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Mind –Body Communication Managing Stress Mental Health CHAPTERS 2,3,4 What do I need to know/be able to do? Describe 3 ways the mind & body communicate biologically Describe how faith, religion & spirituality affect health Define/describe psychosomatic illness, stress, stressor, eustress & distress, defense mechanisms, placebo effect, hypnotherapy Describe meditation & image visualization Explain how college students can mange overload & practice time management & test management Define & Describe environmental, mental & emotional components of stress List & describe strategies for coping with emotional distress Describe physiological components of stress Explain the role of positive emotions in mental & physical health Describe 4 ways stress causes illness Define List & describe 4 common anxiety disorders Define problem-focused & emotion focused coping Discuss anger & dealing with it constructively Describe adult ADHD List & describe 7 facets of sleep hygiene Optimal health is achieved when the mind & body communicate harmoniously Mind-body communication systems ANS (autonomic nervous system Hormones endocrine system Group of nerves that regulate the body to maintain its balance Chemical messengers in the body that notify it to respond and change in order to maintain health. • HR • BP • waste elimination (sweat, BM’s) (adrenalin & cortisol) Immune System Responsible for combatting infections & ridding body of toxins Many immune cells respond to hormone cortisol Human mind causes changes in body chemistry through thoughts & feelings with positive & negative effects. Hormones can affect moods, thoughts feelings & behaviors Raging hormones of young teens PMS – Post partum depression Peri-menopause Menopause PCOS Work with the body Autonomic Nervous System Biofeedback machine feedback Hormones Endocrine System Cortisol – stress Dopamine – pleasure Autogenic training Oxytocin – trust & attachment “My arms & legs are heavy” Vasopressin – sexual arousal, decrease anxiety Serotonin – increase aggression & obsessive thoughts Immune System Psychosomatic illness Somatization Placebo effect Define the following psychosomatic illness Somatization disorder placebo effect Physical illness brought on by negative mental states The occurrence of physical symptoms without the presence of medically detectable injury or disease (anxiety – IBS (irritable bowel syndrome) ( depression – fatigue, nausea, sexual problems) Healing that results from a person’s belief in a treatment that has no medicinal value Psychosomatic illnesses are physical symptoms caused by stress, anxiety & emotional upsets Psychosomatic Diseases/Illnesses Tension headaches Teeth grinding ( bruxism) Hyperactive thyroid Essential hypertension Erection or menstrual problems Eczema Tinnitus Acne Back pain Ulcerative colitis IBS – irritable bowel syndrome Rheumatoid arthritis Somatization disorders are caused by psychosocial problems Somatization disorders i.e. depression/anger may cause pain, fatigue, nausea, diarrhea, sexual problems 25-75% of all patients see primary care physicians for these difficult to treat symptoms/disorders Treatments for wellness Hypnosis Meditation Acupuncture visualization Therapy – cognitive, talk, pet, art, play, physical hypnotherapy Use of hypnosis to improve wellness/treat sickness https://www.youtube.com/watc h?v=uP8j2OwPwUc Hypnosis myths & facts Under hypnosis, you lose control and the hypnotist can make you do anything No one can control your mind, unless you agree to voluntarily. Stage hypnotists “control” volunteers b/c they already are “ready to” participate Hypnosis myths & facts Hypnosis is like falling asleep. When you awake you are unaware of things that took place while “asleep” You do not fall asleep. You remain conscious It is a focused attention with specific thoughts, to the exclusion of other thoughts Hypnosis myths & facts Only weak minded people can be hypnotized People with above average intelligence are usually hypnotized easier than others Similar to movie goers engrossed in a movie – they are focused/emotionally connected to film however can be “snapped” back to reality if someone should yell “fire” in the theatre meditation Zen Meditation Sit still Crossed Empty legs the mind of “chatter” Transcendental Meditation Focus on a mantra (phrase or sound to produce a meditative state) meditation Insight (Vipassana) Observe flow of thoughts with detachment Buddhists