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Stress &
 Resilience
Management

 “The Nuts & Bolts”
         Michael Comyn
  The Centre for Self Management
The Bigger Picture
                                 Stress is the trash of modern life - we all generate it but
                                      if you don't dispose of it properly, it will pile up and
                                                        overtake your life. ~Danzae Pace




The Centre for Self Management                  2
3
    First Reference

                                    First reference to stress in
                                     librarians came from Dr
                                     Bernardino Ramazzini Italian
                                     physician – 1700 the year and
                                     Diseases of Workers the Book.

                                    His diagnosis: “these workers
                                     suffer from the itch, are a bad
                                     colour and in poor condition…for
                                     when the body is not kept
                                     moving the blood becomes
                                     tainted, its waste matter lodges
                                     in the skin, and the condition of
                                     the whole body deteriorates.




The Centre for Self Management
Definition
                           What is Stress?




The Centre for Self Management               4
5
The Father of Stress

“Stress is the body’s nonspecific
 response to a demand placed
 on it.” Hans Selye




 The Centre for Self Management
125,000 Years Ago Fight or Flight                                               6


  •Walter Cannon defined Flight or Flight in 1929 and the caveman theory

  •But there are two problems with this Neanderthal model. First, the
  riskiest animals our predecessors had to confront were rabbits and deer,
  not elephants and tigers.
  •
  •In fact, our hairy forefathers spent most of their time collecting berries
  and roots with their children, aunties and pals. Just like us, the caveman
  never stood alone in front of wild animals - unless there had been some
  kind of terrible mistake.

  •The second error is to try to relate stress solely to adrenaline. Although
  the physical effects of frights and acute (short-term) stress are caused
  by adrenaline, this hormone doesn't enter the brain.

  •Longer-term stress relates to a range of other hormones and brain
  neurotransmitters.
  •serotonin - involved in regulation of sleep, appetite and mood
  •dopamine - part of the brain's 'reward system’
  •noradrenalin - involved in regulating energy and drive
  •GABA - has a general sedative effect
  •glutamate - tends to activate nerve cells
  •CRF - increases steroid levels




The Centre for Self Management
7
    All Stress is not Bad!

       Stress is difficult to define because it is
        so different for each of us.

       A good example is afforded by
        observing passengers on a steep roller
        coaster ride. Some are hunched down
        in the back seats, eyes shut, jaws
        clenched and white knuckled with an
        iron grip on the retaining bar.

       But up front are the wide-eyed thrill
        seekers, yelling and relishing each
        steep plunge who race to get on the
        very next ride. And in between you
        may find a few with an air of
        nonchalance that borders on boredom.
        So, was the roller coaster ride
        stressful?




The Centre for Self Management
Human Performance Curve

                                   Boredom
                        8
                                   Optimal Performance
                                   Distress Experience
                                   Exhaustion

  The Centre for Self Management
9
    Stress




The Centre for Self Management
10
    Stress




The Centre for Self Management
11
    The Danger Signs

       sleep disturbances                         irregular heartbeat, palpitations

                                                   asthma or shortness of breath
       back, shoulder or neck pain
                                                   chest pain
       tension or migraine headaches
                                                   sweaty palms or hands

       upset or acid stomach, cramps,             cold hands or feet
        heartburn, gas, irritable bowel
        syndrome                                   skin problems (hives, eczema, psoriasis, tics,
                                                    itching)

       weight gain or loss, eating disorders      periodontal disease, jaw pain

                                                   reproductive problems
       muscle tension
                                                   immune system suppression: more colds, flu,
                                                    infections.
       Fatigue

       high blood pressure




The Centre for Self Management
Ohmmm                                                            12




The Centre for Self Management
                                 Ohmmm! By Peter de Sève   Source: The New
                                 Yorker
Choosing to be Happy – or                                     13
    Not

           How you respond to            What you notice on a
              things which are not how    daily basis and how you
              you want them to be.        construct you memories.
           How in tune you are with  How you feel about the
              yourself.                   people around you.
           How you interpret your        Whether you ensure that
              experience, and how         there are enough things
              autonomous you feel.        in your life that give you
                                          pleasure.



