Wednesday 25 June 2014

My article in a Maxposure group magazine "Crossings Insight" --- Beat the stress

BEAT THE STRESS

Feeling moody, irritated and lonely? You could well be suffering from stress. Today's lifestyle and work pressure always tend to keep us on our toes. With regular hassles, deadlines, frustrations and demands, stress has become a way of life for many. In small doses, it can help us give our best under pressure. But when we are on emergency mode 24X7, our mind and body pay the price. And it can be fatal, sometimes.

KAKOLI THAKUR

At times, it may seem that we can do nothing to control stress. But the simple realisation that we are in control of our life is the foundation of stress management. It's all about taking charge of our thoughts, emotions, schedule, and the way we deal with problems.

What causes stress? Dr Sanjay Chugh, senior consultant, psychiatrist, says: "Stress is a part of our regular lives. Every individual will have his own triggers or causes for stress. Stress is also contextual. There can be stressors at work, at home, in your relationships, or at a social level. In the face of an unfamiliar situation, our system makes us experience a certain amount of anxiety which is necessary for us to get into action. However, if we are still unable to cope with the situation or feeling anxious in a situation despite it being familiar, it turns into stress.

So, one may feel stressed at work due to dissatisfaction with the job, an unpleasant work environment, excessive workload, etc. At home, one may get stressed due to increasing expenses, poor communication in relationships, lack of love or warmth in relationships, etc.

Socially, one may struggle due to an inability to deal with people, talk confidently in front of people, etc. For students, exams, tests, stage performances, expectations of friends or teachers can all be potential stress elements, says Dr Chugh.

Manas, a journalist, has been continuously working on night shifts for over 15 years. Being in a senior position, he is constantly under pressure to ensure zero errors, maintain deadlines and not miss news.

"Stress is slowly taking a toll on my health and behaviour as well. I am just 38 and there is hardly any black hair left. Basically I was a very calm and composed person but I have noticed a change in behaviour over the years. I have become short-tempered and sometimes I even shout at my team. I get irritated when I am on the road even over trivial matters," says Manas.

Dr Dhirendra Anand, Internal Medicine Specialist, elaborates: "Stress is caused because people are in too much hurry and worry. They hardly have time to work on relationships. They are in a rat race, they are never content. If they have a small car they aim for a big car and then there is no end."

People tend to ignore stress till it reaches an unbearable level. "When too much of stress and anxiety leads to headache and affects other organs of the body, people come to us. On an average, one to two patients come to us on a regular basis," says Anand.

Jaya had to commute for two hours between office and home, located at two extreme ends of the city. With the responsibility of running a household, a small kid to look after and a highly stressful job, she decided to quit and instead work from home.

"I often reached home late. My son used to ask why I am late regularly. I used to think about office work even at home. I started getting migraine attacks. There was hardly any family time left. On Sundays, my off days, I used to have Monday blues. After I started working from home, I am so relaxed. And most importantly, my family is happy."

Stress affects all age groups.  Talking about one of his patients, Dr Chugh says, "One guy, 35 years old, came in feeling unable to deal with work, wanting to quit. Things were more complicated because he was living away from his family and there was hardly any social support. At work, he had a boss who was almost impossible to please. The boss would only look at the things that he had not done. So, he found that despite trying all possible measures, he was making no headway. His promotions were getting affected. He had been struggling for the past two years and now he was ready to collapse. His health had gone down drastically and he had developed high blood pressure."

With the help of some medication and regular, intensive counselling, he was able to slowly get a grip on his life. "He learnt how to handle small situations, modified his own perspective and attitude in several situations, started exercising on a regular basis among other things," Dr Chugh says, adding almost all patients who come to him have stress in their lives.

Stress cuts across professions. Rajesh, a banker hardly in his 30s, was working almost 15 hours on a regular basis. When he went to doctor one day, his cholesterol level was touching the danger mark and even his pressure was not normal. "My schedule was affecting my health. My doctor asked me to quit my job immediately. Fortunately, I got a day job now with normal working hours. My wife is the happiest person now," he beams.