focus on a mandala (religious object) Prayer Focused attention on/with God Make up your own mantra Choose a behavior you would like to change or improve Keep it simple Choose an achievable statement Repeat it internally in a quiet state Sports: I feel my body getting stronger I become less tired each time around the track Behaviors: I will stop eating when I am full Use of Image Visualization reduces pain hastens healing improves sports performance improves sexual responses & enjoyment Take time to quiet your mind CHOOSE WHAT WORKS BEST FOR YOU Define the following stress Stressor eustress Distress defense mechanisms The sum of physical & emotional reactions to any stimulus that disturbs the harmony of mind & body Any physical or psychological situation that produces stress Stress resulting from pleasant stressors Stress resulting from unpleasant stressors i.e. Denial, repression, projection, displacement, reaction formation, rationalization, identification, isolation & dissociation Stress management https://www.youtube.com/watch?v=9ZAH-xu_FRQ The Components of Stress Environmental (stressors) • • • • • • • • • • War Natural disaster Major life events Daily hassles Family/relationship problems Demanding job Sexual abuse Assault Personal or family illness Chronic anxiety Mental • My well- being is threatened • I’m not sure I have the personal, financial and social resources to make things turn out ok Emotional • • • • • Fear Anxiety Frustration Hopelessness Depression Physiological • Fight or Flight Response (adrenaline release) • Increase in HR, BP • Changes in metabolism, waste elimination alertness, sleep, immune function The General Adaptation Syndrome ALARM RESISTANCE EXHAUSTION General Adaptation Syndrome (G.A.S). ALARM Body’s normal resistance to stress is lowered for the 1st interaction with the stressor RESISTANCE Body adapts to continued presence of the stressor resistance increases EXHAUSTION Body loses ability to resist the stressor Becomes exhausted “ Heavy thoughts bring on physical maladies; when the soul is oppressed so is the body MARTIN LUTHER ” Give Examples of College Student Stressors Academic Time Environment Social Self Money Tasks of Daily Living Stress Contributes to Illness Causes the body to be exhausted, worn down, damaged Weakens the immune system Motivates cope unhealthy behaviors as an attempt to Warning Signs of Stress Sleep difficulties (staying awake or restfully sleeping) Eating pattern changes Depression Muscle aches/tightness Headaches Craving comfort food Short temper/irritability Factors affecting experience of stress Predictability Produces less stress than surprises Personal Control BELIEF in one’s ability to control situations & not whether control is actually possible Belief in Outcomes High pressure jobs that have little room to decide how to accomplish tasks have greater stress than those who can control more decisions Optimists have less stress than pessimists Social Support Sharing physical, emotional or intellectual help in stressful situations helps lessen stress Common Anxiety Disorders Social anxiety (social phobia) Panic disorder Generalized anxiety disorder OCD – Obsessive Compulsive Disorder PTSD – Posttraumatic Stress Disorder Generalized Anxiety Disorder Persistent & often non specific worry & anxiety May present without stressor Physical signs: headaches, fatigue, hot flashes, twitching Emotional sign: irritability Social anxiety Fear of being observed & evaluated by others in social situations Panic Disorder Severe & intense & paralyzing anxiety accompanied by physical symptoms Physical symptoms similar to a heart attack May manifest without obvious stressor May feel a sense of impending doom or loss of control PTSD Persistent frightening thoughts & memories of a prior traumatic experience May experience sleep problems, feel detached or numb or easily startled Sleep Hygiene Establish regular sleep time Create sleep environment Wind down before going to bed Use bedroom for sleep only Don’t worry in bed Avoid alcohol, caffeine & tobacco Exercise regularly early in the day Define Sleep Problems Insomnia Prolonged inability to fall asleep Narcolepsy parasomnia Extreme tendency to fall asleep during the day Activities that interrupt restful sleep Nightmares, sleepwalking (somnambulism), sleep apnea, RLS (restless leg syndrome Dreams Occur during R.E.M (Rapid Eye Movement) Why dreams/REM? Brains’ way to grow/process info/remove unnecessary info Private