SPT Stress Management PDF

Stress Management PT 700 – Fall 2024 Cameron Brown, PT, DPT, PCS Objectives 1. Explore the effects of stress on the body 2. Identify common stressors for DPT students 3. Define burnout and factors that contribute to burnout 4. Recognize common thought traps and how to identify them 5....

Stress Management PT 700 – Fall 2024 Cameron Brown, PT, DPT, PCS Objectives 1. Explore the effects of stress on the body 2. Identify common stressors for DPT students 3. Define burnout and factors that contribute to burnout 4. Recognize common thought traps and how to identify them 5. Explore options to counteract negative thoughts and manage stress in daily life  “We don’t stop playing because we grow old; we grow old because we stop playing.” George Bernard Shaw Stress Stress is a value-neutral word Simply a response to being alive, and humans require certain stress to have something to respond to in order to live Negative stress distorts our ability to see the world as it truly is, and this distortion then increases our stress, causing a positive progression or escalation of our anxiety Patient Partitionner Interaction – Chapter 5 Physical Effects of Stress Individual responses differ Maintaining your mental and Some suffer from headaches, physical health as a health care diarrhea, nausea, or cardiac professional remains critical to palpitations your success Potential long-term problems: Keep up with your annual diabetes mellitus, high blood physical, dental exams, health pressure, ulcers, colitis, arthritis, screening or chronic fatigue Seek the expertise of those who can provide any required care needed Common Student Stressors First Year Preclinical Clinical Uprooted from family Mastering large volume Separation from peer and friends of information support Adapting to demanding High-stakes exams Frequent rotations in new learning Peer groups of equal new environments environment motivation and Unstructured learning Increased academic intelligence environment workload (comparison) Financial concerns Concern for academic Lack of time for Exposure to human performance recreation (all years) suffering Patient Partitionner Interaction – Chapter 5  Depression, Anxiety, and Stress in SPTs A total of 1,238 DPT students were surveyed – 20 also interviewed Depression, Anxiety, and Stress Scale (DASS) Demographic and Mental Health History Doctor of Physical Therapy students were found to have higher DASS scores than their age-matched peers (stress ranked highest) First-year students were found to have significantly higher levels of anxiety and stress as compared with third-year students. Depression, Anxiety, and Stress in Doctor of Physical Therapy Students: Analysis of Incidence and Lived Experiences. Journal of Physical Therapy Education 35(3):p 251-257, September 2021. | DOI: 10.1097/JTE.0000000000000185 Interview Data Themes When accessing resources becomes a stressor Seeking support from trusted confidants Growing up in grad school *Fear of failure drives perfection Depression, Anxiety, and Stress in Doctor of Physical Therapy Students: Analysis of Incidence and Lived Experiences. Journal of Physical Therapy Education 35(3):p 251-257, September 2021. | DOI: 10.1097/JTE.0000000000000185 Navigating DPT Student Challenges Three major themes were identified: 1) First-year DPT students faced academic, personal, and mixed challenges 2) Challenges evoked a range of negatively charged emotions 3) Students relied on adaptive and some potentially maladaptive personal characteristics, behaviors, and strategies to manage their challenges Educators must prepare students to develop the coping strategies needed to manage not only current academic stressors but ultimately the stressors inherent in clinical practice. Navigating Student Challenges: From the Lens of First-Year Doctor of Physical Therapy Students Plack, Margaret M.; Healey, William E.; Huhn, Karen; Costello, Ellen; Maring, Joyce; Hilliard, Marjorie Johnson  Figure 1. Challenges Experienced Navigating Student Challenges: From the Lens of First-Year Doctor of Physical Therapy Students Plack, Margaret M.; Healey, William E.; Huhn, Karen; Costello, Ellen; Maring, Joyce; Hilliard, Marjorie Johnson Journal of Physical Therapy Education36(1):76-86, March 2022. doi: 10.1097/JTE.0000000000000212 Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. 10  Figure 2. Emotions Experienced Navigating Student Challenges: From the Lens of First-Year Doctor of Physical Therapy Students Plack, Margaret M.; Healey, William E.; Huhn, Karen; Costello, Ellen; Maring, Joyce; Hilliard, Marjorie Johnson Journal of Physical Therapy Education36(1):76-86, March 2022. doi: 10.1097/JTE.0000000000000212 Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. 11  Figure 3. Navigating Student Challenges: From the Lens of First- Year Doctor of Physical Therapy Students Plack, Margaret M.; Healey, William E.; Huhn, Karen; Costello, Ellen; Maring, Joyce; Hilliard, Marjorie Johnson Journal of Physical Therapy Education36(1):76-86, March 2022. doi: 10.1097/JTE.0000000000000212 Coping with challenges Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. 