Mental & Emotional Health Health TPI Bondi 1 2 3 4 5 6 7

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Mental Emotional Health

• Health TPI
• Bondi

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• 1 2 3 4 5
  6 7 8

Least

Most
Put in Order on the most mentally healthy to
least on Continuum
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The Least You Need to Know

• 1. Basic Mental Health Vocab/Definition Define
  mental health and the 5 characteristics
• 2. Maslows hierarchy (pyramid) Label and know
  examples
• of each level.
• 3. Basic Stress Define Stress, Stressor,
  Eustress, Distress,
• Homeostasis, Causes of Stress (3 Categories)
  WarningSigns of Stress
• 4. Stress Response Know the 3 stages, be able
  to label it and discuss what happens.
• 5. Stress and Illness How are stress and
  illness related?
• 6. What is the Purpose of Stress? Think about
  your arm span!
• 7. Stress and Personality How does your
  personality affect how much stress you have (Type
  A, Type B).
• 8. Basic Stress Management Strategies Know
  basic stress management types.

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Definition?Characteristics?
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Mental Health

• the ability to accept yourself and others, adapt
  to and manage emotions, and deal with the demands
  and challenges you meet in life.
• Positive Self-Esteem
• Feelings of Belonging
• Feelings of Purpose (Mission Statement)
• Positive Outlook
• Confidence

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Group Activity

• 1). Discuss which characteristics are difficult
  to control? Why? Rate 1-10(1-easy,
  10-Hardest)?
• 2) Either provide 1 example(s) of each OR 1
  non- example (when someone isnt this).
• 3) You will be given one characteristic (self
  esteem, purpose, etc.) as a group
• you will have to provide 3 ways you
• can improve the characteristic I give you
  group (and share this with the class).

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Self-Esteem and Self-Image(the bread and butter
of mental health..)

• Changes that took place in Amy
• good or bad changes?
• How is it related to self-esteem
• Should people be allowed to get
• plastic surgery?

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What is necessary to change a person is to
change his awareness of himself.Abraham Maslow

• Apply this to Amy from Extreme Makeover or life
  in general

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• Self-Image Vs. Self-Esteem

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How Does the Media Influence Self-Image and
Self-Esteem?
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Im like a turtle becauseWhat makes me
different than a turtle is probably
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Maslows Hierarchy of Needs
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Essential Questions

• How is Maslows Hierarchy like baseball?
• What are some reasons why Maslow would have
  studied this topic?
• What are at least 3 health behaviors that could
  prevent you from hitting a home run?

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S T R E S S and You

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The Blind Man and the Elephant I
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The Least You Need to Know

• Stress 101 (Definitions) Stress, Stressor,
  Eustress vs. Distress, Homeostasis
• 2. Stress Response
• (3 Stages of GAS)
• 3. Stress and PersonalityType A, Type B
• 4. Stress and Disease/Illness
• 5. Basic Stress Management Strategies

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Who Has the Most Stress?
E
M
A
T
K

• Least
  
  Most
• Put in Order on the Continuum
• K-Kids (0-11) T-Teens (12-18) A-Adults (18-40)
• M-Mid-Adults (40-60) E-Elderly (60 )

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Is this stress?
What exactly is stress?
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• Stress Defined

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STRESS 101

• Stress Body and minds reaction to challenging
  events in life.
• Causes of Stress Stressors
• Is all stress bad?
• Bad Stress (Distress) vs.
• Good Stress (Eustress)

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Causes of Stress
Do all equate to the same level(s) of stress?
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A Good Question? What should you feel like?

• EMOTIONALLY
• .
• .
• .
• 
  HOMEOSTASIS
• PHYSICALLY
• .
• .
• .

Balance of Body and Mind
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Early Warning Signs of Stress

• Physical
• Emotional
• Behavioral

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Have you ever wondered what is the purpose of
stress?
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Review
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HUMAN HISTORY

• Years Ago Homo
• Tools 2,500,000 H. habilis
• Regular Hunting 1,500,000 H. erectus
• Control of Fire 500,000 H. erectus
• Agriculture 10,000 H. sapiens
• First Cities 7,000 H. sapiens
• Industrial revolution 200 H. sapiens
• Technological revolution 20

H. sapiens
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It wasnt all that long ago.
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Fight-or-FlightResponse

• Things you only see in movies.

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THE STRESS RESPONSE

• Physiological Adaptations
• Heart Rate
• Blood Pressure
• Breathing
• Energy
• Endorphins

Blood Flow To Muscles
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WHY ZEBRAS DONT GET ULCERS

• A zebras stress response kicks in when the
  zebra is chased by a lion when the zebra
  escapes, the stress response shuts off. In
  between predation attempts the zebra is at ease.
  It doesnt flood itself with stress hormones
  wondering when the next lion is going to show up

Robert Sapolsky
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THE STRESS RESPONSE

• Then
• Prepared the body for living (survival)
• Response to physical stress animals,
• rock slides, famine, drought, etc.
• Most stress was short in time.

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THE STRESS RESPONSE

• Now
• Most danger is not physical
• Response to emotional problems work,
• money, noise, relationships
• Stress is ongoing or constant

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AND WHY HUMANS DO

• The human mind is so powerful, the connections
  between perception and physiological response so
  strong, that we can set off the flight-or-flight
  response by just imagining ourselves in a
  threatening situation.

