Tuesday, August 9, 2016

MANAGING STRESS: EFFECTIVE COPING STRATEGIES

stress effective coping

The research on how people cope with crisis and stress in their lives has shown that people tend to resolve problems within 2 weeks of experiencing a crisis.  Because stress involves a disruption in your equilibrium, and the body does not function well in a chronic state of disequilibrium, it is human nature to seek a way to alleviate the stress your body is experiencing and return to a steady state.  Our bodies cannot function for very long in the fight or flight response without serious damage, and so you will naturally strive to make changes to resolve the stress for survival.
  However, it is important to note that the way that you resolve your problems and alleviate your stress may be positive or negative.

There are a number of negative ways of dealing with stress that are quite common and often quite harmful.  Some turn to alcohol and drugs to avoid their problems and numb their feelings, and cigarettes are also cited as a way of relieving stress.  Many people use food to comfort themselves.  Procrastinating distasteful tasks and avoiding stressful situations is another negative way of coping with stress.  Some people use sleep as a way of escaping their problems and certainly depression has been associated with not having the ability to effectively manage stress.

What are some positive, effective methods to cope with stress?  There are different strategies and methods for stress management involving the physical, social, environmental, and psychological aspects of your stress.  We will review techniques and strategies within each of these dimensions, and you will need to practice and experiment to find the stress management techniques that are right for you.   

The Physical Aspect of Stress Management

The physical aspect of stress management involve meeting your basic needs of nutrition, sleep and exercise.

Nutrition

Nutrients provide the necessary fuel the body needs to function.  When people are stressed, they often skip meals or eat on the run.  Since the fight or flight response requires more energy than is normally needed, it is even more essential that you eat a balanced, nutritious diet during stressful times.  

Without proper nutrition, the body will begin the breakdown of its own tissues in an effort to obtain the energy required to survive.  The immune system can then become compromised and the body is more susceptible to disease.  It is not a coincidence that many people who are under a great deal of stress for prolonged periods of time become ill and regaining their health takes longer than for those who are managing their stress well.

As was previously mentioned, people often use food to cope with stress and can overeat, typically eating high sugar and high fat foods such as chips, candy, and cookies, when under stress.  Eating too much or too little is not an effective way to manage stress and can eventually lead to more serious health problems such as obesity, eating disorders, diabetes and hypertension.

Sleep

As with eating, too much sleep or too little is also an ineffective way of managing stress.  Most adults require 7 to 8 hours of sleep a night.  Sometimes people get very little sleep during the week and they try to “catch up” over the weekend, sleeping in 14 hours at a time or taking naps during the day.  Sleep is not like a bank account in which you can make deposits and withdraws, and so getting an average of 7 to 8 hours a night over a week’s time is not the same thing as sleeping this amount each night.

It is also important that you experience uninterrupted sleep.  Normal circadian rhythms, the biological process related to the 24-hour light/dark cycle, are necessary for normal sleep and optimal daytime functioning.  Our sleep patterns relate to these biological cycles which also impact our patterns of hunger and eating, body temperature, and hormone release.  It is important that these cycles be in harmony to have a sense of well-being during our waking hours.  Research also shows that sleeping too much can result in increased depression and decreased energy levels.  Sleep deprivation has been found to cause losses in higher cognitive processing tasks, decline in the performance of simple tasks, memory loss, and, with prolonged sleep deprivation, temporary psychosis such as hallucinations and delirium.  So getting adequate rest is an essential aspect of stress management.

Exercise

Exercise is another physical aspect of stress management.  Exercising aerobically at least three times a week for 20 to 30 has been found to manage stress effectively for several reasons.  First, exercising requires you to focus on your breathing and to breathe deeply, the key to stress management.  By tensing and releasing the ,muscles through exercise, you are allowing your body to relax and unwind.  Secondly, exercise can alleviate stress through the release of endorphins, naturally occurring chemicals in the brain.  Endorphins help to counter stress, subdue pain, and increase pleasure, which is the reason people talk about the runner’s high.  Hitting a racquet ball against the wall or playing basketball can be a great way to release the frustrations of the day and let go of tension and stress.  Aerobic exercise includes walking briskly, running, bicycling, skating, and dancing.