12 Coping Strategies Adaptive Maladaptive Personal characteristics: dedication, Being anxious or lacking self- hardworking, discipline, and confidence persistence Prioritizing studies, setting goals, Cramming, pushing through, just using detailed calendars, changing crying, or using negative self-talk study habits, or managing time Taking no action better Reflection and positive self-talk, changing their mindset, and engaging in self-care Seeking professional and social supports Burnout Mental Health vs. Burnout Burnout is a syndrome resulting from chronic workplace stress that has not been successfully managed Individual response to a systems problem 35% of DPT students meet the criteria of burnout DPTs in first 10 years of practice experience higher emotional exhaustion (EE) than more experienced peers Factors Contributing to Burnout Financial concerns (e.g., student loans) Physical demands and secondary trauma Emotional burden Lack of autonomy and advancement opportunities; compromised sense of competence Increased productivity demands reducing quality of patient care Thought Traps Common Thought Traps All-Or-Nothing Emotional Catastrophizing Thinking Reasoning Mind Reading Overgeneralization Negative Filtering https://www.uab.edu/news/health/item/12251-five-common-thinking-traps-and-how-to-avoid-them How to Counteract Thought Traps Feelings do not Look for shades Consider realistic equal facts, of gray, be odds, other objective flexible outcomes, coping evidence Look for No one can read Examine exceptions to minds! No evidence, practice “always”, “never”, assumptions gratitude “everybody” https://www.uab.edu/news/health/item/12251-five-common-thinking-traps-and-how-to-avoid-them  SPT Coping Strategies ✓ Exercise ✓ *Time with friends & family Patterns of Academic Burnout, Emotional Distress, and Coping in Physical Therapy Students. The International Journal of Health, Wellness, and Society. 8. 31-46. 10.18848/2156-8960/CGP/v08i03/31-46. Recommendations Teach time management and organizational skills, study strategies (student services workshops!) Discuss challenges early on so they are less novel Peer and social support Active Coping and Mindfulness practice Cognitive reframing, growth mindset, positive self-talk Progressive exposure to academic stressors Faculty share experiences openly, model skills, share strategies Navigating Student Challenges: From the Lens of First-Year Doctor of Physical Therapy Students Plack, Margaret M.; Healey, William E.; Huhn, Karen; Costello, Ellen; Maring, Joyce; Hilliard, Marjorie Johnson Mindset and Gratitude Growth Mindset Modulate expectations Resilience You have control over your experiences Practice gratitude and positive self-talk These are skills we can model for our future patients too!  Dr. H Meditation Study The purpose of this study was to investigate the impact of a six-week sustainable online meditation program on the well-being of DPT students. 25 minutes of meditation on Zoom, 3x/week Participants had higher scores on emotional, psychological, and intellectual health as measured by the Perceived Wellness Survey (PWS) https://wcujhw.scholasticahq.com/article/123628-the-effect-of-a-6-week-virtually-guided-meditation- program-on-dpt-students-perceived-well-being  Meditation and Breathing Work Started with 10 diaphragmatic breathing cycles Listen to a guided meditation with eyes closed for 20 minutes Guided meditation was focused on relaxation and body awareness At the end of each session, she asked students to write down three things they are grateful for Lasted a total of 6 weeks https://wcujhw.scholasticahq.com/article/123628-the-effect-of-a-6-week-virtually-guided-meditation- program-on-dpt-students-perceived-well-being Biopsychosocial “Wheel of Wellness” Self Care Set a bedtime and stick to it! Stay hydrated and eat regular balanced meals (consider your caffeine consumption) Schedule regular medical/dental appointments Move or walk regularly (joyful movement) Schedule time for fun and social connection Set boundaries (social-media included) Video – Guided Meditation https://www.youtube.com/watch?v=HrZT-KxWc-U References 1. Plack, Margaret M. PT, DPT, EdD; Healey, William E. PT, EdD, GCS; Huhn, Karen PT, PhD; Costello, Ellen PT, PhD; Maring, Joyce PT, EdD; Hilliard, Marjorie Johnson PT, EdD. Navigating Student Challenges: From the Lens of First-Year Doctor of Physical Therapy Students. Journal of Physical Therapy Education 36(1):p 76-86, March 2022. | DOI: 10.1097/JTE.0000000000000212 2. Davis CM, Musolino GM. Patient Practitioner Interaction : An Experiential Manual for Developing the Art of Health Care. Sixth edition. SLACK Incorporated; 2016. 3. Bogardus, Jennifer M. PT, PhD; Blackinton, Mary PT, EdD; Litwin, Bini PT, DPT, PhD, MBA; Morrow Nelson, Terri PhD; Mitchell, Katy PT, PhD. Depression, Anxiety, and Stress in Doctor of Physical Therapy Students: Analysis of Incidence and Lived Experiences. Journal of Physical Therapy Education 35(3):p 251-257, September 2021. | DOI: 10.1097/JTE.0000000000000185 4. Williams, Petra & Mueller, Karen & Carroll, Holly & Cornwall, Mark & Denney, Linda & Kroneberger, Lorie. (2018). Patterns of Academic Burnout, Emotional Distress, and Coping in Physical Therapy Students. The International Journal of Health, Wellness, and Society. 8. 31-46. 10.18848/2156-8960/CGP/v08i03/31-46. 5. Hoseini, N., Sam, K., Klein, M., & Cipriani, D. (2024). The Effect of a 6-Week Virtually Guided Meditation Program on DPT Students’ Perceived Well-Being. West Coast University Journal of Health and Wellness, 1(1). 6. University of Alabama at Birmingham Department of Physical Medicine and Rehabilitation: 5 common thinking traps and what to think instead. Accessed 10/25/24. Meditation with Dr. H TODAY! 10/29 3-3:30 pm