The End of Stress
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General Adaptation Syndrome

• Alarm Reaction
• Body is shocked by the stress
• Stage of Resistance
• Body tries to fight off the stress
• Stage of Exhaustion
• Stress does not go away, body has no more energy
  to fight the stress, illness or disease

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STRESS DISEASE

• Increased Blood pressure
• Increased Heart Rate
• Increased Heart attacks
• Others.
• Lowers your bodys ability to fight off
  diseases or illnesses (the immune system)

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Mind-Body Illnesses (Psychosomatic)

• Heart Disease
• High Blood Pressure
• Acid Reflux
• Ulcers
• Asthma Attacks
• Common Cold?
• Decreased Immunity

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STRESS DISEASE

• Between 60 and 90 of all our populations
  visits to doctors offices are stress-related and
  probably cannot be detected, much less treated
  effectively, with the medications and procedures
  on which the medical profession relies almost
  exclusively.

Dr. Herbert Benson, Timeless Healing
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What do you mean there is no such thing as stress?
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WW You D
How Can Two People View a Situation Differently?
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What Do You See?
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Back by Popular Demand.
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Stress Personality

• Type A (Competitive or Rushed)
• Type B(Relaxed or Laid Back)

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The Blind Men and the Elephant II
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Word Wall Addition

• Perception-The way we look at and interpret a
  situation.

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PRESSURE is what happens to you, STRESS is how
you react to these pressures.

• Mini-Assignment
• ½ page to a page reaction
• Explain quote
• Use examples from your own experiences
• Discuss the concept of perception.

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STRESS MANAGEMENT

• Sleep, Physical Activity, Nutrition, Relaxation
• Meditation, Yoga, Tai Chi,
• Family, Friends, Community
• Support System
• Dont Underestimate humor
• Sense of Control / Perception
• MUST HAVE AN OUTLET!

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What Are Our Goals?

• Limit NOT Eliminate stress
• Use stress in a positive way
• Use it to improve our performance

Find the Right Balance
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• How are stress and depression related?

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The Least You Need To Know

• Define Depression
• Symptoms
• Reactive vs. Major Depression
• Warning Signs /
• Symptoms
• Suicide general

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Describe a time when you needed help?

• How did you feel when you needed help?
• Who helped you?
• How did it make you feel?

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Depression Definition

• Prolonged Feelings of
• Hopelessness
• Helpless
• Sadness
• Guilt
• Take the Quiz!

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Depression Is Significantly Underdiagnosed but
Relatively Easy to Screen
US Preventive Services Task Force 2-Question
Screen
1. During the past 2 weeks, have you felt down,
depressed, or hopeless? 2. During the past 2
weeks, have you felt little interest or pleasure
in doing things?
Sources Glass RM. Awareness about depression
Important for all physicians. JAMA.
20032893169-3170. Insel TR, Charney DS.
Research on major depression Strategies and
priorities. JAMA. 20032893167-3168.
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Some Depression is Normal

• Whats Normal?
• Reactive vs. Major Depression
• Time Frame/Impact on Your Life
• The key difference between depressed moods and
  serious depression is the length of symptoms.

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Causes of Depression

• Depression has no single cause often, results
  from a combination of
• Family history
• Trauma and stress
• Pessimistic personality
• Physical conditions
• Other psychological disorders.

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What is the Relationship between Drug use and
depression?

• Depression and recreational drug use are both
  common and can occur together purely by chance as
  individual problems.

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More often, however, there is an interaction
between the two and this can take several forms

• gaining some relief.
• or as part of withdrawal symptoms
• to 'escape'
• pressures, which may trigger depression.
• people who are depressed may use recreational
  drugs in an attempt to end their life.
• other psychiatric (mental) illnesses

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Depression Is a Multisymptom Disorder With High
Direct and Indirect Costs
U.S. Cost in 2006 50 Billion
Depression A Brain and Body Disease

• Depression increases chance of dying from heart
  attack
• Depression increases chance of stroke, diabetes,
  osteoporosis
• Treating depression helps control diabetes

Source Glass RM. Awareness about depression
Important for all physicians. JAMA.
20032893169-3170.
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Success in Treating Depression Exceeds Success in
Understanding It
Specific Biomarkers and Tests for Depression Do
Not Currently Exist

• We dont know
• Specific gene(s) causing depression
• How nerves affect moods
• How stress changes brain and body function
• We do know
• 70 of treated patients see symptoms decrease by
  50
• Medications boost chemical neurotransmitters
• Psychotherapy can be effective

Source Insel TR, Charney DS. Research on major
depression Strategies and priorities. JAMA.
20032893167-3168.
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Neuroscience and Depression
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Intermission A Well Needed Joke
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Failure to Identify and Treat Depression is Often
Fatal

• 1999 30,000 suicides (2X homicides)
• 90 of suicides were associated with mental
  illness, usually depression
• 75 of successful suicides on a repeat attempt
  occurred in patients receiving NO mental health
  therapy

• Only 25 receive appropriate therapy

Source Glass RM. Awareness about depression
Important for all physicians. JAMA.
20032893169-3170.
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Suicide

• A _________ solution to a __________ problem.

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Where can you go for help?
Parents
Social Workers
Religious Leaders
Guidance Couns.
Teachers
Friends

• http//www.nimh.nih.gov/publicat/depresfact.cfm

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How is Life Like Fishing?