STRESS, ANXIETY, AND DEPRESSION JENNIFER HOLTON, MD & LIZ MCINERNEY, BA

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STRESS, ANXIETY, AND DEPRESSION JENNIFER HOLTON, MD & LIZ MCINERNEY, BA

http://www.rentcafe.com/blog/cities/atlanta-ga/southerners-are-some-stressed-out-folks/

WHAT IS STRESS? Powerful and extensive response in the mind & body in the face of a threat, demand, or stressor Stressor Stress Response Brain ANS Body

STRESS CONT. Stressors Physical Psychological Social Is the stress response the same for everyone? Research has found how a person perceives their experience has a powerful protective effect against damaging effects of a stress response

WHY DO WE GET STRESSED? http://polyhobbymommy.com/archives/1291

IS STRESS EVER HELPFUL? http://secretgeek.net/ydlaw.asp

EFFECTS OF STRESS ON BODY Fight or flight Adaptive in modern times? Acute stress: arises when danger appears and then passes Chronic/prolonged stress: body remains in state of hyper arousal and vigilance for indefinite periods Significant impact on health

TIPS TO MANAGE STRESS Understand how stress affects you it s different for everyone! Identify your stressors Learn your responses Be aware of how you feel Don t be scared to reach out for support!

MORE SUGGESTIONS Exercise Eat regularly Lower caffeine intake Avoid alcohol or other drugs Relaxation exercises (deep breathing & muscle relaxation) Break down tasks (large to small) Take a break do something enjoyable! Think positively! Don t be too hard on yourself!

Awareness that is nonjudging, friendly, and allowing of what it reflects Paying attention on purpose Present moment Can be done formally (meditation) or informally (daily life activities) All human beings are capable of this! MINDFULNESS

PRACTICE COMPONENTS Mindfulness Meditation Body Scan Hatha Yoga Loving-Kindness http://liverunloveyoga.com/2012/07/05/guest-post-one-minutemeditation/

STRESS APPS Respiroguide Pro by Vital-EQ Stress Check Zen Space

WHEN DOES STRESS BECOME A PROBLEM? http://secretgeek.net/ydlaw.asp

ANXIETY SYMPTOMS Excessive worries / fears Trouble concentrating Trouble sleeping Feeling really tired Feeling irritable or annoyed easily Having lots of stomachaches, headaches, or other physical symptoms Panic attacks Obsessions /compulsions Wanting to avoid anxiety-producing situations These symptoms are a problem when they last for months and get in the way of living your life (school, home, social life).

HOW COMMON ARE ANXIETY DISORDERS IN TEENAGERS? 35% 30% 25% 20% 15% 10% 5% 0% Lifetime Prevalence of Any Anxiety Disorder in 13-18 Year Olds Lifetime Prevalence Lifetime Prevalence of Severe Disorder

MILES PLUMLEE Senior Video Panic attacks Huge pressure both on and off court Learned balance I remember thinking that I can t play like this. I m not breathing You can t bottle this up. It s okay to ask for help.

DEPRESSION: WHAT ARE THE SYMPTOMS OF DEPRESSION? Frequent sadness, tearfulness, crying Increased irritability or anger Persistent boredom Decreased interest in activities A major change in eating and/or sleeping patterns Tired all the time Poor concentration Low self esteem and guilt Withdrawing from others Hopelessness Helplessness Feelings of worthlessness Frequent headaches, stomachaches, or other physical symptoms Thoughts of not wanting to be alive or of suicide

HOW COMMON IS DEPRESSION?

SUICIDE WARNING SIGNS Talking about dying Recent loss Changes in personality, behavior, sleep, and/or eating habits Low self-esteem No hope for the future Self-harming Substance abuse Giving away possessions

SUICIDE PREVENTION If you are concerned about someone s safety, seek help from an adult (parent, teacher, counselor, etc.) immediately! National Suicide Prevention Lifeline 1-800-273-TALK (8255) Skilled crisis counselor available 24/7 http://www.suicidepreventionlifeline.org/ (chat online with a Lifeline Professional) Emergency Room or Call 911

Andre Dawkins' Dream ANDRE DAWKINS

WHERE CAN I GO FOR HELP? DA counselors Parents Other trusted adults (coaches, teachers, religious leaders, etc.) Mental health professionals (therapists/psychiatrists) Therapy can help Medication may be helpful depending on your symptoms

JOSH HAIRSTON

REFERENCES American Academy of Child and Adolescent Psychiatry. (2014). The depressed child. Retrieved from: http://www.aacap.org/aacap/families_and_youth/facts_for_families/facts_for_families_pages/ The_Depressed_Child_04.aspx American Academy of Child and Adolescent Psychiatry (May 2005). Helping Teenagers with Stress. Retrieved from http://www.aacap.org/aacap/families_and_youth/facts_for_families/facts_for_families_pages/helping_teenagers_with_stress_66.aspx. American Foundation for Suicide Prevention. (2014). Facts and Figures. Retrieved from http://www.afsp.org/understanding-suicide/facts-and-figures American Psychological Association (2013). Stress in America 2013. Retrieved from: http://www.apa.org/news/press/releseases/stress/2013/teen-stress.aspx American Psychological Association. Teen Suicide is Preventable. Retrieved from https://www.apa.org/research/action/suicide.aspx. Bambrick, L. (n.d.). The yerkes-whatzy law of who now?. Retrieved from http://secretgeek.net/ydlaw.asp Brantley, J. (2012). The mindful way to reduce stress distance learning program summer 2012 edition. Durham, NC: Duke Integrative Medicine. Centers for Disease Control and Prevention (2014). Suicide Prevention. Retrieved from http://www.cdc.gov/violenceprevention/pub/youth_suicide.html Centers for Disease Control and Prevention (2010). Data and Statistics. Retrieved from http://www.cdc.gov/features/dsdepression/index.html. Centers for Disease Control and Prevention (2009). National Suicide Statistics at a Glance. Retrieved from http://www.cdc.gov/violenceprevention/suicide/statistics/youth_risk.html. Duckworth, Ken. (2010). National Alliance for Mental Illness. Depression in Children and Adolescents Fact Sheet. Retrieved from http://www.nami.org/template.cfm?section=by_illness&template=/contentmanagement/contentdisplay.cfm&contentid=88551 Durham County Partnership for a Health Durham (2013). Youth Risk Behavior Survey. Retrieved from http://www.healthydurham.org/docs/durham%202011%20yrbs%20report%20final.pdf Merikangas, K. R., Nakamura, E. F., & Kessler, R. C. (2009). Prevalence rates of anxiety disorders in recent community surveys. Dialogues Clin Neurosci., 11(1), 7 20. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/pmc2807642/table/t3/ National Institute of Mental Health. Anxiety Disorders. Retrieved from http://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml#part1. National Institute of Mental Health. (n.d.). Major depressive disorder in children. Retrieved from http://www.nimh.nih.gov/statistics/1mdd_child.shtml National Alliance on Mental Illness (March 2013). Mental Illness Facts and Numbers. Retrieved from http://www.nami.org/factsheets/mentalillness_factsheet.pdf. National Institute of Mental Health. Suicide in the U.S.:Statistics and Prevention. Retrieved from http://www.nimh.nih.gov/health/publications/suicide-in-the-us-statistics-and-prevention/index.shtml.

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