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1 Helping Your ChildAnd YourselfConquer Anxiety Marcia Eckerd, Ph.D marciaeckerd.com 2 3 Three Legged Stool Overall Health Procedures Medication Self-care 4 What is Stress? 5 Stress 1. The perception of a threat (either physical or psychological) and… 2. The perception that coping responses are inadequate to cope with it. 6 7 8 How Stress Affects the Whole Body Central Nervous System Perception - Narrowed Memory - Coarse, Imprecise Learning - Blocked Conditioning - Defense Tendency - Regress or Perseverate Expectancies - Negative Tone - Flee or Destroy Somatic Motor System Tension Ready for Action Jaws Clench Body Braces for Action Autonomic Nervous System Heart rate increases Blood pressure increases Oxygen need increases Breathing rate increases Palms, face sweat Blood sugar increases Adrenalin flows Digestive tract shuts down blood to muscles Blood vessels constrict in hands, face STRESSORS ▼" + anxiety, depression, loneliness, social isolation ▼ + catecholamines and/or cortisol ▼" immune suppression ▼" - T cells, B cells macrophage cells and interferon ▼ accelerated disease progression 9 10 What Creates Stress? • • • • • • • • • • • Anticipation Personal Interactions Social Demands Demands for Performance/Expectations Too much to do Pace - too little time to do it Physical Limitations Cognitive Limitations Problems with Adaptability Problems with Executive Control …………….. 11 Physical Stress Warning Signs Headaches Insomnia Sleep disturbances Low back pain Fatigue Sexual problems Cold hands and feet Neck and shoulder pain Indigestion Cardiovascular Disease Irritable bowel syndrome" Menstrual distress" Nausea" Loss of appetite or overeating" Heart palpitations" Hypertension" Asthma attacks" Frequent colds and flu" Lowered immune system Emotional Stress Warning Signs 12 Irritability and anger over small things." Restlessness and inability to relax." ● Worrying about things that worrying won’t help." ● Bursting out in tears over small things." ● Difficulty concentrating." ● Depression and isolation." ● Avoidant behavior" ● Frustration and meltdowns ● ● 13 “We cannot change the cards we are dealt, just how we play the hand.” " -Randy Pausch Carnegie Mellon Professor Author of “The Last Lecture” 14 Performance: The Yerkes-Dodson Law 15 Performance: The Yerkes-Dodson Law 16 17 Comparing Normal and Maladaptive Responses to Stress In the normal person, arousal reactions return to normal after the stressor is dealt with. In maladaptive responses to stress, the arousal reaction continues even after the stressor has been dealt with. In other words, the set point or baseline of arousal reactions is steadily moved upward. Arousal Reaction Maladaptive Adaptive stressor stressor stressor 18 Relaxation Response A state of relaxed, passive attention to a repetitive or absorbing stimulus that turns off the “inner dialogue” thereby decreasing arousal of the sympathetic nervous system. The Relaxation Response is the Opposite of the Stress Response Stress • CHANGES Metabolism \ 19 Relaxation Response Heart Rate Blood Pressure Breathing Rate Muscle Tension 20 Techniques Used to Elicit the Relaxation Response ● Meditation" ● Sound" ● Diaphragmatic breathing" ● Imagery/Visualization" ● Yoga Stretching" muscle relaxation" ● Progressive ● Mindfulness" ● Prayer How to meditate/! elicit the relaxation response 21 Sit in a comfortable position, arms and legs • uncrossed. • •\ Begin with slow “belly breaths” • Resume normal breathing • Focus: Muscle relaxation, chosen word or phrase, counting, visualization, mindfulness • Awareness and letting go of thoughts. • CONSISTENT PRACTICE Benefits of the Relaxation Response Structural Change in the Brain • Reverses physical effects of chronic stress • •• 22 \ Reduces muscle tension. • Quiets the mind. • Increases the ability to focus. • Reduces conditioned emotional responses • Promotes positive problems solving • Improves resiliency 23 MEDITATION PRACTICED CONSISTENTLY FOR 20 MINUTES DAILY HAS BEEN PROVEN TO CREATE STRUCTURAL CHANGE AND HEALING IN THE BRAIN. 24 Cognitive Restructuring THINK FEEL DO Cognitive Distortions • " • " • " • " • Overgeneralizing: I “always” mess up. I “never” get a break. Should/Must Thinking: I “have to” get these right. I “should” be able to do this. All or Nothing Thinking: Right/Wrong, Good/Bad, Failure/Success Catastrophic Thinking: “This is a disaster,” “Everyone will think I’m stupid.” Minimalizing: “If I do well, it’s just luck.” “Oh, that’s not important.” " • Labeling: “Stupid,” “Lazy,” “Thoughtless” 25 Coping Key: Negative, Irrational Thoughts = Cognitive Restructuring Negative, Rational Thoughts from what you can control = Problem Solving Negative, Rational Thoughts from what you can't control over = Acceptance (Milk for Meaning) 26 Stressful Event:__________________________________________________________________________________________________________ Emotions/Feelings Physical Signs Automatic Thoughts (Don't Wants) Cognitive Distortions Positive Emotions Positive Thoughts (Wants) Physical Signs, Negative Emotions/Feelings, and Cognitive Distortions reflect our habit of thinking and how our body expresses stress overload, therefore these are generally the same no matter what your stress. Positive Psychology 27 “Attitude of Gratitude”: Gratitude Journal " People who kept Gratitude Journals: " Exercised more regularly Had fewer physical symptoms Felt better about their lives as a whole Were more optimistic Had more energy, alertness and enthusiasm Felt a greater sense of connection to others Reported better sleep duration and quality • • • • • • • " Self Care 28 Sleep: The majority of Americans are sleep-deprived. Looks like ADHD, depression, mood instability • " Nutrition: Timing, balance, “real” food • " Exercise: Promotes Physical Endurance, Cardiovascular Health Positive Mood • 29 And A Surprise: Green Plants! " • Have 3 - 4 green plants at home " • Take a walk among trees/in nature 30 Most children do not respond well to parents trying to “fix” them. How to Teach: Use and Model If you use these techniques yourself, your children will see them as life tools for everyone. " If you use these techniques yourself, you can use cognitions out loud and take “mini’s” as an example. Cueing your child to do the same will make sense. " If you use these techniques yourself, you are likely to be calmer, less stressed, and a more effective parent. 31