The Social Aspect of Stress Management

It is important in managing your stress effectively for you to make time to have fun and play.  Like exercise, laughter increases the release of endorphins and requires you to breathe deeply, and so having humor in your life is an essential part of stress management.  Research has shown that stress can be related to having inadequate social interactions.  Hugging and human contact has also been demonstrated as having a significant effect in reducing the harmful physical effects of stress.  Participating in social activities such as social organizations, sports or just talking with friends can give you the break you need to rest your mind and focus on something other than work.

Actually you don’t even have to have human contact to reduce stress- as just owning a pet can make the difference.  Studies have shown that just petting an animal produces calming effects such as lowered blood pressure and decreased heart rate.  Cardiac patients who own pets tend to live much longer than those who have no pets.

The environmental Aspects of Stress Management

To effectively manage your stress, you need to take into consideration environmental stressors such as the noise level, amount of light, and aesthetic quality of the space you inhabit.  Stress has been linked to being exposed to prolonged, daily noise such as in a factory.  We know that depression can be related to the amount of light to which you are exposed, and this can also affect your circadian rhythms.  Natural light tends to elevate your mood while prolonged exposure to artificial lighting can increase your stress level.  There is also research to suggest that different colors can raise or lower your stress and energy level.  Some people associate the color red with feelings of anger or hostility and blue with feeling more depressed.  Having plants or photos of friends and family around your living and workspace can also alleviate stress.

Smell can also play a significant role in managing stress.  As the saying goes, “stop and smell the roses,” Studies have shown that aromatherapy, can lower stress levels.  When you breathe in these oils, they send a direct message to your brain via your olfactory nerves, where they can then affect the endocrine and hormonal systems via the hypothalamus.  Odors have an amazing effect on our emotional states because they hook into the emotional or primitive parts of our brains such as the limbic system.  Aromatherapy has been used to relieve pain, enhance relaxation and stress relief, unknot tense muscles, soften dry skin, and enhance immunity.  So it is wise to pay attention to your aromatic surroundings, as they may affect you much more than you may realize.

While social interaction has been shown to have positive results on lessening the effects of stress, it does make a difference as to the type of friends with whom you surround yourself.  Spending time with negative, pessimistic people can increase your stress level rather than decrease it.  It is obviously more advantageous to surround yourself with positive, optimistic friends to better manage your stress.  Feeling crowded in a room and not having enough personal space can also lead to an increase in stress.  Interestingly, it is not being in crowds itself but how familiar you are with the people, the activity that is taking place, and how much control you feel over your personal space that makes the difference.  In other words, being in a crowded room filled with your friends during a party feels subjectively different than feeling trapped in a crowded restaurant filled with strangers.

Other important aspects of managing stress in your environment include having meaningful work that is stimulating but not beyond your abilities helps to keep your stress response at a moderate, optimal level for performance.

The Psychological Aspect of Stress Management

Lastly, you can effectively cope with stress by using a variety of cognitive and psychological strategies.  There are several different techniques, but as you will see many are focused on deep breathing, which is the key to managing stress.

Relaxation and Deep Breathing

The relaxation response is powerful weapon in ensuring you do not remain in the stress response for too long.  It is effective because it entails the opposite of the stress response.  Rather than taking shallow breaths, you are required to breathe deeply, inhaling to a count of four while sitting in a comfortable position.  As you breathe deeply, your muscles unwind and relax, again the opposite of the stress response.  It is generally advised not to cross your legs or arms so that your muscles can relax easily.  Blood flows to the extremities and your heart rate slows.  In fact, experienced users of this technique can temporarily lower their breathing rate from typical rate of fourteen to eighteen breaths per minute to as few as four breathes per minute.  Body temperature decreases and blood pressure is lowered as well.  The entire nervous system is slowed, in direct opposition to its role in the stress response.  You are instructed to focus on your breathing and inner experience and become less aware of your external environment.  To help to tune out the outside world, you are instructed to close your eyes and let go of the worries and concerns of the day.

