Stress Management in Adolescents V.Sivaprakasam M.D.,D.C.H.,PGD-AP State President, IAP Tamilnadu 2012 E.B.Member National IAP Nataraja Children’s Hospital

Stress Management Stress Management in Adolescents in Adolescents

V.Sivaprakasam V.Sivaprakasam M.D.,D.C.H.,PGD-APM.D.,D.C.H.,PGD-APState President , IAP Tamilnadu 2012State President , IAP Tamilnadu 2012

E.B.Member National IAPE.B.Member National IAP

Nataraja Children’s HospitalNataraja Children’s Hospital

ChidambaramChidambaram

TamilnaduTamilnadu

Managing Stress in Managing Stress in AdolescentsAdolescents Adolescence is the period of Adolescence is the period of

heightened Stressheightened Stress This Heightened Stress is the basis This Heightened Stress is the basis

for psychopathology and Suicidal for psychopathology and Suicidal BehaviourBehaviour

Adolescence is the most common Adolescence is the most common Time of Life for psychiatric illness to Time of Life for psychiatric illness to emergeemerge

AnxietyAnxiety Reaches its Lifetime Peak Reaches its Lifetime Peak SuicideSuicide is the fourth leading cause is the fourth leading cause

of deathof death

Managing Stress in Managing Stress in AdolescentsAdolescents Why adolescence is the period of Why adolescence is the period of

heightened heightened Stress & Turmoil ?Stress & Turmoil ? Limbic System(where Amygdala Limbic System(where Amygdala

is seated) develops earlier than is seated) develops earlier than prefrontal control regionsprefrontal control regions

The imbalance between the The imbalance between the activities of amygdala & ventral activities of amygdala & ventral prefrontal cortex is the main prefrontal cortex is the main reason for the heightened reason for the heightened emotional behaviour in emotional behaviour in adolescenceadolescence

case scenariocase scenario +2 student S/o Nephrologists +2 student S/o Nephrologists

committed suicide for Low marks in +2committed suicide for Low marks in +2 LD student Says Traffic Jam in his brain LD student Says Traffic Jam in his brain

and not able to read letters It Looks as and not able to read letters It Looks as though Jumping- Now in Kilpauk though Jumping- Now in Kilpauk Mental hospital for Major PsychosisMental hospital for Major Psychosis

One 10 th Student Stressed for her One 10 th Student Stressed for her irregular Periods by her mother :u r irregular Periods by her mother :u r doing sex with some onedoing sex with some one

FOUR TYPES OF FOUR TYPES OF STRESS STRESS

1. General Stress:1. General Stress:

– Everyone has this Everyone has this kind of stress kind of stress

– It resolves itself It resolves itself within a day or twowithin a day or two

– No intervention is No intervention is necessarily necessarily requiredrequired

FOUR TYPES OF FOUR TYPES OF STRESSSTRESS

2. Cumulative Stress:2. Cumulative Stress:– Stress builds up in Stress builds up in

your bodyyour body– It becomes more It becomes more

difficult to alleviate difficult to alleviate your symptomsyour symptoms

– You may have more You may have more serious physical serious physical symptomssymptoms

– You may have more You may have more serious mental serious mental anguishanguish


3. Acute Traumatic 3. Acute Traumatic Stress:Stress:

– Critical Incident StressCritical Incident Stress

– Produces considerable Produces considerable psychological distresspsychological distress

– A normal reaction to A normal reaction to abnormal eventsabnormal events


4. Post Traumatic 4. Post Traumatic Stress:Stress:

– Severe stress Severe stress produced by severe produced by severe psychological traumapsychological trauma

– Created by unresolved Created by unresolved Critical Incident StressCritical Incident Stress

– Produces lasting Produces lasting changeschanges

General Adaptation General Adaptation SyndromeSyndrome Stage I - Alarm ReactionStage I - Alarm Reaction

– The “fight or flight” response which The “fight or flight” response which causes you to be ready for physical causes you to be ready for physical activityactivity

– However, it decreases the However, it decreases the effectiveness of the immune system effectiveness of the immune system which makes you more susceptible which makes you more susceptible to illnessto illness

