KAPLAN UNIVERSITY HW410 Stress: Critical Issues in Management and Prevention Stress Management and Prevention Program Resource Guide 1 KAPLAN UNIVERSITY Stress Management and Prevention Program Resource Guide By Barbara Engel Kaplan University HW410: Stress: Critical Issues in Management and Prevention 04/24/2013 Table of Contents UNI T 1 THE NATURE OF STRESS Information to Remember Resources: Exercises: Exercises Tools: Journal Writing: Journal Writing UNI T 2 THE BODY AS B ATTLEFI ELD Information to Remember Resources: Exercises: Exercises Tools: Journal Writing: Journal Writing UNI T 3 FEAST OR FAMI NI NE Information to Remember Resources: Exercises: Exercises Tools: Journal Writing: Journal Writing UNI T 4 ONE PLANET UN DER STRESS Information to Remember Resources: Exercises: Exercises Tools: Journal Writing UNI T 5 UNDER STRESS: WHAT NOW? Information to Remember Resources: Exercises Tools: Journal Writing UNI T 6 AGELESS WI SDO M OF MEDITATI ON Information to Remember Resources: Exercises Tools: Journal Writing UNI T 7 SI GHT, SOUND, Information to Remember Resources: Exercises Tools: Journal Writing AND BODY WORK UNI T 8 THE WELLNESS MANDALA Information to Remember Resources: Exercises Tools: Journal Writing UNI T 9 APPLYI NG PREVENTI ON TO STRE SS: YOUR CRI TICAL P ROFESSI ONAL MANA GEMENT AND LI FE Information to Remember Resources: Exercises Tools: Journal Writing UNI T 10 APPLYI NG PREVENTI ON TO STR ESS: YOUR CRI TICAL P ROFESSI ONAL MANAGE MENT LI FE Information to Remember Resources: Exercises Tools: Journal Writing ADDI TI ONAL I NFORMATI ON (End of the Guide) AND (This page intentionally left blank) 1 Unit Unit 1: The Nature of Stress Information to Remember: Stress is defined as the absence of inner peace or the inability to cope with problems. Stress has affects on our mental, physical and spiritual aspects in our life. Stressors are categorized into three groups: bioecological influences, psychointrapersonal influences, and social influences. There are three different types of stress. Eustress is our good stress, this type of stress is healthy for us; neustress is our neural perception of an unimportant event/situation and distress is the negative or bad stress. Distress is where we need to learn stress management techniques to avoid having chronic stress, which has profound impact on our bodies. Our body goes through a physiological arousal to survive a threat, otherwise referred to as the fight or flight response (Seaward, 2009). We go through three stages (Alarm reaction, stage of resistance, stage of exhaustion) of the General Adaptation Syndrome, which is our bodies way of adapting to stress. Resources: Exercises: The Wellness Paradigm Revisited (1.6). In order to achieve holistic wellness, all aspects/or components of your life have to be in balance and in harmony. This balance sets the bar for how in tune you are with your body. An emotional connection is on a much more deeper and personal level than a physical connection. We must come to appreciate the true integration, balance, and harmony of mind, body, spirit, and emotions. Tools: Journal Writing: A Good Night's Sleep (1.4). Experts recommend that we get 8 hours of sleep per night. Our quality of sleep, affects our hours we are awake. If sleep deprived for too long, this will start affecting all 4 aspects of our health. If left sleep deprived our memory and motor coordination fade quickly, and our 2 Unit performance is greatly compromised. Unit 2: The Body as Battlefield Information to Remember: The endocrine systems plays a big part in our stress response. The glands that are closely involved with the stress response are the pituitary, thyroid, and adrenal glands. The adrenal gland is known as “the stress gland” (Seaward, 2009). The hypothalamus:called the “seat of the emotions,” is involved with emotional processing. When there is a perceived threat, the hypothalamus secretes a substance called corticotrophin-releasing factor (CRF) to the pituitary gland to activate the fight-or-flight response. Studies on the topic of Alzheimer’s support the theory that the brain needs stimulation to promote mental acuity. Stress research validates the need for quiet time for the brain though (Seaward, 2009). When the brain is constantly stimulated (and overstimulated) these neurological impulses rewire the brain for perpetual stress. Resources: Exercises: Immediate, Intermediate, and Prolonged Stress Effects (2.2). Our stress response has different effects on us at different intervals. Our immediate reaction to stress happens in seconds, our intermediate happens within minutes to hours and our prolonged effects happen over a course of multiple days. Some reactions from stress include, sweating, rapid heart rate, blushing, migraines, acne and possible flare ups of cold sores. 