Republic of the Philippines Department of Education REGION X SCHOOLS DIVISION OF MISAMIS OCCIDENTAL ALORAN TRADE HIGH SCHOOL SOCIAL EMOTIONAL LEARNING “ENHANCING POSITIVITY AND COPING LIFE” Be Happy Keep Pushing Stay Positive Walk with Faith in God Introduction Social-emotional learning is exactly what it sounds like. The ability to understand your own feelings and the feelings of others to know how to react in specific settings. Social-emotional learning provides students with the ability to have emotional intelligence and empathize with others to build strong relationships. Those who invest in social-emotional learning are able to not only leverage it at the moment but also use it to lead others on a meaningful course. In this learning module student will learn to understand more about Stress, Anxiety, Depression and Suicide and how to cope with this. Before you begin The following are some reminders in using this module: 1. Use the module with care. Do not put unnecessary mark/s on any part of the module. Use a separate sheet of paper in answering the exercises. 2. Don’t forget to answer all activities included in the module. 3. Read the instruction carefully before doing each task. 4. Observe honesty and integrity in doing the tasks and checking your answers. 5. Finish the task at hand before proceeding to the next. 6. Return this module to your teacher/facilitator once you are through with it. If you encounter any difficulty in answering the tasks in this module, do not hesitate to consult your teacher or facilitator. Always bear in mind that you are not alone. We hope that through this material, you will experience meaningful learning and gain deep understanding of the relevant competencies. You can do it! Page 1 FAIR USE AND CONTENT DISCLAIMER: This Learning Module is for educational purposes only. Borrowed materials (i.e., songs, stories, poems, pictures, photos, brand names, trademarks, etc. include in these modules are owned by their respective copyright holders. The publisher and author do not represent nor claim ownership over them. Sincerest appreciation to these who have made significant contribution to these modules. This module is for the consumption of the ALORAN TRADE HIGH SCHOOL only. I. What Is Stress? Stress can be defined as any type of change that causes physical, emotional, or psychological strain. Stress is your body's response to anything that requires attention or action. Everyone experiences stress to some degree. The way you respond to stress, however, makes a big difference to your overall well-being. Signs Stress can be short-term or long-term. Both can lead to a variety of symptoms, but chronic stress can take a serious toll on the body over time and have long-lasting health effects. Some common signs of stress include:1 Identifying Stress Stress is not always easy to recognize, but there are some ways to identify some signs that you might be experiencing too much pressure. Sometimes stress can come from an obvious source, but sometimes even small daily stresses from work, school, family, and friends can take a toll on your mind and body. If you think stress might be affecting you, there are a few things you can watch for: Psychological signs such as difficulty concentrating, worrying, anxiety, and trouble remembering Emotional signs such as being angry, irritated, moody, or frustrated Physical signs such as high blood pressure, changes in weight, frequent colds or infections, and changes in the menstrual cycle and libido 2 Changes in mood Clammy or sweaty palms Decreased sex drive Diarrhea Difficulty sleeping Digestive problems Dizziness Feeling anxious Frequent sickness Grinding teeth Headaches Low energy Muscle tension, especially in the neck and shoulders Physical aches and pains Racing heartbeat Trembling Page Behavioral signs such as poor self-care, not having time for the things you enjoy, or relying on drugs and alcohol to cope Types of Stress Not all types of stress are harmful or even negative. Some of the different types of stress that you might experience include: Acute stress: Acute stress is a very short-term type of stress that can either be positive or more distressing; this is the type of stress we most often encounter in day-to-day life. Chronic stress: Chronic stress is stress that seems never-ending and inescapable, like the stress of a bad marriage or an extremely taxing job; chronic stress can also stem from traumatic experiences and childhood trauma. Episodic acute stress: Episodic acute stress is acute stress that seems to run rampant and be a way of life, creating a life of ongoing distress. Eustress: Eustress is fun and exciting. It's known as a positive type of stress that can keep you energized. It's associated with surges of