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    Managing stressManaging stress

    & tension& tensionFree contentFree content

    Prof. Lakshman MadurasingheProf. Lakshman Madurasinghe

    Consultant Psychologist/ AttorneyConsultant Psychologist/ Attorney

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    The need for a holistic Model ofThe need for a holistic Model of

    ExcellenceExcellence

    EQEMOTIONA

    L

    QUOTIENT

    IQ

    PQ

    Physical

    Quotient

    SQ

    SPIRITUAL

    QUOTIENT

    HOLISTICHOLISTIC

    MODELMODEL

    NutritionExerciseRelaxationStress Mgt

    Disciplined studySelf awarenessCreativityTeaching and doing

    Self awarenessAnd self controlMotivationEmpathySocial skills Integrity

    Vision

    Meaning

    Thinking

    Feeling

    Being

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    Communicate and interactPractice appreciation & gratitudePrayer & meditation

    SleepExerciseReduce comparing now & the way it was

    before

    Reduce fearEngage with family

    Latest research- Survival kitLatest research- Survival kit

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    WHAT IS STRESS ?WHAT IS STRESS ?

    Stress is the reaction people have to

    excessive pressures or other types of

    demand placed upon them. It arises when

    they worry that they cant cope.

    HELP ME!

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    WHAT IS STRESS ?WHAT IS STRESS ?

    Stress is the wear and tear our mindsand bodies experience as we attempt to

    cope with our continually changing

    environment

    I HATE YOU

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    THE MIND ITSELF CAN MAKE

    HEAVEN OF HELL OR HELL OFHEAVEN MILTON

    AS A PERSON THINKS SO IS HE

    How attitudes matter

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    Chemistry and Physiology ofthought

    Release of Cortisol- What isthe effect ?

    What is the role of Anger ?

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    STRESSSTRESS

    Hear t Contr act andrelease time facto r0.3and 0.5 se c

    Love connected withhear t is th ere anyef fect ?

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    ..

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    TYPES OF STRESSTYPES OF STRESS

    Is all stress bad ?

    + -

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    TYPES OF STRESSTYPES OF STRESS

    Negative stress

    Positive stress

    + -

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    NEGATIVE STRESSNEGATIVE STRESS

    It is a contributory factor in minor

    conditions, such as headaches, digestive

    problems, skin complaints, insomnia and

    ulcers.

    Excessive, prolonged and unrelieved

    stress can have a harmful effect on

    mental, physical and spiritual health.

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    POSITIVE STRESSPOSITIVE STRESS

    Stress can also have a positive effect,

    spurring motivation and awareness,

    providing the stimulation to cope with

    challenging situations.

    Stress also provides the sense of urgency

    and alertness needed for survival when

    confronting threatening situations.

    A Team

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    Case StudyCase StudyJohn Walker v Northumberland County Council (1994)John Walker v Northumberland County Council (1994)

    Area manager of social work team Increased workload - requested extra resources

    Suffered first breakdown in Nov 1986

    Promised extra resources Returned to work in March 1987

    No extra resources were supplied

    2nd breakdown and medical retirement May1988

    Judge ruled reasonably foreseeable

    Awarded 175 000

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    TYPES OF STRESSORSTYPES OF STRESSORS

    External

    Internal

    List a few of them 10 mts

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    EXTERNAL STRESSORSEXTERNAL STRESSORS

    Hurricane.Rita

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    PHYSICAL ENVIRONMENTPHYSICAL ENVIRONMENT

    Noise

    Bright Lights

    Heat Confined Spaces

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    SOCIAL INTERACTIONSOCIAL INTERACTION

    Rudeness

    Bossiness

    Aggressiveness by others Bullying

    Look here stupid

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    ORGANISATIONALORGANISATIONAL

    Rules

    Regulations

    Red - Tape Deadlines (?- All extra hours)

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    MAJOR LIFE EVENTSMAJOR LIFE EVENTS

    Birth

    Death

    Lost job Promotion

    Marital status change ? Marriage itself ?

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    DAILY HASSLESDAILY HASSLES

    Commuting

    Misplaced keys

    Mechanical breakdowns

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    INTERNAL STRESSORSINTERNAL STRESSORS

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    LIFESTYLE CHOICESLIFESTYLE CHOICES

    Caffeine

    Lack of sleep

    Overloaded schedule

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    NEGATIVE SELF - TALKNEGATIVE SELF - TALK

    Pessimistic thinking

    Self criticism

    Over analysing

    It will never work

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    MIND TRAPSMIND TRAPS

    Unrealistic expectations- Finances

    Taking things personally

    All or nothing thinking Exaggeration

    Rigid thinking

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    PERSONALITY TRAITSPERSONALITY TRAITS

    Perfectionists

    WorkaholicsEvaluate

    your type

    A or B

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    Type A Behavior PatternType A Behavior Pattern

    Type A Behavior

    Patternaggressivelyinvolved in a chronic,

    determined struggleto accomplish more

    in less time

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    Type A CharacteristicsType A Characteristics

    1) Hurried speech; explosive accentuation of

    key words

    2) Tendency to walk, move, or eat rapidly

    3) Constant impatience with rate at whichmost events take place

    4) Strong preference for thinking of or doing

    two or more things at once5) Tendency to turn conversations around to

    personally meaningful subjects or themes

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    Type A CharacteristicsType A Characteristics

    Tendency to interrupt while others are

    speaking to make your point or to complete

    their train of thought in your own words

    Guilt feelings during periods of relaxation orleisure time

    Tendency to be oblivious to surroundings

    during daily activities

    Greater concern for things worth having

    than with things worth being

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    What are the factors that influenceWhat are the factors that influence

    stress at work ?stress at work ?