The Centre for Self Management
Chronic Symptoms in People
    Stress
    Anxiety
    Insomnia
    Depression
    Generalised fatigue
    Afternoon fatigue
    Headaches
    Mood Swings

          The Centre for Self Management   14
Nutrition and Lifestyle
                                     Skipping breakfast or coffee and pastry only

                                     Relying on fast food/drive thru for lunch

                                     Afternoon slump – sugar/coffee pick-me-up

                                     Dine out/take out for dinner – late meals
                       15
                                     No planning ahead for healthy meals and snack

                                     No time for relaxed, home-cooked meals

                                     No time for families to teach their kids about healthy eating and
                                      lifestyles, perpetuating the lifestyle

                                     Stress is driving our culture to poor food choices, which in turn
                                      damages our physiology making us more prone to stress

                                     Blood sugar imbalances and adrenal exhaustion result


 The Centre for Self Management
Signs of Adrenal Exhaustion
 (due to chronic stress)




                      16




The Centre for Self Management
Signs of Adrenal Exhaustion
 (due to chronic stress)




                      17




The Centre for Self Management
Cortisol
                             Many people are chronically low in cortisol in the a.m.
                                 and/or low in cortisol in the afternoon creating a need
                                 for a “pick-me-up”. Then they may find that their
                                 cortisol levels spike at night so that they can either not
                                 get to sleep or they wake up in the middle of the night
                                 or early morning.
                      18
                             Saliva testing can reveal cortisol levels throughout a
                                 24hour period.

                             Getting cortisol back in balance through the use of
                                 balanced eating and certain nutrients will help improve
                                 energy throughout the day, improve sleep at night,
                                 and will help the body to better regulate insulin (i.e.
                                 blood sugar).



The Centre for Self Management
Nutrients for Blood Sugar
Management and Stress Support




          The Centre for Self Management   19
A Quote

                                  One of the most tragic
                                  things I know about human
                      20
                                  nature is that all of us tend
                                  to put off living. We are all
                                  dreaming of some magical
                                  rose garden over the
                                  horizon - instead of enjoying
                                  the roses blooming outside
                                  our windows today.

                                                      Dale Carnegie


The Centre for Self Management
Centres of Power



                                  Finances
                                      Good money management (or debt
                                       management) is no less important than
                                       having a good income. The healthy
                      21               approach is to make money work for you.
                                       The challenge is when you are inefficient
                                       about record keeping and bills.

                                  Significant Relationship
                                      Love, emotional support, physical contact
                                       and good company are obvious blessings.
                                       The challenge comes from finding a suitable
                                       partner in the first place or making the
                                       relationship fulfilling if you already have a
                                       partner.



The Centre for Self Management
Centres of Power

                                    Recreation and Fun
                                      Recreation is not only something for the
                                       annual holiday. Best of all is to do
                      22               something that is enjoyable, social and
                                       healthy. The challenge might be to find
                                       people who share your interest.




The Centre for Self Management
The Toolkit.

       Treat yourself as your best friend.
         Spontaneity.
         Special treats.
         Funny money.
         Stolen moments.
         Surprise yourself and others.
         Pamper yourself.




                    The Centre for Self Management   23
The Brain and Stress

     To find stress in the brain
      we have to go deep.




                 The Centre for Self Management   24
Why does it matter?
                         Sleep deprivation can cause the following
                          shortened life spans
                          increased risk of heart disease and stomach
                      25
                           problems
                          irritability, depression
                          increased risk of automobile crashes
                          decreased work performance and memory lapses
                          marital, social and employment problems
                          difficulty learning




The Centre for Self Management
Irish Figures 2007


                           Irish people loose over seven years of sleep
                             over their lifetimes, or the equivalent of one
                      26     night a week.
                           Doctors get the lease sleep of all the
                             professions - they loose 13 years in a lifetime.
                           Company directors rank second in the list of
                             sleep deprivation with 5.8 hours sleep per
                             night.



