ENCOMPASS WORKPLACE MENTAL HEALTH
WHEN THE TIGHTROPE BREAKS WORKBOOK
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INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION
© 2012 eMeta Learning Solutions
ENCOMPASS WORKPLACE MENTAL HEALTH
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ENCOMPASS MISSION
To provide employers with expert training and consulting for early identification and
remediation of mental health issues in the workplace.
WHEN THE
TIGHTROPE BREAKS
…It’s too late
MODULE III
GOAL
To educate participants on stress and anxiety disorders and introduce solutions that will minimize the negative impact of anxiety in the
workplace
ENCOMPASS WORKPLACE MENTAL HEALTH
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OBJECTIVESOBJECTIVESOBJECTIVESOBJECTIVESAfter the completion of this module, you will understand:
� The prevalence of stress and anxiety in the workplace and their impact on the organization’s bottom line
� The five types of anxiety disorders
� The relationship between stress and anxiety
� The solutions that are available for healthy people and healthy organizations
QUIZ:
How many individuals seek a doctor's care for ailments related to anxiety
disorders?
a. 1 in 5
b. 1 in 10
c. 1 in 20
d. 1 in 40
ONE IN FIVE…
Individuals Seek a Doctor's Care for Ailments Related to Anxiety
DisordersAnxiety Disorders Statistics And Facts
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HIGH COST OF ANXIETY
� Anxiety Disorders account for ~1/3 of the total mental health bill for the U.S.
� People with an anxiety disorders are 3 to 5 times more likely to go to the doctor
� People with an anxiety disorders are 6 times more likely to be hospitalized for mental health conditions than non-sufferers
The Economic Burden of Anxiety Disorders
ANXIETY IS A NORMAL
REACTION TO STRESS
It helps one deal with a tense
situation in the office, prepare for a presentation, or to keep focused on a
performance
Brent and MariLynn's photostream
WHEN THE TIGHTROPE
BREAKS...IT’S TOO LATE
But… when anxiety becomes an
excessive, irrational dread of everyday
situations, it becomes a disabling
disorder
wolfsavard
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END OF INTRODUCTIONEND OF INTRODUCTIONEND OF INTRODUCTIONEND OF INTRODUCTION
SECTION 1SECTION 1SECTION 1SECTION 1
UNDERSTANDING THE FIVE
MOST COMMON TYPES OF
ANXIETY
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FIVE TYPES OF ANXIETY
DISORDERS
� Generalized Anxiety Disorder (GAD)
� Obsessive-Compulsive Disorder (OCD)
� Post-Traumatic Stress Disorder (PTSD)
� Panic Disorders
� Phobias
2.8%2.3%
1.7%
3.6%
8.0%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
GAD OCD PANIC PTSD PHOBIAS
PREVALENCEAnxiety Disorders Statistics And Facts
NIHM --Anxiety Disorders
2.8 % OF THE POPULATION
ARE DIAGNOSED WITH A
GENERALIZED ANXIETY
DISORDER
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GENERALIZED ANXIETY
DISORDERThree (or more) of the following six
symptoms
� Restlessness
� Being easily fatigued
� Difficulty concentrating
� Irritability
� Muscle tension
� Sleep disturbance Generalized Anxiety Disorder
POSSIBLE PHYSICAL
SYMPTOMS � Sweating
� Dry mouth, difficulty swallowing
� Abdominal pain
� Dizziness
� Rapid or irregular heart rate
� Rapid breathing
� Diarrhea or frequent need to urinate
MedlinePlus -- Stress and anxiety
ANXIETY SCREENING QUIZ
This screening should be used to help determine if one might need to see a
mental health professional for diagnosis and treatment of an anxiety or panic
disorder
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THERE ARE DIFFERENT TYPES
ANXIETY DISORDERS
� Generalized Anxiety Disorder
� Obsessive-Compulsive Disorder (OCD)
� Panic Disorder
� Post-Traumatic Stress Disorder (PTSD)
� Phobias
2.3 % OF THE POPULATION
ARE DIAGNOSED WITH AN
OBSESSIVE COMPULSIVE
DISORDER
OBSESSIVE COMPULSIVE
DISORDER
Repeated, persistent and unwanted
� Ideas
� Thoughts
� Images
� Impulses
AlishaV's photostream
MayoClinic -- Obsessive-compulsive disorder
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OBSESSIVE COMPULSIVE
DISORDER
Obsessions often have themes to them such as:
� Fear of contamination ordirt
� Having things orderlyand symmetrical
� Aggressive or horrific impulses
Obsessive-compulsive disorder
OCD SCREENING QUIZ
This screening should be used to help determine whether one might have an obsessive-compulsive disorder that needs professional attention
Let’s Review:
� One in five individuals seeks a doctors care for ailments related to anxiety disorders
� Anxiety is a normal reaction to stress until it affects your ability to function in every day life
� There are numerous effective screening tools for most anxiety disorders
� Anxiety disorders account for 1/3 of the total
mental health bill for the U.S.
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THERE ARE DIFFERENT TYPES
ANXIETY DISORDERS
� Generalized Anxiety Disorder
� Obsessive-Compulsive Disorder (OCD)
� Panic Disorder
� Post-Traumatic Stress Disorder (PTSD)
� Phobias
1.7 % OF THE POPULATION
ARE DIAGNOSED WITH A
PANIC DISORDER
ANYONE CAN HAVE A PANIC
ATTACK
A sudden surge of overwhelming anxiety and fear
� Your heart pounds
� You can’t breathe
� You feel dizzy and sick to your stomach
� You may even feel like you’re dying or losing control of your mind
Panic Attacks and Panic DisorderVIDEO: PANIC ATTACKS
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MANY THINGS CAN CAUSE
A PANIC ATTACK � Going to places where escape is not
readily available
� Being away from home
� Going anywhere alone
� Physical exertion
� Driving
� Social gatherings
� Certain foods or drinks
PANIC DISORDER
� Experience frequent, unexpected panic attacks
� Worry a lot about having another panic attack
� Are behaving differently because of the panic attacks
Panic Attacks and Panic Disorder
OVERCOMING PANIC
� Therapy
� Medications
� Self-help
• Learn about panic
• Avoid smoking andcaffeine
• Learn how to control your breathing
• Practice relaxation techniquesPanic Attacks and Panic DisorderSymptoms, Causes, and Treatment
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THERE ARE DIFFERENT TYPES
ANXIETY DISORDERS
� Generalized Anxiety Disorder
� Obsessive-Compulsive Disorder (OCD)
� Panic Disorder
� Post-Traumatic Stress Disorder (PTSD)
� Phobias
3.6% OF THE POPULATION
ARE DIAGNOSED WITH A
POST-TRAUMATIC STRESS
DISORDER
POSTTRAUMATIC STRESS
DISORDER INCREASING AT AN
ALARMING RATE!
As many as 35% of the returning
veterans from Iraq and Afghanistan are estimated to suffer from PTSD
gopal1035's photostream
Staggering Rates of PTSD: Iraq & Afghanistan Veterans
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� The nearly 11,000 cases of post-traumatic stress disorder in 2010 were 15 times higher than in 2003
� The Army estimates that the total number of members from all branches of service afflicted with PTSD may be nearing a half-million
Zoroya, Gregg, USA Today, January 20, 2012
SYMPTOMS INCLUDE
� Flashbacks
� Nightmares
� Emotional numbness
� Relationship problems
� Trouble sleeping
� Sudden anger
� Drug and alcohol abuse Post-traumatic stress disorder (PTSD)
POST-TRAUMATIC STRESS
DISORDER SELF-TEST
If you suspect that you might suffer from post-traumatic stress disorder, complete this self-test by choosing
"yes or "no" for each question. Print out the test and show the results to
your health care professional.
