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Stress Diary

Maintaining a stress diary is an effective way of discovering:

  • The plausible sources of stress existing in your microcosm

  • Your personalized optimum stress bracket 

  • Possible techniques of staying in the optimum bracket

In this diary note down your stress levels and how you feel throughout the day. In particular, note down stressful events. But before starting with your stress diary, you must must be able to clearly identify the situations in life that make you stressed and tense (your stressors). To identify these stressors, become more aware of your body in different situations. Ask yourself, "Does this person, place, or thing...

  • Make my muscles tense?
  • Make my heart pound?
  • Make my hands cold and clammy?
  • Give me a 'knot' in my stomach
  • Give me a headache?
  • Give me a backache?
  • Make me sweat?
  • Cause me to break out in a rash?"

Awareness to the above list would make it easier for you to score your stress on a scale of 1 to 10. Now go ahead and record the following information:

  • At a regular interval, for example every  four hours, record routine stress. Note down:
    1. the time
    2. the amount of stress that you feel (on a scale of 1 to 10)
    3. how happy you feel (on a scale of 1 to 10)
    4. whether you are enjoying your work (on a scale of 1 to 10)
    5. how efficiently you are working (on a scale of 1 to 10)
  • When stressful events occur, write down:
    1. What the event was
    2. When and where did it occur?
    3. What important factors made the event stressful?
    4. How stressful was the event?
    5. How did you handle the event?
    6. Did you tackle the cause or the symptom?
    7. Did you deal with the stress correctly?

After a few weeks you should be able to analyze this information. It may be interesting as you carry out the analysis to note down the outcomes of the jobs you were doing when you were under stress.

This should give you two types of information:

1.   You should be able to understand the level of stress that brings out the best in you in other words the amount of pressure you are happiest with, and the level of stress at which you work most effectively. 

2.  You should know what the main sources of unpleasant stress in your life are. You should understand what circumstances make the stresses particularly unpleasant, and should begin to understand whether your strategies for handling the stresses are effective or not.

Thus to summarize, managing stress involves making a concerted effort to avoid the stressors that you have already identified. If that's not realistically possible, take steps to lessen their effect on you (i.e., neutralize them). Learning to relax in the face of your stressors may be your most valuable weapon. Give yourself a break. Walk and talk more slowly. Give yourself time to meet deadlines and complete your work. Learning to relax takes a little practice. But it's well worth it, and soon you'll know exactly what to do to replace the stress response with the "relaxation response." Anyway these are areas that we will highlight in detail in the articles to follow. 

_________________________________________________

Next Up:Over The Cliff (I)

   

Over The Cliff (I)

What can happen if stress gets out of control ?

The long term effects of stress do not begin all of a sudden. It gives sufficient early warning for one to be able to take the necessary precautions. Where you are under excessive levels of short-term stress, then you may find that your performance goes to pieces. Afterwards, however, you will be able treat this as a learning experience and can adopt stress management strategies to avoid the problem in the future.

However the effects of long term stress going out of control can be much more severe. If you do not take action to control it, this can lead to:

  • Fatigue and Exhaustion
  • Irritability and Agitation
  • Depression
  • Burn Out (Part II)
  • Breakdown (Part II)

Part I explains what happens during 

And suggests strategies in brief to avoid or cope with them.  

Fatigue and exhaustion

On getting up in the morning one ought to feel as "fresh as a daisy". One should be able to work hard without undue haste or agitation, calmly and methodically the whole day long. In the evening one should feel tired but in a pleasant way. This is normal natural fatigue, which can be banished by a good night's sleep, and the same cycle should begin the next day.

But a person under long term stress becomes incapable of relaxing, resulting in fatigue and exhaustion. Under these circumstances the daily routine of ones work becomes a constant effort, even disagreeable and stress starts taking its toll. 