adrenaline, such as when you are biking, playing basketball or racing to meet a deadline. You may feel drain and tired but you enjoy the process and you meet your certain goal. Page 3 Coping Although stress is inevitable, it can be manageable. When you understand the toll it takes on you and the steps to combat stress, you can take charge of your health and reduce the impact stress has on your life. Learn to recognize the signs of burnout. High levels of stress may place you at a high risk of burnout. Burnout can leave you feeling exhausted and apathetic about your job. When you start to feel symptoms of emotional exhaustion, it's a sign that you need to find a way to get a handle on your stress. Try to get regular exercise. Physical activity has a big impact on your brain and your body. Whether you enjoy biking or you want to begin jogging, exercise reduces stress and improves many symptoms associated with mental illness. Take care of yourself. Incorporating regular self-care activities into your daily life is essential to stress management. Learn how to take care of your mind, body, and spirit and discover how to equip yourself to live your best life. Practice mindfulness in your life. Mindfulness isn't just something you practice for 10 minutes each day. It can also be a way of life. Discover how to live more mindfully throughout your day so you can become more awake and conscious throughout your life.9 Page 4 ACTIVITY 1: That Really Stressed Me Out ACTIVITY 2. De-Stressing Below are activities to relieve stress. Do at least 10 of the following activities for destressing and answer the following questions after. Page 1. List down 10 activities you accomplished. 2. What do you feel after accomplishing each task? 3. Is it important to manage stress? Why? 5 Answer the following: II. What is Anxiety? Anxiety is your body’s natural response to stress. It’s a feeling of fear or apprehension about what’s to come. The first day of school, going to a job interview, or giving a speech may cause most people to feel fearful and nervous. But if your feelings of anxiety are extreme, last for longer than six months, and are interfering with your life, you may have an anxiety disorder. It’s normal to feel anxious about moving to a new place, starting a new job, or taking a test. This type of anxiety is unpleasant, but it may motivate you to work harder and to do a better job. Ordinary anxiety is a feeling that comes and goes, but does not interfere with your everyday life. In the case of an anxiety disorder, the feeling of fear may be with you all the time. It is intense and sometimes debilitating. This type of anxiety may cause you to stop doing things you enjoy. In extreme cases, it may prevent you from entering an elevator, crossing the street, or even leaving your home. If left untreated, the anxiety will keep getting worse. Anxiety disorders are the most common form of emotional disorder and can affect anyone at any age. According to the American Psychiatric Association, women are more likely than men to be diagnosed with an anxiety disorder. Page Symptoms of anxiety Anxiety feels different depending on the person experiencing it. Feelings can range from butterflies in your stomach to a racing heart. You might feel out of control, like there’s a disconnect between your mind and body. 6 What are the types of anxiety disorders? Anxiety is a key part of several different disorders. These include: panic disorder: experiencing recurring panic attacks at unexpected times. A person with panic disorder may live in fear of the next panic attack. phobia: excessive fear of a specific object, situation, or activity social anxiety disorder: extreme fear of being judged by others in social situations obsessive-compulsive disorder: recurring irrational thoughts that lead you to perform specific, repeated behaviors separation anxiety disorder: fear of being away from home or loved ones illness anxiety disorder: anxiety about your health (formerly called hypochondria) post-traumatic stress disorder (PTSD): anxiety following a traumatic event Other ways people experience anxiety include nightmares, panic attacks, and painful thoughts or memories that you can’t control. You may have a general feeling of fear and worry, or you may fear a specific place or event. Symptoms of general anxiety include: increased heart rate rapid breathing restlessness trouble concentrating difficulty falling asleep Your anxiety symptoms might be totally different from someone else’s. That’s why it’s important to know all the ways anxiety can present itself. Read about the many types of anxiety symptoms you might experience. Causes anxiety Researchers are not sure of the exact cause of anxiety. But, it’s likely a combination of factors play a role. These