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World Vision Employee Health Fair
Washington, DC
November 5, 2009
STRESS
TRAUMA
GRIEF &
LOSS
Christine Buckingham, LCPC
Executive Director
Life Christian Counseling Network, LLC
© 2010 Christine E. Buckingham. All rights reserved
Stress
Adjustment
disorders
Acute stress disorder
Post traumatic stress disorder (PTSD)
 More
complicated stress levels such as
Adjustment disorder, Acute Stress
Disorder, and PTSD, require additional
help and resources including
• Counseling/Therapy
• Medication management



Marked distress in excess of what would be
expected in response to a stressful event, or a
significant impairment in social or occupational
functioning.
The symptoms usually occur within 3 months of
the recognizable stressful event and should not
last longer than 6 months after resolution of the
stressful event or its consequences unless
symptoms are in response to a chronic stressor.
Individuals generally return to normal
functioning within a few months

An Anxiety Disorder resulting from
exposure to a traumatic event where a
person develops anxiety symptoms, reexperiencing of the event, and avoidance
of stimuli related to the event lasting less
than four weeks. If symptoms persist, a
diagnosis of PTSD may be given.
 An
anxiety disorder triggered by a
traumatic event. A person can develop
post-traumatic stress disorder when they
experience or witness an event that
causes intense fear, helplessness or
horror. Onset can be delayed by as much
as 6 months. Symptoms can last less than
three months or can become chronic.
Activating Event -The STRESSOR
RELAXATION
RESPONSE:
Engages the
Parasympathetic Nervous
System -Three minutes the
F or F burns out &
Systems
return to Normal
OR
CHRONIC STRESS:
Adrenals produce
corticoids
Increased
Vulnerability
to illness
STRESS RESPONSE:
Fight, Flight, Freeze
Physiological Arousal
of the Sympathetic Nervous System:
INCREASED: heart rate, breathing rate,
muscle tension, metabolism, blood pressure
Blood diverted away from digestive system
– butterflies in the stomach; extremities
get cold. Pupils dilate
The good news:
 Performance & efficiency actually improve with
increased stress
The bad news:
 Performance peaks as the stress level becomes too
great. And it’s all downhill from there.
Balance = types + amounts of stress for your
individual personality, priorities, and life situation.
On your body
Headache
 Back pain
 Chest pain
 Heart disease
 Heart palpitations
 High blood pressure
 Decreased immunity
 Stomach upset
On your thoughts and feelings
 Sleep problems
 Anxiety
 Restlessness
 Worrying
 Irritability
 Depression
 Sadness
 Anger
 Feeling insecure
 Lack of focus
 Burnout
 Relationship conflicts
On your behavior
 Forgetfulness
 Overeating
 Under-eating
 Over-eating
 Angry outbursts
 Drug or alcohol abuse
 Increased smoking
 Social withdrawal
 Crying spells
 Relationship conflicts
Retrieved 11-4-09 from MayoClinic.com
 Physical
•
•
•
•
Spiritual
Self care
Nutrition
Exercise
Rest/relaxation
•

Soul/mind
•
•
•
•
Boundaries
Fun
Thinking patterns
coulda/woulda/shoulda
Relationships
Worship
Inspirational reading
Music
Study
Service
Reflection
 Holmes-Rahe
Stress Scale
Add up the stress factors in your life
you have experienced in the last 24 months
to see how these factors
may be affecting your physical health.
 And
your score
• Less than 150......30 chance of developing a
stress related illness
• 150-299......50% chance of developing a stress
related illness
• Over 300.......80% chance of developing a stress
related illness
• What were your top 5 stressors?
On a scale of 1 to 10,
how stressed do you feel
right now?
Here
we go…
Progressive
Relaxation
Muscle
Mindfulness
Breathe
Become
aware of God’s
presence
On a scale of 1 to 10,
how stressed do you feel
right now?
Did your level change?