DR.

ALIM AKHTAR BHUIYAN

MBBS, DTM & H (U.K.), M.D. (U.S.A), POST- DOCTORAL FELLOWSHIP IN EPILEPSY (U.S.A) US BOARD CERTIFIED IN NEUROLOGY CONSULTANT NEUROGOLIST, APOLLO HOSPITALS, DHAKA

What is stress?
Stress can come from any situation or thought that makes you feel frustrated, angry, or anxious. What is stressful to one person is not necessarily stressful to another. Anxiety is a feeling of apprehension of fear. The source of this is always unknown or recognized, which can add to the distress you feel.

Stress

Stress describes the many demands and pressures that we all experience, to some degree, each day. These demands are physical, mental, emotional, or even chemical in nature The word "stress" encompasses both the stressful situation, known as the stressor, and the symptoms you experience under stress, your stress response. stressor response

Stress!

How does stress affects

Stress: Short Term

Activation of Sympathetic Nervous System Release of stress hormone Give super energy, high arousal Fight or Flight

Stress: Long Term (chronic)

When stress hormones stay elevated over time, there is a gradual and steady stream of harmful changes to the body. Long-term/chronic stress can suppress the immune system, which may lead to the development of diseases.

Symptoms

Regression -- behavior that is not age-appropriate

Dysfunctional sleep patterns, including nightmare, too little sleep, difficulty falling asleep, or even oversleeping

Communication difficulty or personality changes, such as

becoming withdrawn or requiring much more attention than usual

Impatience
If you are experiencing a few of these symptoms, chances are that your level of stress is high. If left untreated, stress can lead to permanent feelings of helplessness and ineffectiveness.

Symptoms
Vary; Universal sign: Feelings of being pressured / overwhelmed

Physical complaints

(stomachaches, headache, chest pains, nausea, and diarrhea, and a sensation of numbness or tingling in your hands, arms, and face)

Problems getting along with family members, friends, and teachers

Changes in behavior at home

(short temper, unexplained anger, crying for no reason etc)

How Can Stress Affect Your Health

Physical and Psychological Problems:

High anxiety Insomnia If you already have a health Depression problem, stress may make it worse. Gastrointestinal problems Drugs and alcohol dependent tendancy Increased fat in the abdomen leading to increased risk of
chronic and serious illness such as diabetes

Effects of chronic stress

Health effects
o o o o o o o o o o o o o o Chronic Pain Migraines Ulcers Heartburn High blood pressure Heart Disease Diabetes Asthma PMS Obesity Infertility Autoimmune diseases Irritable bowel syndrome Skin Problems

Emotional effects
o o o o Anxiety Depression Eating disorders, and Substance abuse

Stress: Positive
Positive stressors (called eustress) may include eustress an upcoming wedding, the holidays, or pregnancy.

Stress: Negative
Negative stress (called distress) results in the full-blown distress stress response. If continuous, negative stress can lead to loss of productivity, health problems, and exhaustion.

Internal Causes of stress

Spouses death Divorce Marriage separation Jail term Death of a close relative Injury or illness Marriage Fired from job Marriage reconciliation Retirement

Causes of Stress- Personal Problems

Your health: Especially if you have a chronic illness such
as heart disease, diabetes or arthritis

Emotional problems: Such as anger you can't express,

depression, grief, guilt, or low self-esteem

Your relationships: Having problems with your

relationships or feeling a lack of friendships or support in your life

Causes of Stress- Personal Problems

Major life changes: Such as dealing with the death of a parent or
spouse, losing your job, getting married, or moving to a new city

Stress in your family: Such as having a child, teen, or other family

member who is under stress, or being a caregiver to a family member who is elderly or who has health problems

Conflicts with your beliefs and values

Causes of Stress- Social & Job Status

Your surroundings: Living in an area where overcrowding,
crime, pollution, or noise is a problem can create chronic stress

Your job: Being unhappy with your work or finding your job
too demanding can lead to chronic stress. Learn how to manage job stress

Your social situation: Being poor, feeling lonely, or facing

discrimination based on your race, gender, age, or sexual orientation can add stress to your life Post Traumatic Stress Disorder (PTSD): as in Personal & Natural Disaster, post-war etc.

