ENVIRONMENTAL HEALTH AND SAFETY
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STRESS MANAGEMENT PRIMER

Self-Administered Training Guide

This information is available on our EAP web site, Magellan Assist - An Internet-based service providing information, tools, individual and family counseling information, and other resources to support employees and their family members with work, home, and daily life needs. Click here to access this new feature or go to http://www.dpa.ca.gov/benefits/other/eap/Assist.shtm.

To logon, select "New User." Type in the EAP toll-free number, 1-800-632-7422. From this window, you may either register by following the directions provided, or you can access the Magellan Assist site as an unregistered guest by selecting "Continue Unregistered".

This new service is part of the State of California Employee Assistance Program (EAP) benefit that is available to employees in State agencies/departments participating under the master contract agreement and who are appointed permanent full-time or part-time regardless of their bargaining unit designation. Seasonal and limited-term employees and retired annuitants are eligible for EAP services during employment. You can access this new feature from the comfort and privacy of your own home. Please check http://www.dpa.ca.gov/benefits/other/eap/eligibility.shtm for more information on eligibility.

Whether we're late for work, stuck in the wrong line at the supermarket, pushing to meet a deadline, or realizing we can't ignore that growing pile of bills any longer, we're all well acquainted with stress. It's a normal part of life that we can't escape.

Sometimes we encounter a greater degree of stress, when we have to cope with emotionally fraught events like divorce, the loss of a job or the death of someone dear to us. And although we may not realize it, stress accompanies even the happiest occasions in life, like getting married or having a baby.

We experience stress as physical and emotional tension, and each of us experiences stress differently. Too much tension can be unhealthy, resulting in everything from occasional tension headaches to high blood pressure and heart disease. These symptoms are the body's way of letting us know that something needs to change. If stress seems to be causing such problems for you, it's a good idea to learn how to reduce these symptoms before they get worse.

Of course, it's impossible to eliminate stress from our lives completely. But we can find better ways to deal with it. These techniques can help minimize stress and make it more manageable:
Planning for major changes
Eliminating wasted time
Setting attainable short and long-term goals
Allowing yourself time to adapt to change
Making good nutrition and regular exercise part of your daily routine

Of course, planning can't always work. But when something stressful occurs that you couldn't possibly anticipate, it's a good idea to have some sort of release strategy that you know works for you. Some people take a long walk, others say a mantra (a syllable or phrase that people repeat over and over as a means to relax). A hot bath soothes a lot of people; for some, working out at the gym does the trick. Find something that works for you and use it when you need to. Most people find that the more they use their release strategy, the more effective a release it becomes.

And keep in mind that a release strategy should promote health - and be acceptable to others who may be around. For example, while you may find strumming a guitar to be relaxing, it's probably not a good idea to relieve your stress by blaring an electric guitar in an apartment complex at 3 a.m.

Key Tip 1:
Stress has been called America's biggest health problem, and the numbers back it up. For example, somewhere between 75 percent and 90 percent of the visits people make to their primary care physicians are for stress-related problems. And a similar number of adults have reported experiencing "high levels of stress."
Key Tip 2:
Stress can cause an astonishing variety of problems. Although you may believe, as most of us do, that you can handle your stress, the consequences of poorly managed stress can be quite serious, resulting in:
Higher blood pressure and heart disease
Insomnia and fatigue
Headache and indigestion
Backaches, muscle tension and leg cramps
Decreased functioning of your immune system

Key Tip 3:
Most people acknowledge that stress can cause physical problems, although they may not realize how severe such problems can become. But stress can also have emotional and behavioral consequences, such as:
Depression
Anxiety and Worry
Anger and Irritability
Feelings of Helplessness
Alcohol and Substance Abuse
Relationship Problems
Eating Disorders

You can make a difference for yourself. With some thought and planning, you can reduce the physical and emotional effects of stress in your life.

Physically, you can begin with a simple step like giving your uncomfortable clothes or shoes to Goodwill or the Salvation Army. Then think about making exercise a more integral part of your life. Whether it's shooting some hoops, swimming at the local fitness center or taking a brisk walk, you can work out the consequences of stress and improve your fitness at the same time. Be sure to consult with a physician before starting any exercise program, especially if you are older than 35.