5 Tools: Journal Writing: 3 Unit Physical Symptoms Questionnaire (3.1). Our physical symptoms tell us a lot about what our body is experiencing or going through. Evaluation of our symptoms; including frequency, how severe and how long they last, can help come to a solution of why we are having these symptoms. Unit 3: Feast or Famine Information to Remember: Building blocks of psychological stressors; outlets for frustration, this concept focuses on the idea that we handle stress better when we know we have a distraction from that stressor (Sapolsky, 2004), having a social support decreases the level of stress resulting in a more positive aspect, the predictability of a situation and our perception, thinking to yourself that this isn't so bad, the situation can be a lot worse can lessen the effects of stress. Tips to managing anger, the creative approach! Know your anger style, learn to monitor your anger, learn to deescalate your anger, learn to out-think your anger, develop realistic expectations. The best suggestion is forgiveness, make past anger pass, this step is an important part in anger management. Fear...how to survive through it! Methods for overcoming fears include psychoanalytical approach and behavioral therapy (Seaward, 2009). Some individuals can work on improving self esteem, self worth, step out of your comfort zone; by doing these things the doors will open to be able to handle fear effectively. Resources: Exercises: Emotional Well-Being (5.9). Our emotional intelligence and well being is described as the ability to feel and express the multiple human emotions, and to control them without being controlled by them. By maintaining this balance you are providing a healthier state of mind 6 Tools: Journal Writing: 4 Unit The Psychology of Stress (4.1). Reflecting on behavior, attitude and perception during stressful times can help in the future of how one should act and better handle a situation. Our first instinct is to become defensive when a problem comes up. This defensive behavior would hinder a learning experience because an attitude would not allow the information to be reconciled and thoroughly thought through for improvement. Unit 4: One Planet Under Stress Information to Remember: The stress prone personalities are called to be the type A people. This type A personality is said to be a rushed or hurried style. Type A personalities are at high risk for developing stress related disease, such as coronary artery disease. Other character traits of this personality include time urgency, multi-tasking, ultra-competitiveness, have rapid speech patterns, us manipulative control, have low self-esteem and are hyperaggressive (Seaward, 2009). The stress-resistant personalities are the people are people who show many characteristics of commitment, control, and challenge. This person has a sense of purpose because they have made themselves devoted to oneself (values, morals, beliefs), their work and their family. They know they are important and matter without constant praise. Each and everyone of us have our own set of beliefs, values, and morals. No one path answers all the questions to the mystery of the human spirit. It is in that journey that we find inner peace and the path we were meant to follow. There are four processes that together nurture the growth of the human spirit include centering, emptying, grounding, and connecting. Resources: Exercises: Distractions of the Human Path (7.8). Distractions are mental/physical ideals and/or objects that takes us off our planned route in life. Examples of everyday distractions include social networking, alcohol, television, cell phones, and the internet. There is no way to totally take distractions out of our life, but to simply lessen them if possible and redirect when getting off track. 7 Tools: Journal Writing: 5 Unit Under the Gun: Stress and Personaity (6.1). We all have our own ways of dealing with stress, finding our inner resources to get through those times is imporant. Some inner resources include, motivation, strength, faith, and love. A philosophy good to live by is if God brings you to it, he will bring you through it! Unit 5: Under Stress: What Now? Information to Remember: Effective coping strategies = Increased awareness + Information processing + Modified behavior + Peaceful resolution (Seaward, 2009). Cognitive restructuring is a coping technique, the purpose is to widen one’s conscious perspective and thus allow room for a change in perception. Implementing good time management techniques include prioritizing, scheduling, and execution. Resources: Exercises: An exercise that is helpful in evaluating our perspective is to think of a stressful event and how you would handle it now. Then take the approach of the cognitive restructuring and come up with a new/better way to handle the situation the next time the same situation occurs. Tools: Journal Writing: Reframing: Seeing a Bigger, Clearer Perspective (8.1). Emotions such as anger and fear can narrow our focus and distort our perspective, the key to coping with stress is to change the threatening perception to a nonthreatening perception. This is a great way of looking at situations from an optimistic perspective. 