Strong EAP WELL-U andSTRONG EAP • Coping with Work and • Family Stress • 3/14/2011 • Lynda Spiegel, MS. Ed., NCC
Strong EAP Two Things About EAP • FREE • CONFIDENTIAL
Strong EAP WHO CAN USE EAP? • Employees • Family members living in the same household as the employee • 550 White Spruce Blvd • Hours 7:30 a.m. to 5 p.m. • Wednesdays 11 a.m. to 7 p.m.
Strong EAP What Do We Do? • Short-term counseling • Assessment-to-referral • Critical Incident Stress • Wellness Presentations • Work-Related Presentations • Healthbites
Strong EAP WHO are we? • Joanne Dermady, Director • Sigrid Adler, LCSW • Anne Lenox, LMHC • Lynda Spiegel, LMHC
Strong EAP Examples • Stress (i.e., depression, anxiety) • Grief • Relationships • Co-Workers • Family members • Children
Strong EAP • The Notebook • The References • Introductions
Strong EAP Strong EAP • Define Stress • Define Anger • Problem Solving • Coping Strategies • Cognitive Reframes • Relaxation techniques
Strong EAP Deep Breathing
Strong EAP Work/Life Balance • Can it be done?
Strong EAP What is STRESS?
Strong EAP What our jobs provide • Sense of satisfaction • Sense of purpose • Structure • Poor morale • Unhappy workplace • Pressure
Strong EAP Technology • An obstacle to our balance • We are an immediate society • Cell phones, pagers • E-mail, IM • Internet • 24/7 connection • Social networking addictions • the 24/7 connection
Strong EAP Technology isn’t alone • Overscheduled adults • Overscheduled kids • We’re frazzled • We leave work, work doesn’t leave our thoughts • We leave home, home doesn’t leave our thoughts
Strong EAP Environmental Stressors • Noise • Time • Interruptions • Clientele • Co-workers • Teaching hospital • Limited space • Technology
Strong EAP We’re Out of Balance • Depressed • Anxious • Frustrated • Angry • Guilty • Poor choices • Unhealthy habits
Strong EAP The Self
Strong EAP Stress • Physical Stress An immediate threat to our well-being, physically • Mental Stress *Our perception of an event in which: We feel threatened We experience change We lose our sense of control Our expectations aren’t realized
Strong EAP • Stress is not a person, place or thing. It is a physical and emotional reaction to change – whether positive or negative. It is our PERCEPTION of the change that matters. • A Stressor is the actual event or change
Strong EAP Things about stress • IT DOESN’T GO AWAY • CAN BE POSITIVE • Motivates us • OR NEGATIVE • Leads to feelings of disappointment, failure, embarrassment, etc.
Strong EAP Four Categories of Stress • Anticipatory Stress (Future) • Situational Stress (Present) • Chronic Stress (Ongoing) • Residual Stress (Past
Strong EAP Cognitive Effects • Tunnel vision • Difficulty making decisions • Diminished ability to concentrate • Shortened attention span • Difficulty with abstract thought • Memory difficulty
Strong EAP Psychological Effects • Depression • Anxiety • Burn-out • Anger • Loss of emotional control
Strong EAP Behavioral Effects • Isolation • Sleep disturbance • Change in eating habits • Increase in alcohol/substance use • Irritability • Temper tantrums
Strong EAP Physiological Effects • Elevated blood pressure • Elevated heart rate • Rapid breathing • Lightheadedness • Chills or sweats • Migraine headaches • IBS • Lower back pain
Strong EAP Life Cycle Theory • Most of us go through a series of events called “life cycles” • i.e., birth, school job, marriage, kids, kids leave, retirement, death • Stress increases at each life transition
Strong EAP Family Stress Theory • Rueben Hill, Father of Family Stress • ABCX Theory of Stress • A factor=the stressor • B factor=the resources • C Factor=our perception • X Factor= the outcome
Strong EAP Double ABCX Theory • ABCX lasted 30 years • McCubbin & Patterson • aA=“Pile-up” of stressors • bB=Layers of resources • cC=Layers of perceptions • xX=Layers of outcome
Strong EAP What is Anger? • A universal, first emotion • Built into our nervous system • Anger is a way of expressing STRESS • Two ways of Anger • Toxic anger-anger that poisons your life and/or those around you
Strong EAP Anger • When is anger a problem? • How often do you get angry? • Not at all • 1-2 times a week • 3-5 times a week • 1-2 times a day • 3 times a day • 6-10 times a day • 10+ times a day
Strong EAP Intensity of Anger • On a scale of 1-10, where are you?
