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DR.PRASANNA KHATAWKAR
  M.B.B.S., D.P.M., F.A.G.E., D.N.B (Psychiatry)
         Consultant Psychiatrist
          Solapur
  Mobile No. 932 681 30 48
“Stress is the nonspecific response of the body to any demand made
upon it” — Hans Selye, MD



 The  concept of Stress entered psychological &
  medical vocabularies from engineering with Hans
  Selye's work in 1950's
 Stress is an environmental pressure, strain is its
  effect on something or someone
 Stressis a fact of life, a universal condition, and
  therefore unavoidable

 Ifwe cannot eliminate stress, how can we come to
  terms with it?
No stress: promotes Stagnation — no challenge, no spur to
 action, no adaptation

Prostress (or “Eustress”): promotes Growth —
 pleasant, challenging exciting conditions that offer fulfillment and
 arousal without the harmful consequences of negative stress.

Distress: Negatively perceived event or trigger that promotes
 upset, suffering, illness — at the extreme it can lead to psychosis,
 even death
Stress runs along a continuum from None to Total — neither
                     extreme is healthy




 Stagnation              Growth                    Death
The Distress Reaction

1. Outpouring of adrenaline and other hormones
2. "Fight or flight" response
3. Impacts health by modulating rate of cellular aging
4. Increase in heart rate & blood pressure
5. Faster breathing
6. Muscle tension
7. Increased alertness and sensory sensitivity
8. Increased blood flow to brain, heart and muscles
9. Decreased blood flow to skin, digestive tract, kidneys and liver
10. Increase in blood sugar, fats and cholesterol
Symptoms of Distress
   Physical:
    ◦ Fatigue, headaches, insomnia, muscle aches/stiffness, heart
      palpitations, chest pains, abdominal cramps, nausea, trembling,
      flushing, sweating, frequent colds
   Mental:
    ◦ Decreased concentration and memory, indecisiveness, racing
      thoughts, confusion, loss of humor
   Emotional:
    ◦ Anger (short temper, irritability, impatience), Anxiety (nervousness,
      worry, fear), Sadness (grief, anguish, depression)
   Behavioral:
    ◦ Pacing, fidgeting, nervous habits, increased eating, smoking, drinking
      or drug abuse, crying, yelling, swearing, throwing things
Sources of Distress
   External:
    ◦   Physical Environment: noise, heat, bright lights, traffic
    ◦   Social: rudeness, bossiness, aggression
    ◦   Organizational: rules/regulations, red tape, deadlines, dysfunction
    ◦   Major life events: births, deaths, weddings, job loss, promotion
    ◦   Daily hassles: commuting, mechanical breakdowns, misplaced keys

   Internal:
    ◦ Lifestyle choices: caffeine, lack of sleep, overloaded schedule
    ◦ Negative self-talk: pessimistic thinking, self-criticism, over-analyzing
    ◦ Mind traps: unrealistic expectations, black-or-white thinking, over-
      personalizing, rigid standards
    ◦ Personality traits: perfectionism, workaholism, people-pleaser, “Type A”
PANIC DISORDER
PHOBIAS
   FEARFULNESS
   BREATHING DIFFICULTY
   RACING HEART
   SWEATING
   TREMLOUSNESS
   FEAR THAT SOMETHING MAY GO WRONG
   ABDOMINAL DISCOMFORT
   ----------MANY MANY MORE
   FAMILIAL PROBLEM
   WORK RELATED STRESS
   WORRIES OF VARIOUS THINGS
   PERFORMANCE ANXIETY
   COMORBID ILLNESS
   --OR-----
WITHOUT ANY
  REASON!!!
ITZ ALL
IN YOUR
 MIND!!!
ANY PROBLEM IS
 AS BIG AS THE
  IMPORTANCE

     U
 ATTACH TO IT
CAN
LEARN TO CONTROL
    YOUR MIND
 WRITE DOWN
 - ALL SITUATIONS / REASONS
   WHICH PRODUCE ANXIETY
 - YOUR OWN GOALS
 ACKNOWLEDGE
 IDENTIFY YOUR RESOURCES
 PLAN YOUR STRATEGY
 REALISTIC APPROACH
 GOAL DIRECTED EFFORTS
Lifestyle Changes


1. Decrease or discontinue caffeine
2. Regular exercise
3. Relaxation/Meditation
4. Sufficient Sleep
5. Time-outs and Leisure (pacing & work/leisure balance)
6. Realistic expectations
7. Reframing/Reinterpreting stressful situations
8. Belief/Value systems
9. Ventilation/Support system
10. Humor
11. Balanced diet
   Breathing Exercises
   Meditation
   Guided Imagery
   Visualizations
   Self-hypnosis
   Progressive Muscle Relaxation
   Music
   Yoga
Situational Changes