8 Unit 6: Ageless Wisdom of 6 Unit Meditation Information to Remember: Diaphragmatic breathing is a relaxation technique that involves use of the diaphragm rather than the thoracic area. The reason this is effective is that the breathing from the diaphragm initiates a less sympathetic neural activity, causing a greater relaxation effect (Seaward, 2009). Meditation is a relaxation technique used to calm the mind and a way to bring inner peace and harmony to our lives. Practicing this regularly will provide that sense of calmness. This technique is used by many because of the benefits it provides and doesn't cost anything out of pocket. Mental imagery and visualization are separated in their differences by the concious and unconsious mind. Visualization is an initiated exercise, which involves the creating of images, scenarios, and using our imaginations in which we use all of our senses. Our level of concentration will determine how complex or how simple we make our mental imagery or visualization. Resources: Exercises: Bridging the hemispheres of thought (18.3). Left-brain thinking skills are associated with judgment, analysis, mathematical also with time consciousness. Our right-brain is associated with imagination, humor, holistic thinking and intuition. Tools: Journal Writing: Too Much Information (18.1). We take in information from all of our five senses. 80 percent of the information is received through sight and sound. Our society today is on information overload because of the advances in technology and how our society has evolved. Taking the time to separate ourselves from the technology and take a vacation will help us reconnect with other aspects in our lives. 9 7 Unit Unit 7: Sight, Sound and Body Work Information to Remember: “Let food be your medicine, and let medicine be your food” (Seaward, 2009). Our immune system depends on us to fuel it and fight against infections. We are to consume a good supply of antioxidants, fiber, proteins, and drink plenty of water. Our diet has the ability to minimize the effects of stress on our body. The proper nutrition, involving eating a well-balanced diet, eating a good breakfast and spacing meals out throught the day, and avoiding caffeine and sugar are some recommedations. Vitamins and antioxidants are also important. Healthy Eating tips: thoroughly wash all fruits and vegetable prior to eating d/t the pesticides and chemicals used on the produce. Organic produce is a cleaner alternative to the conventional way of harvesting produce. Resources: Exercises: Stress-Related Eating Behaviors (27.1). Stress has an impact on how much and how often we eat. Our eating habits can be evaluated by keeping a journal of the food we eat, our mood when we ate that food, and how often we eat. This information can be useful when looking to see if there is a connection of stress/depression to food. Tools: Journal Writing: Self-Assessment: Nutritional Eating Habits (27.2). It is imperative that we take a step back and evaluate our current eating habits. Some questions to ask yourself would be, do you drink a lot of soft drinks, how quickly do you eat, how frequent do you use table salt. Evaluation of your comfort foods is another good way of staying in tune with your body, moods your in, etc because if you are in that vulnerable state, the foods you know you will most crave, would be the ones to stay away from during that period of time. 1 0 8 Unit Unit 8: The Wellness Mandala Information to Remember: There are six components of health and fitness; cardiovascular endurance, muscular strength and endurance, flexibility, agility, power, and balance. All these components give their individual benefit; however, work together to provide the optimal health. Our body goes through many changes and alterations when stress enters the body. In Seaward's reading he stresses the importance of flushing out the stress hormones. One hormone they are looking at linking obesity to is, cortisol. Cortisol, is a hormone released by the adrenal gland during the stress response. They are connecting this hormone to the steady accumulation of body fat in ones lifetime (Seaward, 2009). Initiate an exercise fitness program into daily routines. Start out slow and progress the intensity moderately. Select a time of day and make a commitment to stick with that time every day for your exercise workout. Another key component of an exercise program is to establish a support group. This will play a big part in staying motivated with your fitness goals. Resources: Exercises: Your Circadian Rhythms (28.3). Our bodies have an internal clock system, or a circadian rhythm. This is thought to based on the earth spinning on its axis around the sun. The research of circadian rhythm, shows that if a regular schedule is kept that those individuals tend to be healthier than those that do not keep a regular schedule. An exercise that puts this into prospective is to draw out a week with time intervals and document the time you wake up in the mornings, time you go to bed, time you exercise, time you eat meals during the course of a day, and see if there is a pattern. 