General Adaptation General Adaptation SyndromeSyndrome Stage II – Stage of adaptationStage II – Stage of adaptation

– If stress continues, the body adapts to the If stress continues, the body adapts to the stressors it is being exposed tostressors it is being exposed to

– If the stressor is starvation, the person If the stressor is starvation, the person experiences a reduced desire for physical experiences a reduced desire for physical activity to conserve energy, and the activity to conserve energy, and the absorption of nutrients from any food absorption of nutrients from any food intake is maximizedintake is maximized

General Adaptation General Adaptation SyndromeSyndrome Stage III – Stage of ExhaustionStage III – Stage of Exhaustion

– Stress persists for a long timeStress persists for a long time

– The body’s resistance may be reduced or The body’s resistance may be reduced or collapse quicklycollapse quickly

– People who experience long-term stress People who experience long-term stress may have heart attacks, severe infections, may have heart attacks, severe infections, or chronic pain or illness or chronic pain or illness

How to handleHow to handle

Take appropriate historyTake appropriate history Varied Symptoms may not directly Varied Symptoms may not directly

indicate Stress indicate Stress Ask him to write it down .What causes Ask him to write it down .What causes

StressStress How he suffer, How he is able to How he suffer, How he is able to

manage manage Identify the StressorIdentify the Stressor Individual counseling Individual counseling

CounselingCounseling

Write down the problemWrite down the problem What is the trigger factor (Stressor)What is the trigger factor (Stressor) What Coping Technique he AdoptWhat Coping Technique he Adopt How he feelsHow he feels How frequently he is StressedHow frequently he is Stressed Whom do he wants to Whom do he wants to

CommunicateCommunicate

How to ProceedHow to Proceed

Stress is common in every Stress is common in every AdolescentAdolescent

When it Increases _DistressWhen it Increases _Distress It affects –Cognitive FunctionIt affects –Cognitive Function Emotional FunctionEmotional Function SocializationSocialization BehavorBehavor

Who all involvedWho all involved

Concern AdolescentConcern Adolescent FamilyFamily FriendsFriends TherapistTherapist Occupational TherapistOccupational Therapist Child PsychiatristChild Psychiatrist Adolescent PhysicianAdolescent Physician

Therapist How to Therapist How to proceedproceed Adolescent aware of the ProblemAdolescent aware of the Problem Accept the Problem & sufferingAccept the Problem & suffering Willing to come out of the Willing to come out of the

ProblemProblem His life can be lead by himselfHis life can be lead by himself

AssessmentAssessment

Is there a problem?Is there a problem? What is the problem?What is the problem? What is the extend of the problem?What is the extend of the problem? What is the cause of the problem?What is the cause of the problem? What could be done to Solve the What could be done to Solve the

problem?problem? Who should do it?Who should do it? How to do it?How to do it?

What Therapist What Therapist DecideDecide How many sessions ?How many sessions ? How long?How long? Strength & weakness of the Strength & weakness of the

Adolescent.Adolescent. How to Approach the problem?How to Approach the problem?

Non Pharmacological Non Pharmacological TherapyTherapy Individual Psycho TherapyIndividual Psycho Therapy Group Psycho TherapyGroup Psycho Therapy Family TherapyFamily Therapy Cognitive Behavioral TherapyCognitive Behavioral Therapy

Pharmacological Pharmacological TherapyTherapy Anti DepressantsAnti Depressants Anxiolitic AgentsAnxiolitic Agents Anti Psychiatric DrugsAnti Psychiatric Drugs

StressStress

Stress –The way our body and mind Stress –The way our body and mind react to life changesreact to life changes

Adolescents and stress ? Teens are Adolescents and stress ? Teens are under more stress Since under more stress Since adolescence is a period of significant adolescence is a period of significant changes physical, emotional, social, changes physical, emotional, social, and academic changes many than at and academic changes many than at any other time of life.any other time of life.

