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 Erica Rooks Kaplan University HW410: Stress: Critical Issues in Management and Prevention September 20, 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 BATTLEFI 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 UNDER STR ESS Information to Remember Resources: Exercises: Exercises Tools: Journal Writing UNI T 5 UNDER STRESS: WHAT N OW? Information to Remember Resources: Exercises Tools: Journal Writing UNI T 6 AGELESS WI SDOM 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 BO DY WORK UNI T 8 THE WELLNESS MANDALA Information to Remember Resources: Exercises Tools: Journal Writing UNI T 9 APPLYI NG PREVENTI ON TO STRESS: YOUR CRI TICAL P ROFESSI ONAL MANAGEMENT AND LI FE Information to Remember Resources: Exercises Tools: Journal Writing UNI T 10 APPLYI NG PREVENTI ON TO STRESS: YOUR P ROFESSI ONAL Information to Remember Resources: Exercises Tools: Journal Writing ADDI TI ONAL CRI TICAL I NFORMATI ON MANAGEMENT LI FE AND 1 Unit Unit 1: The Nature of Stress Information to Remember: Stress is relative. An individual’s perception of the experience dictates the level of stress endured. Two people will not necessarily experience a stressor in the same way. Homeostasis is a physiological state of complete calmness or rest. This state is where everything, physiologically, is in balance including blood pressure, heart rate, and ventilation. There are several types of stress: eustress (good), neustress (neutral), and distress (bad). Also stressors can be either short-term (acute) or long-term (chronic). Resources: Exercises: College Student’s Daily Stressors Survey: Being a college student presents a certain amount of stress that non-college students do not have to face (juggling exam schedules, lectures, reading text, etc.). Having a well-rounded understanding of what aspects of college life are the most stressful for you will help in addressing your overall stress level. Tools: Journal Writing: Personal Stress Inventory: Understanding your own stressors and what they evoke within you (anger or fear) is the first step to addressing your stress level. With a clear picture of what your top stressors are, and how they affect you, you can begin to reconcile and reduce your stress level. 3 2 Unit Unit 2: The Body as Battlefield Information to Remember: The autonomic nervous system (ANS) consists of the sympathetic and parasympathetic nervous systems. The sympathetic nervous system is responsible for the flight-or-flight response when stress is introduced. The parasympathetic nervous system is responsible for the calming of the body once the stress/threat has passed. Psychoneuroimmunology is the field of study that links stress and disease. Under this field of study, it has been recently discovered that the immune system is greatly affected by prolonged stress. Moderate short-term stressors can actually enhance memory while chronic stressors can reduce working memory significantly. This reduction in memory comes from damage to the hippocampus. Resources: Exercises: Immediate, Intermediate, and Prolonged Stress Effects: Our bodies go through many physiological changes during stress and understanding those changes is key to recognizing stressors and controlling your stress level. If you know that being in certain situations is stressful, you can actively avoid those situations (if possible). If avoiding them is not possible, you can take progressive actions to alleviate some of the stress symptoms. Tools: Journal Writing: My Health Profile: Having a clear picture of your physical health is important for understanding your overall health. Although physical health is only one aspect of overall health, it is vital. Also many stressors (mainly chronic) can manifest in physical ways. 4 3 Unit Unit 3: Feast or Famine Information to Remember: Although there are many theories relating to the psychological nature of stress, they do have common elements: self-awareness and self-acceptance. These two elements are important resources to manage and cope with stress effectively. Fear and anger are two emotions closely related to the stress response. Fear activates the flight aspect of fight-or-flight. Anger activates the fight aspect of fight-or-flight. Depression can impact an individual’s stress perception (their response to stressors is heightened). It can also decrease the individual’s ability to experience pleasure (raising the threshold of pleasure). Resources: Exercises: Fear This!: This exercise is a great way to acknowledge what fears trigger the most amount of stress in your life and how you currently deal with them. The last question addresses new, practical ways to address your fears that are causing the most stress in your daily life. Tools: Journal Writing: The Psychology of Your Stress: This journal is an excellent way to become more aware of your own perceptions, attitudes, and behaviors in times of stress. Understanding your defense mechanism(s) can help you alter them if your current method is not serving you well. 5 4 Unit Unit 4: One Planet Under Stress Information to Remember: Personality is thought to be formed at an early age and to be a fixed entity. Some personalities are considered stress prone (Type A, codependency, and helpless-hopeless) and others are considered stress resistant (hardy and survivor). Spirituality is considered harmony with self, others, earth, and a higher power. Spiritual well-being impacts an individual’s ability to cope with stress and is critical to overall well-being. Personality and temperament are related to stress in that they dictate how a person perceives a situation and to what degree they interpret the stressor as positive (eustress) or negative (distress). Resources: Exercises: Your Meaningful Purpose in Life: Personality and spirituality both have an impact on self-esteem. Feeling needed and/or wanted also affects self-esteem. Self-esteem is directly related to an individual’s ability to cope with stress. Understanding what your own life purpose is (or was) at various stages of your life can help you increase your self-esteem (and, subsequently, your ability to cope with stressors). Tools: Journal Writing: Stress-Prone and Stress-Resistant Personality Surveys: Having a clear understanding of your own personality and coping mechanisms is an important part of self-awareness. These journals explore the various aspects of stress-prone and stress-resistant personalities. 