conversations with ourselves that may be bizarre, dramatic, emotional & exaggerated Needed to prevent bizarre & psychotic behaviors (sleep deprivation as a means of torture) Signs of Depression Psychological Behavioral Physical Lack of interest/motivation Crying spells Fatigue Feelings of helplessness Weight changes Indecisiveness Interpersonal confrontation Pessimism/hopelessness Anger attack/outbursts Reduced concentration Irritability Avoidance of anxiety provoking situations Depressed mood Social withdrawal Preoccupation with oneself Substance abuse Suicide attempts/gestures Aches/pains Heart palpitations Sleep changes Burning/tingling sensations Depressive Type Disorders Major depression Mental state of helplessness, hopelessness & extreme negative outlooks Negative outlook errors: • All or none thinking • Overgeneralizing • Negative filtering • Disqualifying the positive • Negative self talk Seasonal affective disorder dysthymia Symptoms appear in fall or winter & disappear in spring Long-lasting, mild form of depression How to deal with depression Establish & achieve simple attainable short term goals Exercise Socialize – but don’t overtalk about how lousy life is Meds – SSRI (selective serotonin reuptake inhibitors) {caution – can be linked to suicide in young people) Therapy to help minimize negative self talk Coping – dealing with problems effectively *Problem Focused • Key feature = optimism • Stressful situation is appraised • • Plan for change is devised Plan is attempted Emotion Focused • • Stressful situation is appraised as not immediately changeable & decision is to “roll with it” – wait for opportunity to change it Acceptance is facilitated through religious, social contact, helping others, being with nature Denial/Distance/Give Up • Stressful situation is appraised as not amenable to change • Typical response Behaviors • Overeating • Oversleeping • Substance abuse • Web surfing/video gaming A mentally healthy person can Solves problems with little trouble Deal with stress effectively Accept new ideas Avoid “Overload” The feeling there are too many demands on your time & energy Antidotes to overload Plan ahead Keep a to do list Prioritize tasks Schedule downtime Sleep Don’t “Just do it” Prioritizing Activity Create a minimum 10 item to do list Draw this image below your to do list IMPORTANT YES NO YES URGENT NO Suicide 2nd leading cause of death among college students One of the 10 most frequent causes of death in the US People over 65 make up the largest age group of suicides. Not a disease nor a genetic disorder Not caused by weather or full moons A risk associated with panic disorder, social phobia, PTSD, & bipolar disorder Refer to hand out: Depression is Worldwide, If a Friend is Considering Suicide Adult ADHD/ADD Characteristics Difficulties: Focusing on activities Organizing Finishing tasks Managing Following one’s time instructions Being overly restless – “on the go” Perceived as not thinking before acting or speaking Adult ADD/ADHD College age students with undiagnosed ADHD generally struggle in school A biological condition Frontal region of brain differs from those without ADD/HD As kids, may been labeled as underachievers/lacking intelligence May have damaged self esteem Associated with lower socioeconomic status, frequent job changes, work difficulties, speeding violations, car accidents, & spousal separations Treatments: medication, coaching, counseling, healthful living PDD – pervasive developmental disorder (ASD- autism spectrum disorder) Group of conditions characterized by varying degrees of communication /social impairments Not genetic – but developmental ( changes genes after conception) Theories of cause of PDD or ASD = mercury in vaccines, environmental pollutants on developing brain Treatment varies Positive behavioral training Careful diet & vitamin supplements Meds to manage energy, focus, seizures, aggression, self injury Alternative medicine – massage, chelation (removing metals from body Review 1 Human mind causes changes in body chemistry through thoughts & feelings with positive & negative effects. Optimal health is achieved when the mind & body communicate harmoniously Homeostasis = Unconscious regulation of all vital process Disease = disruption of homeostasis or disruption of mind/body harmony Mind/body communicate via ANS – autonomic nervous system Maintains HR/ BP, blood sugar, temp Review 2 Hypnosis & meditation can play positive role in healing Belief, faith & suggestion all have power to heal because the mind can change disturbed body functions & reestablish homeostasis Mental relaxation techniques help maintain/improve health & wellness Image visualization can be used to reduce anxiety, stress, modify behaviors& improve performance Review 3 Psychosomatic illnesses are physical symptoms caused by stress, anxiety & emotional upsets Somatization disorders are caused by psychosocial problems Placebo effect is often almost as powerful as drugs in treating illness symptoms Religious activity is often associate with healthier lifestyle Review 4 Mental Relaxation techniques help maintain or improve health/wellness Stress is the disruption of mind-body harmony brought about by trauma, threat to life, obstacles to carrying out daily tasks, accomplishing life goals, or achieving desired changes in life Stressors are situations and circumstances that cause stress Mental component of stress consists of the interpretation of a situation as a threatening and the appraisal that one’s personal resources are insufficient to meet the demands of dealing with the stressful situation Review 5 Physiological components of stress are the fight or flight response and activation of the hypothalamus-pituitary-adrenal axis with consequent secretion of stress hormones, especially, cortisol. Stress contributes to illness by wearing down the mind/body (G.A.S.), impairing immunity, and fostering unhealthy behaviors PTSD is a serious medical condition resulting from exposure to traumatic events and near death experiences. Stress can be reduced by disengaging from stressors, altering perceptions and goals, thereby reducing potential for stress related illnesses Review 6 Stress can be reduced by techniques that produces peaceful states of being: visualization, medication, exercise, yoga, & just taking it easy. College student stress includes overload, time pressures, and text anxiety. Mental health is when your mental functions produce a sense of optimism, vitality, and well being and when your intentional behaviors lead to productive activities ( including healthy behaviors) fulfilling relationships with others and the ability to adapt to change and cope with adversity. Review 7 Mental illness refers to alterations in thinking, emptions, and or intentional behaviors that produce psychological distress and/or impaired functioning Mental and emotional health depend on how well individual meet their maintenance and growth needs and cope with situations in which their needs are not met. People understand their needs by interpreting what they sense from the environment and in their bodies. As they mature, people develop ideas about and learn strategies to meet their emotional needs Review 8 Emotions tells us whether we are satisfied by and the level of satisfaction from, our experiences, plans, and outcomes of behavior. Emotional distress occur4s when needs are not met. People cope with this by changing their modes of interaction wit the environment, changing the importance of their unmet needs or changing the distressing feelings Positive thoughts and emotions, including beliefs in one’s worth (self esteem) and abilities ( self efficacy & agency) motivate people to engage in healthy behaviors and avoid unhealthy ones. Review 9 Optimism is associated with perceiving negative events as specific, temporary obstacles to be overcome, whereas pessimism is associated with explaining negative events as self-caused, stable, and global. Counselors, therapists, and others can help clarify the source of emotional distress and find healthy ways to cope with it. Social support enables individuals to receive resources to help during difficult times Phobias are exaggerated and often unrealistic fears Review 10 Anxiety disorders include social anxiety, panic disorder, GAD and OCD. Depression is characterized by feelings of dejection, guilt, hopelessness, self-esteem, and a focus on the negative Suicide is the 3rd leading cause of death among 15-24 year olds or all races and genders. Many signs of depression occur in someone who is suicidal. ADD/HD is a brain condition Review 11 Unresolved anger and hostility are risk factor for heart disease Sleep and dreams are fundamental to human health. Sleep has 5 stages. REM sleeps, during which dreams occur, happens during the cycle of sleep from deep to lighter stages. Many people use dreams to help understand and deal with distressing situations and confusing emotions.