Word Count: 2013 "Forty-three percent of all adults suffer adverse health effects from stress; 75 to 90 percent of all physician office visits are for stress-related ailments and complaints; stress is linked to the six leading causes of death--heart disease, cancer, lung ailments, accidents, cirrhosis of the liver, and suicide." (Miller, 1993, p.12) "Stress plays havoc with our health, our productivity, our pocketbooks, and our lives, but it is necessary, even desirable." (Oxford, 1998, p.29) In researching stress, one would learn about what stress is, the early warning signs of stress, the different types of stress, and how to build resistance to it. Stress is a combination of physical, mental, and emotional feelings that result from pressure, worry, and anxiety. These pressures are called stressors. Some examples of common stressors are; divorce, death in the family, job change, pregnancy, a large mortgage, marriage, and retirement. "In medicine, stress is, a physical, chemical, or emotional development that causes strains that can lead to physical illness." (Microsoft Encarta) The early warning signs of stress include apathy, anxiety, irritability, mental fatigue, and overcompensation or denial. Some signs of apathy are feelings of sadness or recreation that isn’t fun any more. Feelings of restlessness, agitation, insecurity and a sense of worthlessness are examples of anxiety. Signs of irritability are feeling hypersensitive, defensive, and arrogant. Feeling argumentative, rebellious, or angry are also signs of irritability. Examples of mental fatigue are feeling preoccupied, having difficulty concentrating, and trouble thinking flexibly. Working too hard, denying that there are problems, ignoring symptoms, and feeling suspicious are all signs of overcompensation or denial. Some behavioral signs of stress are avoiding things, doing things to extremes, administrative problems, and legal problems. Avoiding things includes keeping to one’s self, avoiding work, having trouble accepting responsibility, and neglecting responsibility. Examples of doing things to extremes are alcoholism, gambling, spending sprees, and sexual promiscuity. Some administrative problems are being late to work, poor appearance, poor personal hygiene, and being accident prone. Possible legal problems are indebtedness, shoplifting, traffic tickets, and an inability to control violent impulses. Some physical signs of stress include excessive worrying about illness, frequent illness, and physical exhaustion. Reliance on medication including remedies like aspirin is a physical sign of stress. Ailments such as insomnia, appetite changes, and weight gain or loss are also physical signs of stress. Indigestion, nausea, and nervous diarrhea, are also physical signs, as well as, constipation, and sexual problems. Stress can be confusing. There are some myths surrounding stress. Here are a few of them. One myth is that stress is the same for everybody. This is not true. What is stressful for one person, may or may not be stressful for another; each person responds to stress in a different way. Some people seem to think that stress is everywhere, so there is nothing a person can do about it. This is not so. A person can plan their life so that stress doesn’t overwhelm them. Another myth is that stress is always bad for a person. This isn’t true because managed stress makes people productive and happy. Some people think that only the major symptoms of stress require attention. The minor symptoms are the early warnings that a better job of managing stress is needed. Another myth about stress is that people think if they don’t have any symptoms of stress, they don’t have stress. People can be affected by stress without having symptoms of stress. There are four types of stress. There is acute stress, episodic acute stress, chronic stress, and traumatic stress. Each type of stress has its own characteristics, symptoms, duration, and treatments. Acute stress is the most common type of stress. "Acute stress comes from demands and pressures of the recent past and anticipated demands and pressures of the near future." (Hanson, 1985 p.17) Acute stress is exciting and thrilling in small amounts, but too much is exhausting. Overdoing it on acute stress can lead to psychological distress, tension headaches, upset stomach, and other symptoms. Some examples of stressors that can cause acute stress are; an auto accident that crumpled the car fender, the loss of an important contact, a child’s occasional problems at school, and so on. Acute stress doesn’t have enough time to do the extensive damage that is associated with long-term stress. Some of the most common symptoms of stress are emotional distress, muscular problems, stomach problems, and transient over arousal. Emotional distress includes anger, irritability, and anxiety. Muscular problems such as tension headaches, upper and lower back pain, and jaw pain (TMJ), are symptoms of stress. Muscular tensions that lead to pulled muscles and tendon and ligament problems, are symptoms of stress as well. Other symptoms of stress are stomach, gut and bowel problems. Heartburn, acid stomach, ulcers, flatulence, diarrhea, constipation, and irritable bowel syndrome are examples of these problems. Transient over arousal is another symptom of stress. It leads to elevation in blood pressure, rapid heartbeat, and sweaty palms. Heart palpitations, dizziness, and migraine headaches can also result from transient