Lecture 15 - Stress Management Flashcards

1
Q

What is Stress?

A

occurs in response to circumstances that require adjustment or adaptation
Individuals respond differently to the same “stressor”

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2
Q

Quality and intensity of the stress response mediated by what

A

appraisal

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3
Q

wha is the Appraisal of stress

A

Way we evaluate or interpret the threat from a stressor & the resources
available
stimulus -> appraisal -> response

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4
Q

When does stress result?

A

• “Dangerous, difficult, or painful” event • Don’t have resources

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5
Q

how does stress vary from person to person

A

Degree of stress in response to the SAME stressor will vary from person to person.
• Stress less intense when we feel confident in ability to maintain control & believe changes (despite being out of your control) are manageable
• Stress becomes overwhelming when changes are perceived as insurmountable
• Within person differences (less tolerant when under stress)

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6
Q

What factors (i.e. situational, person) lead to smaller or larger stress responses?

A
  1. Social support = less stress

2. Coping style = certain styles more adaptive

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7
Q

Where does stress come from?

A
Stress Modifiers continued
Don’t go NUTS!
Novelty 
Unpredictability
Threat to ego
Sense of loss of control

Being in situations that involve N.U.T.S. causes the release of stress hormones. But the mere act of anticipating them also does the trick!

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8
Q

Is All Stress Bad?

A
  • Beneficial if short- term or at mild levels

* Negative if chronic and intense

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9
Q

Stress Management Tips

A

1) Identify your stressors
2) Build regular exercise into your life 3) Make sure you eat and sleep well
4) Take time out
5) Problem-solving techniques
6) Learning calming techniques
7) Assertiveness training and communication skills 8) Negative thinking

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10
Q

Cognitive Behavioral Therapy for stress

A

It’s not the situation that is creating the problem, it’s our perception of the situation
• We can change the way we think or behave, and subsequently change our feelings
• Thought records:
•Evidencethatsupportthefeeling
• Evidence against the feeling
• What will I say to a friend if they feel this way?
• How big of an issue will this be in a few hours, days, or years? –
feelings are temporary

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11
Q

Unhelpful Thinking Styles Examples

A

all or nothing thinking
over generalizing
magnification and minimization
disqualifying the positive

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12
Q

explain Stress-Management: Changing Self-Talk

A
  • You can reduce stress by changing your outlook on the situation
  • Avoidseeingcrisesasinsurmountableproblems
  • Look for the positive instead of dwelling on the negative.
  • Challenge certain ways of thinking that tend to increase your stress.
  • You can think yourself into distress!
  • Avoid mind-reading other people’s motives
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13
Q

explain Progressive Muscle Relaxation

A

Developed by Jacobson in the early 1920s.
• Anxiety manifests itself through tension in the muscles; if one can reduce the muscular response, then one can also reduce the experience of stress.
• Involves tightening and relaxing sequentially various muscle groups throughout the body, slowly, one at a time.
Important to pay very close attention to the feelings related with both tension and relaxation

Why tense when the goal is to relax?

  1. Tense the muscles
  2. Notice the feeling in all the muscles that are tight 3. Relax
  3. Enjoy the pleasant feeling
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14
Q

explain Progressive Muscle Relaxation

A

Preparing for PMR
• Find a quiet place at home when can be free of any sudden disturbances
• Time of day when there are no time pressures
• Any time of day or night but avoid immediately following lunch or dinner (1.5 hours after)
• Assume a comfortable position in chair/sofa or bed
• Loosen any tight clothing, remove glasses
• Give yourself permission to relax
• Assume a passive, detached attitude
• Donotovercontractyourmuscles
• Avoid areas of recent injury

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15
Q

explain Visualization

A
  • Effective in treating many stress-related illnesses including headaches, muscle spasms, chronic pain, and anxiety.
  • Sometimes the effects can be felt immediately and sometimes it takes several weeks of practice to feel any benefit
  • Involves imagining a scene or an image as completely as you can • Guided visualisation for relaxation
  1. Loosen your clothing or wear comfortable clothing.
  2. Scan your body. Notice and tension and in which muscles. Relax those
    muscles as much as you can.
  3. Begin creating mental sense impression. Involve all your senses
  4. Use self statements to aid your relaxation. Use the present tense and avoid
    negatives.
  5. Visualise three times a day – morning/night, reduce tension
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16
Q

explain Acceptance Commitment Therapy (ACT)