Is STRESS good or bad Is STRESS good or bad for us ?: for us ?:

EUSTRESS” Some amount of EUSTRESS” Some amount of stress is essential for us to excel stress is essential for us to excel in life. This is good stress in life. This is good stress

DISTRESS ““ when stress is too DISTRESS ““ when stress is too much then it reduces much then it reduces performance . This is bad stress performance . This is bad stress

Stress in AdolescentsStress in Adolescents

Deteriorating school performanceDeteriorating school performance Inability to sleep or excessive Inability to sleep or excessive

sleep sleep Losing or gaining weight Losing or gaining weight Feeling low or tired all the timeFeeling low or tired all the time Mood swings : crying, getting Mood swings : crying, getting

angry Not wanting to talk to angry Not wanting to talk to anybodyanybody

Managing Stress in Managing Stress in AdolescentsAdolescents

Identifying Major Sources of Identifying Major Sources of StressStress

“ “ When demand exceeds readily When demand exceeds readily available energy, we rely on available energy, we rely on stress to force our system to stress to force our system to meet the circumstancesmeet the circumstances””


Three steps in Managing Teen Three steps in Managing Teen StressStress

Identifying Major Identifying Major SourcesSources of of StressStress

Recognising the Recognising the warning Signs warning Signs of of StressStress

Controlling the Controlling the Gate KeepersGate Keepers


Recognising the warning signs of Recognising the warning signs of stressstress

a) Beware of constant fatiguea) Beware of constant fatigue I feel Tired all the time(wear your outlook I feel Tired all the time(wear your outlook

down)down)

b) Beware of nagging discomfortb) Beware of nagging discomfort I worry and ache all the time (can Hurt)I worry and ache all the time (can Hurt)

c) Beware of Burnoutc) Beware of Burnout I have lost caring for what I usually cared I have lost caring for what I usually cared

about(depressing)about(depressing)

d) Beware of Breakdownd) Beware of Breakdown I cant seem to get myself going any more ( debilitating)I cant seem to get myself going any more ( debilitating)

Effects of stressEffects of stress

stress causes you be to live with. stress causes you be to live with. Fatigue Fatigue makes you makes you feel negativefeel negative can cause you to become critical.can cause you to become critical. Discomfort that makes you oversensitive Discomfort that makes you oversensitive

can cause you to actcan cause you to act irritable irritable.. Burnout that makes you insensitive can Burnout that makes you insensitive can

cause you to cause you to act nonresponsive. act nonresponsive. ‘‘ ‘ ‘breakdownbreakdown that makes you that makes you stop stop

functioning functioning can cause you to act can cause you to act unavailable. So if you come home or end unavailable. So if you come home or end the day feeling Stressedthe day feeling Stressed

Talk it out by explaining and don’t act it outTalk it out by explaining and don’t act it out


Controlling the Controlling the Gate KeepersGate Keepers

A) GoalsA) Goals

B) StandardsB) Standards

C) LimitsC) Limits

GoalGoal

with how much she wants to with how much she wants to accomplish for herself.accomplish for herself.

This is the problem of ambition. If she This is the problem of ambition. If she is committed to becoming a is committed to becoming a cheerleadecheerleader, working extrar, working extra

trying out for the trying out for the lead in the high lead in the high school playschool play, she is creating a very high , she is creating a very high demand life for herself,demand life for herself,

one that has a high likelihood of one that has a high likelihood of stress.stress.

StandardsStandards

have to do with how well she must have to do with how well she must perform all the timeperform all the time

. This is the problem of perfection.. This is the problem of perfection. If she is determined to If she is determined to maintain a 4.0 maintain a 4.0

grade average,grade average, to to win all competitionswin all competitions, and to never , and to never

make a mistake,make a mistake, stress is more likely to come her way.stress is more likely to come her way.

LimitsLimits

respond to the respond to the wants of otherswants of others. . must must satisfysatisfy all that all that others desire others desire must notmust not displease or disappoint anyonedisplease or disappoint anyone, , must not must not turn anyone downturn anyone down, then, then social relationships can become social relationships can become

extremely stressful.extremely stressful.