Irritability and Agitation

A weary person rarely experiences the early morning freshness. On the contrary he knows clearly that from morning to evening he will have to "put up with himself ", and that he will have to endure fatigue inertia and lack of willpower. He knows that he will have to make a great effort to keep a smiling face, that one tension will be added to another etc. It is therefore easy to understand that the tired person will have "had enough". Of whom? Of himself, of other people, of everything. All this will give rise to irritability often manifesting as agitation. 

Remedial Measures

Steps to remedy this can be as simple as going to bed earlier, or taking a good break. When you feel that you are getting exhausted very easily during your work hours you can try out some of the following suggestions:

  • Take a stroll when you are stressed, it can help restore your perspective.

  • Take a five minutes break from your work every hour or so.

  • Avoid the habit of taking work home with you every night.

  • Next time you feel you have too much work to do delegate at least one task.

  • Learn from those who do not suffer from stress.

  • Avoid routinely working late and at weekends.

  • Arrange to have lunch with your partner or a close friend at least once a week.

  • Learn to talk openly about your emotions and feelings with your close friends and confidants.

  • Relieve pressure by discussing work problems openly.

  • Spend an hour or two alone each week away from work and family.

  • Learn to say 'no'. You have the right to refuse other peoples excessive demand on your time.

  • Do not ignore your problems acknowledge them as they arise.

Alternatively re-examine your life and check whether the things you are doing lead to you meeting your personal goals. This may show you which jobs or commitments you can drop. Implementing time management strategies may also help you to work more effectively, giving you more time to relax.

Where the problem is serious, go to see your doctor.

Handling Depression

Depression may often be initiated by high levels of long term stress, by failure associated with stress-related under-performance, or by life crises.

Deep depression is a clinical illness should be treated medically. It is important that if you are depressed that you take this seriously. Severe depressions that can cause years of unhappiness and low performance can be neutralised quickly with drugs, by the appropriate form of psychotherapy, or by other forms of personal action. An important part of intelligence is knowing when there is a problem, and when to ask for help.

Depression may start when:

  • you miss important deadlines
  • projects fail
  • you are passed over for promotion
  • you feel out of control
  • you are very tired
  • you are feeling inadequate while getting to grips with a new, difficult job
  • you are bored for a long period of time

The following points may help in handling depression before it gets serious:

  • An important way of guarding against depression is getting your attitude right: positive thinking really can help. As long as you can draw useful lessons from failure, then failure can be positive.
  • Similarly, talking about problems to a partner or to a respected colleague can often help a lot. They may have been through a similar situation, seen the problem before, or may be able to gently point out that you have the wrong perspective on a situation.
  • Where you are under stress caused by excessive demands, using effective time management can improve things. Similarly taking an enjoyable break may reduce stress.
  • Where you are not under enough pressure, you can set personal challenges to increase stimulus.

If you are already suffering from a mild form of depression, then the following suggestions may help you to deal with it:

  • Self-confidence: where lack of self-confidence is a factor, there are a number of things you can do:
    • Start to set personal goals. This will help you to give yourself direction in life, and will help you to acknowledge that you can achieve useful and important things.
    • Write down a list of your negative points. Challenge each item on the list objectively, asking yourself 'is this fair?', or 'is this really serious?'. You should find that many of your negative beliefs are wrong or insignificant. Where you identify serious failings, set measurable personal goals to eliminate or neutralise them.
    • Similarly, bring your anxiety and negative self-talk up to the surface of your consciousness. Ask yourself whether it is realistic to worry about the things you worry about: if you have no control over them, then worry does no good. When you look at them rationally, you may find that worries are irrational or out of proportion.
    • Write down a list of the things that you can do well, and of the positive parts of your personality. Ignore 'virtues' like humility and modesty - these are not good for your self- confidence or well-being. Be proud of your good points - they can help you to contribute positively to the world.
  • Positive thinking: almost all apparently negative experiences have positive elements to them. Learn to identify these positives: this will help you to draw the best from every situation. Even failing at something can be an intense and valuable learning experience.
  • Relationships: You may find that the root of problems lies with:
    • Assertiveness: if you are failing to assert yourself, you may find that other people are not paying attention to your wants and needs. This can be upsetting and humiliating. Learn to express your wishes firmly, but only be confrontational if absolutely necessary. Assertiveness training can be beneficial in learning to do this.
    • Social Skills: if your relationships are difficult, then you may identify that difficulties lie in the way in which you deal with other people. In this case some form of Social Skills training may be beneficial. Alternatively if you can identify where things are going wrong, you may be able to set goals to overcome the problem.
    • Other people: it is easy to assume (especially when you are depressed) that the fault in relationship problems lies with you. This may or may not be the case. Examine your relationships rationally: you may find that people around you are causing problems - there are some extremely rude, awkward, arrogant or confused people in the world. If people are making your life worse, then you may be better off without them.
  • Standards: You may find that you have set your standards unrealistically high. This will typically occur where you believe that a certain standard of achievement is necessary, but where you do not have either the financial or time resources available to achieve those standards. In this case it may be realistic to assess the standards that you can reasonably achieve within the set constraints, and aim at these.
  • Fatigue and exhaustion: If you are very tired, or have been under stress for a long period, you may find that a good break helps you to put problems into perspective.