over arousal. Symptoms like cold hands or feet, shortness of breath, and chest pain are also common. . Episodic Acute stress is what people who suffer from acute stress frequently have. These people’s lives are so disorderly that they are constantly in a state of chaos and crisis. They are always in a hurry, but they are always late. If something can go wrong in their life, it does. "They take on too much, have too many irons in the fire, and can’t organize the slew of self-inflicted demands and pressures clamoring for their attention." (Miller, 1993 p.18) Often, these people describe themselves as having "a lot of nervous energy." Another form of episodic acute stress comes from non-stop worry. The people who worry too much are always thinking that something bad is going to happen. These people tend to be over aroused and tense. The symptoms of episodic acute stress are the symptoms of extended over arousal: persistent tension headaches, migraines, hypertension, chest pain, and heart disease. "The treatment of episodic acute stress requires intervention on a number of levels, generally requires professional help, and may take many months." (Eliot, 1989 p.59) Sufferers are usually very resistant to change of any kind. Acute stress can come up in anyone’s life but it is highly treatable and manageable. A more serious type of stress is chronic stress. Chronic stress is not thrilling or exciting like acute stress can be. "Chronic stress is the grinding stress that wears people away day after day, year after year." (Battison, 1997 p.19) It destroys minds, bodies, and lives. Chronic stress comes when a person doesn’t see a way out of a miserable situation. The worst part of chronic stress is that people get used to it and forget that it’s there. Chronic stress kills by means of suicide, violence, heart attack, stroke, and, perhaps, even cancer. The symptoms of chronic stress are hard to treat and could require a lot of medical and behavioral treatment, therapy, and stress management. Traumatic stress is a special kind of chronic stress, known as post-traumatic stress disorder (PTSD). It is caused by trauma that is not handled correctly. Some examples of traumatic experiences are; accidents, rape, verbal, physical, psychological, or sexual abuse, being in the presence of extreme violence, a brush with death, natural disasters, death of a loved one, and imprisonment. The symptoms of PTSD are flashbacks, over arousal, emotional numbness or loss of feeling, along with extreme emotional outbursts to minor things. People with PTSD suffer from problems with concentration, controlling impulses, and decision making. The long term consequences of PTSD are depression, anxiety, behavioral disorders, multiple personality disorder, and suicide. There are three basic strategies for dealing with stress at the source. The first strategy is altering situations to make them less stressful. Avoiding stressful situations is the next strategy. Accepting stressful situations is the other basic strategy in dealing with stress at the source. Each strategy has it’s disadvantages and it’s advantages. It’s up to every person to decide which one to use with which situation. "The tougher a person’s resistance to stress is, the more stress they can take." (Hanson, 1985 p.52) There is a lot people can do to maximize their resistance to stress. People have resources to help them handle stress. These resources include familial and financial resources, social and spiritual resources, as well as personal resources. They can also develop good health habits and get rid of bad health habits to help build up a resistance to stress. Following these guidelines in a person’s life is a good way to increase their resistance to stress. Eat at least one hot balanced meal per day. Improving a person’s nutritional habits makes them much less susceptible to stress. Limiting a person to less than three caffinated drinks per day helps to improve their health and increase their susceptibility to stress. "Caffeine can stay in a person’s system generating adrenaline release for hours, creating and artificial stress response that can keep a person wired and tense for hours and interfere with their sleep." (Perloe, 1998, p.62) R. Coyle (lecture, February 1, 1999) Practice the calming reflex regularly. The calming reflex is a quick exercise a person can do to keep their stress level from reaching their threshold for stress. When a person reaches their threshold, they begin to experience symptoms. Use this whenever something comes up that would cause you stress. The first step in the stress reflex is to notice the stressor. That’s your cue. Then you say silently to yourself, "Sparkling eyes, smiling face; alert, amused mind, calm body." Next, take a deep breath in through imaginary holes in the bottom of your feet; hold 2-4 seconds, and while exhaling very slowly let your jaw hang loose, let your lips part and allow your shoulders to drop. Notice a feeling of warmth follow the air as it leaves your body out the imaginary holes in the bottom of your feet. Take another breath and resume your activity. Give and receive affection regularly. Research has shown that people who give and receive affection regularly, live longer and are healthier. Have at least one relative within 50 miles. Family is one of the best ways of reducing stress. Regularly attend social activities. Friends a person meets can provide a support network for good and bad times. Have a network of