Family Life EducationFamily Life Education

Body image Not happy with the Body image Not happy with the way you look way you look

self-conscious feel everyone is self-conscious feel everyone is staring at you staring at you

Color, short stature, White Color, short stature, White DischargeDischarge

Breast Size, Penis size, Beauty,Breast Size, Penis size, Beauty,

Life Skill EducationLife Skill Education

Abilities for adoptive and positive Abilities for adoptive and positive behavior that enables individuals behavior that enables individuals in making informed choices in the in making informed choices in the face of complex life situationsface of complex life situations

DIFFERENT TYPES OF LIFE SKILLS DIFFERENT TYPES OF LIFE SKILLS (WHO)(WHO)

Self awarenessSelf awareness

Empathy Empathy

Interpersonal relations Interpersonal relations

Effective Communication Effective Communication

Critical thinking Critical thinking

Creative thinking

Decision making

Problem solving

Coping with emotions

Coping with stress

Be more assertive Be more assertive

Deal with problems head on, Deal with problems head on, doing your best to anticipate and doing your best to anticipate and prevent them.prevent them.

If you’ve got an exam to study If you’ve got an exam to study for and your chatty roommate for and your chatty roommate just gotjust got

Stress and Stress and Performance: Performance: Dealing more effectively with stress Dealing more effectively with stress

improves performance and the improves performance and the quality of life It is like salt and pepper quality of life It is like salt and pepper to lifeto life

So all efforts should be to convert all So all efforts should be to convert all stresses into EUSTRESS –This can be stresses into EUSTRESS –This can be achieved by achieved by stress management techniques All stresses can be GOOD techniques All stresses can be GOOD

Stress ManagementStress Management

Stay positive to help friends and Stay positive to help friends and family cope with stress.family cope with stress.

Let others know you're feeling Let others know you're feeling overwhelmed and tell them how they overwhelmed and tell them how they can help. can help.

Allow yourself to simply say "no" to Allow yourself to simply say "no" to friends and family when you know you friends and family when you know you cannot meet their demands without cannot meet their demands without becoming overwhelmed.becoming overwhelmed.

Time ManagementTime Management

Be prepared for unexpected Be prepared for unexpected problems such as traffic, a lost problems such as traffic, a lost pet or a family emergency.pet or a family emergency.

Prioritize.Prioritize. Take control of your "to do" list Take control of your "to do" list

by deciding what's really most by deciding what's really most important on your list.important on your list.

HEALTHY LIVINGHEALTHY LIVING Learn to manage Learn to manage

your anger your anger

Anger affects Anger affects your healthyour health

Anger causes you Anger causes you to over react to to over react to many situationsmany situations

Write down feelings of sadness, Write down feelings of sadness, frustration or anger to get a frustration or anger to get a clearer perspective of your clearer perspective of your emotionsemotions

Alter the situationAlter the situation

: Alter the situation If you can’t avoid a : Alter the situation If you can’t avoid a stressful situation Express your stressful situation Express your feelings instead of bottling them upfeelings instead of bottling them up

If something or someone is bothering If something or someone is bothering you, communicate your concerns in an you, communicate your concerns in an open and respectable way, try to alter open and respectable way, try to alter itit

Be willing to compromise. When you Be willing to compromise. When you ask someone to change their behavior, ask someone to change their behavior, be willing to do the samebe willing to do the same

: Adapt to the stressor : Adapt to the stressor

If you can’t change the stressor, If you can’t change the stressor, change yourselfchange yourself

You can adapt to stressful situations You can adapt to stressful situations and regain your sense of control by and regain your sense of control by changing your expectations and changing your expectations and attitude. Reframe problems.attitude. Reframe problems.

Try to view stressful situations from a Try to view stressful situations from a more positive perspective. Rather than more positive perspective. Rather than fuming about a traffic jamfuming about a traffic jam

Focus on the positiveFocus on the positive

. If you see good things about yourself, you . If you see good things about yourself, you are more likely to feel goodare more likely to feel good

Eliminate words such as "always," "never," Eliminate words such as "always," "never," "should," and "must.""should," and "must."

These are telltale marks of self-defeating These are telltale marks of self-defeating

thoughts.thoughts.

Do what you can, with what you have, Do what you can, with what you have, where you are.where you are.

: Accept the things you : Accept the things you can’t changecan’t change

. You can’t prevent or change . You can’t prevent or change stressors such as the death of a stressors such as the death of a loved one, a serious illness, or a loved one, a serious illness, or a national recession.national recession.