To try this technique, take a moment to focus on your breathing and breathe in four a count of four and out of four.  After doing so after a few times, tighten your body, clench your hands, teeth, and jaw, close your eyes tightly, and pull your shoulders up while you are still breathing deeply.  Are you able to do so? It is virtually impossible to tense your body and breathe deeply, as they are mutually exclusive activities.  Thus, the relaxation response is the foundation of most of the stress management techniques.  Deep breathing is the fundamental aspect of stress management.

Progressive Muscle Relaxation (PMR)

Progressive muscle relaxation involves learning to recognize the difference between contracted and relaxed muscles, in order to gain a sense of control over your body and the stress response.  Progressive muscle relaxation enables you to intentionally put certain muscles into a controlled state of relaxation and reduce your overall stress level.

PMR is based on the use of positioning your body in a comfortable position, sitting or laying down, and concentrating on certain muscle groups.  As you inhale, breathing in for a count of four, you contract your muscles starting with your forehead and counting for four as you exhale and relax your muscles.  Continue to clench and relax the muscles, using your breathing to help you to tighten and release, working your way down your body all the way to your feet and toes.  Concentrate on the sensations of relaxation and how different this feels from feeling tense and stressed.  Fifteen minutes, twice a day, is the recommended schedule.  In 1 to 2 weeks, you will have mastered the basics and will be aware of which muscles need more attention in order to relax.  You will also be more sensitive to the buildup of tension in your body so that you will be able to decrease your stress level before it becomes overwhelming.

Guided Imagery and Visualization

Guided imagery involves having someone describe a beautiful, relaxing scene while focusing on taking deep, comfortable breaths.  While in a comfortable position, in an environment free from interruptions and distractions, you breathe deeply, relaxing your muscles and imagining a pleasant scene.  The imagery includes all of the senses, not just what you see, but pleasant smells, sounds, touch, and even taste.  Guided imagery can be self-taught or you can listen to recordings of narrated scripts.

Visualization is similar to guided imagery with the scene being more specifically focused on something you are about to do, want to accomplish, or some performance or activity that may be causing you distress.  Guided imagery and visualization techniques help you to consciously program change through positive mental images.  For example, you might imagine yourself auditioning for a part in a play, seeing yourself go through your lines effortlessly and flawlessly, and feeling confident and proud of yourself.  You are probably already skilled at visualization.  Unfortunately we frequently engage in negative visualization and are unaware of doing so: we imaging ourselves making fools of ourselves or making mistakes.

Athletes are trained in using positive visualization to improve their performance and visualize their goals.  Positive visualization has also been used in managing pain, especially chronic pain management.  The technique has also been effective in weight management, smoking cessation, insomnia, and for almost any type of behavior change.

Meditation and Hypnosis

Meditation allows the mind to transcend thoughts effortlessly when the person concentrate on a focal point.  In transcendental Meditation, a widely recognized approach to meditation, people repeat a mantra, or a personal word, while using deep breathing and relaxation techniques.  In other meditation approaches, alternative focal points are used to establish the depth of concentration needed to free the mind from conscious thought.  Physical objects, music, relaxing environmental sounds or breathing can be used as focal points.

Hypnosis is an artificially induced state, resembling, but physiologically distinct from, sleep.  It involves a heightened state of suggestibility that creates flexible and intensified attention and receptiveness, and an increased responsiveness to an idea or to a set of ideas.  The focus is on the unconscious rather than on the conscious state of mind, using deep breathing and relaxation techniques.  Hypnosis is perhaps the oldest and most misunderstood type of relaxation technique.  It has been given a bad reputation by stage entertainers who use hypnosis t have unsuspecting audience members engage in embarrassing behavior.

Hypnosis is a natural state of mind that occurs spontaneously in nearly every person.  It is a trancelike state, similar to those that you experience upon awakening, prior to falling asleep, or when you are engrossed in thought while performing other tasks-such as driving down a highway-on autopilot.  It is possible to learn self-hypnosis from a trained professional or participate in hypnosis sessions with a qualified hypnotherapist.

