Acenocoumarol
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ANGINA AND STRESS RESPONSES: BEHAVIOURAL RESPONSES TO STRESS
Stress is an extension of arousal. If we are overaroused it is generally experienced as stressful. Some people prefer high levels, some low levels of arousal. It is a question of balancing input (stressful events) with output (your response). Moderate arousal is healthy but overarousal can lead to a poor response, the performance-arousal curve illustrates this.
The point at which we go over the top of the curve is the point at which our body tells us we are stressed. Again how we respond will differ: some people will resort to smoking excessively, some turn to alcohol, some take on more work or more exercise, some stop exercising and some simply flop in front of the television each evening, exhausted from the day. Research has shown that people who are stressed have more problems in taking decisions and carrying out routine tasks. Entering a room and forgetting why you went there is a typical example. This is called a cognitive error and can be quite amusing unless you are an airline pilot or nuclear energy plant engineer!
Case history
Colin was proud of his ability to perform his job in an engineering firm. Very rapidly, through sheer hard work, he rose up through the ranks to become chief engineer. His family began to notice signs of stress but Colin denied this. He was smoking very heavily and finished work by going to the pub each night. His relationship with his wife and children began to deteriorate as he spent more time at work and less at home. Even when he was home he seemed to be working or organizing the fishing club of which he was secretary. Colin began to have twinges of pain in his chest after finding himself in his car in a part of town he had never visited and not knowing how he got there. He ignored the episode. His job suffered, he caused a number of small accidents by making ’stupid errors’. One day it all came to a head. Colin had left a vital piece of machinery on and this ruined a major job that had taken six months to produce. He suffered his worst ever angina attack and was taken to hospital with a suspected heart attack. He was relieved when the diagnosis was not a heart attack. Colin was feeling quite well a few days later and ready to return to work when his boss unexpectedly visited him in hospital to tell him he had been replaced due to his series of costly errors over the last six months. Looking back over the past few months he very much regretted not taking notice of his early warning signs.
The thoughts response
What you think affects how you feel and behave. Under stress people have been shown to distort and exaggerate events which may not warrant it and this can lead to more stress. You may be more ready to ‘jump to conclusions’ and form inaccurate impressions about circumstances. These irrational thoughts are called cognitive distortions. When these cognitive distortions occur they can fuel your typical emotional response which may be anxiety, anger or depression and cause you to react in an extreme way – just like Bill at the supermarket. These cognitive distortions may be very difficult to pinpoint, because we are not always aware of our thoughts. However, this is a skill which you can learn and with practice you can tune into your stressful thoughts. Once you have identified them you can examine them in a calm light. Many of these thoughts appear to be automatic and uncontrollable. But the art of examining them makes them controllable. It is helpful first to simply be able to identify your particular thoughts and responses.
Cardio & BloodMary woke up to the same event and thought ‘Oh no! This will cause me some hassle. Wait a minute though, don’t let’s get carried away here. Do I need the car today? Yes, well okay, stay calm and think about it. It is fully insured so there is no problem, I am also covered for car hire in these circumstances so I’ll do that. Well, it could be worse I suppose. Anyway, I’ll cope, it’s an excuse to have that half day off I’ve been promising myself.’
Thoughts are powerful triggers to booster further stress responses. Because Joe overreacted he triggered a severe angina attack where Mary was able to short-circuit her stress response by keeping her thoughts calm and rational.
*36/108/2*
