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Understanding Stress, Stressors,
 Signs and Symptoms of Stress




          Dr. Bijaya Bhusan Nanda,
         bijayabnanda@yahoo.com
    Gopabandhu Academy of Administration
            Orissa, Bhubaneswar
Stress: What is it?
In Physics it Means forces that produces strain on
physical body. (Intensity is measured in Unit of force
per unit of area)

Another meaning: It implies Special emphasis attached
to something. To single out certain things
In this context:

Emotional disturbance/tension arising     out   of   a
Situations, circumstances that causes

Manifestation of Anger, Fear, Anxiety, Apprehension,
nervousness etc.
When do we call the Situation Stressful?

 If we decide that the demands of the situation
 outweigh the skills we have, then we label the
 situation as “stressful” and react with the classic
 “stress response.”

 If we decide that our coping skills outweigh the
 demands of the situation, then we don’t see it as
 “stressful.”
From Where do we get Stress?
• The Environment
     – The environment can bombard you with intense and
       competing demands to adjust. Examples of
       environmental stressors include weather, noise,
       crowding, pollution, traffic, unsafe and substandard
       housing, crime etc.
•   Society
     – We can experience multiple stressors arising from the
       demands of the different social roles we occupy, such
       as parent, spouse, caregiver, and employee.
     – Some social stressors include deadlines, financial
       problems, job interviews, presentations, disagreements,
       demands for your time and attention, loss of a loved
       one, divorce, parenting.
• Physiological
     – Situations and circumstances affecting our
       body can be experienced as physiological
       stressors.
     – Examples of physiological stressors include
       adolescence, menopause, illness, aging,
       giving birth, accidents, lack of exercise, poor
       nutrition, and sleep disturbances.
•   Thoughts
     – Your brain interprets and perceives situations
       as stressful, difficult, painful, or pleasant.
       Some situations in life are stress provoking,
       but it is our thoughts that determine whether
       they are a problem for us.
Thoughts that causes stress:
     • Overestimation of danger
     • Underestimation of your ability to cope
     • Underestimation of help available
     • Worries and catastrophic thoughts
      • Anxious Thoughts
         – Anxious thoughts are future oriented and often
           predict catastrophe. Anxious thoughts often
           begin with, “What if…” and end with a
           disastrous outcome.
 Types of Stressors
   Situations that creates stress are considered as stressors.
 Characteristics of Positive stress
   Motivates, focuses energy
   Is short-term
   Is perceived as within our coping abilities
   Feels exciting
   Improves performance
 Characteristics of negative stress
    Causes anxiety or concern
      Can be short or long-term
      Is perceived as outside of our coping abilities
      Feels unpleasant
      Decreases performance
      Can lead to mental and physical problems
 Categorising Stressors
   Different people have different cooping mechanism to
    stressors, therefore, it is somewhat hard to categorize
    stressors into objective lists positive and negative stress.
    However, a list of stressors that are typically experienced as
    negative or positive to most people, most of the time is
    compiled.
 Examples of negative personal stressors:
   The death of a partner
   The death of a family member
     Hospitalization (oneself or a family member)
     Injury or illness (oneself or a family member)
     Being abused or neglected
     Conflict in interpersonal relationships
     Bankruptcy/money problems, Unemployment
• Conflicts with team mates and supervisors
   • Lack of training necessary to do a job
   • Making presentations in front of colleagues or
     clients
   • Unproductive and time-consuming meetings
   • Commuting and travel schedules
• Examples of positive personal stressors:
  – Receiving a promotion at work
  – Starting a new job
  – Marriage or commitment ceremony
  – Buying a home
  – Having a child
  – Taking or planning a vacation
Internal Sources of Stress
Internal events such as feelings, thoughts, and habitual
behaviors can also cause negative stress.
Common internal sources of distress:
• Fears (e.g., fears of flying, heights, public speaking, chatting
 with strangers at a party)
• Repetitive negative thought patterns
• Worrying about future events (e.g., waiting for medical test
 results or job restructuring)
• Unrealistic or perfectionist expectations
• Habitual behavior patterns that can lead to stress include:
   – Over scheduling
   – Failing to be assertive
   – Procrastination and/or failing to plan ahead
Signs and Symptoms of Stress Overload
It is important to learn how to recognize when your stress levels
are “out of control” or having an adverse effect. The signs and
symptoms of stress overload can be almost anything. Stress
affects the mind, body, and behavior in many ways, and
everyone experiences stress differently.

Three common ways that people respond when they are
overwhelmed by stress are:
   1. An angry or agitated stress response. You may feel
      heated, keyed-up, overly emotional, and unable to sit
      still.

   2. A withdrawn or depressed stress response. You shut
      down, space out, and show very little energy or emotion.

   3. Both a tens and frozen stress response. You “freeze”
      under pressure and feel like you can’t do anything. You
      look paralyzed, but under the surface you may feel
      extremely agitated.
The following lists some of the common warning
signs and symptoms of stress. The more signs and
symptoms you notice in yourself, the closer you
might be to feeling stress overload.