The Centre for Self Management
Basics of Good Sleep Hygiene

                             Avoid vigorous exercise before sleep
                               (apart from the obvious)
                      27
                             Avoid late afternoon or evening naps
                             Avoid eating large meals before bed
                             Do not allow yourself to lie in bed and
                                 worry
                                  get up and do something to alleviate the
                                   worry (like journaling)



The Centre for Self Management
Basics of Good Sleep Hygiene

                         Avoid caffeine before bed
                         Take a warm bath before bed if you have a
                      28
                            particularly difficult time getting to sleep

                         Listen to soothing music
                         Use your bed only for sleeping
                           do not read, watch TV, or study in bed - learn to
                                 associate your bed with relaxation

                         Ensure a dark, quiet, cool environment
                         Avoid oversleeping or lying in bed for prolonged
                            periods of time after your sleep is completed


The Centre for Self Management
If you can’t sleep . . .

                         Try not to care whether you fall asleep or not
                            - sometimes worrying about falling asleep is
                            enough to keep you awake
                      29
                         Do something relaxing to distract yourself
                            from you inability to sleep
                         Avoid activities like housekeeping, laundry,
                            reading, etc. that will get you active
                         Try boring activities
                         Eat a light snack

The Centre for Self Management
30
    The Three Part Brain


              1st Brain                       2nd Brain

                     Approach, avoidance        Territoriality

                     Hormonal Control           Fear

                     Temperature control        Anger

                     Hunger / Thirst            Maternal Love

                     Reproductive Drive         Social Bonding

                     Respiration and heart      Jealousy
                      rate control


The Centre for Self Management
The Three Part Brain

                                     3rd Brain

                                         Self-awareness of thoughts and emotions
                      31                 Ability to choose appropriate behaviour

                                         Self-reflection

                                         Problem Solving

                                         Goal satisfaction




The Centre for Self Management
Cortical Inhibition and Facilitation

   Disordered heart
    rhythms inhibit 3rd brain
    activity and inhibit our
    thinking.
       Your reactions are
        slowed.
       You cannot think clearly.


   Ordered heart rhythms
    improve 3rd brain
    function and facilitate
    our thinking.
       We see more options and
        solutions.



                 The Centre for Self Management   32
The Engagement of the Third                                               33
    Brain



    Once a signal can be sent to the subcortical area that you are back in
    control then the frontallobe can re-engage and the stress response is
    regulated


    We find that the use of breath control in the radtio of 4:5:2 can bring
    about this engagement in the fastest way.


    4 Seconds in through the Nose
    5 Seconds out through the Nose
    2 Seconds Pause on the out breath before starting again.



The Centre for Self Management
34
    Change lifestyle habits.

     Decrease caffeine (coffee,
        tea, colas, chocolate).        Adequate sleep (figure out
                                       what you need, then get
     Well-balanced diet.              it).

     Decrease consumption of          Leisure time (do
        junk food.                     something for yourself
                                       everyday).
     Eat slowly.
                                       Relaxation exercises (e.g.,
     Regular exercise (at least       meditation, self-hypnosis).
        30 minutes, three times per
        week).




The Centre for Self Management
Thank You
                          www.comyn.com




The Centre for Self Management            35

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Stress and Resilience Management: the "nuts and bolts"