6 5 Unit Unit 5: Under Stress: What Now? Information to Remember: Cognitive restructuring is when you change a negative perception into a neutral or positive perception (seeing the bright side of things). This technique can help to alleviate the stress response and decrease the onset of chronic-stress-related symptoms/diseases. The Stages of Change behavior modification model is widely known and allows for individuals to “fall back” into old/less desirable behaviors as part of the process of change. Behavior modification in relation to stress management typically includes assertiveness training which is the most effective social behavior type (as opposed to passive and aggressive). Humor, like stress, is relative. It is open to each individual’s perception which is why not all people find the same thing(s) humorous. Studies show humor promotes mental, emotional, physical, and spiritual well-being through the reduction of stress. Resources: Exercises: The Time-Crunch Questionnaire: This questionnaire provides insight as to the traits of a codependent personality. Understanding your own personality type (and its associated strengths and weaknesses) is vital to coping effectively with stressors (and changing aspects as they no longer suit you/your situation). Tools: Journal Writing: Reframing: Seeing a Bigger, Clearer Perspective: The ability to view the larger picture and take something positive from every situation (no matter how seemingly grim) is essential to successfully coping with stressful situations. This journal encourages you to think about situations with a new perspective which will reduce stress surrounding those situations. 7 6 Unit Unit 6: Ageless Wisdom of Meditation Information to Remember: Diaphragmatic breathing is also known as belly breathing. It creates a more relaxed state by reducing the sympathetic neural activity. This is similar to the breathing techniques taught during birthing classes for relaxation. Meditation is considered the oldest form of relaxation. Research has shown habitual meditation has extensive physiological effects on the body (such as reduced heart rate, blood pressure, and ventilation). Improved physiological processes and a relaxed state certainly play a significant role in an individual’s ability to cope with stress. Mental imagery has been used as a means to access the power of the mind to heal the body, mind, and soul for thousands of years. Freud and Jung reintroduced this concept in the twentieth century. This technique is commonly used to help decrease chronic pain and in combination with other stress-management modalities for an optimal effect. Resources: Exercises: Three Short Guided Visualizations: This exercise introduces you to mental imagery as a means of relaxation and stress reduction therapy. It includes three short excerpts to appeal to a variety of individuals (all of whom may not enjoy all three, but one will resonate more than the other two). Tools: Journal Writing: Too Much Information: This journal provides an understanding of “information overload” which is an important concept in today’s society. We are bombarded with a plethora of information through multiple sources every day. Identifying ways in which you experience information overload and learning ways to reduce this phenomenon are vital to reducing stress levels. 8 7 Unit Unit 7: Sight, Sound and Body Work Information to Remember: Optimal nutrition is much more than just the food you eat. It includes nutrients (carbs, fats, proteins, vitamins, minerals, and water), digestion, absorption, metabolism, and elimination. A diet lacking in essential amino acids, essential fats, vitamins, and minerals is itself a stressor on the physical body. This is known as malnutrition. Food impacts not only the physical body, but the mental, emotional, and spiritual elements of individuals as well. Spiritual nutrition suggests individuals consume a wide variety of fruits, vegetables, and grains that relate to the seven primary chakras. Resources: Exercises: Stress-Related Eating Behaviors: This exercise helps you identify whether your eating patterns are helping or hindering your stress coping ability. It is essential to your overall health to recognize patterns that may be unhealthy when using food to cope with stress. Unhealthy eating patterns can significantly impair your immune system’s efficiency. Tools: Journal Writing: The Rainbow Diet: This journal focuses on the healing aspects of the colors of fruits and vegetables. It helps you identify foods that fall into each of the seven chakras (spiritual nutrition). Eating a wide variety of colors each day enhances your well-being by providing an array of nutrients as well. 9 8 Unit Unit 8: The Wellness Mandala Information to Remember: Exercise is a form of stress as it induces the flight-or-flight response. This can be translated into many positive effects on the body such as lower heart rate, blood pressure, and muscle tension. Physical exercise is classified into two categories: aerobic (with oxygen; flight) and anaerobic (without oxygen; fight). Each type of exercise has a host of benefits, but aerobic exercise is the better choice for relaxation purposes. Four criteria must be met for an individual to reap the benefits of exercise: frequency, intensity, duration, and mode of exercise. An individual must