Stress-related Conditions Psychology Stress-related Conditions 8/24/2019

Which symptom is a sign of stress? (hold up fingers) Decreased body temperature Increased heart rate Constricted pupils 1. Hand signals: thumbs up or thumbs down to indicate agreement or disagreement use fingers to indicate a number selection such as “Which is the correct solution one, two or three?” teacher gives feedback to the students PROPERTY OF PIMA COUNTY JTED, 2010 2

PROPERTY OF PIMA COUNTY JTED, 2010 What issue is NOT a condition that can be caused from stress? (hold up fingers) Migraines Colds/Flu More accidents Decreased blood pressure 1. Hand signals: thumbs up or thumbs down to indicate agreement or disagreement use fingers to indicate a number selection such as “Which is the correct solution one, two or three?” teacher gives feedback to the students PROPERTY OF PIMA COUNTY JTED, 2010 3

Objectives Recognize symptoms and conditions that are indicators of overtraining/burnout and Post-Traumatic Stress Disorder. Property of CTE Joint Venture 8/24/2019

Terminology Post-Traumatic Stress Disorder- Sustained emotional disorder that comes from a traumatic and/or stressful experience 8/24/2019

PROPERTY OF PIMA COUNTY JTED, 2010 PROPERTY OF PIMA COUNTY JTED, 2010 PLAY! OR Pass… Burnout or Overtraining 5. Pass or Play teacher poses a question and gives wait time teacher calls on a student and asks them “pass or play?” student says “play” if they wish to answer the question or “pass to__________” if they want to pass to a specific classmate teacher provides feedback What types of things lead to burnout or what’s called overtraining in athletics? PROPERTY OF PIMA COUNTY JTED, 2010 PROPERTY OF PIMA COUNTY JTED, 2010

Overtraining/Burnout in Athletics Causes Monotony Lack of rest Two-a-days Back-to-back competitions Change in nutrition Outside influence Family or friend issues Class or workplace issues Anxiety Losing season/loss of position Property of CTE Joint Venture 8/24/2019

Signs and Symptoms of Burnout Decreased performance Negative feelings about sport Chronic fatigue Change in attitude Physical changes Insomnia Change in eating patterns Easily distracted More injuries/illnesses 8/24/2019

Personalities Related to Burnout Highly motivated athletes Perfectionists Non-assertive Child prodigies Single sport participants Females 8/24/2019

Post Traumatic Stress Disorder (PTSD) Sustained emotional disorder that comes from a traumatic and/or stressful experience Triggers or cues set off symptoms Nightmares/flashbacks Hyper alertness Memory and concentration problems Difficulty forming and maintaining relationships Issues with placing trust in people Feel alienated Feel personal responsibility/guilt for event Tendency to self-medicate 8/24/2019

PTSD Fixation on the past repeating itself causes a constant state of heightened awareness & stress This gets the victim stuck in a phase of the grieving process Usually try to avoid similar situations May bring on panic attacks or flashbacks Other symptoms include: Detachment Feelings of hopelessness & intense fear Hallucinations Avoidance behaviors (reclusiveness) 7.7 million Americans suffer from some sort of stress disorder 8/24/2019

Depression Extreme reaction to a life event Can be mild, moderate, or severe Situational or developmental stressors More recently depression has been linked to socioeconomic status Red flags for depression Depressed mood Less interest in hobbies & social activities Irritability or anger Diminished performance Substance abuse Social withdrawal or isolation Preoccupation with escape or death Sleep disturbances Loss of energy Poor concentration Increased aches & pains 8/24/2019

Depression Depressed people have a habit of being very self-critical Treatments are usually multifaceted & long-term Therapy Medication Sleep hygiene Exercise program Skill building Stress management Acupuncture DEPRESSION IS NOTHING TO BE ASHAMED OF! SEEK TREATMENT & ENCOURAGE OTHERS TO! HIGH SUICIDE RATE! 8/24/2019

Generalized Anxiety Disorder (Anxiety) A disproportionate amount of stress & anxiety about most day-to-day things Constantly jumping to the potential catastrophic situation Inability to control the physical reactions to stress Psychological treatment, medications, acupuncture—several treatment options are available High success rate! Diagnosed based on the following criteria: Excessive daily anxiety or worry for 6 months Difficulty controlling worry Three or more anxiety symptoms Impairment in daily life due to anxiety 6.8 million people! 8/24/2019

What are some symptoms of anxiety? 8/24/2019

Generalized Anxiety Disorder (Anxiety) Signs & symptoms of anxiety Difficulty getting to sleep Shortness of breath Dizziness/lightheadedness Sweating Choking sensation Poor performance Detachment from reality Worry/nervousness Disrupted appetite Paresthesia Chills or hot flashes Gastritis, nausea Psychomotor agitation Irritability Fear of losing control Feelings of “going crazy” or fear of death 8/24/2019

Panic Attacks A triggered episode of acute cardiovascular & respiratory stress Similar to what will bring on a flashback Usually panic attacks come out of nowhere Even though the stress is likely built up over time Over the day, during the week, etc. Symptoms usually mimic an asthma attack Shortness of breath Chest pain Tightness in the throat Lightheadedness Without treatment this likely develops into panic disorder which may lead to agoraphobia or an unwillingness to go out into social situations High suicide rate 6 million people! 8/24/2019

Obsessive Compulsive Disorder 8/24/2019

PROPERTY OF PIMA COUNTY JTED, 2010 PROPERTY OF PIMA COUNTY JTED, 2010 PLAY! OR Pass… Overtraining and PTSD 5. Pass or Play teacher poses a question and gives wait time teacher calls on a student and asks them “pass or play?” student says “play” if they wish to answer the question or “pass to__________” if they want to pass to a specific classmate teacher provides feedback What suggestions do you have for someone suffering from these conditions? PROPERTY OF PIMA COUNTY JTED, 2010 PROPERTY OF PIMA COUNTY JTED, 2010

Letter or Note to a Friend Write a note to an athlete who you suspect my be suffering from overtraining. Explain the symptoms you see and your suggestions to help them. 27. Letter or Note to a Friend teacher instructs students to write a note to a friend or absent classmate explaining the learning teacher uses think-pair-share or collects to review PROPERTY OF PIMA COUNTY JTED, 2010 20