  • 1. Stress & Resilience Management “The Nuts & Bolts” Michael Comyn The Centre for Self Management
  • 2. The Bigger Picture Stress is the trash of modern life - we all generate it but if you don't dispose of it properly, it will pile up and overtake your life. ~Danzae Pace The Centre for Self Management 2
  • 3. 3 First Reference  First reference to stress in librarians came from Dr Bernardino Ramazzini Italian physician – 1700 the year and Diseases of Workers the Book.  His diagnosis: “these workers suffer from the itch, are a bad colour and in poor condition…for when the body is not kept moving the blood becomes tainted, its waste matter lodges in the skin, and the condition of the whole body deteriorates. The Centre for Self Management
  • 4. Definition What is Stress? The Centre for Self Management 4
  • 5. 5 The Father of Stress “Stress is the body’s nonspecific response to a demand placed on it.” Hans Selye The Centre for Self Management
  • 6. 125,000 Years Ago Fight or Flight 6 •Walter Cannon defined Flight or Flight in 1929 and the caveman theory •But there are two problems with this Neanderthal model. First, the riskiest animals our predecessors had to confront were rabbits and deer, not elephants and tigers. • •In fact, our hairy forefathers spent most of their time collecting berries and roots with their children, aunties and pals. Just like us, the caveman never stood alone in front of wild animals - unless there had been some kind of terrible mistake. •The second error is to try to relate stress solely to adrenaline. Although the physical effects of frights and acute (short-term) stress are caused by adrenaline, this hormone doesn't enter the brain. •Longer-term stress relates to a range of other hormones and brain neurotransmitters. •serotonin - involved in regulation of sleep, appetite and mood •dopamine - part of the brain's 'reward system’ •noradrenalin - involved in regulating energy and drive •GABA - has a general sedative effect •glutamate - tends to activate nerve cells •CRF - increases steroid levels The Centre for Self Management
  • 7. 7 All Stress is not Bad!  Stress is difficult to define because it is so different for each of us.  A good example is afforded by observing passengers on a steep roller coaster ride. Some are hunched down in the back seats, eyes shut, jaws clenched and white knuckled with an iron grip on the retaining bar.  But up front are the wide-eyed thrill seekers, yelling and relishing each steep plunge who race to get on the very next ride. And in between you may find a few with an air of nonchalance that borders on boredom. So, was the roller coaster ride stressful? The Centre for Self Management
  • 8. Human Performance Curve Boredom 8 Optimal Performance Distress Experience Exhaustion The Centre for Self Management
  • 9. 9 Stress The Centre for Self Management
  • 10. 10 Stress The Centre for Self Management
  • 11. 11 The Danger Signs  sleep disturbances  irregular heartbeat, palpitations  asthma or shortness of breath  back, shoulder or neck pain  chest pain  tension or migraine headaches  sweaty palms or hands  upset or acid stomach, cramps,  cold hands or feet heartburn, gas, irritable bowel syndrome  skin problems (hives, eczema, psoriasis, tics, itching)  weight gain or loss, eating disorders  periodontal disease, jaw pain  reproductive problems  muscle tension  immune system suppression: more colds, flu, infections.  Fatigue  high blood pressure The Centre for Self Management
  • 12. Ohmmm 12 The Centre for Self Management Ohmmm! By Peter de Sève Source: The New Yorker
  • 13. Choosing to be Happy – or 13 Not  How you respond to  What you notice on a things which are not how daily basis and how you you want them to be. construct you memories.  How in tune you are with  How you feel about the yourself. people around you.  How you interpret your  Whether you ensure that experience, and how there are enough things autonomous you feel. in your life that give you pleasure. The Centre for Self Management
  • 14. Chronic Symptoms in People  Stress  Anxiety  Insomnia  Depression  Generalised fatigue  Afternoon fatigue  Headaches  Mood Swings The Centre for Self Management 14
  • 15. Nutrition and Lifestyle  Skipping breakfast or coffee and pastry only  Relying on fast food/drive thru for lunch  Afternoon slump – sugar/coffee pick-me-up  Dine out/take out for dinner – late meals 15  No planning ahead for healthy meals and snack  No time for relaxed, home-cooked meals  No time for families to teach their kids about healthy eating and lifestyles, perpetuating the lifestyle  Stress is driving our culture to poor food choices, which in turn damages our physiology making us more prone to stress  Blood sugar imbalances and adrenal exhaustion result The Centre for Self Management
  • 16. Signs of Adrenal Exhaustion (due to chronic stress) 16 The Centre for Self Management
  • 17. Signs of Adrenal Exhaustion (due to chronic stress) 17 The Centre for Self Management
  • 18. Cortisol  Many people are chronically low in cortisol in the a.m. and/or low in cortisol in the afternoon creating a need for a “pick-me-up”. Then they may find that their cortisol levels spike at night so that they can either not get to sleep or they wake up in the middle of the night or early morning. 18  Saliva testing can reveal cortisol levels throughout a 24hour period.  Getting cortisol back in balance through the use of balanced eating and certain nutrients will help improve energy throughout the day, improve sleep at night, and will help the body to better regulate insulin (i.e. blood sugar). The Centre for Self Management
