Stress and Anxiety Beating Your Fears and Worries

1. Stress and Anxiety Beating Your Fears and Worries Safdar Chaudhary, MD Diane Dean, RN, LPC Donald Valentine, DC

2. Additional Information & other teaching / educational resources You can reach Safdar I. Chaudhary, MD at the following Office: 341 Story Road, Export, PA 15632 Tel: 724-468-3999 Email: safdar3@gmail.com Web: www.seclairer.com Fax: 724-468-0039

3. What is Stress? Stressors: Situations that are considered stress-provoking

4. Stressors Major Events Daily Hassles

5. Eustress Moving Marriage New Job New School New Family Member

6. Distress Losses Traffic Financial Stress Deadlines Conflicts

7. Our Perceptions Determine Our Stress Level Thoughts Beliefs Perceptions of Threat If coping skills outweigh the stressor, we�re safe If the demands of the situation outweigh the skills we have, we are STRESSED

8. Stress Index Neglect your diet Try to do everything yourself Blow up easily Fail to find humor Act rude Make a big deal out of everything Look to others to make things happen Have difficulty deciding Complain you are disorganized Avoid people who�s ideas are different Keep everything inside Neglect exercise Have few supportive relationships Use sleeping pills and tranquilizers without a doctor�s approval

9. Stress Index Get too little rest Get angry when waiting Ignore stress symptoms Think there is only one right way Fail to build relaxation in your day Put things off until later Gossip Race through the day Spend a lot of time complaining about the past Fail to get a break from noise and crowds

10. Scoring

12. Perceived Stress Determines how stress affects our health

13. Stress Activates Adaptive Responses Confronts a threat Does a good job in the short run

14. In the Long Run� Premature Aging Chronic Fatigue Depression Disrupts �homeostasis� Regain equilibrium Become stuck

15. How the Body Handles Stress Stress Physiological Psychological Brain Activates the Autonomic NS Controls and Stimulates the Output of Two Hormones: Cortisol & Adrenaline

16. These Hormones and the ANS Help Us Cope Alert Increase HR Increased BP Mobilize Energy Reserves Replenishes Energy Supplies Remember Important Details Readies our Immune System

17. Chronic Stress Systems Involved Don�t Shut Off When Not Needed Don�t Become Active When Needed

18. Chronic Stress Over activity of the ANS Increased Cortisol Production Elevated Blood Sugar Demineralization of Bone Hypertension High Cholesterol Hardening of the Arteries HTN Impairs Excitability of Cells: Fragmentation Loss of Size of Nerve Cells in Area of Brain Associated With Spatial and Verbal Memory Suppresses Immune System

21. Anxiety Healthy Anxiety Motivates to Action Often Accompanies Life Changes Abnormal Levels Create Anxiety Disorders

22. Anxiety � How Common Is It? Among the oldest, most recognizable, and prevalent mental disorders Affects about 15% of the population One of the most common reasons for seeking medical and psychiatric help

23. Anxiety Disorders 1 in 4 people met criteria for anxiety disorder Higher % in women (30%) than men (9%) Most prevalent mental d/o in older adults

24. Anxiety Disorder Theories of Cause Psychodynamic Cognitive-Behavioral Theories Developmental Theories Neurotransmitter Theory Genetic Factors

25. Types of Anxiety Disorders Generalized Anxiety Disorder Obsessive-Compulsive Disorder Panic Disorder Social Phobia Specific Phobia Acute Stress Disorder Post Traumatic Stress Disorder

26. Stress and Anxiety Relief

27. Healthy Relief