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    FACTORS INFLUENCING WORK STRESSFACTORS INFLUENCING WORK STRESS

    The drive for success

    Changing work

    patterns

    Working conditions

    Overwork

    Under-work

    Uncertainty

    Conflict

    Responsibility

    Relationships at work

    Change at work

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    Value of Deep RelaxationValue of Deep Relaxation

    Quietness withinQuietness within

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    STRESS CONTROLSTRESS CONTROL

    A B C STRATEGYA B C STRATEGY

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    ABC STRATEGYABC STRATEGY

    A = AWARENESS

    What causes you stress?How do you react?

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    ABC STRATEGYABC STRATEGY

    B = BALANCE

    There is a fine line between positive /

    negative stress

    How much can you cope with before it

    becomes negative ?

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    ABC STRATEGYABC STRATEGY

    C = CONTROL

    What can you do to help yourself combat

    the negative effects of stress ?

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    Stress Management TechniquesStress Management Techniques

    Change your thinking

    Change your behaviour

    Change your lifestyle

    After all it is not that bad.

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    Change your ThinkingChange your Thinking

    Re-framing

    Positive thinking

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    Re-framingRe-framing

    There are many ways to interpret the same

    situation so pick the one you like.

    Re-framing does not change the external

    reality, but helps you view things in a

    different light and less stressfully.

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    Positive ThinkingPositive Thinking

    Forget powerlessness, dejection, despair,failure

    Stress leaves us vulnerable to negative

    suggestion so focus on positives; Focus on your strengths

    Learn from the stress you are under

    Look for opportunities

    Seek out the positive - make a change.

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    Change your BehaviourChange your Behaviour

    Be assertive

    Get organised Ventilation

    Humour

    Diversion and distraction

    HA HA

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    Get OrganisedGet Organised

    Poor organisation is one of the most common

    causes of stress. Structured approaches offer

    security against out of the blue problems.

    Prioritising objectives, duties and activities

    makes them manageable and achievable. Dont

    overload your mind. Organisation will help avoid

    personal and professional chaos.

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    Time ManagementTime Management

    Make a list

    What MUST be done

    What SHOULD be doneWhat would you LIKE to do

    Cut out time wasting

    Learn to drop unimportant activities Say no or delegate

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    Plan your day

    Set achievable goals

    Dont waste time making excuses fornot doing something

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    VentilationVentilation

    A problem shared is a problem halved

    Develop a support network through friends

    or colleagues to talk with. Its not always

    events that are stressful but how we

    perceive them.

    Writing a diary or notes may help release

    feelings but do not re-read what has been

    written.

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    HumourHumour

    Good stress - reducer

    Applies at home and work

    Relieves muscular tension

    Improves breathing

    Pumps endorphins into the bloodstream -the bodys natural painkillers

    Norman Cousins

    Head First

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    Diversion and DistractionDiversion and Distraction

    Take time out

    Get away from things that bother you

    Doesnt solve the problem

    Reduce stress level

    Calm down

    Think logically

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    Change Your LifestyleChange Your Lifestyle

    Diet

    Smoking & Alcohol

    Exercise

    Sleep

    Leisure

    Relaxation

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    SleepSleep

    Good stress reducer

    Difficult to cope when tired

    Wake refreshed after nights sleep

    Plenty of daytime energy

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    LeisureLeisure

    Interest

    Gives you a break from stresses

    Provides outlet for relief Provides social contact

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    Decreases mental worries

    Increases concentration

    Increases productivity Increases clear thinking

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    AlternativesAlternatives

    Conventional Medicine

    Counselling &

    psychotherapy

    Relaxation

    Massage

    Yoga

    Acupuncture

    Aromatherapy

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    AlternativesAlternatives

    Herbalism

    Biofeedback

    Homeopathy

    Hypnotherapy Osteopathy

    Pet Therapy

    Reflexology

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    Other ways to cope with stressOther ways to cope with stress

    Ostrich Approach

    Refuses to see or denies the existence of

    problems

    Chicken Approach Sees problem but run away

    Other ways to cope with stressOther w

    ays to cope with stress

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    Other ways to cope with stressOther ways to cope with stress

    Bulldog Approach

    Sees problems, sticks around but doesntdeal with them.

    Ant Approach

    Sees problems, assumes responsibility and

    confronts them.

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    Ratio :Ratio :

    11 :: 44 :: 22

    3 Times3 Times

    Abdominal breathing by itself can triggerAbdominal breathing by itself can trigger

    AA

    Relaxation ResponseRelaxation Response

    Proper BreathingProper Breathing

    Acupressure Shenman Heart 7A

    cupressure Shenman Heart 7

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    Acupressure- Shenman Heart 7Acupressure- Shenman Heart 7

    Principles of Healthy Living

    Principles of Healthy Living

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    Principles of Healthy LivingPrinciples of Healthy Living

    Principles of Hygiene, ventilation, bathing etcPrinciples of Hygiene, ventilation, bathing etc

    Daily moderate exerciseDaily moderate exercise

    High fiber and sattwic dietHigh fiber and sattwic diet

    Regular sound sleepRegular sound sleep

    Freedom from drug addictionFreedom from drug addiction

    Regular relaxationRegular relaxation

    Positive thinkingPositive thinkingIntegrated personalityIntegrated personality

    Spiritual disciplineSpiritual discipline