What is stress ?

1. 5 Whatisstress? Good stress Enables you to ‘fight or flight’ – required for motivation and safety Bad stress Outweighs resources to cope and makes you: Feel overwhelmed Unable to live up to own and others’ expectations Feel out of balance place again Sten GroveThomsen SectionC:

2. 6 Imbalance between sources of stress and resources to cope COPING SOURCES OF STRESS SectionC:

3. 7 How does stress affect us Physically Behavior Emotionally Spiritually Socially Discuss and list on flip chart SectionC:

4. 8 Stressmanagementforstaff SESSION2 Typesofstress Karin Beate Nøsterud/Save the Children SectionC:

5. 9 Types ofstress STRESS SectionC:

6. 10 Signs of cumulative stress SEVERE SIGNS e.g. Problems within relationships Health changes Personality changes EXTENDED SIGNS e.g. Problems within relationships Increased alcohol / drug use Performance changes MILD SIGNS e.g. Problems concentrating Problems remembering things Minor health problems EARLY WARNING SIGNS e.g. Boredom Fatigue Anxiety Sadness SectionC:

7. Rob Holden/Save the Children 11 Burn-outis? A severe state of emotional and physical exhaustion caused by excessive and prolonged stress SectionC:

8. 12 Symptoms of burn-out Chronic physical and emotional exhaustion Depleted energy Detachment, withdrawal, isolation Irritability Feeling trapped SectionC:

9. 13 Reduced or lack of enthusiasm and motivation to work Symptoms of burn-out Diminished work efficiency Diminished sense of personal accomplishments Hopelessness Sadness Pessimism and cynicism SectionC:

10. 14 Types ofstress STRESS SectionC:

11. 15 Traumaticstresstypes Critical incidence stress Secondary traumatisation stress SectionC:

12. 16 Critical incident stress Exposure to a critical incident Sudden and disruptive Can be immediately after event or delayed ’Normal reactions to abnormal events’ Benedicte Kurzen/Save the Children SectionC:

13. 17 Usual and normal reactions to traumatic incidents Anxiety Anger Guilt Powerlessness Deprivation Shame Despair Grief Helplessness SectionC:

14. 18 Secondary traumatisation stress symptoms Altered outlook, sense of identity Problems with close relationships Concentration and memory difficulties Survivor guilt Jonathan Hyams/Save the Children SectionC:

15. 19 Secondary traumatisation stress symptoms Increased negative arousal Difficulties in distinguishing between work and private life Decreased tolerance level Fear of working with certain categories of people Jonathan Hyams/Save the Children SectionC:

16. 20 Stressmanagementforstaff SESSION3 Over-and under-involvement Karin Beate Nøsterud/Save the Children SectionC:

17. 21 Over- andunder-involvement Aim: To create awareness of how to involve oneself in an appropriate way Chris Steele-Perkins/Magnum for Save the Children SectionC:

18. 22 Over-involvement–under-involvement Movement towards Movement away from Cynicism Savior attitude Ability to register Involve yourself as a helper Less contact Doing everything yourself Professional distance Empathy No responsibility for peoples’ reactions Settling everything Responsible for own behavior and reactions of others Keeping boundaries Exaggerated responsibility for peoples’ feelings Lack of empathy Involvement in different kinds of activities Blaming Developing strategies Exaggerated preoccupation with peoples’ problems Changing subjeect Over-involvement Ideal area Under-involvement SectionC:

19. 23 Stressmanagementforstaff SESSION4 Waystoreducestress Karin Beate Nøsterud/Save the Children SectionC:

20. 24 Ways to reduce stress SOURCES OF STRESS COPING SectionC:

21. 25 Different ways to reduce stress Psychological,personal Physical Social Work-related Supervisors/team leaders Mike Sunderland/Save the Children SectionC: