Stress

Stress and stress management

Free  notes on stress and stress management from a workshop by London trainer, therapist and life coach Tim LeBon

Alleviating  stress  through CBT and cognitive therapy

Stress management  through books like Don't Sweat the Small stuff, The 7 Habits of Highly Successful People, Alan Lakein's Swiss Chees Method and Getting Things Done - the art of stress free productivity

Stress reduction through better communications and assertiveness

Stress management through problem solving


Site Contents

What is Stress? - the STRess model

How to deal with stress - your ideas

Alleviating stress through self-help.

Don't Sweat the Small Stuff -and it's all small stuff

Alleviating stress through better time-management

Alleviating stress through better communication - Assertiveness training

Alleviating stress through cognitive therapy

POWER to reduce stress - a problem-solving approach

Further Reading on Stress management and Web Stress Resources

What is Stress? - the STRess model



1)State of the person

2)Triggering event

3)Reaction (NB STR are the first three letters of stress...)


States (including character traits and skills) that predispose you to high levels of stress include:-

  1. Lack of Sleep
  2. Recent life crises ("feeling stressed out" mood)
  3. Poor time-management skills
  4. Lack of assertiveness skills


Triggers that predispose you to stress include:-

  1. Death of a loved one
  2. Divorce/separation
  3. Moving house or moving job
  4. Very long hours of work
  5. Being bullied (at school or work)


Reactions that predispose you to stress include:-

    1. Perfectionism
    2. All-or-nothing thinking
    3. Self/other damning statements




 How to deal with stress - your ideas


Chloe is a 26 year old teacher who has been working at a tough inner-city secondary school for 6 months. Though she has always been drawn to teaching, she has found the realities very difficult. Far from being able to convey her love of English literature - her subject - she finds her time and energy sapped just by keeping control of the class. Outside the class, she feels overwhelmed by the amount of administration and bureaucracy.

She has recently taken a week off work and has been referred to you for counselling by her GP.


What are the main things that you think is leading to Chloe's stress?



What might help her be less stressed out?



Can you model her situation in terms of state, trigger and reaction

Current state:

Triggers:

Reactions:




Mike introduces himself a 35 year old high-flying investment banker. He has always been a success, and is now rattled by what he describes as a "double-whammy". his wife is threatening him with a divorce , because she says he spends too long at the bank and is either emotionally cold or angry when he is at home. His bank is being taken over and Mike is worried he will lose his job. Mike has had trouble sleeping and is in a state of constant agitation.

What are the main things that you think is leading to Mike's stress?



What might help him be less stressed out?



Can you model his situation in terms of state, trigger and reaction.

Current state:

Triggers:

Reactions:






Jane is a 30 year old counsellor working for an organisation. Recently a couple of counsellors have left the practice and her workload has been increased a lot. She used to look forward to her sessions, but now finds herself thinking "I'm not as good as Mary” (one of the more experienced counsellors who left) and "I won't be able to cope". You are a friend of Jane's -she says she is very stressed out and thinking of chucking it all in. What advice can you offer her?

What are the main things that you think is leading to Jane's stress?



What might help her be less stressed out?



Can you model her situation in terms of state, trigger and reaction.

Current state:

Triggers:

Reactions:




Sarah is a single-parent mother of 3 children who is also trying to combine being a mother with having a career. Her youngest is 9 months old and she has just returned to work. Her youngest keeps her awake at night, and she describes her whole life as a rollercoaster of stress, stress, stress. Dealing with the children's problems, dropping them off to school or child-minder, being too tired to work effectively, losing her temper when she gets back home.


What are the main things that you think is leading to Sarah's current stress?



What might help her be less stressed out?



Can you model her situation in terms of state, trigger and reaction.

Current state:

Triggers:

Reactions:



Don't Sweat the Small Stuff - and its all small stuff

                    “Life is far too important, short and magical to spend it sweating the little things.” (Richard Carlson)



Don't Sweat the Small Stuff - and It's all small stuff is one of the modern self-help phenomena. It topped the New York Times list for two years. The whole series has sold 21 million copies. Richard Carlson has a Ph.D in psychology and lives in California with his wife and 2 children.




Don't Sweat the Small Stuff ...
provides numerous nuggets to help you and your clients deal with stress. Amongst the most apposite of the 100 essays are:-


#3 Let Go of the Idea that Gentle, Relaxed People can't be overachievers

#13 Become more Patient

#18 Allow yourself to be bored

# 19 Lower your tolerance to stress

# 26 Set Aside Quiet Time, every day

#53 See the Glass as Already Broken (And Everything Else too)

# 58 Relax

# 60 Turn your Melodrama into a Mellow-Drama

#71 Quiet the mind

#72 Take Up Yoga

# 82 Remember, One Hundred Years from Now, All New People





Alleviating stress by managing time well - Put First Things First



Stephen Covey , a leading American management guru, talks about the importance of "living in quadrant two". He separates tasks into four quadrants, depending on their importance and urgency.



Urgent


Not-Urgent



Important

ONE


crises,

deadlines

pressing problems


Living by crises

TWO


planning,

relationship-building,

taking stock


Living effectively


Not important

THREE


some calls,

some mail,

interruptions


Living irresponsibly

FOUR


watching TV,

pleasant activities

some calls


Living irresponsibly



Covey's Great Question

What one thing could you be doing in a) your personal life b) your professional life

that, if you did it on a regular basis, would make a tremendous positive difference to your life?


This is likely to be a quadrant two activity. How much time do you actually spend on it ? Be proactive about spending more time on it. To do this you have to say "No" to quadrant three and four activities.






Alan Lakein, who describes himself as a "time planning & life goals consultant", says there is one question which is the key to successful time-management


Lakein's question

    What is the best use of my time right now?

According to Lakein, asking yourself this question as often as possible will create proactivity and allow one to avoid time-wasters (in Covey's terminology, it will help one stay in quadrants 1 and 2).

A possible problem is that you'll never get big tasks done, because you won't be able to envisage getting the final results - so Lakein recommends what he calls "The swiss cheese" method, which pokes holes into big tasks to make them instant tasks.



The Swiss Cheese method

1) Ask yourself "what (of this big task) can I get done in five minutes ? "

2) Do it !

3) Go back to stage 1


David Allen, and his highly popular book, Getting Things Done - the art of stress free productivity provides further ideas on stress management. One idea I like from Gettings things done that can help reduce stress is The 2-minute Rule. This sates “If it would take less than 2 minutes to do something, just do it right away.” This saves time worrying about whether to do something, and also later stressing out about not having got things done!


Alleviating stress by dealing with people better - Assertiveness


Assertive communication is a way of dealing with others in an adult, honest way. It is to be contracted with aggressive behaviour, which involves bullying others, and passive behaviour, where one's feelings and wishes are left unstated. Assertiveness can be useful at various stages of the stress cycle - for example in helping you to question the reasonableness of the demand, or to ask someone for help to complete it.

Following these rules will help you become more assertive:-


1) Express what you feel


2) Be calm and relaxed


3) Be specific and clear


4) Talk in terms of what you prefer rather than what is morally right. This is more honest, and tends to make other people less defensive.


5) Acknowledge what the other person says. This makes them feel listened to, and can take the heat out of arguments.

Alleviating stress by cognitive therapy


Table 1: Distortions in Thinking (Source: Burns, p 8-9)


Distortion

Example

1. Jumping to conclusions

Mind-reading "They can see I can't cope"

Fortune-telling "I won't be able to cope"

2. All-or-nothing thinking

"If I lose my temper once I am a bad mother"

3. Discounting the positive

"Anyone could have done that"

4. Magnification

"I'm not going to get the children to school on time and that's a disaster"

5. Labelling

"I'm hopeless"


Table 2: Ways to Untwist thinking (Source: Burns, p 118-9)


Way to untwist

Notes

1. Examine the evidence

Look at actual evidence for and against belief

2. The Double-standard method

Talk to yourself as you would to a sympathetic friend

3. Think in Shades of Grey

Rate from 0-100; look for learning points

4. Re-attribution

Think of many factors that could have contributed to problem

5. Cost-benefit analysis

What are the pros and cons for having this feeling, belief or behaviour ?



Think of a situation where you have been stressed out. Try to remember your thoughts, or the thoughts you might have expressed if someone had asked you what was going on in your mind.



Look for cognitive distortions (table 1)


Try to find suitable ways to untwist the distortions (table 2)

 POWER to alleviate stress - a problem-solving approach


P - what is the Problem that is making you stressed out?

O - what are the Options that will help deal with the problem?

W - what are your important Wants connected to the problem?

E - Evaluate the options in terms of your wants

R - React to the problem wisely and then - Relax.


1. What is the problem/are the problems causing you to be stressed?




I now feel (write down - honestly and giving a rating from 0 to 10 - how stressed out you are by this problem)

..................................................................................................................................................

..................................................................................................................................................


2. What are the possible options?




After writing down options that immediately spring to mind, you might like to try some 'focussed brainstorming' to come up with more options.

How can I get into a better state for dealing with this problem?

e.g. diet, sleep, yoga, meditation, time-management, being more assertive ....


How could I avoid future triggers of similar problems

e.g. changing jobs, changing roles in current job, moving, changing relationships


How can I react better to triggers of stress

e.g. become more aware of thoughts and distortions, replace with more constructive thoughts




3. What do I WANT?

Think about what you want from this situation. One desired outcome is sure to be less stress, but remember that other things may be important do (e.g. a good career, friends, good intimate relationships).





4. Evaluate the options in terms of your wants.

Remember that options are not always mutually exclusive.


WANT

OPTION

Less stress



































Come up with an option (or set of options that you can put in place together) that satisfies as many as possible important wants.


5. React powerfully to the problem -and relax.

My solution is to (list the option(s) you have decided on) ....................................................................................................................................................................................................................................................................................................

This will help me to (put your important wants below)

..................................................................................................................................................

..................................................................................................................................................

I now feel (write down - honestly and giving a rating from 0 to 10 - how stressed out you are by this problem)

..................................................................................................................................................

Further Recommended Reading  on Stress and Stress Management

Allen, D. Getting Things Done: The Art of Stress-free Productivity
Burns, D. The Feeling Good Handbook
Carlson, R. Don't Sweat the Small Stuff...and It's All Small Stuff: Simple Ways to Keep the Little Things from Taking Over Your Life 
Covey, S.  7 Habits of Highly Effective People
Lakein, A. How to Get Control of Your Time and Your Life (Signet Books)
Palmer, S. and Dryden, W.  Counselling for Stress Problems (Counselling in Practice)
Peiffer, V.   Stress Management: The Only Introduction You'll Ever Need (Principles of)
LeBon.T  Achieve Your Potential with Positive Psychology - has several relevant chapters, new in 2014

Internet - many recommended web sites on stress and stress management, including

http://www.mindtools.com/pages/article/newTCS_00.htm

http://www.imt.net/~randolfi/StressLinks.html

http://www.clevelandclinic.org/health/health-info/docs/0000/0069.asp?index=4606

http://www.managingstress.com Centre for Stress management

'Learning How to Manage Stress in the Workplace'
http://www.cornerstoneondemand.com/learning-how-manage-stress-workplace

g



http://www.timlebon.com/stress.html