maintain physical exercise for a minimum of six and eight weeks to reap the maximum benefits. These four elements make up the all-or-nothing principle. Resources: Exercises: Your Circadian Rhythms: Your sleep patterns (and other regular patterns of activity within your life) play a significant role to your level of stress and overall well-being. This exercise provides a good, detailed look at your rhythms and offers the opportunity to change any aspect that is no longer serving you well. Tools: Journal Writing: My Body, My Physique: Everyone at one time or another has struggle with self-image. This journal provides an intimate account of your perception of your own body, your physique. It also addresses ways in which you can actively change your perceptions to more positive views regarding your body. This is an important step in the journey to overall health and well-being (self-acceptance). 10 9 Unit Unit 9: Applying Stress: Critical Management to your Professional Life Information to Remember: All people are different, and all techniques for coping with stress are not applicable to all people. You must find the technique (and preferably more than one) that works best for you. There are both positive and negative coping mechanisms. Avoidance is considered a negative coping mechanism because you do not have to process the stressor. A hobby; however, is a positive coping mechanism because the intention is only a short distraction from the stressor not an altogether avoidance of it. The 80/20 rule can apply to stress management. In this way, 80% of the stress reduction is the product of the first 20% of effort. Simply acknowledging you have a stress problem and figuring out ways to handle it reduce stress (even before the plan is enacted). Resources: Exercises: Defining Your Support Group: This exercise provides you with a comprehensive look at what kind of support system you currently have in your life to help you cope with stress. It also looks at how support systems change over the course of your life and ways to cope with that. Tools: Journal Writing: Sweet Forgiveness: This journal discusses the toxic effect of grudges and harboring ill feelings toward someone who has wronged you. It helps you express your feelings of resentment in such a way that the end result is to let go of those feelings and free yourself of the associated stress. This is an important step to overall well-being. 11 10 Unit Unit 10: Applying Stress: Critical Management to your Personal Life Information to Remember: Stress has many physical symptoms. Muscle tension is the most common due to the relationship between stress and the fight-or-flight response. Progressive muscular relaxation (PMR) involves systematically tensing and relaxing musculature moving from the feet to the head. This process is believed to reduce susceptibility to disease by reducing the level of physical symptoms caused by stress. PMR is still used to promote relaxation and research has since proved this technique does, in fact, reduce muscular tension. Resources: Exercises: Progressive Muscular Relaxation: This exercise introduces you to the technique via audio recording. Understanding how to successfully participate in this technique is essential to seeing the results from relaxing the muscles in your body. It also helps you identify ways in which you can incorporate PMR into your daily life to reap the maximum benefit. Tools: Journal Writing: Focus!: This journal discusses focus and attention. It offers an opportunity to evaluate the areas in your life that present an issue with mental focus. Mental focus (attention span) plays a key role in stress coping mechanisms (such as meditation and even PMR). Understanding if you struggle with mental focus is the first step in self-awareness of this area. 12 Additional Information Reinecke, Mark. (2010). Little Ways to Keep Calm and Carry On: Twenty Lessons for Managing Worry, Anxiety, and Fear. New Harbinger Publications: Oakland, CA. This book would be an excellent resource for those who wish to discover new ways to reduce their stress but feel as though they do not have an abundance of time. Little Ways to Keep Calm and Carry On has only 136 pages and is written with brief but powerful techniques for everyday people. Sapolsky, Robert. (2004). Why Zebras Don’t Get Ulcers (3rd ed.). St. Martin’s Press: New York, NY. Seaward, Brian. (2009). Managing Stress: Principles and Strategies for Health and Well-Being (6th ed.). Jones and Bartlett Publishers: Sudbury, MA. Seaward, Brian. (2008). The Art of Peace and Relaxation Workbook. Jones and Bartlett Publishers: Sudbury, MA. The American Institute of Stress. (n.d.). Retrieved on September 27, 2013 from http://www.stress.org/. “The American Institute of Stress (AIS) is a non-profit organization which imparts information on stress reduction, stress in the workplace, effects of stress and various other stress related topics. AIS was founded in 1978, at the request of Dr. Hans Selye to serve as a clearinghouse of all stress related information. Today, AIS provides a diverse and inclusive environment that fosters intellectual discovery creates and transmits innovative knowledge, improves human health and provides leadership to the world on stress related topics.” TotallyStressedOut.com. (2013). Retrieved on September 27, 2013 from http://www.totallystressedout.com/. This website is designed to provide simple yet effective ways to reduce stress. They provide 13 relaxing pictures (such as beach scenes) to help with mental imagery and quick exercises to promote relaxation. WatchWellCast. (2013). Stress Management Strategies: Ways to Unwind. Retrieved on September 28, 2013 from https://www.youtube.com/watch?v=0fL-pn80s-c. This video provides a quick and light-hearted view of reducing stress. It provides practical ways for even the busiest person to reduce stress and promote relaxation. 14