• Cognitive Symptoms:
  Memory problems
  Inability or difficulty concentrating
  Poor judgment
  Seeing only the negative
  Anxious, racing, or ruminating thoughts
  Constant worrying
• Emotional Symptoms:
   Moodiness
   Irritability or short-tempered
   Agitation, inability to relax
   Feeling overwhelmed
   Sense of loneliness or isolation
   Depression or general unhappiness
• Physical Symptoms:
   Aches and pains, muscle tension
   Diarrhea or constipation
   Nausea, dizziness, or butterflies in the stomach
   Chest pain or rapid heartbeat
   Loss of sex drive
   Frequent colds
   Shallow breathing and sweating
• Behavioral Symptoms:
   Eating more or less
   Sleeping too much or too little
   Isolating yourself from others
   Procrastinating or neglecting responsibilities
   Using alcohol, cigarettes, or drugs to relax
   Nervous habits (nail biting, pacing)

Keep in mind that the signs and symptoms of stress also can
be caused by other psychological and medical problems. If
you’re experiencing any of the warning signs of stress, it’s
important to see a doctor for an evaluation. Your doctor can
help you determine whether or not your symptoms are stress
related.
50 Common Signs and Symptoms of Stress
1. Frequent headaches,         6. Light headedness,
   jaw clenching or pain          faintness, dizziness


2. Gritting, grinding teeth    7. Ringing in the ears


3. Stuttering or stammering    8.Frequentblushing,sweating


4.Tremors,trembling of lips,   9. Dry mouth, problems
  hands                           swallowing


5. Neck ache, back pain,       10.Cold or sweaty hands,
  muscle spasms                  feet
11. Frequent colds, infections      18. Sudden attacks of panic

12. Rashes, itching, “goose         19. Chest pain, palpitations
  bumps”
                                    20. Frequent urination
13. Unexplained or frequent
  allergy attacks                   21. Low sexual drive or
                                      performance
14. Heartburn, stomach pain,
  nausea                            22. Excess anxiety, worry, guilt,
                                      nervousness
15. Excess belching, flatulence
                                    23. Increased anger, frustration,
16. Constipation, diarrhea            hostility
                                    24. Depression, frequent or
17. Difficulty breathing, sighing     intense mood swings
25. Increased or decreased           31. Feeling overwhelmed
    appetite
                                     32. Frequent crying spells or
26. Insomnia, nightmares,              suicidal thoughts
    disturbing dreams
                                     33. Feelings of loneliness or
27. Difficulty concentrating,          worthlessness
  racing thoughts
                                     34. Little interest in
28. Trouble learning new               appearance, punctuality
  information
                                     35. Nervous habits, feet
29. Forgetfulness,                     tapping, fidgeting
  disorganization, confusion
                                     36. Increased frustration,
30. Difficulty in making decisions     irritability
37. Overreaction to petty         44. Problems with communication
  annoyances
                                  45. Social withdrawal or isolation
38. Increased number of minor
  accidents
                                  46. Constant tiredness, weakness,
                                    fatigue
39. Obsessive/compulsive
  behaviors
                                  47. Frequent use of over-the-
40. Reduced work productivity
                                    counter drugs
                                  48. Weight gain or loss without
41. Lies or excuses to cover up     diet
  poor work
                                  49. Increased smoking, alcohol, or
42. Rapid or mumbled speech         drug use

43. Excessive defensiveness or    50. Excessive gambling or impulse
  suspiciousness                    buying
The Effects of Stress
Physical or mental     stresses may cause
physical illness as     well as mental or
emotional problems.    Here are the parts of
the body affected by   stress:
Brain: Stress triggers mental and emotional
Hair: High stress levels
                                  problems such as insomnia, headaches,
may cause excessive hair
                                  personality changes, irritability, anxiety, and
loss and some forms of
                                  depression
baldness.
Muscles: Spasmodic pains                          Mouth: Mouth ulcers and
in the neck and shoulders,                        excessive dryness are often
musculoskeletal aches, lower                      symptoms of stress.
back pain, and various minor
muscular     twitches    and                           Heart:       Cardiovascular
nervous     tics are more                              disease and hypertension
noticeable under stress.                               are linked to accumulated
                                                       stress.
Digestive tract: Stress can
cause or aggravate diseases of                        Lungs: High levels of
the digestive tract including                         mental or emotional stress
gastritis, stomach and duodenal                       adversely affect individuals
ulcers, ulcerative colitis, and                       with asthmatic conditions.
irritable colon.
                                  Reproductive organs: Stress affects the
Skin: Some individuals react to
                                  reproductive    system  causing    menstrual
stress with outbreaks of skin
                                  disorders and recurrent vaginal infections in
problems such as eczema and
                                  women and impotence and premature
psoriasis.
                                  ejaculation in men.
• Do you… (answer ‘O’ for often. ‘S’ for sometimes,
  or ‘R’ for rarely or never)

__ regret being angry or short-tempered with others?
__ feel like your emotions are getting the best of you?
__ use alcohol, cigarettes, or drugs to cope with stress
  (prescription, counter, or street drugs)?
__ have sleep problems (either sleep too much or not
  getting enough restful sleep)?
__ feel like things are overwhelming or out of control?
__ laugh or smile less than you used to?
__ yell, cry, or withdraw a lot?
__ feel sad, disappointed, or worried?
__ eat too much or too little when you are stressed?
__ feel that you are not in control of your life?
__ have trouble letting go of things that are bothering
  you?
__ blame yourself or think that nothing goes right?

If you have answered often or sometimes to four or
more of these questions, it may be time to address
your stress.
Understanding Stress, Stressors, Signs and Symptoms of Stress
Understanding Stress, Stressors, Signs and Symptoms of Stress