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Strong EAP. Strong EAP. WELL-U and STRONG 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
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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