1. Time and money management
2. Practicing healthy assertiveness in social
  relationships
3. Creative Problem-solving
4. Consider leaving a job or relationship that
  has become unsustainable or destructive
Cognitive Changes



1. See problems as opportunities
2. Refute negative thoughts
3. Focus on the positives
4. Take the long-term view
   Avoiding ‘burnouts’
   Introspection
   Only work till you enjoy it
   Avoid comparisons
   Knowing ones own limitations
   Avoid getting carried away
   Whom are you trying to satisfy ?!
   Understand that you and everybody around are
    going to have your share of success and failure.
   The other students around are there only for short
    duration, so don’t worry much about them
   Your competition is not with your classmates , but
    with thousands of students appearing for the exam
    from many institutions around
   Having good students in the class is in-fact
    beneficial
   Aim at improving your own earlier performance
   Study throughout the year, not only during exam
    period
   Make realistic time-tables
   Don’t loose the steam after performing well in
    preparatory exam
   Adjust sleep-wake schedule as per your exam paper
    timings
   INSTEAD OF GETTING BURDENED WITH ANXIETY
    OF NOT STUDING, GET BURDENED WITH STUDIES
   REMEMBER – THERE IS NO ALTERNATIVE TO
    STUDING HARD !!
   JPMR
   CYCLIC RELAXATION
   VISUAL IMAGERY
   SELF – SUGGESTIONS
   SELF MOTIVATING SENTENCES
   COMBINING ABOVE WITH TRUE PRAYERS
   THERE ARE MANY OTHER TECHNIQUES ALSO
   MUSIC , PAINTING, DANCE ETC.
   EFFECTIVE MEDICINES ARE AVAILABLE
   NEEDED FOR ONLY A SHORT DURATION
JPMR
CYCLIC
RELAXATION
VISUAL
IMAGERY
SELF – SUGGESTIONS
SELF MOTIVATING
  SENTENCES
COMBINING ABOVE
WITH TRUE PRAYERS
   5 TO 7 MINUTES DAILY FOR JPMR
   5 TO 7 MINUTES DAILY FOR PRAYERS AND GUIDED
    IMAGERY
   5 TO 7 MINUTES FOR PLANNING YOUR DAY AFTER
    DOING ABOVE THINGS
BELIEF
A FAIRLY GOOD
CHANCE THAT YOU
 MAY SUCCED!!!!
DR.PRASANNA KHATAWKAR
  M.B.B.S., D.P.M., F.A.G.E., D.N.B (Psychiatry)
         Consultant Psychiatrist
          Solapur
  Mobile No. 932 681 30 48
   www.mentalhealthguideindia.com
THANK YOU

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Student stress managment short version