When to meet Consultant

Crushing Chest Pain Shortness of breath Dizziness Sweating Heart attack You have thoughts of suicide Rapid breathing Racing heartbeat You are unable to work or function You do not know the source or cause of your anxiety You have a sudden feeling of panic Uncontrollable fear Repeat an action over & over again. Intolerance to heat, weight loss Your anxiety is elicited by the memory of a traumatic event.

How can you avoid stress?

Learn better ways to manage your time: Think about
which things are most important, and do those first.

Find better ways to cope: Be honest about what works and

what does not. Think about other things that might work better.

Take good care of yourself: Get plenty of rest. Eat well.

Don't smoke. Limit how much alcohol you drink.

How can you avoid stress?

Try out new ways of thinking: When you find yourself
starting to worry, try to stop the thoughts. Work on letting go of things you cannot change. Learn to say "no."

Speak up: Not being able to talk about your needs and
concerns creates stress and can make negative feelings worse. Assertive communication can help you express how you feel in a thoughtful, tactful way

Ask for help: People who have a strong network of family

and friends manage stress better

How can you relieve stress?

Exercise: Regular exercise is one of the best ways to
manage stress. Walking is a great way to get started

Write:

It can help to write about the things that are bothering you. Let your feelings out. Talk, laugh, cry, and express anger when you need to with someone you trust

Do something you enjoy: A hobby can help you relax.

Volunteer work or work that helps others can be a great stress reliever.

How can you relieve stress?

Learn ways to relax your body: Breathing exercises,
muscle relaxation exercises, massage, aromatherapy, yoga, or relaxing exercises.

Focus on the present: Try meditation or selfhypnosis. Listen to relaxing music. Try to look for the humor in life. Laughter really can be the best medicine.

Tips to Manage Stress

Identify the sources of stress: Try to figure out what's causing your stress symptoms. Maybe you are overextended (too many commitments) and feel fatigued and irritable. Once you identify the sources of stress, try to minimize these as much as possible. Talk it out: Talk to a friend, family member, or therapist if your stress level is too high. Getting your feelings out without others judging you is crucial to good mental health.

Tips to Manage Stress

Take time out: Find time for inner strength and emotional
healing.

Set limits: Saying "no" can help bring your stress to a

manageable level and give you more control over your life.

Try exhaling: By paying attention to your breathing,

particularly exhaling during tense moments, you will feel more relaxed. Exercise daily: Exercise is thought to increase the secretion of endorphins, naturally produced substances in the brain that induce feelings of peacefulness

When Should You Seek Help for Stress?

When stress interrupts your life, causing sleep problems or making you feel anxious and out of control, talk with your primary health care professional. He or she might recommend a professional therapist who can offer support and give you some practical lifestyle tips in how to manage stress without letting it take over your life.

Stress Management
YOGA Meditation Deep breathing Muscle relaxation Mindfulness meditation Exercise Tai chi Message therapy

Eat Smart

Change your life-style

Tobacco/ Alcohol Excess dietary FAT

Lack of vegetables & fruits

Conclusion:
When you find yourself stressed, ask yourself one question: Will this matter in 5 years from now? If yes, then do something about the situation. If no, then let it go. We enjoy our work so much we get up when the sun comes up. The stress in our life is non-existent. Stress is when you wake up screaming and you realize you haven't fallen asleep yet. Stress is nothing more than a socially acceptable form of mental illness.

Conclusion:
The mark of a successful man is one that has spent an entire day on the bank of a river without feeling guilty about it. Tension is who you think you should be. Relaxation is who you are. Stress is an ignorant state. It believes that everything is an emergency. Throw out an alarming alarm clock. If the ring is loud and strident, you're waking up to instant stress. You shouldn't be bullied out of bed, just reminded that it's time to start your day.

Conclusion :
Pressure and stress is the common cold of the psyche.

Stress is basically a disconnection from the earth, a forgetting of the breath. Stress is an ignorant state. It believes that everything is an emergency. Nothing is that important. Just lie down.

In times of stress, be bold and valiant.

Conclusion :
In times of stress, be bold and valiant.

Stress: The confusion created when one's mind overrides the body's basic desire to choke the living daylights out of some jerk who desperately deserves it.

Stress is when you wake up screaming and you realize you haven't fallen asleep yet.

Thank You