Stress management

Stress

Some facts
1. The CBI estimate that over 360 million working days a year are lost due to stress-related illnesses
2. www.NetDoctor.org undertook a survey which suggested that 1 in 3 people felt life to be less than worthwhile, while 1 in 10 thought they would be better off dead
3. It costs the UK £3 billion a year for the psychiatric treatment of stress-related illnesses
4. Sleep difficulties are one of the most common symptoms of stress
5. 70% of the 4,000 annual suicides in the UK are people suffering from depression and 15% of those experiencing depression go on to commit suicide
6. 1 in 10 people suffer from Panic Attacks and Panic Attacks are a common stress-related symptom

Litigation

The Health & Safety at Work Act 1974 clearly states that employers are responsible for both the psychological as well as physiological well-being of employees. Court cases for stress-related illnesses are now more common-place and individuals have been awarded increasing large sums of money for being exposed to intolerable levels of stress by organisations.

However, changes in legislation now place the emphasis on the employee to inform the employer of any difficulties they are experiencing and the sums of compensation being awarded are currently being rethought.

What is Stress?

A simple way of understanding stress is to think in terms of the demands that are made of you and the resources you have to cope with those demands. When the "demands" made of you by your family, your friends and your employer are balanced by your personal and organisational "resources", you experience what could be termed pressure. Pressure is motivating and some people thrive on a considerable amount. However, when your resources are unable to cope with the demands being made of you, you become stressed. The more that is asked of you and the less resources you have to cope the more stressed you are likely to become. Stress is a biological response with the release of stress hormones into the blood stream. Our "fight or flight" response is a survival mechanism and one we should value and use to best advantage. However, it is unlikely that the things we are stressed out by will be life threatening and yet our bodies respond as if they are. In the long-term prolonged exposure to stress hormones is debilitating.


The Stress Response: a simple guide

The stress response is the body's natural defence mechanism for dealing with danger. If activated for short periods of time the stress response will not cause the individual undue harm. However, if it is activated and sustained over long periods of time then both psychological and physical damage is likely to be experienced by the individual.


The most common physical, emotional and behavioural stress-related symptoms are listed below It would be best to describe stress as a 'syndrome' with each person experiencing his or her own individual set of symptoms.

Physical, emotional and behavioural signs of stress

Physical signs

  • palpitations-throbbing heart
  • pain and tightness in the chest
  • indigestion
  • breathlessness
  • nausea
  • muscle twitches
  • tiredness
  • vague aches or pains
  • skin irritation or rashes
  • susceptibility to allergies
  • clenched fists or jaw
  • fainting
  • frequent colds, flu or other infections
  • recurrence of previous illnesses
  • constipation or diarrhoea
  • rapid weight gain or loss
  • alteration of the menstrual pattern in women

Emotional signs

  • swings in mood
  • increased worrying
  • feeling tense
  • drained; no enthusiasm
  • feeling angry
  • feeling guilty
  • cynical
  • feeling nervous, apprehensive, anxious
  • feelings of helplessness
  • loss of confidence
  • lack of self-esteem
  • lack of concentration
  • withdrawal into day-dreams

Behavioural signs

  • accident proneness
  • poor work
  • increased smoking
  • increased consumption of alcohol
  • increased dependence on drugs
  • overeating or loss of appetite
  • change in sleep pattern, difficulty in getting to sleep and waking tired
  • loss of interest in sex
  • poor time management
  • impaired speech
  • withdrawal from supportive relationships
  • irritability
  • taking work home more
  • too busy to relax
  • not looking after oneself

Where are you on the burnout scale?


Stage 1
Loss of energy and enthusiasm Overconscientious and overworked
Feelings of uncertainty
Doubts about coping

Warning signs
Too busy to take holidays
Reluctant to take days off
Bringing work home
Too little time with partner/family
Frustrated with results
Unable to refuse more work


Stage 2
Short-lived bouts of irritation
Tiredness and anxiety
Feelings of stagnation
Blaming others

Warning signs
Complaints about the quality of other people's work
Unable to cope with pressure of work commitments
Working long hours
Unable to manage time efficiently
Too many social or work commitments


Stage 3
General discontent
Increased anger/resentment
Lowering of self-esteem
Growing guilt
Lack of emotional commitment
Apathy

Warning signs
Lack of enjoyment of life
Extreme exhaustion
Reduced commitment to work
Reduced commitment at home


Stage 4
Withdrawal
Illness
Feelings of failure
Extreme personal distress

Danger signs
Increasing absenteeism
Avoiding colleagues
Reluctance to communicate
Increasing isolation
Physical ailments
Alcohol or drug abuse


Stress Management and Stress Coaching and Counselling

Learning how to get the most out of life using the least energy is the aim of good stress management and stress counselling. Interventions are aimed at providing individuals with new ways of turning unhealthy stress into healthy pressure. The aim is not to take the stressful life events away but rather help the individual become more resilient and able to cope. There are as many stress management techniques as there are people and each person requires an individually tailored programme. However, a few tips are listed below.

1. learn about stress
2. understand what exactly causes you to be stressed
3. accept yourself as a 'fallible' human being and recognise that everyone has limits and you are no exception
4. make sure you eat little and often and don't skip breakfast
5. drink 2 litres of water a day
6. increase the amount of exercise you take - for example, park the car a mile away from the office so you have to walk two miles a day
7. understand your thinking style and the pressures you place on yourself
8. take control of your life
9. engage in some form of relaxation - for example, even a long hot bath in a candlelit bathroom is a form of relaxation
10. ensure you keep up with friends and family as social support can be a real tonic
11. make sure you laugh at least once a day
12. practice breathing exercises as a way of reducing anxiety
13. don't put off things you are scared off as this makes the fear worse - just do it
14. make a list of 3 positive things that have happened to you during the day and think about them before going to bed
15. undertake a life audit and think about categories such as family, friends, work, education, fun, health, finances and the like. Under each category write what you like and what you don't like or want. Look at the things you like and really savour these aspects. Then look at what you don't like or what you want and plan ways of changing what you don't like and getting more of what you do

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