 

Stress may take a person to a breaking point and can be life-threatening at times but then there is always a way out of the mess.

Dr Anand says: "People should reduce their working hours to a limit. It is also important to spend at least half an hour on recreation and activities like brisk walking, jogging, working out in gym depending on the age, which act as great stress busters. Even meditation and other yogic exercise help a lot."

According to Dr Chugh, the most important factor is being aware of how to manage our stress. "One first needs to understand and chart out the individual's stress patterns -- the triggers, the effects (mental/psychological, physical, on work, socially, personal life), the support system and strengths available to the individual. After this, one needs to tailor a plan specific to these factors."

 

Some effective ways to reduce stress:

* Relaxation exercises.

* Exercise.

* Cognitive restructuring.

* Good sleep.

* Effective communication.

* Assertiveness skills.

* Healthy relationships.

 

Diet plays a great role in managing stress. "A healthy diet that goes well with your system is what needs to be worked out. Eating light at night is great as it allows you to digest the food properly, and lets you sleep better," advises Dr Chugh.

Salad, green vegetables, sprouts and other natural anti-oxidants also help a lot in reducing stress, says Dr Anand.

  

Do not ignore symptoms

Stress can vary from emotional to physical, to cognitive to behavioural:

Emotional

* Moodiness.

* Irritability or short temper.

* Agitation, inability to relax.

* Feeling overwhelmed.

* Sense of loneliness and isolation.

* Depression or general unhappiness.

 

Physical

* Aches and pains.

* Diarrhoea or constipation.

* Nausea, dizziness.

* Chest pain, rapid heartbeat.

* Loss of sex drive.

* Frequent cold.

 

 

Cognitive

* Memory problems.

* Inability to concentrate.

* Poor judgment.

* Seeing only the negative.

* Anxious or racing thoughts.

* Constant worrying.

 

 

Behavioural

* Eating more or less.

* Sleeping too much or too little.

* Isolating yourself from others.

* Procrastinating or neglecting responsibilities.

* Using alcohol, cigarettes, or drugs to relax.

* Nervous habits (e.g. nail biting, pacing).

 

 Unhealthy ways of coping with stress

* Using pills or drugs to relax.

* Sleeping too much.

* Procrastinating.

* Filling up every minute of the day to avoid facing problems.

* Taking out your stress on others (lashing out, angry outbursts, physical violence).

* Smoking.

* Drinking too much.

* Overeating or under-eating.

* Zoning out for hours in front of the TV or computer.

* Withdrawing from friends, family, and activities.

 


Healthy ways to de-stress

* Go for a walk.

* Spend time with nature.

* Call a good friend.

* Sweat out tension with a good workout.

* Write in your journal.

* Take a long bath.

* Light scented candles.

* Savour a warm cup of coffee or tea.

* Play with a pet.

* Work in your garden.

* Get a massage.

* Curl up with a good book.

* Listen to music.

* Watch a comedy.

 


 Scary points

·        The Occupational Safety and Health Administration (OSHA) --  the main federal agency charged with the enforcement of safety and health legislation in the US -- declared stress a hazard of the workplace. Stress costs American industry more than $300 billion annually.

 

·        Forty-three per cent of all adults suffer adverse health effects from stress.

 

·        Seventy-five per cent to 90% of all doctors' office visits are for stress-related ailments and complaints.

 

·        Stress can play a part in problems such as headaches, high blood pressure, heart problems, diabetes, skin conditions, asthma, arthritis, depression, and anxiety.

 

·        The lifetime prevalence of an emotional disorder is more than 50%, often due to chronic, untreated stress reactions.

 

Food plays a key role to de-stress

* Vitamins in B-Complex group: Found in whole grains such as wheat bran and oats.

* Folic acid: Broccoli, spinach, asparagus.

* B12: Eggs, dairy products.

* Biotin: Yeast, nuts such as almonds.

* Vitamin B5: Whole grains, legumes and avocado.

* Choline: Milk, eggs and legumes.

* Vitamin C: Citrus fruits, blueberries.

* Oats with organic milk.

* Fruits: Orange, guava, papaya, pomegranate, coconut water.