ࡱ> ]_^^6( / 0DArialNew 0(0(z[ 0 DWingdings0(0(z[ 0  DTimes New Roman(0(z[ 0 @ .  @n?" dd@  @@`` 5R    HH  "#$%&'()*+,-./123 0AA@8}ʚ;ʚ;g4GdGd@z[ 0ppp@ <4ddddl 00 0___PPT10 ppB___PPT9$(  d44  ?  %y.STRESS AND ANXIETY CLORRAINE HALL COMMUNITY MENTAL HEALTH NURSE COUNTRY LIAISON SERVICEDZDC RECOGNIZING STRESS Most people are exposed to much higher levels of stress than they realize. Stress tends to be associated with worry, but stress is many kinds of things. Many people consequently carry enormous stress loads. WHAT IS STRESS ? Although seen as synonymous with worry, the human body has a much broader definition. To the body stress is synonymous with change. Any change, good or bad can cause stress. If it s a change in your life, it s stress as far as your body s concerned.Z WHAT IS STRESS ? Imagined change is also stress (worry). Whether the event imagined is good or bad it can be just as stressful as real changes. Anything that causes change in daily routine or that causes change in body health can be described as stress. t TYPES OF STRESS Emotional - conflict, arguments. Illness  change in body s condition. Pushing the body too hard - causing changes to the body s internal environment. The drain on the system causes the body to fall behind in repair work and replace brain neurotransmitters.2ldnUn  TYPES OF STRESS (Environmental factors  climatic extremes, toxins, poisons, will all cause change to the body s internal environment. Hormonal factors- puberty ,menopause, post  partum. Taking responsibility for others actions -eg. changes occur in your life over which you have no control.6vldldv&  =  TYPES OF STRESS Allergic stress  allergic reactions are part of the body s natural defense mechanism. If the body considers something toxic, the body tries to attack it, rid it or neutralize it. Allergy is a definite stress requiring large changes in energy expenditure by the body to fight off something it perceives as dangerous.0ld@  (CHEMICAL MALFUNCTION AND THEIR SYMPTOMS)) ( Brain- fatigue, aches /pains, crying spells, depression, panic /anxiety attacks. G.I.Tract  ulcers, cramps, colitis, irritable bowel. Glandular system  thyroid malfunction Cardiovascular system  increased B.P., heart attack, arrhythmias, stroke. Skin  rashes, psoriasis. Immune system  less resistance to infection. AA.Q     BRAIN CHEMICAL MESSENGERS So, stress causes physical changes in the brain. Brain cells talk to each other by means of a chemical messenger, increased stress makes chemical communication in the brain fail resulting in sleep disturbance, aches/pains, anxiety, and depression.   8THE THREE  HAPPY MESSENGERS   xKnown as the biogenic Amine/Endorphin system. Three brain messengers: Serotonin  controls sleep. Noradrenalin (cousin of adrenalin)  energy levels. Dopamine  levels of pain and pleasure.:.wldFw  THE THREE HAPPY MESSENGERS   The brain has other messengers more somber and quieting. Nerve centres receive input from both, if balanced everything runs smoothly. Stress interferes with the happy messengers, as stress continues happy messages begin to fail. The brain becomes chemically imbalanced.    SEROTONIN  .Serotonin sets body clock (in pineal gland) serotonin is stored converted to melatonin, and back to serotonin. This takes 25 hrs, hence the body clock. Your body clock coordinates body temp, stress fighting hormone (cortisol), and sleep cycles. If not coordinated = poor sleep, wake not feeling rested..  N  /AMINE /ENDORPHIN SYSTEM BRAIN CHEMICALS (cont.)00 / Serotonin is usually the 1st happy messenger to fail under stress = the 1st sign when you have the inability to obtain restful sleep. Noradrenalin (energy levels) with stress levels decrease = lethargy. Dopamine (pleasure /pain) when levels decrease ,so do endorphins affecting the body s natural pain killer. The pleasure centre is also affected.8\Z-[   TREATMENT  sSo with extended prolonged stress all systems coincide leading to feelings of being overwhelmed, periods of panic = panic/anxiety attacks, depression. Using chemicals ,alcohol and drugs, may temporarily restore brain chemical function, but not for long. Treating the symptom and not the cause is like a roller coaster ride which wont properly rebalance brain chemistry.tts  TREATMENT  Biggest mistake made in handling stress is using pick me ups to temporarily boost the happy messengers while still piling on the stress. Sugars, caffeine, own adrenalin. Many people use these pick me ups as maintenance and or binge. REDUCE YOUR STRESS LOAD! 8Z?PZZ G10 SIMPLE WAYS TO REDUCE YOUR STRESS LOAD. Feel well and stay that way.HUH G JMake your life as regular as clockwork. Reset your body clock. This may take 3 weeks. Give yourself a break today. Make a list of things to do ,then halve it. Lighten up your social load if necessary. Don t be afraid to say no to others requests. Minimize changes to living environment.(ldZ/ZJldZ*ldZ3Z(ldZ(/J* 3(% REDUCE YOUR STRESS LOAD Reduce the number of hours at stressful things. Allow time for yourself. (relaxation) Focus on healthy diet. Maintain B.S.L s, vitamin supplement if necessary. Reduce the pick me ups, eg. alcohol, caffeine etc. Avoid allergies. NVldldIdVHv  ;  , REDUCE YOUR STRESS LOAD Commence an enjoyable exercise. Exercise rests the mind, when exercising you rest the nerve cells that worry. If you ve attempted all the preceding and are still experiencing significant symptoms visit your doctor who may need to exclude other physical illness.X ldRld Q  &3 RULES TO PERMANENTLY CONQUER STRESS.'' & XLearn to read your body s signs. (early warning indicators) Exchange your stresses. Swap one for another. Don t allow a pile up. 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