The best way to cope with stress is The best way to cope with stress is to accept things as they are. to accept things as they are.

. Don’t try to control the . Don’t try to control the uncontrollableuncontrollable

(Behavior of other People)(Behavior of other People)

Look for the upsideLook for the upside

.” When facing major challenges, try to look .” When facing major challenges, try to look at them at them as opportunities for personal as opportunities for personal growthgrowth. .

. Share your feelings. Talk to a trusted friend . Share your feelings. Talk to a trusted friend or make an appointment with a therapist.or make an appointment with a therapist.

Expressing what you’re going through can Expressing what you’re going through can be very cathartic, even if there’s nothing be very cathartic, even if there’s nothing you can do toyou can do to

. . Learn to forgiveLearn to forgive. Accept the fact that we . Accept the fact that we live in an imperfect world and that people live in an imperfect world and that people make mistakes. Let go of anger make mistakes. Let go of anger

ExerciseExercise . Exercise on a regular basis helps . Exercise on a regular basis helps

to turn down the production of to turn down the production of stress hormones and associated stress hormones and associated neurochemicals. neurochemicals.

Thus, exercise can help avoid the Thus, exercise can help avoid the damage to our health that damage to our health that prolonged stress can cause. In fact, prolonged stress can cause. In fact, studies have found that exercise is studies have found that exercise is a potent antidepressant, anxiolytic a potent antidepressant, anxiolytic (combats anxiety), and sleeping aid (combats anxiety), and sleeping aid for many peoplefor many people

HEALTHY LIVINGHEALTHY LIVING Exercise:Exercise:

– At least twenty At least twenty minutes, five minutes, five times a week times a week

– break a sweat, to break a sweat, to release release endorphinsendorphins

Stress Management- Stress Management- DietDiet

Have healthy eating habits never Have healthy eating habits never skip breakfastskip breakfast

Reduce sedentary activities like Reduce sedentary activities like TV Video games etc.TV Video games etc.

Eat healthy nutritious food.Eat healthy nutritious food. Avoid Junk food . Avoid excess Avoid Junk food . Avoid excess

caffeine intake eg tea coffee caffeine intake eg tea coffee chocolates and cola drinkschocolates and cola drinks

FOOD PYRAMIDFOOD PYRAMID

Vegetables Fruits

Milk Meat

Sweets, oils, fats

Cereals, legumes, roots, tubersThere is a saying that the total amount of food one eats in his/her life time is the same. Only that some eat it so early and become ill and others spread it

over the whole life time!

8hrs of Sleep8hrs of Sleep


Avoid TakingAvoid Taking1.1.CaffeineCaffeine

2.2. Illegal DrugsIllegal Drugs

3.3.AlcoholAlcohol

4.4.Tobacco in any formTobacco in any form

Alcohol & DrugsAlcohol & Drugs

Do NOT TAKE QUICK FIX REMEDIES Do NOT TAKE QUICK FIX REMEDIES like alcohol tobacco and drugs as they like alcohol tobacco and drugs as they have long term and very harmful have long term and very harmful effects on your body and mindeffects on your body and mind

Alcohol mask stress often prevent Alcohol mask stress often prevent the person from facing the problem the person from facing the problem directly. Consequently, they are not directly. Consequently, they are not able to develop effective ways to cope able to develop effective ways to cope with with


Develop Develop AssertiveAssertive Skills Skills

( not saying ( not saying YESYES when in a when in a position to say position to say NONO))

NONO

Adolescent who can't say "no" to Adolescent who can't say "no" to them selves because they can't resist them selves because they can't resist the temptation of getting more for the temptation of getting more for themselves, andthemselves, and

who can't say "no' to others for fear who can't say "no' to others for fear of disapproval or disappointment of disapproval or disappointment from doing less than is wanted or from doing less than is wanted or expected, expected,

are set ups for a high stress life.are set ups for a high stress life.