When Depression interferes with the functioning of a person it ought to be taken seriously. Note that Major Depressive Disorder is a clinical condition, remediable by drugs and should be treated by qualified psychiatrist. Delay might result in fatal occurrences. So do not neglect.

Next Up: Over the Cliff (Part II)

 

Over The Cliff (II)

What can happen if stress gets out of control ?

In Over The Cliff (Part I ) we discussed:

  • Fatigue and Exhaustion
  • Irritability and Agitation
  • Depression

 In Part II we shall concentrate on:

This section explains what happens during these, and suggests strategies in brief to avoid or cope with them.  

Burn-Out

What is it? 

It is the gradual process by which a person, in response to prolonged stress and physical, mental and emotional strain, detaches from work and other meaningful relationships. The result is lowered productivity, cynicism, confusion...a feeling of being drained, having nothing more to give.

Thus Burn-Out is said to occur when highly committed people lose interest and motivation. Typically it will occur in hard working, hard driven people, who become emotionally, psychologically or physically exhausted. 

Have a look at the following instances, if you seem to fit into any or most of the following  then beware you have been working too hard and maybe a future burnout candidate.

  • You forgot to keep your date with Brooke Shields.
  • Again you couldn't say no to your boss when he handed 6 extra files for the week end.
  • Forgetting your marriage anniversary was nothing new, but this time round the block you forgot your own Birth Day and no body bothered to remind (wish) you.
  • Cant remember the last vacation you went on.
  • You and the PC have become one.
  • You think 'Bajpay' is some new type of pie.
  • You lose your nights sleep worrying when you delegate work to your colleagues.
  • Its become impossible to last the day without 5 cups of coffee.
  • You got lost on the way home last night.
  • You regularly say hallo to the night watchman.
  • Your sweetheart cant remember when she last heard the three magic words from you. I love U.

Did you identify yourself, if not well and good, if yes time to slow down buddy.

Often burn-out will manifest itself in a reduction in motivation, volume and quality of performance, or in dissatisfaction with or departure from activity altogether.

Burn-out doesn't occur in a single day, it will normally occur slowly, over a long period of time giving adequate warning and time to take evasive action. It may express itself physically or mentally. 

Symptoms of burn-out are shown below:

  • A growing tendency to think negatively
  • An incorrect belief that you are accomplishing less
  • A feeling of lack of control over commitments
  • Loss of a sense of purpose and energy  
  • Increasing detachment from relationships. This may cause further conflict and stress, adding to the problem.
  • Emotional Exhaustion

This occurs when you methodically do what you are supposed to but withdraw emotionally from what you are doing. In the health care industry this could be characterized by a nurse who follows correct medical procedures and is cordial with the patients, but no longer cares about them personally. If you begin to see others as objects rather than human beings, beware, you may be on the burnout path.

