Causes / Crisis
common cause of stress
money, relationships, career, health, family
categorize coping strategies
adaptive vs maladaptive
What body system and reaction does stress trigger?
SNS - "fight or flight"
regression
A return to a prior, lower state of cognitive, emotional, or behavioral functioning when threatened with overwhelming external problems or internal conflicts.
3 main goals
-Identify, assess, and intervene
•Return the individual to a prior level of functioning as quickly as possible
•Lessen negative impact on future mental health
Causes of crisis
the loss of a job, loss of one’s home, divorce, or death of a loved one.
List 2/5 steps of WHO stress management guide
1) Grounding, 2) Unhooking, 3) Acting on our values, 4) Being kind, and 5) Making room.
Define Stress Response
body’s physiological response to a real or perceived stressor
dissociation
A feeling of being disconnected from a stressful or traumatic event – or feeling that the event is not really happening – to block out mental trauma and protect the mind from too much stress.
In which phase are restraints indicated
4
categories of crisis
Maturational
Situational
Social crisis
what does problem-focused coping involve?
Problem-focused coping typically focuses on seeking treatment such as counseling or cognitive behavioral therapy
Manifestations of stress
Irritability, Fatigue, Headaches, Difficulty concentrating, Rapid, disorganized thoughts, Difficulty sleeping, Digestive problems, Changes in appetite, Feeling helpless, A perceived loss of control, Low self-esteem, Loss of sexual desire, Nervousness, Frequent infections or illnesses, Vocalized suicidal thoughts
projection
A process when one attributes their individual positive or negative characteristics, affects, and impulses to another person or group.
Phase 3 intervention (list 1)
-Recognize escalating behaviors and take action to protect self
-limit setting
-verbal cues
Phase 1 : Normal Stress & Anxiety
Phase 2 : Rising Anxiety Level
Phase 3 : Severe Level of Stress and Anxiety
Phase 4 : Crisis
Emotion-focused coping strategies (list 1)
Emotion-focused coping includes strategies such as mindfulness, meditation, and yoga; using humor and jokes; seeking spiritual or religious pursuits; engaging in physical activity or breathing exercises; and seeking social support.
List 3 long-term effect of chronic stress
an impaired immune system, chronic fatigue, metabolic disorders (e.g., diabetes, obesity), depression, immune disorders, individuals may eat much more or much less than usual, acid reflux, diarrhea, constipation, inflammatory bowel disease, irritable bowel syndrome, libido, sperm production and mensturation.
splitting
Objects provoking anxiety and ambivalence are viewed as either all good or all bad.
Phase 4 intervention (list 1)
Physical Manifestations
Restraints may be necessary
main risk factor for adult stress
Adverse childhood experiences
name 2/6 steps of stress management (flexEd)
•Set personal and professional boundaries, Maintain a healthy social support network, Select healthy food choices, Engage in regular physical exercise, Get an adequate amount of sleep each night, Set realistic and fair expectations.
Effects of chronic stress on cardiovascular system specifically
Consistent and ongoing increases in heart rate and blood pressure and elevated levels of stress hormones contribute to inflammation in arteries and can increase the risk for hypertension, heart attack, or stroke
sublimation
Unacceptable sexual or aggressive drives are unconsciously channeled into socially acceptable modes of expression that indirectly provide some satisfaction for the original drives and protect individuals from anxiety induced by the original drive.
categories of stage 1 & 2 intervention
verbal, nonverbal