stressed out to chilled out: tips for managing in a stressful world by jenni clark, phd

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Stressed out to chilled Stressed out to chilled out: tips for managing in out: tips for managing in a stressful world a stressful world Jenni Clark, PhD, DClinPsy 7 th May 2016

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Page 1: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Stressed out to chilled Stressed out to chilled  out: tips for managing in out: tips for managing in 

a stressful worlda stressful world

Jenni Clark, PhD, DClinPsy7th May 2016

Page 2: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

OverviewOverview• ‘Lowdown’ on stress: what is it and how does it

affect us?

• Introducing the cognitive-behavioural model of stress

o Thoughtso Feelings o Behaviours

• Are there ways of managing that might be more helpful? How?

• Where to look for more information and support

Page 3: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

What is stress?What is stress?• Stress occurs when the demands placed on us by

life threaten to overwhelm our capacity to cope

• ‘Good’ vs ‘bad’ stress

• Short term stress: fight-or-flight response• Recurrent stress: take less care of physical health,

increase in harmful behaviours• Long term stress: change in the way you view the

self, world and others

Page 4: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD
Page 5: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Jane walks past you in the street.

Feelingsentertained,

mildly irritated

Feelingssympathy,

gratitude, worry

Bodycalm, relaxed

Behaviour (reaction)Get on with your dayGive Jane a ring later

Thought“Jane’s really in a hurry. She looks like she has a lot on her

mind”

Thought“Look at that, Jane’s forgotten

her glasses again!”

Page 6: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Jane walks past you in the street.

Feelingsangry,

irritated, indignant

Feelingssad, anxious,

stressed

Bodytired, exhausted

wired or ‘on edge’

Behaviour (reaction)Cancel plans for this

eveningSend Jane an angry

message

Thought“I’ve upset Jane and now she won’t talk to

me”“What did I do? I always get it wrong”

“I’m a terrible friend”“Nobody likes me”

Thought“Who does she think she is, ignoring

me?”“I’m sick of people treating me badly”

Page 7: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Do you take better care of yourself or your Do you take better care of yourself or your 

car?car?

Page 8: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Back to basics: self care 101Back to basics: self care 101

• Eating well (fuel to function)• Getting good enough sleep (alert and rested)• Taking regular exercise (lifts mood, reduce tension

and build stamina)

• Making time for relaxationo Activity you enjoy e.g. reading a book, spending time with friendso Progressive muscle relaxationo Deep breathingo Guided imagery

Page 9: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

ShortShort‐‐sighted coping strategiessighted coping strategiesSometimes we all do things that are actively unhelpful, or at best short-sighted•Saying yes because it’s easier than saying no•Procrastination•Indulging unhealthy habits

Develop new ‘stress-busting’ habits•Just say no!•Problem solving skills•Take care of yourself in times of stress more than ever

Page 10: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Changing perspectiveChanging perspective• Thoughts are just thoughts• They are not facts and we shouldn’t treat them as

such

• Mindfulness meditationo focused on present moment o non-judgemental stance

towards thoughtso observing and accepting

Page 11: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Cognitive Cognitive ‘‘restructuringrestructuring’’

Page 12: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Cognitive restructuringCognitive restructuring• More analytical, challenging the unbalanced

perspective

o Will this bother me in one hour, tomorrow or next week?o What’s the worst possible outcome? The best? The most

likely?o What would I tell a friend or loved one who had this

thought? What would they tell me?o When I’m not so bothered by this, do I see it differently?

How so?o Am I being critical of myself? Is that helpful?

• Is there a more balanced perspective to take on this situation? How does that make me feel?

Page 13: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

ResourcesResourcesApps•Buddhify: short meditations for a variety of situations•Headspace: learn to meditate in 10mins per day•Take a break: work break and stress relief guided mediations (free download)

Websiteshttp://www.helpguide.org/articles/stress/stress-management.htmhttp://www.heretohelp.bc.ca/wellness-modules

WorkbooksPositive coping with health conditions: a self care workbookhttp://www.comh.ca/pchc/ (also links to relaxation audio)

Page 14: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Resources cont.Resources cont.• We are here to support your psychological as well

as physical wellbeing

• Can consult with nursing staff if problems are becoming longer term, or feel overwhelming

• PACH clinic psychologist may be able to offer an assessment to help us work out how best to support you

Page 15: Stressed Out to Chilled Out: Tips for Managing in a Stressful World by Jenni Clark, PhD

Questions?Questions?

[email protected]@providencehealth.bc.ca