Recognizing Signs of Stress & Strategies and Resources for Support
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Transcript of Recognizing Signs of Stress & Strategies and Resources for Support
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Recognizing Signs of Stress
& Strategies and Resources for
Support
School of Medicine: New Staff School of Medicine: New Staff OrientationOrientation October 1, 2009October 1, 2009
Presenter:
Robin Huskey, LCSW, CEAP,
Manager of Education and
Outreach, FSAP
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There are just THOSE days…
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Stress 101:What is stress?
• A physical, emotional, and psychological response to perceived threats, challenges & opportunities
• A condition or feeling experienced when people perceive that their demands exceed their access to resources
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Facts About Stress
• Can be triggered by events involving intense, conflicting, or changing:– people, problems, positions, priorities,
progress, phases, or philosophies; most importantly perceptions
• Can be exacerbated by other factors such as untreated depression, medical problems, relationships, etc.)
• About two-thirds of all visits to physicians are for stress-related problems
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Stress Response
• The stress response is meant to be brief and adaptive
• Options: Fight or Flight ?
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Symptoms of Mismanaged Stress
• Mental health– Anxiety/fear, confusion, poor concentration,
helplessness, hopelessness, depression, low morale, fatigue, pessimism, irritability
• Physical health– Stress-related illness (hypertension, ulcers, acid
reflux/heartburn, headaches, skin rash, etc.)
• Organizational health– Increased absenteeism, diminished productivity,
team conflict, turnover
• Relationships (personal and professional)– Conflict, tension, misunderstanding, anger, emotional
or physical abuse
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•Lack of control over work•Lack of control over economic
impact•Unrealistic expectations•Too high a work load,
impossible deadlines•Too low a workload, no or few
challenges•Low task variety, under-
utilization of skills•Low pay•Undervalued position
Work-Related Factors Contributing to Stress
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Work-Related Factors (Continued)
• High uncertainty• Poorly defined roles and
responsibilities• Lack of clear priorities and
targets• Job insecurity
• Poor working conditions (e.g. noise, overcrowding, excessive heat, inadequate breaks)
• Low interpersonal support (e.g. inadequate or
insensitive management, hostility from colleagues)
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Identifying Signs of Potential Risk
PRODUCTIVITY
– Decrease in Work Productivity, Quality or Performance
– Missed Deadlines– High Error/Accident/Mistake Rate– Reduced Job Efficiency– Making Poor Decisions– Complaints from Customers/Others– Decrease in Initiative– Irregular Work Patterns
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Identifying Signs of Potential Risk
ATTENDANCE
– Increased Absenteeism/Tardiness– Multiple Unauthorized Leaves– Excessive Sick Leave– Leaving Work Early– Repeated Absences That Follow a Specific
Pattern– Unusual or Improbable Reasons or Excuses for
Absences– Frequent Breaks
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Identifying Signs of Potential Risk
BEHAVIOR– Difficulties in Concentration or
Confusion– Noticeable Withdrawal or Isolation– Increased Agitation or Irritability– Poor Relationships with Coworkers– Communication Problems– Decline in Appearance or Hygiene– Increased Complaints of Physical
Ailments– Extreme Mood Swings– Under the Influence– Atypical or Unusual Behaviors
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What’s Stressing YOU?
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It’s not the STRESSOR that creates the stress!!
• Rather, it’s your mind’s perception of the stressor and of your perceived resources to meet the stressor’s demands that creates stress.
Ex.- Consider how stressed you’d be by having to buy a new car (stressor) if you had a million dollars to spare versus if you had no money (resources).
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Therefore, ask yourself:
• Am I accurately perceiving and appraising the stressor?
• Am I accurately perceiving and appraising my capacity to meet the demands of the stressor?
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Cognitive/Emotional
Management of STRESSSTRESS• Think about your thinking
– “The mind takes on the qualities of the things it thinks about.”
• Redirect your thought processes– Problem-solve instead of worry and fret
• Take mental breaks (distractions, meditation)– “Out of my mind – Back in 5 minutes.”
• Journal your thoughts, worries, concerns– “Get it out from behind your eyes so you can see it.”
• Talk out your thoughts, worries, concerns• Check your attitude (“Whether you think you can or think you
can’t, YOU’RE RIGHT!”)