Avoiding Burn-Out

If you working very hard, then you should take great care not to burn-out. Those in helping professions or positions that have significant inter personal contact are more susceptible e.g. customer service departments, health care etc.

You can avoid mental burn-out by ensuring that what you do remains fun: there is a limit to your mental energy that you should respect.  One of the first thing that you should do is decrease the pressure on your self by slowing down your sense of time. Try out the following:

  • Do not work in front of the clock: When you have a clock staring at you or over you shoulder, your perception of time is that it goes by quickly. Hide the clock and work at your own pace. You will accomplish more in less time than if you monitor yourself. Of course, you still have to keep loose track of the time, cause have it form the horses mouth your wife wont like it if she has to wait for an hour with the entire weeks grocery at the shopping arcade.
  • Do not set unrealistic time frames: When you foresee a particular assignment to be an hour long it might take up two. Examine the contingencies and allow enough time. After estimating the time it will take to do something, multiply that by 1.5 and you will have a more realistic time frame.
  • Avoid working under deadline pressure: Any time you face a deadline, time will seem to run faster. In some cases you can't do anything about them. Try to arrange time so that you don't face them as often and you will gain a greater sense of control over your time.
  • Get the required equipment: Do not grudge invest in equipment which will help you attain your goals quickly and easily. Get a Pentium III if your 486 drives you crazy while launching your word processor. Very soon you will discover that the money that you spent has got you greater returns as higher productivity lower stress levels and peace of mind. Make these investments intelligently and don't add to your stress by indulging in champagne taste in beer budget.

As you get better at what you do, people may want increasing amounts of your time, and will rely on you more and more. It is easy for commitments to get bigger: people tend to be quite happy to consume other peoples mental resources without worrying about the consequences. You must learn to say 'No' to commitments that you do not want to take on - otherwise you will be in severe danger of burning out. The next time your boss dumps some more responsibilities try one of the following:

  • "Do you think that with my current commitments I can do this new project justice."
  • "I appreciate your confidence in me, but my other responsibilities would prevent me from doing an excellent job."
  • "I'd be happy to handle this assignment for you, but realistically I cant do it without neglecting the file that you handed me yesterday. Of tasks y and z which would you like me to do? Which can I put aside."
  • "Of course I can do this for you but currently I have x, y and z lined up in queue. Will it be okay if I get back to you sometime next week or will that be too long a wait for a file as important as this."

What ever you say or do, do it with great tact and professionalism. All the while stay as flexible as possible and be humble and true in your statements. Your boss will appreciate it and your relation will improve resulting in a lower stressed work enviornment.

If you are in Danger of Burning Out...

If you feel that you are in danger of burning out, or are not enjoying what you do, the following points can help you correct the situation:

  • Re-evaluate your goals and prioritise them
  • Evaluate the demands placed on you and see how they fit in with your goals
  • Identify your ability to comfortably meet these demands.
  • If you are over-involved, reduce the commitments that are excessive
  • If people demand too much emotional energy, become more unapproachable and less sympathetic. Involve other people in a supportive role. You owe it to yourself to avoid being bled dry emotionally.
  • Learn stress management skills
  • Examine other areas in your life that are generating stress, such as work or family, and try to solve problems and reduce the stress
  • Get the support of your friends and family in reducing stress
  • Ensure that you are following a healthy lifestyle:
    • Get adequate sleep and rest to maintain your energy levels
    • Ensure that you are eating a healthy, balanced diet - bad diet can make you ill or feel bad.
    • Get adequate regular aerobic exercise
    • Limit your caffeine and alcohol intake
  • Perhaps develop alternative activities such as a relaxing hobby to take your mind off problems
  • Acknowledge your own humanity: remember that you have a right to pleasure and a right to relaxation

Late Stages of Burn-Out

If you are in late stages of burn-out, feeling deeply demotivated and disenchanted with your job or life, get help from a good psychologist.

If You Have Burned Out...

If you are so demotivated that for a time you do not want to continue with what you do, then take some time off. Alternatively try to switch to another area of activity within your organization. If you come back later, you may find that you start to enjoy work again, and can take on only those commitments that you want.

