Coping with Stress in
Middle and Late
Adolescence
Janice B. Tan, RN, LPT
Teacher III
Content and Performance
Standard
The learners demonstrate an
understanding of… stress and its
sources; various stress responses; and
coping strategies for healthful living in
middle and late adolescence
The learners…
identify personal ways of coping for
healthful living
Learning Competencies
The learners...
1. discuss that understanding stress and its
sources during adolescence may help in
identifying ways to cope and have a healthful
life
2. identify sources of one’s stress and illustrate
the effect of stress on one’s system
Learning Competencies
3. demonstrate personal ways of coping with
stress for healthful living
Stress Log
Write down a couple of
stressful situations that
came up this week, how
you dealt with them and
how you felt afterward.
What is
Stress?
Stress
Dictionary: pressure, tension, hardship,
emphasis, importance
Hans Selye (1907-1982): the body's reaction
to perceived threats or tension that affects
our body's balance (homeostasis: our
normal, healthy, steady state)
General Adaptation Syndrome
1. The Alarm Phase
recognize the stressor
“adrenaline rush” --> “fight or flight” Upon
encountering a stressor,body reacts with"fight-or-
flight" response
reactions in the body stirred
nervous system activated
hormones act up (such as corticosterone) --> surge of
energy to allow handling of the stressful situation
The body's resources now mobilized
General Adaptation Syndrome
2. The Resistance Phase
able to handle stress or adapt to the situation
restore sense of balance
defenses still up
body still in state of arousal to resist effects of
stress
General Adaptation Syndrome
3. The Exhaustion Phase
stressful situation persists
neither able to adjust nor hold up
exhaustion sets in
burnout, fatigue, dysfunction, health problems
Stress Related Illnesses
heart diseases
gastrointestinal problems
anxiety
depression
Know your Stressors!
Draw anything that makes you stressed in a
piece of paper and try to explain what you
have drawn.
Stressor
is any event, experience, or environmental
stimulus that causes stress in an individual.
These events or experiences are perceived as
threats or challenges to the individual and
can be either physical or psychological.
Researchers have found that stressors can
make individuals more prone to both physical
and psychological problems, including heart
disease and anxiety. (
https://en.wikipedia.org/wiki/Psychological_s
tress
)
Stressors can be divided into physical,
social, and psychological.
Eustress
is the other form of stress that is positive and
beneficial. We may feel challenged, but the
sources of the stress are opportunities that
are meaningful to us. Eustress helps provide
us with energy and motivation to meet our
responsibilities and achieve our goals
Examples of eustress
igraduating from college,
getting married,
receiving a promotion,
or changing jobs
Eustress, or positive stress, has the
following characteristics:
Motivates, focuses energy.
Is short-term.
Is perceived as within our coping abilities.
Feels exciting.
Improves performance
Distress
is a continuous experience of feeling
overwhelmed, oppressed, and behind in our
responsibilities. It is the allencompassing
sense of being imposed upon by difficulties
with no light at the end of the tunnel.
Examples of distress include
financial difficulties,
conflicts in relationships,
excessive obligations,
managing a chronic illness, or
experiencing a trauma
Distress, or negative stress, has the
following characteristics
Causes anxiety or concern.
Can be short- or long-term.
Is perceived as outside of our coping abilities.
Feels unpleasant.
Decreases performance.
Can lead to mental and physical problem
Common Stressors
Work/studies
academic requirements, tests, projects, deadlines,
overtime
Money
tuition fees, “baon”, everyday expenses, bills
Relationships
conflicts, frustrations with family and friends, peer
pressure
Common Stressors
Time - lack of it
Environment
pollution, transportation, traffic, flooding
Change - adjustment with new things
Unexpected events
accidents, natural disasters
Common Reactions to Stress
Physical
headaches/migraine
tiredness
palpitations/rapid pulse
indigestion/heartburn
breathing difficulty
loss of appetite
LBM/diarrhea
skin problems
Common Reactions to Stress
Emotional
unhappiness
depression
frustration
irritability
anxiety
loss of sense of humor
Common Reactions to Stress
Behavioral
restlessness
difficulty in sleeping
overeating/loss of appetite
absenteeism/tardiness
alcohol drinking
smoking
Common Reactions to Stress
Stressful eating habits
eating too fast
not chewing food well
eating too much
drinking too much fluid
Other Specific Strategies to Handle
Stress
Take care of your health
Eat healthy
Do not skip breakfast
Take vitamins and supplements
Avoid stressful eating habits that affect digestion
Other Specific Strategies to Handle
Stress
Physical activities
exercises - jogging, dancing, TaiChi
Relaxation exercises
Breathing exercises
Finding your inner smile
Laughter Therapy
Ella Wheeler Wilcox (1883): “Laugh and the
whole world laughs with you. Weep and you weep
alone”
Other Specific Strategies to Handle
Stress
Time Management
Identifying Support Groups
make connection
find a group you can trust and make you feel safe
know the people you can talk to - family
members, counselor, mentor
be open to receive help
Other Specific Strategies to Handle
Stress
Meditate/Pray
Can't sleep?
Don't count the sheep.
Talk to the shepherd.
Journal activity
How stressed are you? Rate your stress from
1-10, 1 being a calm, relaxed state, 10 being a
high stress level. Explain your rating
What are your most important stressors right
now? list or draw them
What are your reactions? Classify as to
physical, emotional and behavioral
How do you handle them? Explain your
stress-busting technique.