Strong EAP Some statistics • 15 % of us have episodic rage • 11 % of us have chronic anger • 12 % of us have chronic rage • 37 % of us have “toxic anger”
Strong EAP Facts About Anger • Men v. women • Decrease with age • Impulsive and excitable • + provocation • Cynical • Catastrophizing • Compulsiveness • Self-absorbed • Aggressive personality
Strong EAP More Facts • Drugs that alter brain chemistry • Irritable • Depressed • Communication • Problem solving skills • Too stressed • Judgmental • Blame • Exhaustion • Inadequate support system
Strong EAP Is Anger Poisoning Your Life? • Anger and fatigue • Anger has an immediate effect on blood pressure • What’s your risk for heart attack?
Strong EAP How At Risk for Heart Attack are YOU? • Have you smoked cigarettes in the last 30 days? • Do you have 2+ alcohol at one sitting? • Has a doctor told you that you have high blood pressure? • Are you being treated for high blood pressure? • Has a doctor told you that you have high cholesterol?
Strong EAP • Are you currently being treated for high cholesterol? • Do you consider yourself overweight? • Do you consider yourself obese?
Strong EAP The Impact of Anger • On our health • On our career • On our relationships • On our marriage • On the health of people around us • On the self-esteem of the people around us
Strong EAP STRESS HAPPENS • What can you control? • Whose problem is it anyway? • Don’t sweat the small stuff. • Move with the cheese • Use good communication skills • It’s OK to give yourself permission to put yourself first • Create a balance
Strong EAP Maintaining Daily Balance • Take time for your health • Give your family quality time • Stay within your financial budget • Enjoy a quality social life • Stay current with new developments at work • Enjoy your spiritual area
Help Yourself to Balance Strong EAP Strong EAP Strong EAP • Clarify your values • Make a list • Set your own rules for balance • Use transition time wisely • Do one thing at a time • Volunteer • Pay attention to now
Strong EAP Stress Reduction vs. Stress Management • Stress reduction-eliminates the source of stress by taking action and making changes. • Stress management-involves coping, reinterpreting, reframing, and cognitive restructuring.
Strong EAP Goal of STRESS MANAGEMENT • To alter our perception and response to our stressors (the C & X factors) • To alter our lifestyle to be more stress resistant (build our B factor)
Strong EAP A Word of Caution • “Denial is one of the best-developed coping mechanisms in healthcare workers, particularly in physicians and nurses.” • Overcoming Stress in Medical and Nursing Practice, (Quote from Marshall McLuhan-Communications theorist)
Strong EAP Compassion Fatigue • CF is secondary post-traumatic stress • Common in helping professions and first responder professions • Same symptoms, without the primary trauma
Strong EAP Are you a STRESS EATER? • You can’t change what you don’t acknowledge • Try to link thinking-feeling-behaving • Use the Event log • If it is a long-standing issue, get help and deal with it
Strong EAP Eating and Coping • According to one study, 75% of overeating is caused by EMOTIONS • Cortisol cravings-stress related (salt & sugar) • Social eating –bring on the HFS • Nervous eating – crave the crunch • Childhood habits • Stuffing emotions – people who can’t deal with their emotions