A

• ACT is a behavior therapy at its core – taking action
• Existential component – what do you want to stand for in life? What
really matters, deep in your heart? • Get in touch with the “big picture” • Mindful action

ACT-based strategies
• Mindfulness skills
• Deliberate acceptance/Expansion • Committing to purposeful actions • Cognitive defusion

17
Q

explain Acceptance and Expansion

A
  • Letting go of need to control • “Taking what is offered”
  • Not resignation/giving up
  • Making room for feelings
18
Q

explain Cognitive Defusion

A
  • Helps one “unhook” from their thoughts and overwhelming emotions
  • Purpose is to visualize your thoughts and emotions either as pictures or words, harmlessly floating away from you, without obsessing about them, analyzing them, stuck on them
  • Examples
  • Fingers→thoughts
  • Thoughts and emotions floating away as clouds
  • Floating away on leaves
  • Written in sand, and then watch the waves wash them away
  • Acceptance of one’s thoughts and emotions
19
Q

explain Mindfulness

A
  • 2 key aspects:
  • Nonjudgmental awareness of what is
  • Focused attention on the present moment
  • “Attention to the river of now: your ongoing experience of what’s happening in your mind, your body, and the environment that surrounds you” – Mackay, Fanning, & Ona (2011)
  • Why do it?
  • Focusing on future/past→painful emotions
20
Q

what are the Basic Mindfulness Skills

A
  1. To focus more fully on the present moment
  2. To recognize and focus on your thoughts, emotions, and physical sensations
  3. To focus on your moment-to-moment stream of awareness
  4. To separate your thoughts from your emotions and physical sensations
21
Q

explain Mindfulness Exercises

A
  • Inner-outer shuttle • Five senses exercise
  • Mindfulness in daily activities (physical, not mental) – practice for a week • Breathing mindfully
  • Listen to all your senses
  • Put up signs or reminders to cue you to do the exercise • One thing at a time
22
Q

what is Dialectical Behavior Therapy

A

What is DBT?
• Highly effective in treating BPD and also used for other problems • CBT + mindfulness and acceptance techniques
• How DBT and CBT differ

23
Q

explain the DBT Model

A
  • Skills training group
  • Individual therapy
  • Telephone consultation • Consultation team
24
Q

explain Emotion Regulation

A

What are emotions? • Primary emotions
• Secondary emotions

Emotion regulation skills

  1. Recognizing your emotions
  2. Overcoming the barriers to healthy emotions
  3. Reducing your physical vulnerability
  4. Reducing your cognitive vulnerability
  5. Increasing your positive emotions
  6. Being mindful of your emotions without judgment
  7. Emotion exposure
  8. Doing the opposite of your emotional urges
  9. Problem solving
25
Q

explain Reducing Cognitive Vulnerability

A

• Trigger thoughts – e.g., “I’m so absentminded; I’m an idiot”
• Goal of learning emotion regulation skills is to learn what to do when
you have these thoughts
• Using coping thoughts – “Mistakes happen. No one is perfect”
• Filtering vs Seeing the big picture
1. What happened?
2. As a result, what did you think and feel? (be specific)
3. What evidence supports how you think and feel?
4. What evidence contradicts how you think and feel?
5. What’s a more accurate and fair way to think and feel about this situation?
6. What can you do to cope with this situation in a healthy way?

26
Q

Key Steps to Practicing Observing Emotions

A
  • Focus on breath.
  • Focus on emotion (current or past).
  • Notice physical sensations connected to emotion.
  • Name the emotion.
  • Notice judgments (about self, others, or the emotion itself) and let them go→“leaves on a stream” or other image.
  • Watch the emotions→“waves on the sea”
  • Remind yourself that you have a right to your feelings.
  • Continue to notice and let go of judgments.
  • Finish with three minutes of mindful breathing.
27
Q

what is Distress Tolerance

A

Perceived inability to fully experience unpleasant, aversive or uncomfortable emotions, and is accompanied by a desperate need to escape the uncomfortable emotions

28
Q

How to Accept Distress

A
  • Watch or observe your own emotions • Label or describe
  • Curious and non-judgemental
  • Imagery
  • Ocean wave
  • Non-stop express train • Clouds in the sky
  • Leaves on a stream
  • An empty room
  • A naughty child