Building & Sustaining Personal & Professional Resilience Amy - - PDF document

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Building & Sustaining Personal & Professional Resilience Amy - - PDF document

7/8/2020 Building & Sustaining Personal & Professional Resilience Amy Nitza, PhD Institute for Disaster Mental Health SUNY New Paltz 1 Coaching to High Performance Supporting Others in Managing Stress Evaluating Performance


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Building & Sustaining Personal & Professional Resilience

Amy Nitza, PhD Institute for Disaster Mental Health SUNY New Paltz

Coaching to High Performance Supporting Others in Managing Stress Evaluating Performance

  • vs.ny.gov/training

AGENDA

 

 

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The Impact of Stress

  • General Stress
  • Cumulative Stress
  • Acute Stress
  • Traumatic Stress

Photo credit: Edison Sabala

General stress

  • Normal condition of life
  • Necessary for health and

survival

  • Can be positive or can be

negative

  • Most people deal with it

daily and function well

STRESS =

Productivity Stress

Unmotivated Not Enough Stress Eustress Optimal Stress Distress Too Much Stress

The Stress Response Curve

4 5 6

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Cumulative Stress

  • Piled up, unresolved general

stress

  • Destructive pathway of stress
  • Produces negative changes in:
  • Mental and physical health
  • Performance
  • Relationships
  • Personality

Acute Stress

  • Body’s response to a situation

perceived as dangerous or threatening

  • Fight or flight reaction as the

body prepares to defend itself

Trauma

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Trauma

Crisis Stress The stress experienced by trauma can feel

  • verwhelming and
  • utside of normal

experience.

7 8 9

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  • Pre-existing Stressors
  • Pandemic:
  • Invisible
  • Unpredictable
  • Chronic but rapidly changing
  • Racial Injustice
  • Chronic
  • Acute
  • Traumatic

Result: Constant need to adapt, with ratcheting up of our baseline stress levels combined with multiple incidents of acute stress!

Stress in the Current Context

Stress and the Brain

  • The monitor of danger (the alarm system)
  •  Judge of what is pleasurable or scary
  • Arbiter of what is, or is not, important for

survival purposes

  • Makes quick decisions, but is not fine‐tuned
  • Develops first. Shaped by early

experiences that create children’s emotional map of the world.

10 11 12

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The Rational Brain

Focused on understanding and thinking about the world around us Responsible for the interpretation of all

  • ur experiences

 Regulates ‘executive functions:

  • Planning and decision making
  • Sequencing actions
  • Predicting consequences of our actions
  • Keep us from acting on all our impulses

 Slower than the emotional brain, but more fine‐tuned

The The Smok Smoke Alarm e Alarm & & The The Wa Watchtower

First First, the emot the emotional br brain (the n (the s smok

  • ke a

e alarm) de dete tects a cts a po pote tential t ntial threat ( t (i.e. a . a stre ress ssor) Next, the , the ratio tional br brain (the n (the w watch tchtower) examine ines the p the potent ntial thr threa eat, decides on

  • n a

pl plan o an of act action

  • n, and act

, and activates tes that pl plan an Then, Then, the the emot emotiona nal br brain (the n (the s smok

  • ke a

e alarm) re return rns t s to base selin line and and co continu ntinues mo s monitorin nitoring

The smo smoke alarm is e alarm is const nstantly go going ing

  • ff -

f - sugge uggest stin ing danger danger; it it ge gets s stuc uck in in the ‘o ‘on’ n’ po posi sition.

.

The brain be brain becomes mes o

  • ut o
  • f balan

balance; ce; t the watc watchtower i er is ov

  • verwhel

whelmed med by the e smo smoke alarm. e alarm. All All the brain’ e brain’s at s attention ge gets f focused

  • n
  • n tr

trying to s to shut of

  • ff th

f the s e smok

  • ke a

alarm, m, at at the ex expens nse o e of o

  • ther

her brai brain func functions.

In Daily In Daily Lif Life

Manag Managing s stress rel ress relies on es on a h a heal alth thy y balanc nce e betw between the the emot emotional and r ratio tional parts of

  • f the

the bra brain. n.

In Tim In Times s of Ex

  • f Extreme

treme or

  • r

Traumatic aumatic Stress Stress

13 14 15

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Building P Building Personal

  • nal

Resilience in silience in the the Face of ce of Stress ress

Photo credit: Edison Sabala

Resilience = Being able to stay in, or quickly return to, a place of physiological, emotional, and mental balance after being disrupted. It is maintaining the ability to respond vs. react to difficult situations

Responding vs. Reacting

Responding = Green Zone Reacting = Red Zone

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Level 1 Level 2 Level 3

Stress reduction in stressful moments Daily activities/routines to maintain wellness Long‐term investment in wellness

Preparing & rehearsing are the keys to success. In times of stress, it is a lot easier to activate a pre‐ existing strategy than to develop one on the fly.

Photo credit: Edison Sabala

Rehearsal Leads to Rewiring

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Emotions Behaviors Thoughts

Three Three Pa Pathway ways to Building Building Resilience silience

Emotion-B Emotion-Based Str d Strategies gies

Goals Goals

  • Strengthen brain’s ability to

stay in balance

  • Mental Muscle
  • Improve emotion regulation
  • Regulate attention to allow

us to hold our focus

  • Noticing (and accepting) your

reactions gives you more control over it

St Strategies rategies

  • Mindfulness
  • Meditation
  • Relaxation/Breathing
  • Yoga

Cognition-Based gnition-Based Strateg Strategies es

Goals Goals

  • Avoid sustained activation of

the ‘fight or flight’ system

  • Combat the brain’s negativity

bias

St Strategies rategies

  • ‘Self-Talk’
  • Cognitive Restructuring
  • Can you replace these “automatic

thoughts” with more neutral/realistic/helpful thoughts?

  • Stress Inoculation
  • Mental rehearsal and preparation for

specific stressful situations

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  • Scans for bad news
  • Focuses tightly on it (losing sight of

the big picture)

  • Overreacts to it
  • Fast‐tracks the experience into

memory

  • Becomes sensitized, creating a

vicious cycle

Our brains are Velcro for bad experiences and Teflon for good ones

Hanson (2018)

  • B belief

As a threat As a challenge How can you reframe it as a challenge?:

  • Positive self‐

talk

  • Remember

your strengths

  • Reach out

for support Is it something you can control

  • r change?

Yes: Try problem‐focused coping strategies:

  • Breaking problems

into manageable parts

  • Problem‐solving
  • Brainstorming
  • Skill development

No: Try emotion‐focused coping strategies:

  • Relaxation
  • Distress tolerance
  • Emotion regulation
  • Anger management
  • Distraction skills

How are you viewing each stressor?

St Stress ress Inoculation Inoculation Flo Flowchart

What SPECIFICALLY are your stressors? NAME IT to TAME IT

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  • Pic

Pick somet something t hing that at is is pleasur pleasurable ble, and and mak make it it a a reg regular practi practice

  • Doing somet

Doing something hing onc

  • nce c

creates a eates a tempor temporar ary positiv positive e exper perience; ence; doing doing somet something repeate hing repeatedly c ly creates las eates lasting ing ch change

  • To grow any

any psy psycholo hological resources is ical resources is to ha have repeat ve repeated ed experie perience ces of s of it it t that at create eate las lasting c ing changes in anges in brain ain funct function

  • n

Conc Conclusion: What What you do is less

  • u do is less

impo important than than picking something ing something and doin and doing it it reg regularly

Thank y Thank you! u!

Q & A

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