Exercise goes hand-in-hand with nutrition. So consider working to improve your diet by lowering the fat content in your food and increasing your intake of fruit, vegetables and grains.

Make physical contact with the people you care about. Hugs, pats on the shoulder, massages - all of these can help relieve stress and simultaneously shore up a strong relationship.

Exercise, good diet, personal contact - these are the positive ways to handle your stress. They're much more efficient than alcohol or drugs. Don't try to mask your stress - work it out!

Mentally, you can start by thinking about ways to avoid stressful situations. Hate getting stuck in lines? Then pick odd hours for banking at your ATM or doing your grocery shopping. Think through how to do complicated tasks before you start - and if you need help, don't be afraid to ask. Furthermore, when you get that help, be generous and admiring in your gratitude. If you can appreciate what others do for you, they'll notice and reciprocate. And there's nothing like a compliment from a peer or close friend to counter your stress du jour.

A good habit to get into is writing everything down. Things happen so fast, and become so complicated so rapidly, that keeping a written record is about the only way to keep on top of all you have to do - unless you're one of few people in the world with a photographic memory.

Get involved - educate yourself! Many of us hated school when we had to go. But many of us surprise ourselves by how much we enjoy going back to take classes in subjects that really interest us. Continuing your education keeps you stimulated, broadens your horizons and, according to some recent surveys, keeps your mind sharp.

But perhaps the best habit of all is to develop and maintain your sense of humor. Things go wrong, stuff happens. If you can find a way to laugh at it, you vaporize your stress before it even has time to gather strength.

Once you've got your mental and physical practices in play, planning can form the third leg of your stress-reduction triangle. There's the kind of planning that simplifies your daily life, like getting your car serviced before it breaks down, or making duplicates of your important keys just in case you lose them. It's also a good idea to bring reading material, a portable CD player or work material to any situation, such as a doctor's appointment, where you may be kept waiting.

But beyond the everyday, start thinking about short and long-term goals. You can set them and start trying to realize them. If you make them realistic, you should be able to accomplish what you intend to. And when you do reach a goal, reward yourself. Go to a movie. Get away for a weekend. Take your beloved or best friend to your favorite restaurant.
I. Stress Management:
Reducing and managing stress can help make your time at work and at home more productive and rewarding. Practicing the following stress-reduction techniques will help you maintain balance in your life.
MY THERAPIST IS EMPHASIZING EXERCISE, WHY?
  Exercise is a great way to release the physical and mental tensions that stress produces. No other outlet for stress produces results so quickly. And of course, exercise offers other benefits: Being physically fit enhances your overall health and sense of well-being, which are major assets in coping with the stressful events of everyday life. But be sure that it's safe for you to begin an exercise program. Talk with your doctor first.
MY DOCTOR INSISTS THAT IF I DON'T FIND A WAY TO REDUCE THE STRESS IN MY LIFE, I'll END UP WITH A STOMACH ULCER. WHAT'S THE CONNECTION?
  Experts used to believe that stress and worry caused ulcers. Recent evidence suggests that ulcers may actually be linked to a bacterial infection. However, stress doesn't get off scot-free. A life of unmanaged stress tends to lead to a less efficient immune system, as well as increased production of stomach acid. So stress seems to be a factor in promoting stomach ulcers even if bacteria are also involved.
MY JOB KEEPS ME GOING 60 TO 70 HOURS A WEEK, AND FAMILY RESPONSIBILITIES AS WELL. HOW CAN I POSSIBLY FIT IN RELAXATION AND EXERCISE?
  Finding the time to relax and take care of yourself requires a shift in thinking that most people find difficult to accomplish. However, for relaxation and exercise, you don't need a lot of time. A 10-minute walk each day at lunchtime or a relaxation tape at bedtime to help you unwind can be very useful. Sometimes you can incorporate exercise and relaxation into your day without spending any extra time to speak of! For example, when you park your car in that parking garage, take the stairs instead of the elevator. Similarly, when you drive into work, listen to your favorite music instead of tuning in to news radio.
But most of all, you need to realize that if you don't find a way to relax and reduce the stresses of your life, you can't possibly be serving either your family or your job as well as you'd like to.

II. Learning to Relax:
MANAGE YOUR TIME:
Focus on your goals and priorities by scheduling your time. Create a list of items to accomplish, and cross them off when you're done.
KNOW YOUR LIMITS:
If a problem is beyond your control, find an alternate solution. Ask others for suggestions in resolving your dilemma; an objective eye may be helpful.
MAKE TIME FOR FUN:
  Take a break from your daily routine to ease tension. Physical exercise or a change of scenery can help you relax.
TRY DEEP MUSCLE RELAXATION:
  Tense each muscle area in your body for 10 seconds. Slowly release the tension and you will begin to feel relaxed.
TAKE CARE OF YOURSELF:
  Eat healthy foods and get plenty of rest. This helps maintain your body's resistance to the physical symptoms of stress.
These techniques are designed to help you learn to manage stress, instead of letting it manage you.

We gauge how much stress we're under by the amount of physical and emotional tension we feel. Too much tension can be unhealthy as well as uncomfortable, which is why relaxation is so important. Relaxation provides a way for us to reduce some of the tensions we develop from stress - which in turn helps us to function more efficiently.

One of the ways our bodies cope with the effects of stress is by "powering down" every night when we sleep. During sleep, our bodies become very relaxed and our heart rate, pulse, respiration, blood pressure and body temperature decrease. This gives our bodies and minds a chance to renew themselves and allows us to face the next day's stress with a fresh supply of physical and mental vigor. And while relaxation isn't sleep, of course, it does produce many of the same benefits of a good night's sleep:
Decreased muscle tension
Lowered blood pressure
Increased energy
Improved immune-system functioning
Reduced edginess or irritability
Improved concentration
In effect, relaxation does the opposite of what stress does, giving the body a break and helping to counteract many of the long- and short-term physical problems that stress can produce. Relaxation can also be a powerful tool in managing pain. It can help to reduce the muscle tension that often accompanies injury or illness, and can provide a distraction from pain and worry. Finally, even a brief relaxation exercise can provide a quick energy boost or give you a time-out from concentrating on a difficult problem or project. Often, when you return to a challenging problem after a short relaxation break, you're able to focus better and generate new solutions.
Key Tip 1:
Learning to relax is like learning to play golf: It takes practice to relax, especially if you're used to being under a great deal of stress.
Key Tip 2:
Relaxation may sound like another term for goofing off, but it can be beneficial to your health. Research shows relaxation training can help alleviate the symptoms associated with many medical and psychological disorders, including:
High blood pressure
Chronic and acute pain
Nausea, vomiting
Asthma and allergies
Addiction
Diabetes
Insomnia
Muscle spasms
Headaches
Anxiety and phobias
Premenstrual syndrome (PMS)
Irritable bowel syndrome

Key Tip 3:
Once mastered, many of the benefits of relaxation can be enjoyed with only 15 to 20 minutes of practice per day. And if meditation is a part of your relaxation toolkit, you may enjoy increased longevity and quality of life, according to some studies.
There are many effective ways to practice relaxation, so you might want to try several to see what works best for you. Among the more common methods of relaxation are:
DEEP BREATHING:
  One of the simplest relaxation exercises, deep breathing can be used in almost any situation, and no one will know but you. It involves taking slow, deep breaths, breathing from the diaphragm, and exhaling slowly to let the whole body relax a little more with each breath. Most of the relaxation methods below include deep breathing.
PROGRESSIVE (DEEP) MUSCLE RELAXATION:
  This type of relaxation exercise involves alternately tensing, and then releasing, groups of muscles throughout the body. It's especially useful for those who say they feel tense everywhere, or for those who have trouble telling the difference between what's tense and what's relaxed.
PASSIVE MUSCLE RELAXATION:
  This is like progressive muscle relaxation, except that the muscles aren't tensed first. You move through each part of your body in turn, focusing on feelings of comfort and relaxation in all the muscles of that area. As you move from head to toe (or vice versa), you allow those feelings of relaxation to deepen and spread.
MEDITATION:
  This is a form of relaxation that has been practiced in many cultures for centuries. It involves resting in a comfortable position in a relatively distraction-free environment and focusing your attention on only one thing. This can be a mantra (a word or phrase that you repeat to yourself), a sound (wind, running water), or something visual (a candle flame, a spot on the wall, a pleasing photograph). The goal is to learn to refocus your attention each time you become distracted.
IMAGERY OR VISUALIZATION:
  This involves relaxing while using your imagination to create a visual image of a relaxing, soothing or healing place or thing. Every element in this image - sight, sound, taste, action and texture - is imagined to make it as real as possible.
AUTOGENICS:
  This technique uses verbal commands to lead your body to a more relaxed state. Repeated words or phrases focus on the specific physical responses associated with relaxation. Phrases may refer to feelings of heaviness, warmth, regular heart rhythm or muscle relaxation. Likewise, the phrases may focus on positive psychological concepts or images.
SELF-HYPNOSIS:
  Hypnosis is a deep state of relaxation in which thoughts, suggestions and images can be experienced as real. During self-hypnosis, the body is deeply relaxed and the mind is narrowly focused. It's possible to use hypnosis to alter physiological processes such as pain perception, blood flow, brain wave activity and organ functioning, as well as thoughts, emotions and behaviors.
BIOFEEDBACK:
  This uses instruments to monitor and give feedback on physiological responses during relaxation. This is especially helpful in demonstrating the effects of thoughts and actions on physical processes such as heart rate, muscle tension, brain wave activity, blood pressure, respiration or perspiration. Biofeedback does not make you relax - it simply helps provide information about what your body is doing. With this feedback, you can learn to modify your responses through a variety of relaxation strategies.
HOW CAN I TELL WHICH RELAXATION METHOD IS BEST FOR ME?
  The choice of which relaxation technique to use depends mostly on your own personality and needs. Buy a book or a tape, or take a class. Experiment with a few to see which techniques work best for you.
WHEN SHOULD I RELAX?
  Any time you're thinking about relaxation, your body is probably sending you a signal that stress is starting to take a toll. You may want to take a relaxation break whenever you become aware of any of the following stress-related symptoms: Fatigue · Decreased concentration · Stiff or aching muscles · Increased irritability or impatience · Headache · "Mental overload"
WHAT DO I DO IF MY BOSS CATCHES ME DOING A RELAXATION EXERCISE?
  Most supervisors realize employees need occasional breaks, so you can explain that you use yours to do relaxation exercises rather than hang around the water cooler. You also can mention that the exercises improve your mental agility and attitude.
HOW CAN I RELAX WHEN I HAVE SO MUCH ON MY MIND THAT IT'S HARD TO CONCENTRATE?
  It's natural at first to have difficulty refocusing your thoughts toward relaxation - especially when you have a lot on your mind. For most of us, relaxation is a skill that takes some practice. When you're learning, try practicing at a time when you're relatively calm and free of major distractions. When distractions do creep in, tell yourself to put them gently aside until your relaxation time is over - you will be better able to handle them afterwards.
I TRIED RELAXATION ONCE OR TWICE AND IT MADE ME FEEL ANXIOUS. WHAT'S UP?
That can happen sometimes. Try using a very structured approach like progressive muscle relaxation. If it's still a problem, you may want to consult a relaxation therapist for advice or training.
GETTING HELP:
If you would like more information, you may call your EAP program toll-free number at 1-800-632-7422 (TTY 1-800-542-2833). Counselors are available 24 hours a day, seven days a week to provide confidential assistance (typically at no cost to you).
BOOKS:
  Davis, Martha, Elizabeth Eshelman, and Matthew McKay, The Relaxation & Stress Reduction Workbook. Fine Communications, 1998.
Benson, Herbert, with Miriam Z. Klipper, The Relaxation Response. Morrow, William & Co., 2000.
Benson, Herbert, and William Proctor, Beyond the Relaxation Response Berkley Publishing Group, 1985.
Benson, Herbert, and Eileen M. Stuart, The Wellness Book: The Comprehensive Guide to Maintaining Health and Treating       Stress-Related Illness. New England Deaconess Hospital and Harvard, 1993.
LeShan, Lawrence, How to Meditate: A Guide to Self-Discovery. Little Brown and Co., 1999.
Kramer, Kathryn, Staying on Top When Your World is Upside Down Simon & Schuster, 1994.
Borysenko, Joan, Minding the Body, Mending the Mind. Bantam Books, 1988.
Charlesworth, Edward A., and Ronald G. Nathan, Stress Management: A Comprehensive Guide to Wellness. Ballantine, 1991.

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