You may, however, find that you have absolutely no interest in continuing with what you are doing. In this case it may be best to drop it altogether. If you are the sort of person who has burned out, i.e. highly motivated and hard driving, then a complete change of direction may be appropriate. It is very likely that you will find another area in which you will excel. You will discover that you are only demotivated and listless in the area in which you have burned out.

The difference is that you will have already burned out once: next time you now know the signs to look for and the things to watch. Providing that you learn these lessons you will be able to pace yourself, and control your energy much more effectively. This will help you to control stress so that you operate at stress levels where you can give your optimum performance.

Breakdown

Where an individual has been under sustained stress for a long period of time, has suffered serious life crises, or has reached a stage of exhaustion and demoralisation, then breakdown may occur.

This may show itself physically as a heart attack, angina or a stroke, or may show as 'nervous' or 'mental' breakdown, where the sufferer becomes mentally ill. In the latter case symptoms may not be seen by the individual, but may be obvious to partners, friends and colleagues.

'Breakdown' sounds sudden and dramatic - in the case of physical breakdown it may be. Mental breakdown, however, may be slow in onset, and may be mild or severe. The boundary between prolonged unhappiness or exhaustion and breakdown is blurred - one definition of breakdown may be that the sufferer finally carries out some act that makes it impossible to continue functioning normally in society.

Symptoms of nervous breakdown may be:

  • uncharacteristic, uncontrollable, irrational behaviour
  • intense and excessive anxiety
  • severe depression
  • obsessive activity - persistent performance of an irrational activity, or of a normal activity to an irrational degree
  • manic depression - depression interspersed with periods of euphoria
  • destructive and self-destructive behaviour:
    • sobbing
    • screaming
    • shouting
    • violence
    • self-mutilation
    • suicide
  • doing stupid things:
    • giving up a good job
    • breaking up good relationships
    • shoplifting
    • becoming dependent on drugs
  • schizophrenia

Where breakdown appears to be underway, seek professional help immediately.

Next Up: Action Plan

 

   
   

The Action Plan

Drawing up the Action Plan

Maintaining the stress diary will aid you understand the level of stress under which you work most effectively, and help you know precisely what is causing the stress. Once you know these it is time to draw up your own personal stress management action plan.

1. Ask yourself HOW DID I GET INTO THIS? Then give yourself time for an extended thoughtful answer. 9 out of 10 times you will discover that the stress that you are under is your own making. If you accept most of the responsibility for the situation in which you currently find yourself, your quest to reduce stress will be greatly enhanced and made easier cause as a corollary of your confession you happen to discover that you are in control. Thus altering the situation to reduce stress should not be much of a problem. A realization that provides a psychological boost to your stress mitigation exercise.

2. Under stress, often the ability to take cool calculated decisions decrease. And to draw up the action plan these are the precise qualities that are necessarry. So instead of thinking on your own ask yourself WHAT WOULD A CALM PERSON TO DO? Merely by posing the question you open yourself to a world of insights. I suggest writing it on a blank page in your stress diary, so that there is plenty of space for all the self generated solutions that you are going to record.

Some elements of what you record will be actions you are going to take to contain, control or eliminate problems that are causing you stress. Other elements may be health related such as taking more exercise, changing your diet, or improving the quality of your environment. Some may cover stress management techniques that you will employ when stress levels begin to build.

Organize all that you have jotted down and bingo you have your action plan right in front of you.

An example plan is shown below. The contents and structure of your plan are for you to devise - it will depend entirely on your circumstances.  

  • Do stretches in the morning
  • Have a proper filling breakfast
  • Take breaks every two hours at work
  • Clean up my office desk
  • Delegate the Princeton Deal file to Jack Harvey
  • Use deep breathing whenever my boss shouts at me
  • Do not carry work home
  • Cut down on the daily intake of alcohol
  • Spend time with baby John
  • Go to sleep latest by 10:30 PM
  • Review career goals monthly

A range of stress management techniques will be explained later in this article series. Different techniques are will be effective for different situations and causes of stress. Thus use the techniques according to the circumstances that you are under. Keep reading.