include genetic and environmental factors, as well as brain chemistry. In addition, researchers believe that the areas of the brain responsible for controlling fear may be impacted. Current research of anxiety is taking a deeper look at the parts of the brain that are involved with anxiety. Learn more about what the researchers are finding. Page 7 Natural remedies are used for anxiety Lifestyle changes can be an effective way to relive some of the stress and anxiety you may cope with every day. Most of the natural “remedies” consist of caring for your body, participating in healthy activities, and eliminating unhealthy ones. These include: getting enough sleep meditating staying active and exercising eating a healthy diet staying active and working out avoiding alcohol avoiding caffeine quitting smoking cigarettes If these lifestyle changes seem like a positive way to help you eliminate some anxiety, read about how each one works—plus, get more great ideas for treating anxiety. ACTIVITY 3: Anxiety Prep Instruction: It can be helpful to be prepared when you are going into a situation that might make you feel anxious or nervous. Use this worksheet to figure out things that you can do before and during the situation to help you cope if you become anxious. Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. Fortunately, it is also treatable. Depression causes feelings of sadness and/or a loss of interest in activities you once enjoyed. It can lead to a variety of emotional and physical problems and can decrease your ability to function at work and at home. Depression symptoms can vary from mild to severe and can include: o Feeling sad or having a depressed mood o Loss of interest or pleasure in activities once enjoyed o Changes in appetite — weight loss or gain unrelated to dieting 8 Depression This is the word we always used a lot but what is really depression? Page III. o o o o o o Trouble sleeping or sleeping too much Loss of energy or increased fatigue Increase in purposeless physical activity (e.g., inability to sit still, pacing, handwringing) or slowed movements or speech (these actions must be severe enough to be observable by others) Feeling worthless or guilty Difficulty thinking, concentrating or making decisions Thoughts of death or suicide Depression Is Different From Sadness or Grief/Bereavement The death of a loved one, loss of a job or the ending of a relationship are difficult experiences for a person to endure. It is normal for feelings of sadness or grief to develop in response to such situations. Those experiencing loss often might describe themselves as being “depressed.” But being sad is not the same as having depression. The grieving process is natural and unique to each individual and shares some of the same features of depression. Both grief and depression may involve intense sadness and withdrawal from usual activities. They are also different in important ways: o o o In grief, painful feelings come in waves, often intermixed with positive memories of the deceased. In major depression, mood and/or interest (pleasure) are decreased for most of two weeks. In grief, self-esteem is usually maintained. In major depression, feelings of worthlessness and self-loathing are common. In grief, thoughts of death may surface when thinking of or fantasizing about “joining” the deceased loved one. In major depression, thoughts are focused on ending one’s life due to feeling worthless or undeserving of living or being unable to cope with the pain of depression. Grief and depression can co-exist For some people, the death of a loved one, losing a job or being a victim of a physical assault or a major disaster can lead to depression. When grief and depression co-occur, the grief is more severe and lasts longer than grief without depression. Distinguishing between grief and depression is important and can assist people in getting the help, support or treatment they need. Page 9 Risk Factors for Depression Depression can affect anyone—even a person who appears to live in relatively ideal circumstances. Several factors can play a role in depression: o o o o Biochemistry: Differences in certain chemicals in the brain may contribute to symptoms of depression. Genetics: Depression can run in families. For example, if one identical twin has depression, the other has a 70 percent chance of having the illness sometime in life. Personality: People with low self-esteem, who are easily overwhelmed by stress, or who are generally pessimistic appear to be more likely to experience depression. Environmental factors: Continuous exposure to violence, neglect, abuse or poverty may make some people more vulnerable to depression. Preventing depression Depression isn’t generally considered to be