• Organize your time, priorities and responsibilities
• Make the most of spontaneity and downtime
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Physiological Management of
STRESSSTRESS• Nutrition
– Reduce salt, saturated fats, caffeine, and carbonation.
– Increase foods that contain vitamins B & C, calcium, and protein (e.g., dairy, fruits & vegs)
• Exercise– Break a sweat at least 3 to 4 times per week
• Sleep and Relaxation– Get at least 6 hours uninterrupted every 24 hrs– Practice deep breathing, stretching/relaxing daily
• CAUTION: Avoid numbing or masking your stress with alcohol and other substances!!
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How To Beat
Burnout• Know your own warning signs of stress
overload• Focus on what you can control• Strive to leave your work at work• Make time for self and significant others• Know and accept your limitations• Exercise, eat right, and get enough
sleep• Connect with those around you• Find ways to have fun each day
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Utilize Resources
• FSAP - counseling and coaching• Workshops – stress/change management,
work-life integration, time management
• Community resources
• Family, friends, colleagues, advisors• The Work-Life Resource Center
(www.worklife.emory.edu)
• Emory Meditation Stations
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Utilize Financial Resources
• Emory Express Emergency Loan- Emory Alliance Credit Union
• “Sparkfly” Discount Program
• Fitness facility discounts
• Basic Budgeting workshops
• Online budgeting tools –(www.mint.com, www.cccsatlanta.org)
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Faculty Staff Assistance Program
Overview of Services for Learning, Growth & Wellness
www.fsap.emory.edu (404) 727-WELL
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Behavioral Mental Health Services
– Personal Counseling for
individuals/couples/families– External Referrals & Case
Management– Psychiatric consultation– Career Counseling– On-site Critical Incident
Stress Management– Consultations for leadership
and non-leadership– 24-hour on-call assistance
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Behavioral Mental Health
FreeFree and confidential
services for employees and their immediate family household members
Confidential means
CONFIDENTIAL!
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Common Presenting Problems
• Depression and Anxiety• Workplace Issues• Family/Marital/Relational• Substance Abuse• Grief and Loss• Intimate Partner Violence• Financial Challenges
Behavioral Mental Health
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Referral Process
– Self Referrals– Leadership
Referrals– Fitness for Duty
Manager Resources Link www.emory.edu/fsap/workplace
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Health Promotion & WellnessServices•Individualized Wellness Program
•Fitness, Nutrition & Life Style Coaching
•StressBreaks / HealthBreaks•Walking Groups and Programs •Work Life Integration Programs•Freedom from Smoking Classes •Weight Watchers @Emory•Flu Shot Clinics•Lunch and Learn Programs•Health Fairs/Screenings•Weight Loss Challenge Pilot (W3)
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Organizational Dynamics Services
• Consultations, Assessments and Interventions
• Executive and Leadership Coaching
• Customized Workshops
• Mediation and Facilitated Discussions
• Retreat Facilitation*
*Some services require a nominal fee
A systematic process designed to promote organizational health
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Education and Outreach Services
• Workshops: – Managing Financial Stress– Managing Change & Self Care – Work-Life Integration
• Life Cycle Series – Workshops focused on different phases of life
• Groups:– Grief & Loss Support Group– Aftercare Addiction Recovery Support Group
– Anger Management Skills Group– Stress-Less Skills Group
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Accessing Services• Visit one of our four
locations
• Call 404-727-WELL or 404-727-4328 for a confidential consultation or to schedule an appointment– Mon-Fri, 8am-5pm– Early morning and evening
appointments available by request
– 24 hour on-call service: 404-727-4328, press 2
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Four Locations
•The Emory Wellness Center 1762 Clifton Rd., Suite P1100•Emory University Hospital
Midtown Orr Building*
•Grady Hospital Campus Steiner Building, Room G04*
•Office of Disability Services Administration Building*
404.727.4328 or 7-WELL*By appointment only
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FSAP Resources
• FSAP Website: www.fsap.emory.edu– Workplace Resources – Leadership Guides – Two informational videos: FSAP
Overview, and Faculty & Staff At Risk
– FSAP Email: [email protected]
• Telephone Consultations• All About Health
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Faculty Staff Assistance Faculty Staff Assistance ProgramProgram
Call The Wellness Center
404-727-WELL
www.fsap.emory.eduwww.fsap.emory.edu