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Managing Stress & Anxiety Managing Stress & Anxiety During Uncertain Times During Uncertain Times This webinar begins at 2:00pm. This webinar begins at 2:00pm. Moderator: Moderator: Speaker: Speaker: Jeremiah Dahlen, LPC, CEAP


  1. Managing Stress & Anxiety Managing Stress & Anxiety During Uncertain Times During Uncertain Times This webinar begins at 2:00pm. This webinar begins at 2:00pm. Moderator: Moderator: Speaker: Speaker: Jeremiah Dahlen, LPC, CEAP Janeen Haller -Abernethy, LCSW Program Manager Director Jeremiah.dahlen@state.co.us Jeremiah.dahlen@state.co.us janeen.hallerabernethy@state.co.us janeen.hallerabernethy@state.co.us Call 800-821-8154 . 303 -866-4314 or Send Us a Message! Send Us a Message!

  2. Typical Stress Responses Typical Stress Responses • Fear & worry about health - self & others • S leep & concentration impact • S hift in eating patterns • Exacerbation of health concerns ● Increased use of substances CDC, 2020

  3. Higher Risk* Populations Higher Risk* Populations *Higher risk of increased stress & anxiety during pandemic/ mass crisis • Older adults • Children and Teens • First responders/ helpers (medical providers) • People with mental health or substance use concerns CDC, 2020

  4. Anxiety @ Work Anxiety @ Work Typical Anxiety Disorders Typical Anxiety Disorders ● Generalized anxiety (constant worry) Generalized anxiety ● Social anxiety Social anxiety (extreme discomfort in social situations) ● Phobias (irrational fears) Phobias ● Panic Panic (intense terror) Signs & Symptoms Signs & Symptoms ● Inability to function/perform well ● Lost work time; absences ● Physical complaints - sweating, upset stomach ● Cognitive/emotional complaints - panic/fear, unwanted thoughts ● Can cause sleep disturbances that may impair work performance ● Can co-occur with Major Depressive Disorder Center for Workplace Mental Health (2020). Anxiety disorders: Why they matter and what employers can do.

  5. Additional Stressors Additional Stressors ● Health anxiety ○ May impact your response to pandemic ○ May make it difficult to cope well ● S tress associated with remote work ○ Isolation ○ Boundaries

  6. Strategies for Coping Strategies for Coping

  7. Maintain routines & self Maintain routines & self - care strategies! care strategies! Image credit: WSJ.com, 2020

  8. Therapist Tips: Therapist Tips: ● It’ s OK to use humor - j ust know your audience ● Find opportunities to laugh ● Be helpful to others ● Be productive ● S ocial media - only for positive interactions ● It’ s OK to count your blessings; examples: ○ Less traffic ○ Reduced kid activities ○ More time? ○ We have toilet paper!

  9. Emotional Wellness Emotional Wellness Options to Prevent & Manage Symptoms ❑ Just breathe! Reduce your respiration rate. ❑ Change your thinking; track your thoughts & conclusions – are they productive? ❑ Consider worst-case-scenario but don’t dwell on it ❑ Reduce exposure to social media & 24/7 news feeds Tips for Social Distancing, Quarantine, and Isolation During an Infectious Outbreak. SAMHSA, 2014.

  10. Focus on Resilience Focus on Resilience Resilience Resilience A developed attitude regarding challenges, changes, trauma, critical events. Resilience Factors Resilience Factors ● Relationships - stay connected, care for others ● Realistic Plans and Action Steps ● Self-Efficacy; Decisions align w ith values ● Communication; Problem-Solving ● Effective management of emotions ● Adaptive self-care strategies FYI: Building Your Resiliency; The Road to Resilience, American Psychological Association, 2016.

  11. Focus on Resilience Focus on Resilience Workplace-supported resilience: • Routines , including work, can be healing. • Compassion demonstrated at work can increase motivation to continue normal routines. • Recognition that all have different responses Self-supported resilience: • Communicate needs; Focus on problem-solving • Manage strong emotions; Practice self-care • S trong informal support can decrease residual impact. Harvard Business Review, 2002; US Office of Personnel Management: A Manager’ s Handbook; APA, 2016.

  12. Employee Resources: Employee Resources: Mental Health Support Mental Health Support ● Colorado State Employee Assistance Program Colorado State Employee Assistance Program (CSEAP) (CSEAP) ○ 6 sessions 6 sessions - free of charge free of charge ○ 800 800-821 821-8154 8154 ● Colorado Crisis Services Colorado Crisis Services ○ 24 24-hour response hour response ○ Telephonic and text services are free Telephonic and text services are free -of of-charge charge ○ 1-844 844-493 493-8255 8255 ● Health Insurance benefits Health Insurance benefits ○ Mental health # on health insurance card Mental health # on health insurance card ● SAMHSA Referrals and Support SAMHSA Referrals and Support ○ Treatment referral Treatment referral

  13. Resources for Kids Resources for Kids ● NPR Covid NPR Covid-19 Comic for Kids 19 Comic for Kids ● Parent/ Parent/ Caregiver Caregiver Guide Guide ○ Talking with your family Talking with your family ○ Reducing family risk Reducing family risk ● Stanford Stanford - Tips for talking with kids Tips for talking with kids ● The Atlantic: Keeping kids busy The Atlantic: Keeping kids busy Image credit: Dreamstime 2000 -2020

  14. Workplace Resource: Workplace Resource: Psychological First Aid Psychological First Aid ● Evidence -informed strategy used in the aftermath of disaster. ● Some of the core components include non non -intrusive intrusive compassionate contact, stabilization, information on coping and compassionate contact, stabilization, information on coping and available services available services . ● Online training available at NCTSN and at USDVA. ● For more information, visit the National Center for PTSD .

  15. Workplace Resource: Workplace Resource: Workplace Response to COVID Workplace Response to COVID -19 19 – Ensure that basic & workplace needs are met – Ensure that informational needs are met – Practice flexibility where possible – Provide regular reminders of CSEAP • Support available via phone and video

  16. General CSEAP Information General CSEAP Information Counseling Services Counseling Services ● Free benefit of employment ● All S tate employees are eligible for our services ● Access to 6 counseling sessions per rolling year ● Family members may be eligible for counseling services ● Administrative leave may be granted for attendance

  17. CSEAP Services CSEAP Services ● Confidential Counseling ● Emergency Financial Assistance ● Crisis Response ● S upervisor/ Manager Consultation ● Professional Coaching ○ EI Managerial Coaching * ● Mediation for employees in conflict ● Presentations & Workgroup Facilitation ● Psychological Fitness for Duty (PFFD)* * Costs are associated with these particular services.

  18. QUESTIONS? QUESTIONS?

  19. Contact CSEAP Contact CSEAP 303 303-866 866-4314 4314 800 800-821 821-8154 8154 Office Locations Denver . S terling . Loveland . Colorado S prings . Golden . Pueblo . Grand Junction . Durango . Alamosa Visit us at Visit us at www.colorado.gov/cseap

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