preventable. It’s hard to recognize what causes it, which means preventing it is more difficult. But once you’ve experienced a depressive episode, you may be better prepared to prevent a future episode by learning which lifestyle changes and treatments are helpful. Techniques that may help include: regular exercise getting plenty of sleep maintaining treatments reducing stress building strong relationships with others Other techniques and ideas may also help you prevent depression. Depression is among the most treatable of mental disorders. Between 80% and 90% percent of people with depression eventually respond well to treatment. Almost all patients gain some relief from their symptoms. Depression is a real illness and help is available. With proper diagnosis and treatment, the vast majority of people with depression will overcome it. If you are experiencing symptoms of depression, a first step is to see your family ,physician or psychiatrist. Talk about your concerns and request a thorough evaluation. This is a start to addressing your mental health needs. You can also go to your class adviser or school guidance counselor. Page 10 You are not alone, together we can overcome depression! Page 11 ACTIVITY 4. Explore Your Feelings Instruction: Choose a family member you want to write a letter with it can be your mother, father, or any sibling, they can also be your guardian or grandparents. Complete each given phrase. IV. Suicide and suicidal thoughts Suicide, taking your own life, is a tragic reaction to stressful life situations — and all the more tragic because suicide can be prevented. Whether you're considering suicide or know someone who feels suicidal, learn suicide warning signs and how to reach out for immediate help and professional treatment. You may save a life — your own or someone else's. It may seem like there's no way to solve your problems and that suicide is the only way to end the pain. But you can take steps to stay safe — and start enjoying your life again. For immediate help If you're feeling overwhelmed by thoughts of not wanting to live or you're having urges to attempt suicide, get help now. In Touch Community Services. 24/7 free and confidential counseling support. Please call (02) 8893 7603 or 0917 800 1123 and 0922 893 8944 National Mental Health Crisis Hotline. A 24/7 crisis hotline to assist people with mental health disorder ranging from counseling to psychiatric emergencies and suicide prevention. Please call 0917 989 8727 or (02) 8531 9001 DOH Mental Health Psychosocial Support Team. Monday – Friday, 8:00 am to 12:00 midnight. 0916 343 7016 or 0933 644 3488 Vicente Sotto Memorial Medical Center Center for Behavioral Sciences Teleconsultation. 0929 287 3688 or (032) 253 4423 Tawag Paglaum Centro Bisaya. A 24/7 call-based hotline for suicide prevention and emotional crisis intervention based in Cebu City. Please call 0939 936 5433 or 0927 654 1629 Hopeline, Natasha Goulbourn Foundation. A depression and suicide prevention hotline to help people who are secretly suffering from depression. Please call (02) 804 4673 or 0917 558 4673 or 0927 654 1629 Globe and TM subscribers may call toll-free (FREE CALL) to 2919 Talking about suicide — for example, making statements such as "I'm going to kill myself," "I wish I were dead" or "I wish I hadn't been born" Getting the means to take your own life, such as buying a gun or stockpiling pills Page 12 Symptoms Suicide warning signs or suicidal thoughts include: Withdrawing from social contact and wanting to be left alone Having mood swings, such as being emotionally high one day and deeply discouraged the next Being preoccupied with death, dying or violence Feeling trapped or hopeless about a situation Increasing use of alcohol or drugs Changing normal routine, including eating or sleeping patterns Doing risky or self-destructive things, such as using drugs or driving recklessly Giving away belongings or getting affairs in order when there's no other logical explanation for doing this Saying goodbye to people as if they won't be seen again Developing personality changes or being severely anxious or agitated, particularly when experiencing some of the warning signs listed above Warning signs aren't always obvious, and they may vary from person to person. Some people make their intentions clear, while others keep suicidal thoughts and feelings secret. When to see a doctor If you're feeling suicidal, but you aren't immediately thinking of hurting yourself: Reach out to a close friend or loved one — even though it may be hard to talk about your feelings Contact a minister, spiritual leader or someone in your faith community Contact your school adviser or school guidance counselor Call a suicide hotline Make an appointment with your