How to say NOHow to say NO Polite refusalPolite refusal Giving reasonGiving reason Repeat refusal statementRepeat refusal statement Walk awayWalk away Explain the reasonExplain the reason Avoid the situationAvoid the situation Find others to support youFind others to support you Talk about your own feelingsTalk about your own feelings

Stress ManagementStress Management Practice time managementPractice time management Learn relaxation exercises.Learn relaxation exercises. Rehearse and practice situations . Rehearse and practice situations . Learn practical coping skills. Learn practical coping skills. Decrease negative self talk. Decrease negative self talk. Learn to feel good with a workable Learn to feel good with a workable

result – result – Don’t be a perfectionist.Don’t be a perfectionist. Build a network of friends.Build a network of friends.


Decrease Negative Self Decrease Negative Self TalkTalk

Do positive AUTO Do positive AUTO SUGGESTIONSUGGESTION

Relaxation TechniquesRelaxation Techniques

Breathing AwarenessBreathing Awareness Abdominal BreathingAbdominal Breathing Sigh BreathingSigh Breathing Progressive Muscle RelaxationProgressive Muscle Relaxation Visualization Relaxation Visualization Relaxation

TechniquesTechniques


Take Break From stress Take Break From stress situations & involve in situations & involve in relaxing & enjoying relaxing & enjoying situationssituations

Listening to musicListening to music Talk to a caring friendTalk to a caring friend Do fine arts k like drawing, dancingDo fine arts k like drawing, dancing Spend time with petsSpend time with pets


Learn Practical Learn Practical coping skillscoping skills

( break down the bigger task ( break down the bigger task into attainable smaller tasks)into attainable smaller tasks)


Identify your Identify your unique skills and unique skills and develop themdevelop them

Smile is a curve that Smile is a curve that straightens many straightens many thingsthings

Always Keep Smiling !Always Keep Smiling !It Costs NothingIt Costs Nothing

Avoid hot-button topicsAvoid hot-button topics distinguish between the “shoulds” distinguish between the “shoulds”

and the “mustsand the “musts . Do not take life too seriously. . Do not take life too seriously.

You will never get out of it alive.You will never get out of it alive.


Take Break From stress Take Break From stress situations & involve in situations & involve in relaxing & enjoying relaxing & enjoying situationssituations

Listening to musicListening to music Talk to a caring friendTalk to a caring friend Do fine arts k like drawing, dancingDo fine arts k like drawing, dancing Spend time with petsSpend time with pets


Build a network of friends Build a network of friends who help you cope in a who help you cope in a positive waypositive way


Accept yourself Accept yourself as you areas you are


Minimise Minimise unrealistic unrealistic expectationsexpectations


Focus on what could be Focus on what could be controlled & let go of controlled & let go of what you cannotwhat you cannot


Talk about your Talk about your problems with problems with the right othersthe right others


Parental roles in Parental roles in managing managing Stress ofStress of TeensTeens

1.1. Monitor the health, behaviour, Monitor the health, behaviour, thoughts & feelings of Teensthoughts & feelings of Teens

2. Listen them carefully & watch 2. Listen them carefully & watch for overload if anyfor overload if any

Managing Stress in Managing Stress in Adolescents- Role of Adolescents- Role of ParentsParents3.Learn & Model Stress Management 3.Learn & Model Stress Management

SkillsSkills

4.Support involvement in sports & pro-4.Support involvement in sports & pro-

social activitiessocial activities

5.Help teens understanding the causes 5.Help teens understanding the causes

of stress and teach them the of stress and teach them the

positive ways of managing the stresspositive ways of managing the stress

Factors in HomeFactors in Home

:Care for your own needs:Care for your own needs

Nurturing yourself is a necessity, not a Nurturing yourself is a necessity, not a luxuryluxury

Do something you enjoy every day .Do something you enjoy every day . Make time for leisure activities that Make time for leisure activities that

bring you joy, whether it be stargazing, bring you joy, whether it be stargazing, playing the piano, orplaying the piano, or

working on your bike. Keep your working on your bike. Keep your sense of humor .sense of humor .

includes the ability to laugh at includes the ability to laugh at yourself. The act of laughing helps yourself. The act of laughing helps youryour

School levelSchool level

individual or group therapy individual or group therapy . Stress counseling . Stress counseling group discussion therapy .group discussion therapy .