  • 19. Nutrients for Blood Sugar Management and Stress Support The Centre for Self Management 19
  • 20. A Quote  One of the most tragic things I know about human 20 nature is that all of us tend to put off living. We are all dreaming of some magical rose garden over the horizon - instead of enjoying the roses blooming outside our windows today. Dale Carnegie The Centre for Self Management
  • 21. Centres of Power  Finances  Good money management (or debt management) is no less important than having a good income. The healthy 21 approach is to make money work for you. The challenge is when you are inefficient about record keeping and bills.  Significant Relationship  Love, emotional support, physical contact and good company are obvious blessings. The challenge comes from finding a suitable partner in the first place or making the relationship fulfilling if you already have a partner. The Centre for Self Management
  • 22. Centres of Power  Recreation and Fun  Recreation is not only something for the annual holiday. Best of all is to do 22 something that is enjoyable, social and healthy. The challenge might be to find people who share your interest. The Centre for Self Management
  • 23. The Toolkit.  Treat yourself as your best friend.  Spontaneity.  Special treats.  Funny money.  Stolen moments.  Surprise yourself and others.  Pamper yourself. The Centre for Self Management 23
  • 24. The Brain and Stress  To find stress in the brain we have to go deep. The Centre for Self Management 24
  • 25. Why does it matter? Sleep deprivation can cause the following  shortened life spans  increased risk of heart disease and stomach 25 problems  irritability, depression  increased risk of automobile crashes  decreased work performance and memory lapses  marital, social and employment problems  difficulty learning The Centre for Self Management
  • 26. Irish Figures 2007  Irish people loose over seven years of sleep over their lifetimes, or the equivalent of one 26 night a week.  Doctors get the lease sleep of all the professions - they loose 13 years in a lifetime.  Company directors rank second in the list of sleep deprivation with 5.8 hours sleep per night. The Centre for Self Management
  • 27. Basics of Good Sleep Hygiene  Avoid vigorous exercise before sleep  (apart from the obvious) 27  Avoid late afternoon or evening naps  Avoid eating large meals before bed  Do not allow yourself to lie in bed and worry  get up and do something to alleviate the worry (like journaling) The Centre for Self Management
  • 28. Basics of Good Sleep Hygiene  Avoid caffeine before bed  Take a warm bath before bed if you have a 28 particularly difficult time getting to sleep  Listen to soothing music  Use your bed only for sleeping  do not read, watch TV, or study in bed - learn to associate your bed with relaxation  Ensure a dark, quiet, cool environment  Avoid oversleeping or lying in bed for prolonged periods of time after your sleep is completed The Centre for Self Management
  • 29. If you can’t sleep . . .  Try not to care whether you fall asleep or not - sometimes worrying about falling asleep is enough to keep you awake 29  Do something relaxing to distract yourself from you inability to sleep  Avoid activities like housekeeping, laundry, reading, etc. that will get you active  Try boring activities  Eat a light snack The Centre for Self Management
  • 30. 30 The Three Part Brain 1st Brain 2nd Brain  Approach, avoidance  Territoriality  Hormonal Control  Fear  Temperature control  Anger  Hunger / Thirst  Maternal Love  Reproductive Drive  Social Bonding  Respiration and heart  Jealousy rate control The Centre for Self Management
  • 31. The Three Part Brain 3rd Brain  Self-awareness of thoughts and emotions 31  Ability to choose appropriate behaviour  Self-reflection  Problem Solving  Goal satisfaction The Centre for Self Management
  • 32. Cortical Inhibition and Facilitation  Disordered heart rhythms inhibit 3rd brain activity and inhibit our thinking.  Your reactions are slowed.  You cannot think clearly.  Ordered heart rhythms improve 3rd brain function and facilitate our thinking.  We see more options and solutions. The Centre for Self Management 32
  • 33. The Engagement of the Third 33 Brain Once a signal can be sent to the subcortical area that you are back in control then the frontallobe can re-engage and the stress response is regulated We find that the use of breath control in the radtio of 4:5:2 can bring about this engagement in the fastest way. 4 Seconds in through the Nose 5 Seconds out through the Nose 2 Seconds Pause on the out breath before starting again. The Centre for Self Management
  • 34. 34 Change lifestyle habits.  Decrease caffeine (coffee, tea, colas, chocolate).  Adequate sleep (figure out what you need, then get  Well-balanced diet. it).  Decrease consumption of  Leisure time (do junk food. something for yourself everyday).  Eat slowly.  Relaxation exercises (e.g.,  Regular exercise (at least meditation, self-hypnosis). 30 minutes, three times per week). The Centre for Self Management
  • 35. Thank You www.comyn.com The Centre for Self Management 35