Transcript Special Psychiatric Rapid Intervention Team (S.P.R.I.N.T.)

Building Resiliency to Better
Manage Occupational Stress
S. Joshua Kenton, Psy.D.
LCDR USN
Staff Clinical Psychologist
Naval Medical Center, San Diego
Work Related Stress
• Unreasonable demands for performance
• Lack of interpersonal communication between the
employer and the employees
• Lack of interpersonal relationship among the employees
• The fear of losing one's job/job insecurity
• Long working hours
• Less time to spend with the family
• Under utilization of skills
Psychological Symptoms
• Mood swings
• Anxiety
• Depression
• Irritability
• Poor decision making
• Lack of concentration
Physical Symptoms
• Suppression of immunity resulting in
infection
• Headaches
• Increased appetite leading to weight gain.
• Sleeplessness
• Loss of sexual drive
• Memory disturbances
Behaviors you may display…
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Change in friends
Withdrawal
Changes in appetite
Inability to rest
Pacing
Change in sexual
functioning
• Increased Alcohol
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consumption
Emotional outbursts
Erratic movements
Change in speech
patterns
Stress Injury Sources:
Intense or Prolonged Stress
Impact
A trauma
injury
Due to events
provoking terror,
helplessness,
horror, shock
Wear &
Tear
LOSS
INNER
CONFLICT
 A beliefs injury

A
grief
injury
 A fatigue injury
 Due to loss by  Due to conflict
 Due to the
between
death or
accumulation
moral/ethical
of stress over
separation of
beliefs and
time
people who are
current
cared about
experiences
Stress Injury Sources:
Common Examples in
Healthcare Setting
Impact
ER Trauma
Care
Psychiatric
Emergencies
Response
ICU, NICU, etc
Wear &
Tear
LOSS
INNER
CONFLICT
 Loss by death of  Facing decision
 Long shifts
about balancing
critical care pts.
 Frequent
Pt. care with
Deployments
suicide, etc.
Self-Care
 Staffing
 Loss of job/role,
 Feeling
shortages, and
relationships,
changes; PCS
disillusioned
etc.
HEALTHY
READY
“Fit & Focused”
 Well-trained and qualified
 Positive command climate
 High morale
 Strong cohesion
 Good order and discipline
 Clear sense of mission
 Exhibits ethical and moral
behavior
 Balanced & healthy
relationships

READY
REACTING
INJURED
GREEN ZONE
ILL
RECOGNIZING STRESS REACTION
REACTING
Anxious, irritable, sad
 Poor concentration
 Trouble sleeping,
fatigued
 Changes in appetite
 Apathy, loss of interest
 Negative, pessimistic
 Increased interpersonal
conflict
Poor decision-making

READY
REACTING
INJURED
ILL
RECOGNIZING STRESS INJURY
INJURED
 Poor
emotional control
 Major sleep difficulties
 Guilt, shame, fear
 Loss of interest
 Disruption of moral
values
 Substance Abuse
 Decreased confidence
 Poor morale
 Family disruption
READY
REACTING
INJURED
ILL
RECOGNIZING STRESS ILLNESS
READY
REACTING
ILL
• Chronic and severe distress
• Substance dependence
• Major disruptions of sleep, appetite, mood
• Significant problems at work
• Panic, rage, guilt, and shame
• Symptoms that persist or get worse over
time
• Injuries that don’t heal without help
• Family/relationship violence or abuse
INJURED
ILL
What Doesn’t Help
• Using alcohol or drugs
• Violence or conflict
• Overeating/restricting diet
• Working too much
• Blaming others
• Withdrawing from pleasant activities
Building, Maintaining and Restoring
Your Resiliency
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Create small goals
Stay in the here and now
Don’t run from the problem/Keep things in perspective
Maintain an outlook of hope
More fun
Rely on good relationships
Exercise
Breathing/Relaxation
Conclusion
• Managing stress takes practice
• Be preventative
• Stay in the Green/Yellow
• Look out for each other
• Know when to get professional help.