stress, anxiety, and depression - durham academy€¦ · depression: what are the symptoms of...
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J E N N I F E R H O LT O N , M D & L I Z M C I N E R N E Y, B A
STRESS, ANXIETY, AND DEPRESSION
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!
MINDFULNESS
• Awareness that is non-judging, 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!
PRACTICE COMPONENTS
• Mindfulness • Meditation • Body Scan • Hatha Yoga • Loving-Kindness
http://liverunloveyoga.com/2012/07/05/guest-post-one-minute-meditation/
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?
0%
5%
10%
15%
20%
25%
30%
35%
Lifetime Prevalence Lifetime Prevalence of Severe Disorder
Lifetime Prevalence of Any Anxiety Disorder in 13-18 Year Olds
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
• Andre Dawkins' Dream
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.