCIAL WITHDRAWAL  DEFENSIVE  SLEEP PROBLEMS/TIREDNESS  INCREASED USE OF OTC DRUGS  INCREASED TOBACCO  INCREASED ALCOHOL  INCREASED RECREATIONAL DRUGS 24

25.  HAVE EXAGGERATED FEARS  DEVELOP ANXIETY/PANIC  DEVELOP PHYSICAL PROBLEMS INCLUDING CV DISEASE, HBP, ULCERS OR HEADACHES 25

26. NOW THAT YOU ARE FAMILIAR WITH SOME OF THE SYMPTOMS OF STRESS, HOW DO YOU MANAGE IT? SIMPLE, RIGHT? 26

27. COPING SKILLS FOR STRESS MANAGEMENT:  DEEP BREATHING  EXERCISE  RELAXATION  GUIDED IMAGERY 27

28. GET ORGANIZED & MANAGE YOUR TIME: “USE CALENDERS OR ELECTRONIC DEVICES OR TO DO LISTS” KNOW YOUR LIMITS: BE REALISTIC CHANGE ATTITUDE: LEARN TO SEE STRESSFUL SITUATIONS AS CHALLENGES TALK IT OVER: TALK THE SITUATION OVER WITH A FRIEND 28

29. LEARN TO SAY “NO”:  THERE ARE SOME DEMANDS THAT WE HAVE NO CONTROL OVER.  SEPARATE THOSE FROM ACTIVITIES OVER WHICH WE HAVE SOME CONTROL, AND  LEARN TO SAY “NO” TO DEMANDS AND WORKS. 29

30. POSITIVE SELF TALK: LEARN THAT YOU CAN MANAGE A STRESSFUL SITUATION BY WHAT YOU SAY TO YOURSELF, “I CAN HANDLE THIS ONE STEP AT A TIME”. 30

31. TAKE CHARGE: TAKE RESPONSIBILITY FOR MAKING YOUR LIFE WHAT YOU WANT. 31

32.  DEEP BREATHING  PROGRESSIVE MUSCLE RELAXATION  BIOFEEDBACK  MEDITATION  BEGIN AN EXERCISE PROGRAM  REAPPRAISE YOUR LIFE AND PRIORITIES 32

33. LOVE, PRAY, FORGIVE REALIZE THAT MOST STRESS COMES FROM WITHIN, NOT WITHOUT. TAKE TIME TO SMELL THE FLOWERS AND TASTE THE STRAWBERRIES. 33

34. THANK YOU 34