friends and acquaintances. A strong social network helps fight off feelings of loneliness, isolation, and despair. Have one or more friends to confide in about personal matters. Close friends boost a person’s mental health just by being there. Exercise to the point of perspiration at least three times a week. Exercise leads to fitness and people who are fit handle stress better. Being the appropriate weight for a person’s height is important for their self esteem. Be in good health because a person’s health is the first line of defense against stress. Get seven to eight hours of sleep four nights per week. Lack of sleep leads to exhaustion that harms the quality of a person’s life, health, and productivity. It also decreases your ability to handle stress. A person should have an income or allowance that they can meet their basic expenses with. Money can be a big help when coping with stress and life. Be able to organize your time effectively. People who manage their time effectively, have less stress. Take quiet time for yourself during the day. It can recharge a person’s mind and body, increase their energy level, and raise their level of efficiency. Do something fun at least once a week. Doing something just for the fun of it, improves a person’s resistance to stress. Have an optimistic outlook on life. Optimists handle stress better that pessimists because they get things done quicker. Be able to speak openly about your feelings when you are angry or worried. Letting the emotions of stress stay bottled up inside a person is harmful. A person can get strength from their religious beliefs. Spiritual beliefs help a lot with resistance to stress. As one can see, stress is a combination of feelings that have different effects on peoples’ health, and also there are many different ways to build resistance to it so it will not conquer your life. "Exciting or challenging events such as the birth of a child, completion of a major project at work, or moving to a new city generates as much stress as does tragedy or disaster. Without it, life would be dull." (Eliot, 1989, p.39) References Battison, T.(1997). Beating stress. New York: Macmillan. Bradley, M.(1997). The 21st Century Stress Manual. Men’s Health, 13 (4), 36-39. Eliot, R. S.(1989). Is it worth dying for?. New York: Bantam Books. Hanson, P. G.(1985). The Joy of Stress. New York: Andrews, McMeel, & Parker. . Miller, L. H.(1993). The stress solution. New York: Pocket Books. Moir, A.(1998). Like a lolling stone. Forbes 161 (9), 55. Oxford, M.(1998, April). Stress and the body. Harvard Health Letter : 41+. Perloe, M. M.D.(no date). Stress management [Online]. Available: www.ivf.com/stress.html [1999, March 23]. Microsoft Encarta. [Computer software]. (1994). Funk & Wagnalls Corporation. Talan, J.(1998). Sick or stressed out. Psychology Today 4 18+. Zuzanek, J.(1998). Time use, time pressure, personal stress, mental health, and life satisfaction. Journal of Occupational Science , 52+. Keywords: word count quot forty three percent adults suffer adverse health effects from stress percent physician office visits stress related ailments complaints stress linked leading causes death heart disease cancer lung ailments accidents cirrhosis liver suicide quot miller quot plays havoc with health productivity pocketbooks lives necessary even desirable oxford researching would learn about what early warning signs different types build resistance combination physical mental emotional feelings that result from pressure worry anxiety these pressures called stressors some examples common stressors divorce death family change pregnancy large mortgage marriage retirement medicine physical chemical emotional development that causes strains that lead physical illness microsoft encarta early warning signs include apathy anxiety irritability mental fatigue overcompensation denial some signs apathy feelings sadness recreation more feelings restlessness agitation insecurity sense worthlessness examples anxiety irritability feeling hypersensitive defensive arrogant feeling argumentative rebellious angry also irritability examples mental fatigue feeling preoccupied having difficulty concentrating trouble thinking flexibly working hard denying there problems ignoring symptoms suspicious overcompensation denial some behavioral avoiding things doing things extremes administrative problems legal problems avoiding things includes keeping self avoiding work having trouble accepting responsibility neglecting responsibility doing extremes alcoholism gambling spending sprees sexual promiscuity administrative being late work poor appearance poor personal hygiene being accident prone possible legal indebtedness shoplifting traffic tickets inability control violent impulses include excessive worrying about illness frequent illness exhaustion reliance medication including remedies like aspirin sign ailments such insomnia appetite changes weight gain loss also indigestion nausea nervous diarrhea also well constipation sexual confusing there myths surrounding here them myth same everybody this true what stressful person stressful another each person responds different people seem think everywhere there nothing person about this plan their life doesn overwhelm them another myth always this true because managed makes people productive happy people think only major symptoms require attention minor symptoms early warnings better managing needed another myth think they have they have affected without