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MENTAL HEALTH MOMENT

MENTAL HEALTH MOMENT March 9, 2001

"I try to take one day at a time, but sometimes several days attack me at once." - Ashleigh Brilliant **************************************************************************************************** The Child and Adolescent Health Measurement Initiative http://www.facct.org/cahmi.html Visitors to this site will find data on teen health and children with chronic conditions, news briefs, and links for parents and consumers. The Web site is sponsored by the Foundation for Accountability, working in collaboration with other agencies, such as the American Academy of Pediatrics, Children Now and the Centers for Disease Control and Prevention. * * * * * * * * * * May 20-22: Michigan Association of Infant Mental Health Annual Meeting, Ann Arbor, MI This 25th annual conference, titled "Hand in hand: multidisciplinary approaches to supporting relationships and early development" will focus on issues that affect infants, families, professionals and agencies working with families. Contact: Penny Tully, University of Michigan Conference Management Services, Room G121 S. Quad, 600 E. Madison, Ann Arbor, MI 48109-1372; (734) 764-4276; Fax: (734) 764-1557; Email: ptully@umich.edu * * * * * * * * * * The Association for Women in Psychology is seeking empirical, theoretical and applied papers and books for its 11th Annual Women of Color Psychologies Award. Manuscripts must be written by and about women of color. Deadline: April 1. Contact: Jeanette Hsu, PhD, VA Palo Alto Health Care System, 3801 Miranda Ave., 116B, Palo Alto, CA 94304; (650) 493-5000, ext 67915; Fax: (650) 852-3445; Email: Jeanette.Hsu@med.va.gov. ****************************************************************************************************

