Dr. Kingsley Mayowa Okonoda, MBChB(Ife), FWACP(Psych) Department of Psychiatry, University of Jos/Jos University Teaching Hospital
Jan 22, 2018
Dr. Kingsley Mayowa Okonoda,MBChB(Ife), FWACP(Psych)
Department of Psychiatry, University of Jos/Jos University
Teaching Hospital
The workplace is a major source of stress in our lives.
Rising public expectations and the need to adapt to changes will continue to add to workplace stress.
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Excessive stress, if unmanaged, will often lead to decreased personal effectiveness and efficiency, deteriorating work and family relationships, and also chronic illnesses.
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This will in turn have an adverse effect on the organization's productivity.
It has become imperative for workers to learn and practice effective stress management strategies in order to help better manage their physical and mental wellness and health
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Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
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moderate daily physical activity,
proper nutrition,
maintaining a healthy weight,
getting recommended preventive screenings (based on age, gender and health history) and
managing chronic conditions to prevent them from progressing.
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Emotional well-being includes the ability to:
manage your feelings and related behaviours,
cope effectively with stress,
and adapt to change.
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This dimension focuses on creating and maintaining healthy, supportive relationships with family, friends and peers.
Research has demonstrated that having a social support network protects against several health problems
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This dimension centres on spiritual relationships and activities that support and enhance these relationships, such as: prayer, meditation and worship, among others.
Spiritual health can bring an inner peace—a contentment with who you are and your current situation.
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We can define stress as a normalphysiological response of the body tosituations or stimuli which are perceivedas 'dangerous' to the body.
Stress can affect anyone and everyone atsome point of time in their life.
When it occurs frequently it affectshealth - both physical and mental.
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The “fight-or-flight” stress responseinvolves a cascade of biologicalchanges that prepare us foremergency action.
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Stress hormones:◦ adrenalin, noradrenalin andcortisol race through thebloodstream, readying us toeither flee the scene or battle itout.
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• Pupils dilate so we can see better, and our blood sugar ramps up, giving us an energy boost and speeding up reaction time.
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• At the same time, body processes not essential to immediate survival are suppressed.
• The digestive and reproductive systems slow down,
• Growth hormones are switched off, and
• The immune response is inhibited.
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What you consider stressfuldepends on many factorsincluding:
your personality,
general outlook on life,
problem-solving abilities,
and social support system.
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Environmental stressors
Family and relationship stressors
Social stressors
Work stressors
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Uncertainty or worries,
Pessimistic attitude,
Self-criticism,
Unrealistic expectations and beliefs
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Perfectionism,
Low self-esteem,
Excessive or unexpressed anger,
Lack of assertiveness
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a divorce,
a child leaving home,
a planned pregnancy,
a move to a new town,
a career change,
graduating from college, or
a diagnosis of cancer
The faster or more dramatic the change, the greater the strain.
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Score Comment
300+ You have a high or very high risk of becoming ill in the near future.
150-299 You have a moderate to high chance of becoming ill in the near future.
<150 You have only a low to moderate chance of becoming ill in the near future.
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Job stress can be defined as the harmful physical and emotional responses that occur when the requirements of the job do not match the capabilities, resources, or needs of the worker.
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Job StressPoor Health,
Injury
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Recall the Pressure Vs Performance curve
Challenge=Optimal Production.
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What are the common causes of job stress?
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It is counterproductive to give employees too much to do or not enough time to complete it in on a continuous basis.
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Poor instructions or insufficient training can cause stress.
Employees may over-estimate their own capacity for work and then be reluctant to admit they have bitten off more than they can chew.
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It may sometimes be necessary for employees to come in early and leave late. But working in excess of normal hours for extended periods can result in accidents and mistakes.
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Ineffective management can cause employees stress. For example, failure to address known problem areas or deal with problem employees.
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Problems with a manager or fellow employee can be a major source of work-related stress.
Humiliating employees, or allowing others to, leads to a loss of respect and co-operation from employees.
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Bullying or aggressive behaviourwill certainly cause stress and can also lead to legal action.
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Any change in the way a business operates can upset the working environment.
Insufficient support or information during times of change or busy periods creates uncertainty.
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Lack of clarity about roles, responsibilities and objectives causes confusion and lack of direction
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Managers should not ignore employees’ personal problems.
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For example, bereavement, divorce, illness, moving home and financial problems can all cause high levels of stress that may impact on an employee's ability to carry out his or her job.
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Cognitive Symptoms
Emotional Symptoms
Behavioural Symptoms
Physical Symptoms
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• Memory problems
• Indecisiveness
• Inability to concentrate
• Trouble thinking clearly
• Poor judgment
• Seeing only the negative
• Anxious or racing thoughts
• Constant worrying
• Loss of objectivity
• Fearful anticipation
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Moodiness
Agitation
Restlessness
Short temper
Irritability, impatience
Inability to relax
Feeling tense and “on edge”
Feeling overwhelmed
Sense of loneliness and isolation
Depression or general unhappiness
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Eating more or less
Sleeping too much or too little
Isolating yourself from others
Procrastination, neglecting responsibilities
Using alcohol, cigarettes, or drugs to relax
Nervous habits (e.g. nail biting, pacing)
Teeth grinding or jaw clenching
Overreacting to unexpected problems
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Headaches or backaches
Muscle tension and stiffness
Diarrhoea or constipation
Nausea, dizziness
Insomnia
Chest pain, rapid heartbeat
Weight gain or loss
Skin breakouts (hives, eczema)
Loss of sex drive
Frequent colds
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Preventing Stress:
Exercise
Diet
Time Management
Goal Setting
Assertiveness
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Controlling Stress:
Relaxation
Meditation
Cognitive Techniques
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Exercise, like any form of stressmanagement technique, can become ahabit.
