stress & rehabilitation dr. sharad

8/2/2019 Stress & Rehabilitation Dr. Sharad

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DR. ALIM AKHTAR BHUIYANDR. ALIM AKHTAR BHUIYANMBBS, DTM & H (U.K.), M.D. (U.S.A),MBBS, DTM & H (U.K.), M.D. (U.S.A),

POST- DOCTORAL FELLOWSHIP IN EPILEPSY (U.S.A)POST- DOCTORAL FELLOWSHIP IN EPILEPSY (U.S.A)

US BOARD CERTIFIED IN NEUROLOGYUS BOARD CERTIFIED IN NEUROLOGY

CONSULTANT NEUROGOLIST,CONSULTANT NEUROGOLIST,

APOLLO HOSPITALS, DHAKAAPOLLO HOSPITALS, DHAKA


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What is stress?

Stress can come from any situation or thoughtthat makes you feel frustrated, angry, oranxious. What is stressful to one person isnot necessarily stressful to another.

Anxiety is a feeling of apprehension of fear.The source of this is always unknown or

recognized, which can add to the distressyou feel.


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Stress

Stress describes the many demands and pressures that we all experience, to

some degree, each day. These demands are physical, mental, emotional, or even

chemical in nature

The word "stress" encompasses both the stressful situation, known as the

stressorstressor, and the symptoms you experience under stress, your stress responseresp

onse.


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Stress!


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How does stress affects


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Activation of Sympathetic Nervous SystemActivation of Sympathetic Nervous System

Release of stress hormoneRelease of stress hormone

Give super energy, high arousalGive super energy, high arousal

Fight or FlightFight or Flight

Stress: Short Term

Stress: Long Term (chronic)When stress hormones stay elevated over time, there is a gradual and steady

stream of harmful changes to the body. Long-term/chronic stress can suppress

the immune system, which may lead to the development of diseases.


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Symptoms

Regression -- behavior that is not age-appropriate

Dysfunctional sleep patterns, including nightmare, toolittle sleep, difficulty falling asleep, or even oversleeping

Communication difficulty or personality changes, such asbecoming withdrawn or requiring much more attention than

usual

Impatience

If you are experiencing a few of these symptoms, chances are

that your level of stress is high. If left untreated, stress can lead

to permanent feelings of helplessness and ineffectiveness.


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Symptoms

Physical complaints

(stomachaches, headache, chest pains, nausea, and

diarrhea, and a sensation of numbness or tingling

in your hands, arms, and face)

Problems getting along with family members,friends, and teachers

Changes in behavior at home

(short temper, unexplained anger, crying for noreason etc)

Vary; Universal sign: Feelings of being pressured / overwhelmed


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How Can Stress Affect Your HealthPhysical and Psychological Problems:

High anxiety

Insomnia

Depression

Gastrointestinal problems

Drugs and alcohol dependent tendancy

Increased fat in the abdomen leading to increased risk of

chronic and serious illness such as diabetes

If you already have a healthIf you already have a health

problem, stress may make it worse.problem, stress may make it worse.


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Effects of chronic stress Health effectso Chronic Pain

o Migraines

o Ulcers

o Heartburno High blood pressure

o Heart Disease

o Diabeteso Asthma

o PMS

o Obesity

o Infertilityo Autoimmune diseaseso Irritable bowel syndrome

o Skin Problems

Emotional effectso Anxiety

o Depressiono Eating disorders, and

o Substance abuse


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Stress: Positive

Stress: Negative

Positive stressors (called eustresseustress) may include

an upcoming wedding, the holidays, or pregnancy.

Negative stress (called distressdistress) results in the full-blown

stress response. If continuous, negative stress can lead to

loss of productivity, health problems, and exhaustion.


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Internal Causes of stress

Spouses death

Divorce

Marriage separation

Jail term

Death of a close relative

Injury or illness

Marriage

Fired from job

Marriage reconciliation

Retirement


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Your health:Especially if you have a chronic illness such

as heart disease, diabetes or arthritis

Emotional problems:Such as anger you can't express,depression, grief, guilt, or low self-esteem

Your relationships: Having problems with yourrelationships or feeling a lack of friendships or support in

your life

Causes of Stress- Personal Problems


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Major life changes: Such as dealing with the death of a parent or

spouse, losing your job, getting married, or moving to a new city

Stress in your family: Such as having a child, teen, or other familymember who is under stress, or being a caregiver to a family member

who is elderly or who has health problems

Conflicts with your beliefs and values

Causes of Stress- Personal Problems


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Your surroundings: Living in an area where overcrowding,crime, pollution, or noise is a problem can create chronic

stress

Your job: Being unhappy with your work or finding your jobtoo demanding can lead to chronic stress. Learn how to

manage job stress

Your social situation: Being poor, feeling lonely, or facingdiscrimination based on your race, gender, age, or sexual

orientation can add stress to your life

Post Traumatic Stress Disorder (PTSD): as in Personal &Natural Disaster, post-war etc.

