Seven steps to manage stress 
 COURIER LIFE, JULY 17-23, 2020 25  
 As recent months have  
 demonstrated, stress is  
 unavoidable.  Now  more  
 than ever, it’s important to understand  
 stress and how we  
 can manage it. While stress  
 can be benefi cial, too much of it  
 can be harmful. The National  
 Institutes of Health (NIH) Offi  
 ce  of  Research  on  Women’s  
 Health explains a bit about  
 the science behind stress, provides  
 several simple steps that  
 might help reduce it and has  
 a  webpage,  www.go.usa.gov/ 
 xvydm,  with  some  resources  
 available to help. 
 When  the  body  senses  a  
 threat (or stressor), it goes on  
 high alert, and once the threat  
 passes, the body quickly recovers. 
  At least that’s the way it’s  
 supposed to work. Stressors  
 can include health matters,  
 work, money, family issues,  
 racism  or  gender  inequality,  
 and regular daily hassles. With  
 unrelenting or too many stressors, 
  your body might be on a  
 constant  state  of  high  alert,  
 leading to poor concentration,  
 bad moods, professional burnout, 
  and mental and physical  
 health problems. When stress  
 becomes chronic, the body  
 cannot return to normal functioning. 
  Chronic stress can be  
 linked with health  conditions  
 such  as  heart  disease,  high  
 blood pressure, diabetes, depression  
 and anxiety. 
 Stress affects women and  
 men  differently.  Many  conditions  
 associated with stress —  
 such as post-traumatic stress  
 disorder, depression and anxiety  
 — are more common in  
 women than men. 
 Beyond sex and gender differences, 
  there are individual  
 differences,  too.  Some  people  
 are more resilient than others. 
  Stress affects them less  
 or more temporarily, and they  
 might even perform better  
 under stress. “There’s a saying, 
  ‘It’s not how far you fall;  
 it’s how high you bounce.’ For  
 those of us who don’t bounce  
 back so easily, there’s good  
 news. Resilience, to some extent, 
  can be learned and there  
 are some simple, practical  
 things that people can do that  
 may make a noticeable difference,” 
   says Dr. Janine Austin  
 Clayton,  Director  of  the  NIH  
 Offi ce of Research on Women’s  
 Health. Clayton explains that  
 some resilient people might  
 also develop a greater appreciation  
 for their lives, family,  
 friends or other matters after  
 stress. 
 Stress management and resilience  
 building are particularly  
 important to the health of  
 women. Here are several tips  
 to help women as well as men: 
 Recognize and counter  
 signs of stress. Your body  
 sends signals that it’s stressed,  
 including  diffi culty  concentrating, 
  headaches, cold  
 hands, tight muscles, a nervous  
 stomach, clenched teeth,  
 feeling on edge, fi dgety,  irritable  
 or withdrawn. Knowing  
 how your body communicates  
 can help you deal with stressful  
 moments. Learn to not only  
 recognize but also to name  
 these feelings, either to oneself  
 or to a friend. Then, take  
 action to counter their effects.  
 For example, deep breathing,  
 stretching, going for a walk,  
 writing  down  your  thoughts  
 and taking quiet time to focus  
 can help induce relaxation and  
 reduce tension. 
 Take time for yourself.  
 Make  taking  care  of  yourself  
 a daily routine. It’s not selfi sh  
 or self-indulgent - and it might  
 require saying “no” to requests  
 or prioritizing yourself  
 along with your responsibilities. 
  Start with small changes  
 in  your  routine  to  help  build  
 resilience to stressful circumstances. 
   Work  in  time  to  
 exercise, eat healthy foods, participate  
 in relaxing activities  
 and sleep. In fact, including a  
 regimen of exercise, which for  
 some may include yoga or meditation, 
  can be very important  
 when feeling stressed. Also,  
 take  time  to  notice  the  “good  
 minutes” in each day or to do  
 something that you enjoy, such  
 as reading a book or listening  
 to music, which can be a way  
 to shift your attention and focus  
 on the positive rather than  
 the negative. 
 Try  new  routines. From  
 scheduling baths and bedtimes  
 to blocking off time to plan and  
 prioritize  tasks,  additional  
 structure can provide a daily  
 framework that allows you to  
 attune  to your body’s signals.  
 Then, you can take steps to potentially  
 manage stress earlier  
 than you once did. 
 Stay  connected  and  
 make  new  friends. Stay in  
 touch with family, friends and  
 groups  in  your  life  -  technology  
 makes this easier than  
 ever. Having or being a person  
 to  talk  with  can  be  reassuring  
 and calming. Using video  
 features can enhance the connection  
 in telecommunication  
 or online communications for  
 some people. 
 See problems through a  
 different  lens. Experts call  
 changing the way we think  
 about and respond to stress  
 “reframing.”  View  sitting  in  
 traffi c or around the house as  
 an opportunity to enjoy music,  
 podcasts  or  pleasant  views.  
 Reduce anger in response to  
 rude or aggressive behavior by  
 imagining what might be happening  
 in  that  person’s  life.  
 Keeping situations in perspective  
 is  an  important  way  to  
 boost stress resilience. Other  
 steps include positive thinking  
 and creating plans before you  
 begin to resolve problems. You  
 can practice reframing and get  
 better at it over time. 
 Seek help with problems.  
 Many  people  experience  the  
 same  day-to-day  strains  related  
 to caregiving, relationships, 
  health, work and money.  
 Look to friends and family, as  
 appropriate, or other trusted  
 individuals or resources for  
 tips and information. 
 Talk  to  a  health  professional  
 if  stress  is  affecting  
 your well-being, you feel you  
 cannot  manage  the  stress  
 you’re  experiencing,  or  stress  
 has caused you to engage in or  
 increase  substance  use.  Seek  
 appropriate care if stress is  
 harming  your  relationships  
 or ability to work. If you have  
 suicidal thoughts, call the National  
 Suicide Prevention Lifeline  
 at  1-800-273-TALK  (8255).  
 Lifeline chat is a service available  
 to  everyone  24  hours  a  
 day, 7 days a week. In addition, 
  if you need help locating  
 a  mental  health  provider,  the  
 Substance Abuse and Mental  
 Health  Services  Administration  
 (SAMHSA)  offers  a  site  
 that can assist you at https:// 
 findtreatment.samhsa.gov.  
 People who have experienced  
 traumatic stress (directly or  
 indirectly experiencing lifethreatening  
 and dangerous  
 events) should fi nd a treatment  
 provider who practices  
 trauma  informed  care  -  see  
 https://go.usa.gov/xvydm  for  
 details. Additionally,  in  times  
 of disasters and other sorts of  
 emergencies, the National Disaster  
 Distress Helpline (Call  
 1-800-985-5990  or  text  “TALKWITHUS” 
  to 66746) can provide  
 crisis  counseling,  emotional  
 support and referrals to  
 care related to disasters and  
 public health emergencies. 
 Recognizing individual  
 signals of a body’s stress responses  
 and learning to respond  
 to those signals in new  
 ways can help build the emotional, 
  intellectual and physical  
 strength that  comprise  resilience, 
  which can help you  
 tackle future stressors. 
 Wellness 
 
				
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