1 1 Tools: Journal Writing: 9 Unit My Body's Rhythms (28.4). Our internal clocks play a big part in our daily routines. If these rhythms are thrown off too long certain organs will go into a state of dysfunction because they depend on the regularity of the circadian rhythm. Unit 9: Applying Stress: Critical Management to your Professional Life Information to Remember: Information seeking involves the researching or collecting of information about a situation or why an event was stressful. This information collection process is helpful in reducing stress because the fear of the unknown is less if we know more about a situation (Seaward, 2009). Fear is conquered if we obtain information about an event, in which is our self defense against stressors. Hobbies are an important part of reducing the stress in our lives. By pursing a hobby that is of interest, we tend to escape momentarily from the stressors and lets us focus on ourselves and the enjoyment of life. Forgiveness has an effect on reducing the levels of stress in our lives. By forgiving we increase our happiness and health, have an optimistic approach to life, and promotes more positive behaviors. This skill is challenging for many, because it shows a vulnerable side, but in doing this you show the respect you have for that individual. Resources: Exercises: If forgiveness seems impossible to accomplish, here is a website to guide through the forgivenss process; http://www.happiness-information.com/forgiveness-exercises.html. 1 2 10 Unit Tools: Journal Writing: Keeping a daily journal is a great way to get your thoughts down on paper, recognize what the problem is and either find a solution or simply keep in the journal as a tool to relieve frustration. Putting throughts down on paper gives us a way to verbalize our feelings and thoughts and a way to keep those under control, by not saying hurtful things when in an angry or upset state. Unit 10: Applying Stress: Critical Management to your Personal Life Information to Remember: Key learning point from the unit about Applying Stress: Critical Management to Your Personal Life <insert your text> Key learning point from the unit about Applying Stress: Critical Management to Your Personal Life <insert your text> Key learning point from the unit about Applying Stress: Critical Management to Your Personal Life <insert your text> Resources: Exercises: List the title (s) of Exercise (s) selected to include in the resource guide <insert your text> 1 3 Tools: Journal Writing: List the title (s)of Journal Writing (s)selected to include in the resource guide <insert your text> 1 4 Additional Information/Resources: Blodgett-Salafia, Elizabeth; Lemer, Jessica (2012, February). Associations between multiple types of stress and disordered eating among girls and boys in middle school. Journal of Child & Family Studies (Vol. 21 issue 1, p148-157). Retrieved from Kaplan Library Website: http://library.kaplan.edu {secondary source-I used this resource because because it shows a link between stress and the effect it has on our younger generations} Sapolky, R. M. (2004). Why zebras don't get ulcers. (3rd Ed.). Hold Paperbacks {secondary source-I used this source because of the perspective it brought to my resource guide} Seaward, B. (2009). Managing stress: Principles and strategies for health and well-being, 6th Ed. Sudbury, MA: Jones and Barlett Publishers. {this was used as my primary source, I used this source because of the accurate and valuable information it provided to my resource guide} Pikiewicz, Kristi, PhD (2012, June 3). A meditation on meditation. Meaningful You. Psychology Today. Retrieved from: http://www.psychologytoday.com/blog/meaningfulyou/201206/meditation-meditation {secondary source-I used this source to help better clarify why meditation techniques are important in stress reduction} WebMD (2009, October 14). Stress managememt-topic overview. Retrieved from http://www.webmd.com/balance/stress-management/stress-management-topic-overview {secondary source – I used this source as an additional reference/different perspective on stress-management} Video; Two Minute Relaxation Technique http://video.about.com/altmedicine/2-Minute-Relaxation-Technique.htm {secondary source-I used this source as a visual guide on how to do a relaxation technique} 1 5