1. Copyright © 2002 by W. B. Saunders Company. All rights reserved. Chapter 12 Understanding Stress and Holistic Approaches to Stress Menu F

2. Slide Copyright © 2002 by W. B. Saunders Company. All rights reserved. The stress response 12-2 (Fig. 12-1) From Brigham, D.D. (1994). Imagery for getting well: Clinical applications of behavioral medicine. New York: W. W. Norton. Menu FB

3. Slide Copyright © 2002 by W. B. Saunders Company. All rights reserved. Stress and anxiety operationally defined 12-3 (Fig. 12-2) Menu FB

4. Copyright © 2002 by W. B. Saunders Company. All rights reserved. ACUTE Uneasiness Sadness Loss of appetite Immune system suppression CHRONIC Anxiety, panic attacks Depression Anorexia, overeating Opportunistic infections Reactions to Stress Menu FB

5. Copyright © 2002 by W. B. Saunders Company. All rights reserved. ACUTE Increased metabolism Increased energy mobilization Cardiovascular tone increased CHRONIC Type II diabetes, hypertension Fatigue, irritability Angina, heart attack, stroke Reactions to Stress, cont. Menu FB

6. Copyright © 2002 by W. B. Saunders Company. All rights reserved. + Problem solving Using social support Reframing -- Avoidance Self-blaming Wishful thinking Positive and Negative Responses to Stress Menu B