_________________________________________________

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SEE THE FOLLOWING Stress Diary template, PRINT IT and make regular entries in your Stress Diary (for example, every hour). If you have any difficulty remembering to do this, set an alarm to remind you to make your next diary entry.

Also make an entry in your diary after each incident that is stressful enough for you to feel that it is significant.

Every time you make an entry, record the following information:

The date and time of the entry.
The most recent stressful event you have experienced.
How happy you feel now, using a subjective assessment on a scale of -10 (the most unhappy you have ever been) to +10 (the happiest you have been). As well as this, write down the mood you are feeling.
How efficiently you are working now (a subjective assessment, on a scale of 0 to 10). A 0 here would show complete inefficiency, while a 10 would show the greatest efficiency you have ever achieved.
The fundamental cause of the stress (being as honest and objective as possible).
You may also want to note:

How stressed you feel now, again on a subjective scale of 0 to 10. As before, 0 here would be the most relaxed you have ever been, while 10 would show the greatest stress you have ever experienced.
The symptom you felt (e.g. “butterflies in your stomach”, anger, headache, raised pulse rate, sweaty palms, etc.).
How well you handled the event: Did your reaction help solve the problem, or did it inflame it?
You will reap the real benefits of having a stress diary in the first few weeks. After this, the benefit you get will reduce each additional day. If, however, your lifestyle changes, or you begin to suffer from stress again in the future, then it may be worth using the diary approach again. You will probably find that the stresses you face have changed. If this is the case, then keeping a diary again will help you to develop a different approach to deal with them.



Analyze the diary at the end of this period.
Analyzing the Diary
Analyze the diary in the following ways:

First, look at the different stresses you experienced during the time you kept your diary. List the types of stress that you experienced by frequency, with the most frequent stresses at the top of the list.
Next, prepare a second list with the most unpleasant stresses at the top of the list and the least unpleasant at the bottom.

Looking at your lists of stresses, those at the top of each list are the most important for you to learn to control.

Working through the stresses, look at your assessments of their underlying causes, and your appraisal of how well you handled the stressful event. Do these show you areas where you handled stress poorly, and could improve your stress management skills? If so, list these.

Next, look through your diary at the situations that cause you stress. List these.
Finally, look at how you felt when you were under stress. Look at how it affected your happiness and your efficiency, understand how you behaved, and think about how you felt.


Having analyzed your diary, you should fully understand what the most important and frequent sources of stress are in your life. You should appreciate the levels of stress at which you are happiest. You should also know the sort of situations that cause you stress so that you can prepare for them and manage them well.

As well as this, you should now understand how you react to stress, and the symptoms that you show when you are stressed. When you experience these symptoms in the future, this should be a trigger for you to use appropriate stress management techniques.

Summary
Stress Diaries help you to get a good understanding of the routine, short-term stresses that you experience in your life. They help you to identify the most important, and most frequent, stresses that you experience, so that you can concentrate your efforts on these. They also help you to identify areas where you need to improve your stress management skills, and help you to understand the levels of stress at which you are happiest, and most efficient.

To keep a stress diary, make a regular diary entry with the headings above. For example, you may do this every hour. Also make entries after stressful events.
 

Analyze the diary to identify the most frequent and most serious stresses that you experience. Use it also to identify areas where you can improve your management of stress.

 

Stress Diary
© Mind Tools Ltd, 2004 - this may be used and copied freely.

Date & Time

Happiness
& Mood
Efficiency
Feeling of Stress
Most Recent Stressful Event What Did You Feel? Fundamental Cause How Managed?
 
(0 to 10)
(0 to 10)
(0 to 10)
       
 
 
 
 
       
 
 
 
 
       
 
 
 
 
       
 
 
 
 
       
 
 
 
 
       
 
 
 
 
       
               
               
               
               
               
               
               
               
               
               
               
               
               

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