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THERE ARE DIFFERENT TYPES
ANXIETY DISORDERS
� Generalized Anxiety Disorder
� Obsessive-Compulsive Disorder (OCD)
� Panic Disorder
� Post-Traumatic Stress Disorder (PTSD)
� Phobias
8.0 % OF THE POPULATION
ARE DIAGNOSED WITH A
PHOBIA
THE MOST COMMON TYPE
OF ANXIETY DISORDER
MOST COMMON PHOBIAS
� Claustrophobia
� Arachnophobia
� Heights
� Flying
� Social AnxietyDisorder
� Agoraphobia
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BY DEFINITION, PHOBIAS
ARE IRRATIONAL
Quiz:
What is the most common type of anxiety disorder?
If you answered….
Phobias, then you are correct…
Phobias are the most common type of anxiety disorders because there are so
many kinds
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END OF SECTION 1END OF SECTION 1END OF SECTION 1END OF SECTION 1
SECTION 2SECTION 2SECTION 2SECTION 2
THE RELATIONSHIP
BETWEEN STRESS AND
ANXIETY
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AUDIENCE POLL
Men on average worry about three things on a daily basis (immediate family, job and money). How many things do you think women worry about on a daily basis?
a. Threeb. Seven
c. Twelved. Twenty
STRESS IS A COMMON
TRIGGER FOR ANXIETY
� 3 out of 4 American workersdescribe theirwork as stressful
� 1 out of 4 adultsreport having alevel of stress that is a lot higher than they would like
Stress in the Workplace: A Costly Epidemic
LIFE STRESS TEST
� Shows the kind of life pressure that you are facing
� Can predict the likelihood that you will fall victim to a stress related illness
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The Workplace Stress Scale™
COMMON WORKPLACE
CAUSES OF STRESS� Recent promotion
beyond capacity
� Too many demands on time
� Excessive overtime
� Too little or boring work
� New technology
� Workplace violence
� A new or unreasonable boss
� Increased productivity targets
� Sexual harassment or bullying
� High absence in colleagues
� Personal finances and the economy
Look to Workplace Stressors as Causes of Anxiety
ECONOMIC STRESS IS
AFFECTING US WORKERS
Stress in the Workplace: A Costly Epidemic
Young PeopleDistressed
Sleepless Nights Distracted on the Job
34.3%31.4%
23.4%
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WORKPLACE VIOLENCE
VIOLENCESTRESS
Vicious Cycle
Stress in the Workplace: A Costly Epidemic
SURVEY ON RAGE
� 28% stressed to thepoint of yelling and screaming
� Nearly 20% are awareof a threat or verbalintimidation
� 11% aware of an assault or violent act
� 10% work in an atmosphere where physical violence has occurred
The American Institute of Stress -- Job Stress
WORKPLACE RAGE
SYMPTOMS
� Refuses to cooperate with others
� Spreads rumors and gossip
� Consistently argues with superiors, employees, colleagues and/or clients
� Constantly swears at others
� Acts belligerently toward superiors, employees, colleagues and/or clients
Work Rage: When overwork and overstress can wreak havoc in the workplace
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BULLYING
Bullying goeshand in hand with angerand stress and low job satisfaction –and nearly 20% of us say it’s happened in our workplace in the last year
Leonid Mamchenkov's photostream
HEREDITY
PERSONALITY
BRAIN CHEMISTRY
LIFE EXPERIENCES
HEREDITY
PERSONALITY
BRAIN CHEMISTRY
LIFE EXPERIENCES
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� ancientsword's photostreamPatrick J. Lynch's photostream
+
THE MIND AND BODY
CONNECTION
STRESS AND ANXIETY CAN
MAKE YOU SICK
� 43% of all adults suffer adverse health effects from stress
� Stress is linked to the six leading causes of death:
• heart disease • accidents
• cancer • cirrhosis of the liver
• lung ailments • suicideMind/body health: Did you know?