10 point program10 point program

1.cleanliness1.cleanliness 2.Balenced diet2.Balenced diet 3.1/2 hour exercise3.1/2 hour exercise 4.Eye care4.Eye care 5.Hair&skin care5.Hair&skin care 6.Dental care6.Dental care

10 point program10 point program

7. 8 hrs of sleep7. 8 hrs of sleep 8. 8 tumbler of water8. 8 tumbler of water 9.Sweet and plea cent voice9.Sweet and plea cent voice 10.Mensural hygiene10.Mensural hygiene

To concludeTo conclude

Use stress in a positive wayUse stress in a positive way Limit NOT eliminate stress.Limit NOT eliminate stress. Use it to improve your performance.Use it to improve your performance. Learn Coping SkillsLearn Coping Skills ..... The only difference between a ..... The only difference between a

diamond and a lump of coal is that diamond and a lump of coal is that the diamond had a little more the diamond had a little more pressure put on it. – ANONYMOUSpressure put on it. – ANONYMOUS

Cuddalore Teachers Cuddalore Teachers Training Adol.CareTraining Adol.Care

Teacher’s Training Program me Teacher’s Training Program me at Virudhachalamat Virudhachalam

Cuddalore TOT in HINDUCuddalore TOT in HINDU

taking charge of your thoughts, your emotions, your schedule, your environment, and the way you deal with problems

The ultimate goal is a balanced life, with time for work, relationships, relaxation, and fun – plus the resilience to hold up under pressure and meet challenges head on.The ultimate goal is a balanced life, with time for work, relationships, relaxation, and fun – plus the resilience to hold up under pressure and meet challenges head on.

The ultimate goal is a balanced life, with time for work, relationships, relaxation, and fun – plus the resilience to hold up under pressure and meet challenges ahead

Managing stress is all about taking charge

ConclusionConclusion

Adolescent Health Education-Healthy Adolescent Health Education-Healthy Adolescents- Handle Stress wellAdolescents- Handle Stress well

Physical Exercise ,Yoga ,Relaxation Physical Exercise ,Yoga ,Relaxation Techniques Berating Exercise Techniques Berating Exercise

Balanced DietBalanced Diet FLE gives Knowledge about Reproductive FLE gives Knowledge about Reproductive

HealthHealth LSE Help for saying NO, Communication, LSE Help for saying NO, Communication,

Decision making ,Problem solving ,Coping Decision making ,Problem solving ,Coping SkillsSkills

Study skills prevent Exam StressStudy skills prevent Exam Stress


Parent Education –Art of Parenting & happy Parent Education –Art of Parenting & happy HomeHome

Seven Shield – Protect Girl Child from Child Seven Shield – Protect Girl Child from Child AbuseAbuse

Idedentify LD and Remedial measures Prevent Idedentify LD and Remedial measures Prevent stress and also major Psychological Problemsstress and also major Psychological Problems

Avoid Drugs ,Alcohol,Cigaret improves HealthAvoid Drugs ,Alcohol,Cigaret improves Health Post Traumatic Stress Disorder –Psychosocial Post Traumatic Stress Disorder –Psychosocial

support and Psychologist managementsupport and Psychologist management


Hot Line Services for Prevention of SuicideHot Line Services for Prevention of Suicide Mental Health Officer in Each District to take care Mental Health Officer in Each District to take care

of Stress in Adolescents of Stress in Adolescents Councilor in each SchoolsCouncilor in each Schools Teen age Love and pre marital Pregnancy avoided Teen age Love and pre marital Pregnancy avoided

By FLE &LSE to say NOBy FLE &LSE to say NO Don’t allow any body to Touch you Don’t allow any body to Touch you Don’t allow any body to touch your Private PartsDon’t allow any body to touch your Private Parts Teens Club in School level will help to Show their Teens Club in School level will help to Show their

TalentsTalents Teach Our Culture ,Combined family will Prevent Teach Our Culture ,Combined family will Prevent

StressStress Abdul Kalama's Dream Vision 2020 become a Abdul Kalama's Dream Vision 2020 become a

RealityReality

Documents

Stress Management in Adolescents V.Sivaprakasam M.D.,D.C.H.,PGD-AP State President, IAP Tamilnadu 2012 E.B.Member National IAP Nataraja Children’s Hospital