Causes of Stress-Social & Job Status


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When to meet Consultant

Crushing Chest Pain Shortness of breath Dizziness Sweating Heart attack

You have thoughts of suicide Rapid breathing Racing heartbeat You are unable to work or function You do not know the source or cause of your anxiety

You have a sudden feeling of panic Uncontrollable fear Repeat an action over & over again. Intolerance to heat, weight loss Your anxiety is elicited by the memory of a traumatic

event.


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Learn better ways to manage your time: Think aboutwhich things are most important, and do those first.

Find better ways to cope: Be honest about what works and

what does not. Think about other things that might workbetter.

Take good care of yourself: Get plenty of rest. Eat well.Don't smoke. Limit how much alcohol you drink.

How can you avoid stress?


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Try out new ways of thinking: When you find yourselfstarting to worry, try to stop the thoughts. Work on letting go

of things you cannot change. Learn to say "no."

Speak up: Not being able to talk about your needs andconcerns creates stress and can make negative feelings

worse. Assertive communication can help you express how

you feel in a thoughtful, tactful way

Ask for help: People who have a strong network of familyand friends manage stress better

How can you avoid stress?


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How can you relieve stress?

Exercise: Regular exercise is one of the best ways tomanage stress. Walking is a great way to get started

Write: It can help to write about the things that arebothering you. Let your feelings out. Talk, laugh, cry, andexpress anger when you need to with someone you trust

Do something you enjoy: A hobby can help you relax.Volunteer work or work that helps others can be a great

stress reliever.


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How can you relieve stress?

Learn ways to relax your body: Breathing exercises,muscle relaxation exercises, massage, aromatherapy,

yoga, or relaxing exercises.

Focus on the present: Try meditation or self-hypnosis. Listen to relaxing music. Try to look for the

humor in life. Laughter really can be the best medicine.


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Tips to Manage Stress

Identify the sources of stress: Try to figure out what's causing your

stress symptoms. Maybe you are overextended (too many

commitments) and feel fatigued and irritable. Once you identify the

sources of stress, try to minimize these as much as possible.

Talk it out: Talk to a friend, family member, or therapist if your stress

level is too high. Getting your feelings out without others judging youis crucial to good mental health.


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Take time out: Find time for inner strength and emotionalhealing.

Set limits: Saying "no" can help bring your stress to amanageable level and give you more control over your life.

Try exhaling: By paying attention to your breathing,particularly exhaling during tense moments, you will feel

more relaxed.

Exercise daily: Exercise is thought to increase the

secretion of endorphins, naturally produced substances in

the brain that induce feelings of peacefulness

Tips to Manage Stress


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When stress interrupts your life, causing sleepWhen stress interrupts your life, causing sleep

problems or making you feel anxious and out ofproblems or making you feel anxious and out ofcontrol, talk with your primary health carecontrol, talk with your primary health care

professional. He or she might recommend aprofessional. He or she might recommend a

professional therapist who can offer support andprofessional therapist who can offer support and

give you some practical lifestyle tips in how togive you some practical lifestyle tips in how to

manage stress without letting it take over your life.manage stress without letting it take over your life.

When Should You Seek Help

for Stress?


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Stress Management

YOGAMeditationDeep breathing

Muscle relaxationMindfulness meditationExerciseTai chiMessage therapy


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Eat Smart


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Tobacco/

Alcohol

Excess

dietary FAT

Lack of vegetables

& fruits

Change your life-style
http://www.finestquotes.com/author_quotes-author-Catherine%20Pulsifer-page-0.htm


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Conclusion:

When you find yourself stressed, ask yourself one question: Will

this matter in 5 years from now? If yes, then do something about

the situation. If no, then let it go.

We enjoy our work so much we get up when the sun comes up.

The stress in our life is non-existent.

Stress is when you wake up screaming and you realize you

haven't fallen asleep yet.

Stress is nothing more than a socially acceptable form of mental

illness.
http://www.finestquotes.com/author_quotes-author-Catherine%20Pulsifer-page-0.htm


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Conclusion:

The mark of a successful man is one that has spent an entire day

on the bank of a river without feeling guilty about it.

Tension is who you think you should be. Relaxation is who you

are.

Stress is an ignorant state. It believes that everything is an

emergency.

Throw out an alarming alarm clock. If the ring is loud andstrident, you're waking up to instant stress. You shouldn't be

bullied out of bed, just reminded that it's time to start your day.
http://www.finestquotes.com/select_quote-category-Stress-page-0.htmhttp://www.finestquotes.com/select_quote-category-Stress-page-0.htm


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Conclusion :

Pressure and stress is the common cold of the psyche.

Stress is basically a disconnection from the earth, a

forgetting of the breath. Stress is an ignorant state. Itbelieves that everything is an emergency. Nothing is thatimportant. Just lie down.

In times of stress, be bold and valiant.


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Conclusion :

In times of stress, be bold and valiant.

Stress: The confusion created when one's mind overrides the

body's basic desire to choke the living daylights out of somejerk who desperately deserves it.

Stress is when you wake up screaming and you realize you

haven't fallen asleep yet.


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Thank YouThank You

stress & rehabilitation dr. sharad

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