Similar to the other techniques described, meditation and hypnosis are best when you are in a comfortable, quiet environment and are practiced at least once a day, every day, for 15 to 20 minutes.

Biofeedback

Biofeedback is a training technique in which people are taught to improve their health and performance by using signals from their own bodies.  It operates on the premise that individual can alter their involuntary response by being “fed back” information either visually or audibly about what was occurring in their bodies.  In addition, studies have shown that we have more control over so-called involuntary bodily functions than we once thought possible.

One commonly used device, for example, picks up electrical signals from the muscles and translate the signals into a form that people can detect.  This device triggers a flashing light or activates a beeper every time muscles become more tense.  If one wants to relax tense muscles, one must slow down the flashing or beeping.  People learn to associate sensations from the muscles with actual level of tension and develop a new, healthy habit of keeping muscles only as tense as is necessary for as long as necessary.  After treatment, individuals are then able to repeat this response at will without being attached to the sensors.  Other biological functions that are commonly measured and used in a similar way to help learn to control their physical functioning are skin temperature, heart rate, swet gland activity, and brainwave activity.  In this way, you can manage your stress by decreasing the physiological components of the stress response.

Stress Inoculation

Similar to being protected from influenza by injecting some of the flu strain into your system, stress inoculation involves exposing an individual to specific stressful situations, a little at a time, under controlled, safe conditions.  Stress inoculations teaches individuals to relax using deep breathing and progressive muscle relaxation while exposing them to stressful situation rather than avoiding them.

The first step is to construct your personal list of stressful situations and arrange the list from the least to the most stressful items, and learn how to evoke each of these situations in your mind while at the same time focusing on your breathing and relaxing your muscles.  The second step is to create an arsenal of stress-coping thoughts, such as “I’m going to be alright,” “I’ve succeeded with this before,” and “Getting started is the hardest part, then it will get easier for me,” to counteract stress.

The first step is to practice this in vivo meaning in real life situations, while using the relaxation and cognitive techniques to minimize the stress response.  In addition to stress management, stress inoculation has also been helpful in anger management.

Cognitive Self-Talk

What we tell ourselves, our self-talk, has a tremendous impact upon how well we manage our stress.  Stress can be generated from faulty conclusions, misinterpretations and expecting the worst, they won’t feel disappointed or hurt, but in reality, they still feel the pain from their disappointment.  Also, it is important to be careful what you expect because you may inadvertently make it happen, a phenomenon referred to as self-fulfilling prophecy.  Self-fulfilling prophecy can for you or against you.  If you expect that work will be boring and uninteresting, you will trend to portray a negative, unmotivated attitude and will probably have a miserable time.  However, if you expect to enjoy yourself at work, you are more likely to go into work looking for challenge and making it more fun.

In order to change your cognitive distortions, you need to generate some rebuttals to your negative self-statements.  This entails finding middle ground between all-or-nothing thinking by asking yourself, “What is the evidence?”  that this statement is true and identifying some exceptions to this statement.  Look for balance in your statements by asking yourself what is the opposite of this negative self-statement? Rather than telling yourself what you “should” do, ask yourself what do you “want” to do.  Be specific instead of generalizing and avoid labeling yourself and others.  Instead of telling yourself, “I’m lazy,” you might say, “I wish I would have studied a few more hours for that test,” stick to the facts without blaming yourself or others.  Question yourself as to how you know something is true and if you might be making an assumption or mind reading.  Be mindful of your self-fulfilling prophecies.  It may be wiser to acknowledge that you don’t know or consider many different possible outcomes rather than expect the worst.

Changing negative self-talk requires time, practice, and patience.  We develop these patterns of thinking over years and they become almost automatic.  It takes concentrated effort to be aware of and change this way of thinking.  Remember that your rebuttals need to be strong, nonjudgmental, and specific.  Practice developing more flexible and balanced thinking about people, behavior, and situations.

As you can see, there are many different aspects to consider in managing stress, such as the physical, social, environmental, and psychological component of stress.  As you think about how you can more effectively manage your stress level, you will need to practice and experiment to find the stress management techniques that will be most beneficial for you.
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