Transcript Part I: Hidden Stresses and Your Health

Stress Check-Up
Group Appointment
Hidden Stresses and Your Health
1
A Baffling Illness
2
Stress-Related Illness
Illness caused by
past or present
mental or social
stress.
3
Cause of Presenting Symptoms
Outpatient Primary Care
Psychiatric
Medical
Stress
4
A Wide Range of Symptoms
5
Women Undergoing Laparoscopy
Incidence of Childhood Sexual Abuse
70
60
50
40
30
20
10
0
Infertile
Pelvic Pain
6
Costly and Frustrating
 No definitive tests
 Unhelpful referrals to
specialists
 Misleading test results
 Serious illness is ruled
out but the person
remains ill
7
Symptoms Relieved after Nine
Months of Normal Tests
8
A note from the
Referring Physician
“Thank you for helping her. It is
reassuring to know that I didn’t
miss anything important.”
9
The Symptoms are Real
They are NOT:




Due to Mental Illness or Mental Weakness
Imaginary or Delusional
An attempt to Deceive or Fake an Illness
Self-Inflicted
10
The Same Process that produces a
knot in your stomach when you feel tense
or a blush when you are embarrassed.
Stress
Symptoms
11
Two Simple Concepts
Stress Causes Real Symptoms
Effective Treatment is Available
12
Stress Check-Up Part I
The Timing
of the
Symptoms
13
Stress Check-Up Part II
Stress in
your life
right now.
14
Stress Check-Up Part II - a
Insufficient
Personal
Time
15
Stress Check-Up Part III
Childhood
Stress
16
Adverse Childhood
Experience Study
Seven Factors Measured (n=18,000)
Abuse:
Household Occurrences:
1. Physical
2. Sexual
3. Psychological
4. Substance Abuse
5. Mental Illness
6. Domestic Violence
7. Householder Imprisoned
17
4+ ACEs vs Zero ACEs
Odds Ratios
IV Drug Use
Suicide Attempt
Alcohol Abuse
Domestic Violence
Multiple Body Symptoms
Emphysema
Obesity
11.0
9.5
5.3
5.0
2.7
2.4
1.8
18
Childhood Stress.
Low Self-Esteem Caused By:
 Physical or sexual
abuse
 Parental drug abuse
 Neglect
 Adult responsibilities
 Witnessing violence
 Lack of approval
19
Childhood Stress:
Negative Outcomes








Bad Partners
Addictions
Quick Temper
Eating Disorders
Mental Health Problems
Self-mutilation
Self-sacrifice
Inability to feel emotions
20
Childhood Stress:
Positive Outcomes
 Reliable
 Detail-Oriented
 Compassionate
 Hard-Working
21
Childhood Stress Recovery:
I Deserve Better
 I Deserve more
respect & support
 To get as much as
I give
 “I am a great
person who was
born in a bad
place.”
22
Childhood Stress Recovery:
Rage
Often unexpressed due to:
 Anger is unpleasant
 Many years learning to
suppress emotion
 Hope for reconciliation
23