MANAGING STRESS

Individuals can learn to manage stress adaptively and to enhance wellness. Life can be enjoyed as a challenge, rather than being viewed as a threat. The brain centers which trigger the alarm response can also slow these processes through the relaxation response, returning the body to a natural, balanced state. There are four general ways in which stress can be reduced. Each involves some practice as well as a personal committment. These are techniques for stress reduction. They do not purport to eliminate stress nor to totally mitigate all aspects surrounding disaster-related or traumatic or post-traumatic stress. Those are topics for another article. SYSTEMATIC BREATHING Breathing is an act performed thousands of times each day without much attention paid to how it is done. However, breathing too fast or too slow causes the body to have trouble working properly. It causes uncomfortable feelings, dizziness tiredness or depressed feelings. The general stress reaction causes the breathing process to accelerate. Over time it can contribute to the stress symptoms discussed above. But, it is also possible to use breathing as a method for reducing the effects of stress by maintaining a good oxygen balance and making the way clear for relaxation to take place. There are two types of breathing techniques which can be used to help relieve immediate tension. Both can be applied in any situation in which one begins to feel tense and anxious. They are PAUSING BREATH and REGULATED BREATHING. PROCEDURE FOR PAUSING BREATH 1. Before taking a Pausing Breath, you should make sure that your posture is as good as you are able to make it under the circumstances. Your back should be straight and your shoulders squared but slightly elevated. 2. Focus as much attention as possible on the breathing process itself. Then, breathe in through your nose deeply and steadily until your lungs are as full as possible. 3. Hold the breath in your lungs and count slowly to three. Gradually and evenly, release the air through your nose until your lungs are completely empty. (Another way is, after holding your breath to a count of three, let it out in three equal exhalations through your mouth, blowing slightly between your lips while exhaling.) Practice the Pausing Breath four or five times a day until you are able to do it almost automatically. Then each time you feel the symptoms of a stress reaction starting, pause to breathe. The advantage of the Pausing Breath is that it can be used in just about any situation, even when there are other people present. It accomplishes two things: 1) It gives the body an extra shot of oxygen, and 2) it gives you a specific moment in which to consider why you are beginning to experience a stress response. The Pausing Breath gives you a chance to stop the reaction before it has actually begun. REGULATED BREATHING This technique is often used as part of relaxation training. Its purposes are to ease tension and allow you to rid yourself of the effects of stress. Regulated Breathing is something that needs to be done in a quiet place, by yourself. One of the reasons for using this technique is to allow you to get away from it all. 1. Place yourself in a relaxed, comfortable position. The best position is lying on your back with a pillow under both head and knees. However, there are still beneficial effects to the process even if you are sitting in an easy chair. The location you choose should be as quiet as possible and free from other disturbances. 2. Using your nose, inhale a slow, deep breath which completely fills your lungs. 3. Count silently to three, and then exhale the breath slowly through your nose until your lungs are empty. 4. Count to three again, and then repeat steps 2, 3, and 4 over and over. People who use Regulated Breathing often do so during a lunch break, as soon as they get home from work, or at some other time when the effects of stress are likely to be greatest. The key to is to create a rhythm which becomes almost automatic and will let you concentrate on relaxing and reducing tension. It is important to let the three count control the rhythm of breathing, at least until the Regulated Breathing technique becomes a habit. It is also important to count during the starting period to avoid hyperventilating. Practicing Regulated Breathing once or twice a day for at least 10 minutes will result in it becoming easier and easier to relax during the period. Many people report that Regulated Breathing is particularly useful either right before or right after, a stressful activity (e.g. an important meeting or before a disaster-related activity), because it keeps their tension level down. RELAXING YOUR BODY There are many ways to relax. When most people think of the word Relaxation, it brings to mind a vacation in the mountains, or at least a week getting away from it all. The type of relaxation discussed here is similar - getting away from daily problems and stressful situations, but lasting for a much shorter time than most vacations. FULL BODY RELAXATION is a means of reducing tension and overcoming the effects of stress. Body Relaxation involves learning to relax skeletal muscles completely by thinking about each part of the body in turn and making an effort to relax it piece by piece. This is one of the surest ways to achieve a relaxed state in a short period of time. With some practice, the entire procedure can be accomplished within 20 minutes. The best results are probably achieved if Body Relaxation is practiced at about the same time, twice a day, for about half an hour. The times should be chosen carefully so there will be a minimum of interference, and so that a schedule can be followed. This technique is designed to loosen the tension in your muscles and totally relax the body. It should be done lying down, without any restrictive or tight clothing on, and is excellent right before going to sleep at night. Beginning with your toes, you are going to direct your attention to the different areas of your body, tensing them, releasing the tension, and relaxing completely. Tense the toes and feet, point the toes up or down, feel the increase in tension, take a deep breath, then exhale and let the tension go. Direct your attention to your lower legs, knees, and thighs. Tense these muscles, feel the tension, take a deep breath, then exhale and let the tension go completely. Continue in the same way by directing your attention to the buttocks, lower back, upper back and shoulders, each time tensing the muscles, feeling the tension, inhaling, then exhaling completely and releasing the tension. Direct your attention to the hands and fingers, lower arms, elbows and upper arms. Tighten the muscles by making a fist with your hands, stiffening the arms and raising them to about a 45 degree angle. Feel the tension, take a deep breath, exhale and release the tension completely. Continue in the same way to direct your attention to your abdomen, stomach and chest muscles. Tense each muscle group, feel the tension, inhale deeply and then exhale and release the tension. Be aware of the muscles in your neck, head and face. Tense these muscles, stiffening the neck and making a big grimace on the face. Feel the tension, inhale, then exhale and release the tension. Now tighten every muscle in your body, imagining that you are becoming stiff and rigid like a board. Feel the tension all over, inhale and increase the tension, exhale and release the tension completely. After completing the above, spend a few moments just enjoying the relaxation and release from tension before resuming your other activities. ******************************************************************************************************** For further information on this topic and to purchase books online, go to the following and use the search engine to find books on this and other topics. Begin by trying the following descriptors in the search: stress management, body relaxation, stress management and breathing, systematic breathing, tension and stress reduction, etc. https://www.angelfire.com/biz/odochartaigh/searchbooks.html ******************************************************************************************************** ************************************************************************** Contact your local Mental Health Center or check the yellow pages for counselors, psychologists, therapists, and other Mental Health Professionals in your area for further information. ************************************************************************** George W. Doherty O'Dochartaigh Associates Box 786 Laramie, WY 82073-0786 MENTAL HEALTH MOMENT Online: https://www.angelfire.com/biz3/news