  • 1. DR.PRASANNA KHATAWKAR M.B.B.S., D.P.M., F.A.G.E., D.N.B (Psychiatry) Consultant Psychiatrist Solapur Mobile No. 932 681 30 48
  • 2.
  • 3.
  • 4.
  • 5. “Stress is the nonspecific response of the body to any demand made upon it” — Hans Selye, MD  The concept of Stress entered psychological & medical vocabularies from engineering with Hans Selye's work in 1950's  Stress is an environmental pressure, strain is its effect on something or someone
  • 6.  Stressis a fact of life, a universal condition, and therefore unavoidable  Ifwe cannot eliminate stress, how can we come to terms with it?
  • 7. No stress: promotes Stagnation — no challenge, no spur to action, no adaptation Prostress (or “Eustress”): promotes Growth — pleasant, challenging exciting conditions that offer fulfillment and arousal without the harmful consequences of negative stress. Distress: Negatively perceived event or trigger that promotes upset, suffering, illness — at the extreme it can lead to psychosis, even death
  • 8. Stress runs along a continuum from None to Total — neither extreme is healthy Stagnation Growth Death
  • 9. The Distress Reaction 1. Outpouring of adrenaline and other hormones 2. "Fight or flight" response 3. Impacts health by modulating rate of cellular aging 4. Increase in heart rate & blood pressure 5. Faster breathing 6. Muscle tension 7. Increased alertness and sensory sensitivity 8. Increased blood flow to brain, heart and muscles 9. Decreased blood flow to skin, digestive tract, kidneys and liver 10. Increase in blood sugar, fats and cholesterol
  • 10. Symptoms of Distress  Physical: ◦ Fatigue, headaches, insomnia, muscle aches/stiffness, heart palpitations, chest pains, abdominal cramps, nausea, trembling, flushing, sweating, frequent colds  Mental: ◦ Decreased concentration and memory, indecisiveness, racing thoughts, confusion, loss of humor  Emotional: ◦ Anger (short temper, irritability, impatience), Anxiety (nervousness, worry, fear), Sadness (grief, anguish, depression)  Behavioral: ◦ Pacing, fidgeting, nervous habits, increased eating, smoking, drinking or drug abuse, crying, yelling, swearing, throwing things
  • 11. Sources of Distress  External: ◦ Physical Environment: noise, heat, bright lights, traffic ◦ Social: rudeness, bossiness, aggression ◦ Organizational: rules/regulations, red tape, deadlines, dysfunction ◦ Major life events: births, deaths, weddings, job loss, promotion ◦ Daily hassles: commuting, mechanical breakdowns, misplaced keys  Internal: ◦ Lifestyle choices: caffeine, lack of sleep, overloaded schedule ◦ Negative self-talk: pessimistic thinking, self-criticism, over-analyzing ◦ Mind traps: unrealistic expectations, black-or-white thinking, over- personalizing, rigid standards ◦ Personality traits: perfectionism, workaholism, people-pleaser, “Type A”
  • 13. FEARFULNESS  BREATHING DIFFICULTY  RACING HEART  SWEATING  TREMLOUSNESS  FEAR THAT SOMETHING MAY GO WRONG  ABDOMINAL DISCOMFORT  ----------MANY MANY MORE
  • 14. FAMILIAL PROBLEM  WORK RELATED STRESS  WORRIES OF VARIOUS THINGS  PERFORMANCE ANXIETY  COMORBID ILLNESS  --OR-----
  • 15. WITHOUT ANY REASON!!!
  • 16.
  • 17. ITZ ALL IN YOUR MIND!!!
  • 18. ANY PROBLEM IS AS BIG AS THE IMPORTANCE U ATTACH TO IT
  • 19. CAN LEARN TO CONTROL YOUR MIND
  • 20.  WRITE DOWN - ALL SITUATIONS / REASONS WHICH PRODUCE ANXIETY - YOUR OWN GOALS  ACKNOWLEDGE  IDENTIFY YOUR RESOURCES  PLAN YOUR STRATEGY  REALISTIC APPROACH  GOAL DIRECTED EFFORTS
  • 21. Lifestyle Changes 1. Decrease or discontinue caffeine 2. Regular exercise 3. Relaxation/Meditation 4. Sufficient Sleep 5. Time-outs and Leisure (pacing & work/leisure balance) 6. Realistic expectations 7. Reframing/Reinterpreting stressful situations 8. Belief/Value systems 9. Ventilation/Support system 10. Humor 11. Balanced diet
  • 22. Breathing Exercises  Meditation  Guided Imagery  Visualizations  Self-hypnosis  Progressive Muscle Relaxation  Music  Yoga
  • 23. Situational Changes 1. Time and money management 2. Practicing healthy assertiveness in social relationships 3. Creative Problem-solving 4. Consider leaving a job or relationship that has become unsustainable or destructive
  • 24. Cognitive Changes 1. See problems as opportunities 2. Refute negative thoughts 3. Focus on the positives 4. Take the long-term view
  • 25. Avoiding ‘burnouts’  Introspection  Only work till you enjoy it  Avoid comparisons  Knowing ones own limitations  Avoid getting carried away  Whom are you trying to satisfy ?!  Understand that you and everybody around are going to have your share of success and failure.
  • 26. The other students around are there only for short duration, so don’t worry much about them  Your competition is not with your classmates , but with thousands of students appearing for the exam from many institutions around  Having good students in the class is in-fact beneficial  Aim at improving your own earlier performance  Study throughout the year, not only during exam period
  • 27. Make realistic time-tables  Don’t loose the steam after performing well in preparatory exam  Adjust sleep-wake schedule as per your exam paper timings  INSTEAD OF GETTING BURDENED WITH ANXIETY OF NOT STUDING, GET BURDENED WITH STUDIES  REMEMBER – THERE IS NO ALTERNATIVE TO STUDING HARD !!
  • 28. JPMR  CYCLIC RELAXATION  VISUAL IMAGERY  SELF – SUGGESTIONS  SELF MOTIVATING SENTENCES  COMBINING ABOVE WITH TRUE PRAYERS
  • 29. THERE ARE MANY OTHER TECHNIQUES ALSO  MUSIC , PAINTING, DANCE ETC.
  • 30. EFFECTIVE MEDICINES ARE AVAILABLE  NEEDED FOR ONLY A SHORT DURATION
  • 31. JPMR
  • 35. SELF MOTIVATING SENTENCES
  • 37. 5 TO 7 MINUTES DAILY FOR JPMR  5 TO 7 MINUTES DAILY FOR PRAYERS AND GUIDED IMAGERY  5 TO 7 MINUTES FOR PLANNING YOUR DAY AFTER DOING ABOVE THINGS
  • 39. A FAIRLY GOOD CHANCE THAT YOU MAY SUCCED!!!!
  • 40.
  • 41. DR.PRASANNA KHATAWKAR M.B.B.S., D.P.M., F.A.G.E., D.N.B (Psychiatry) Consultant Psychiatrist Solapur Mobile No. 932 681 30 48
  • 42. www.mentalhealthguideindia.com