doctor, other health care provider or a mental health professional SUICIDAL THINKING DOESN'T GET BETTER ON ITS OWN — SO GET HELP. Causes Page 13 Suicidal thoughts have many causes. Most often, suicidal thoughts are the result of feeling like you can't cope when you're faced with what seems to be an overwhelming life situation. If you don't have hope for the future, you may mistakenly think suicide is a solution. You may experience a sort of tunnel vision, where in the middle of a crisis you believe suicide is the only way out. There also may be a genetic link to suicide. People who complete suicide or who have suicidal thoughts or behavior are more likely to have a family history of suicide. Risk factors Although attempted suicide is more frequent for women, men are more likely than women to complete suicide because they typically use more-lethal methods, such as a firearm. You may be at risk of suicide if you: Attempted suicide before Feel hopeless, worthless, agitated, socially isolated or lonely Experience a stressful life event, such as the loss of a loved one, military service, a breakup, or financial or legal problems Have a substance abuse problem — alcohol and drug abuse can worsen thoughts of suicide and make you feel reckless or impulsive enough to act on your thoughts Have suicidal thoughts and have access to firearms in your home Have an underlying psychiatric disorder, such as major depression, post-traumatic stress disorder or bipolar disorder Have a family history of mental disorders, substance abuse, suicide, or violence, including physical or sexual abuse Have a medical condition that can be linked to depression and suicidal thinking, such as chronic disease, chronic pain or terminal illness Are lesbian, gay, bisexual or transgender with an unsupportive family or in a hostile environment Prevention To help keep yourself from feeling suicidal: 14 Get the treatment you need. If you don't treat the underlying cause, your suicidal thoughts are likely to return. You may feel embarrassed to seek treatment for mental health problems, but getting the right treatment for depression, substance misuse or another underlying problem will make you feel better about life — and help keep you safe. Establish your support network. It may be hard to talk about suicidal feelings, and your friends and family may not fully understand why you feel the way you do. Reach out anyway, and make sure the people who care about you know what's going on and are there when you need them. You may also want to get help from your place of worship, support groups or other community resources. Feeling connected and supported can help reduce suicide risk. Page Remember, suicidal feelings are temporary. If you feel hopeless or that life's not worth living anymore, remember that treatment can help you regain your perspective — and life will get better. Take one step at a time and don't act impulsively. YOU ARE NOT ALONE, THERE WILL ALWAYS BE PEOPLE WHO IS WILLING TO HELP AND LISTEN. GOD WILL ALWAYS BE THERE FOR YOU NO MATTER WHAT. Psalm 33:20-22 – We put our hope in the Lord. He is our help and our shield. In him our hearts rejoice, for we trust in his holy name. Let your unfailing love surround us, Lord, for our hope is in you alone. Page 15 ACTIVITY 5: What’s on Your Mind? Instruction: Write the things that is in your mind today it could be positive or negative thoughts. Write everything. ACTIVITY 5: Things That I Like About Myself Page 16 ACTIVITY 6: Gratitude Journal Page 17 ACTIVITY 7. Depression Anxiety Stress Scale (DASS) 18 Page References Page Address: Labo, Aloran, Misamis Occidental Contact Number: (088)-5454055 E-mail Address: aths.educ@yahoo.com.ph 19 https://www.dyknow.com/blog/what-is-social-emotional-learning/ https://www.verywellmind.com/stress-and-health-3145086 https://www.healthline.com/health/anxiety#natural-remedies https://positivepsychology.com/stress-management-activities-worksheets/ http://homeschooldressage.com/wp-content/uploads/stress-management-worksheets-of-stressmanagement-worksheets-23.jpg https://www.education.com/worksheet/article/seeing-the-beauty-all-around/ https://www.mylemarks.com/uploads/4/7/0/1/47012219/s815775378408561442_p147_i4_w640.png https://www.psychologytoday.com/us/basics/depression https://www.healthline.com/health/depression#prevention https://www.psychiatry.org/patients-families/depression/what-is-depression https://www.mayoclinic.org/diseases-conditions/suicide/symptoms-causes/syc-20378048 https://www.teensfindinghope.org/uploads/1/1/1/5/11155800/bestthingsaboutyouchart_11.28.2016.pdf https://www.webbline.com/kb/suicide-prevention-hotlines/ https://www.scu.edu.au/media/scueduau/current-students/services/counselling/downloads/DepressionAnxiety-Stress-Scales-DASS3481.pdf