having four types acute episodic acute chronic traumatic each type characteristics duration treatments acute most common type comes from demands pressures recent past anticipated demands pressures near future hanson exciting thrilling small amounts much exhausting overdoing lead psychological distress tension headaches upset stomach other stressors cause auto accident crumpled fender loss important contact child occasional school doesn have enough time extensive damage associated with long term most common emotional distress muscular stomach transient over arousal distress includes anger muscular such tension headaches upper lower back pain pain muscular tensions lead pulled muscles tendon ligament well other stomach bowel heartburn acid ulcers flatulence diarrhea constipation irritable bowel syndrome these transient over arousal symptom leads elevation blood pressure rapid heartbeat sweaty palms heart palpitations dizziness migraine headaches result transient over arousal like cold hands feet shortness breath chest pain episodic what suffer frequently these lives disorderly they constantly state chaos crisis always hurry always late something wrong their life does take much many irons fire organize slew self inflicted demands clamoring their attention miller often describe themselves nervous energy form episodic comes stop worry worry much thinking something going happen tend aroused tense extended persistent tension migraines hypertension chest heart disease treatment requires intervention number levels generally requires professional help take many months eliot sufferers usually very resistant change kind come anyone life highly treatable manageable more serious type chronic chronic thrilling exciting like grinding wears away after year after year battison destroys minds bodies lives comes when doesn miserable situation worst part used forget kills means suicide violence attack stroke perhaps even cancer hard treat could require medical behavioral treatment therapy management traumatic special kind known post traumatic disorder ptsd caused trauma handled correctly experiences accidents rape verbal psychological sexual abuse being presence extreme violence brush with death natural disasters loved imprisonment ptsd flashbacks numbness loss along extreme outbursts minor ptsd suffer concentration controlling impulses decision making long term consequences depression behavioral disorders multiple personality disorder suicide three basic strategies dealing source first strategy altering situations make them less stressful situations next strategy accepting situations other basic strategy dealing source each disadvantages advantages every decide which which situation tougher resistance more take hanson maximize resistance resources help handle resources include familial financial resources social spiritual well personal develop good health habits habits help build following guidelines good increase least balanced meal improving nutritional habits makes less susceptible limiting less than three caffinated drinks helps improve increase susceptibility caffeine stay system generating adrenaline release hours creating artificial response keep wired tense hours interfere sleep perloe coyle lecture february practice calming reflex regularly calming reflex quick exercise keep level reaching threshold when reaches threshold begin experience whenever something would cause first step reflex notice stressor your then silently yourself sparkling eyes smiling face alert amused mind calm body next deep breath through imaginary holes bottom your feet hold seconds while exhaling very slowly your hang loose lips part allow shoulders drop notice warmth follow leaves body imaginary holes bottom feet breath resume activity give receive affection regularly research shown give receive affection regularly live longer healthier least relative within miles family best ways reducing attend social activities friends meets provide support network good times network friends acquaintances strong social network helps fight loneliness isolation despair friends confide personal matters close boost just exercise point perspiration least times week exercise leads fitness handle better appropriate weight height important self esteem because first line defense against seven eight hours sleep four nights week lack sleep leads exhaustion harms quality productivity decreases ability handle should income allowance meet basic expenses money when coping able organize time effectively manage time effectively quiet yourself during recharge mind body increase energy level raise level efficiency once week doing just improves optimistic outlook optimists better pessimists because done quicker able speak openly angry worried letting emotions stay bottled inside harmful strength religious beliefs spiritual beliefs combination different effects peoples many ways build will conquer exciting challenging events such birth child completion major project work moving city generates does tragedy disaster without would dull eliot references battison beating york macmillan bradley century manual eliot worth dying york bantam books hanson york andrews mcmeel parker miller solution pocket books moir lolling stone forbes oxford april harvard letter perloe date management online available html march microsoft encarta computer software funk wagnalls corporation talan sick stressed psychology today zuzanek pressure 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