STRESS DECREASES THE
QUALITY OF YOUR LIFE
� Memory loss / Insomnia / Anxiety
� Headaches / Short Tempered
� Impotence / Reduced Drive & Desire
� Colds / Flu / Lowered Immune Function
� Back Pain / Chronic Pain of Any Nature
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5 CLEAR MARKERS OF
PHYSICAL DAMAGE DUE TO
STRESS:
� High Blood Pressure
� Diabetes
� High Cholesterol
� Abdominal Fat
� Elevated Cortisol
The Physical Effects of Long-Term Stress
Let’s review:
� Self-assessments for stress are readily available on line
� There is a direct link between workplace violence and workplace stress
� Stress and anxiety can make you physically ill
RECAP
Stress leads to serious impairment that can cause big mistakes, illness
and serious injuries
As the economic outlook remains unclear, employers need to help
educate their employees on how to ease the stress
Attitudes in the American Workplace VII
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END OF SECTION 2END OF SECTION 2END OF SECTION 2END OF SECTION 2
SECTION 3SECTION 3SECTION 3SECTION 3
SOLUTIONS FOR HEALTHY
PEOPLE AND HEALTHY
ORGANIZATIONS
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PolicyRevisions
Training
CulturalShifting
ResourcesExpertise
THERE ARE A BROAD
ARRAY OF EFFECTIVE
AND PRACTICAL SOLUTIONS
MANAGING AN ANXIETY MANAGING AN ANXIETY MANAGING AN ANXIETY MANAGING AN ANXIETY
DISORDER AT WORKDISORDER AT WORKDISORDER AT WORKDISORDER AT WORK
� Focus on the positive
� Make time for fun
� Get regular exercise & eat healthy
� Avoid caffeine
� Don't agree to do something that you feel you can't manage
MANAGING AN ANXIETY MANAGING AN ANXIETY MANAGING AN ANXIETY MANAGING AN ANXIETY
DISORDER AT WORKDISORDER AT WORKDISORDER AT WORKDISORDER AT WORK
� Learn to identify and control your anxiety symptoms
� Try meditation and progressive muscle relaxation
� Access the organization’s EAP if available
� Seek professional help
Managing an Anxiety Disorder at Work
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STIGMA RESULTS IN A
SERIOUS BARRIERFe
ar o
f Dis
clo
su
reF
ea
r of D
isc
los
ure
Fe
ar o
f Dis
clo
su
reF
ea
r of D
isc
los
ure
� Diagnosis
� Treatment
� Acceptance in the Workplace
STIGMA
UNTREATED ANXIETY
REDUCED PRODUCTIVITY
INCREASED COSTS
LOWER MORALE
A NEGATIVE DYNAMIC IS
SET IN MOTION
WHAT IS WORKPLACE
RESILIENCY?
� COMMITMENT
� CONTROL
� CHALLENGE
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10 TIP FOR RESILIENCY AT
WORK
� Expect the unexpected
� Seek mastery of your job
� Take care of yourself
� Develop resiliency snapshots
� Solve problems, don’t “dis” engage
10 TIPS FOR RESILIENCY AT
WORK
� Connect with others at work
� Change is part of life
� Focus on the solutions
� All problems are potential opportunities
� Develop good emotional intelligence
APPS for Stress and Anxiety
� Stress Check by Azumio
� What’s MYM3
� Relax and Rest Guided Meditation
� PTSD Coach
� T2 Mood Tracker
� My Calm Beat
� Heart Rate Monitor by Azumio
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END OF SECTION 3END OF SECTION 3END OF SECTION 3END OF SECTION 3
Deborah Dutton Lambert, MBA, PC, [email protected]
Daina R. Dennis, MBA, [email protected]
Contact Information
www.encompasselearning.com
© 2012 eMeta Learning Solutions
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