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Plan a fixed amount of time every day.
Choose an activity which you enjoy.
Find partners.
Be enthusiastic.
Begin Moderately.
Keep a record.
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Improves heart efficiency
Reduces Cholesterol Level
Secretes Endophins
Relaxes the muscles
Helps control Blood Pressure
Helps to encourage rest
Improves mental capacity and agility
Increases self esteem
Improves sense of well being
Facilitates a good mood.
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It is a medically established fact that eating a healthy diet can help to defend against stress.
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Breakfast is the most important meal of the day, and a good, healthy breakfast gives you a solid foundation for a stress-free day.
Collect healthy recipes that you genuinely like and enjoy eating.
Eat slowly at regular hours.
Diet
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In today's hectic world, stress is often caused by the buildup of time pressures.
We have shorter deadlines,
longer working hours,
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Time management allows you to plan andorganize your life so as to give yourselfmore space and opportunity.
It involves planning, delegating, settinggoals and not wasting time doingunnecessary things or worrying aboutthings you can do nothing about.
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Urgent
and
Important
Important,
But Not
Urgent
Urgent, But
Not
Important
Not Urgent
and Not
Important
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Set blocks of time aside to deal with specific things.
Avoid distractions.
Be ruthless with dealing with paper and administration.
Don't procrastinate
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When setting goals, it's important that they are SMART.
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List the different areas of your life, for instance,work and home, and then break them down intosmaller categories.
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Think about what you want to achieve in theimmediate future (short term), but also in themedium and the long term.
Set yourself long term as well as short termgoals, as then you will know what you areaiming for in the future, but you need to breakyour long term goal down into smaller steps.
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Assertiveness is not just about getting what you want; it's about getting the best possible outcome for everyone, including you.
Getting what you want at someone else's expense is more commonly known as aggressive
behaviour..
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It will help you understand how to achieve your goals and stand up for your rights without neglecting the rights of others.
Passive behaviour can lead to internalizing anger.
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Honest
explanation
Clarify your
reasoning
Give an
alternative
Assertive
refusal
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Maximum benefit requires regular and continued repetition of relaxation techniques.
"Belly breathing", can be very effective with managing stress.
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Progressive relaxation may take up to 2 months to master.
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Learning how to meditate can bring an abundance of calm and relaxation into your life.
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Some people habitually processinformation in an anxious and negativeway, while others are in the habit ofinterpreting things more positively.
1. Constructive worry
2. Fighting Irrational Beliefs
3.Thought Control
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Constructive worry is rational andincludes plans and methods forconfronting the stress agents. It focusesprimarily upon possible solution ratherthan the problem itself.
Destructive worry is not linked to solutionstrategies. It is repetitive, recurrent andobsessive. It is worrying for the sake ofworry.
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Fighting irrational Believes.(Rational-emotive therapy)
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1. Identify the thought(s) which create worry and stress
2. Be Alert to clues which lead to worrying thoughts
3. Detention is the moment you say to yourself with conviction to “Stop!”
4 Distraction consist of thinking of more positive things
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Taking action to manage stress effectively can have a positive effect. Employees will be more committed to your business and productivity is likely to increase.
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Set targets that are challenging but realistic.
Make sure employees do not take on too much work. Encourage delegation where possible.
Provide training in time management, if necessary.
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Encourage employees to prioritize and tackle the most important tasks first.
Cut back on time-wasting activities, such as over-long meetings.
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Encourage employees to take regular short breaks, in addition to longer holidays to allow them to unwind fully.
Make sure they take a lunch break, rather than eating on the job.
Encourage employees to leave on time and to do something in complete contrast to their work.
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Draw up a policy to prevent bullying and harassment.
Consider training managers in interpersonal skills.
Make sure there is someone within the company that employees can bring their problems to in confidence.
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Rule by reward, not punishment. Let employees know their work is valued and appreciated.
Review performance regularly, so employees know how well they are doing.
Operate an open door policy, and encourage employees to approach you with problems.
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Monitor levels of absence and sickness leave.
Survey staff to assess staff attitudes and experiences in the workplace.
Draw up a stress policy stating that you take stress seriously and detailing how you plan to deal with workplace stress.
Offer employees training, help, advice and support.
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Ensure employees understand the company's long-term goals.
Explain the reasons for any change and how they might be affected.
Arrange meetings to discuss new projects so everyone is clear what is happening and what is expected of them.
Encourage two-way communication with staff. Ask for input, ideas and opinions.
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Clarify employees' objectives and responsibilities.
Offer employees time off if necessary.
Consider offering more flexible working arrangements.
If appropriate, encourage employees to seek professional help.
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Stress affects every areas of our life, at every stage and results from a myriad of causes.
The work place is a major source of stress in our lives.
It is imperative that both managers and workers should be conversant with stress management strategies to minimize stress in the workplace.
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