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ABOUT STRESS
Harry L. Mills, Ph.D.
One of the chracteristics of aging is stress. There are changes that seem increasingly
unpredictable and health concerns not present earlier in life. However, the best way to cope with that is to start with a
better understanding of stress and its nature.
NATURE OF STRESS
Stress can add excitement to your life or it can become the bane of your existence. Whether
it is the one or the other depends on the source of stress and on you. Any event that makes a demand for a response that may
exceed your capacity may be experienced as a source of stress. These range from daily hassles, like the commute to work, or
a dysfunctional cell phone, to the pain of a cancer. Most people handle daily hassles with ease, but almost anyone can become
overwhelmed by the pain of cancer. Most people can manage to cope with a fender bender but those same people will find being
shot at in a war a significant challenge. However, even daily hassles can sum in a way to become a challenge in a vulnerable
person. How vulnerable we are depends on a number of things, including skills that can be learned.
Selye and the GAS
The father of the modern scientific concept of stress was an immigrant physiologist named
Dr. Hans Selye. While studying the physical reaction of the body to disturbances, he found a pattern
that seemed to occur over and over. The body undergoes a generalized physiological response as it tries to adapt to the demands
and pressures and he called that response the General Adaptation Syndrome or GAS. The first step is the initial alarm reaction
followed by resistance, as the body tries to adapt and, if the disturbance continues, a final stage of exhaustion sets in.
He labeled the response the body makes to any demand that is taxing as stress and coined another word, stressor, to describe
the events that produce the stress reaction.
To Selye stress is part of life. If you are alive, you have it.
It is neither good or bad. Stress just is. You cannot hide from it. Trying to avoid it can lead to boredom which in it self
is a stressor. However, Selye was a pioneer in pointing out that stress could result in diseases
of adaptation. In the 1950s that was a revolutionary notion. Germs were viewed as the cause of disease. Selye
pointed out that stress could weaken resistance and thus make it more likely a germ would lead to disease. Much later
researchers actually injected cold germs into the nostrils of groups of subjects under high stress levels and groups under
no significant stress. Guess who caught the colds? The subjects under stress. Hans Selye
was right.
Biology and Psychology of Stress
We are built to respond to stress. However, we are designed
for a different kind of stress than the type that we experience in our modern technological society. Our bodies are
the same as it was for our prehistoric ancestors, but the world has changed greatly over during that same period. We
have the same automatic reaction that our tribal ancestors possessed. We are "wired" to respond to threats with what
physiologists call the fight-or-flight response. If we encounter a rattle snake while hiking along a trail our
bodies prepare us to react by either trying to kill the snake or trying to get away from the dangerous situation. Our
nervous system orchestrates these changes to prepare for either event:
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Digestion slows so blood may be directed to muscles and the brain in preparation for trying to avoid
and get away from the snake.
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Breathing gets faster to supply
more oxygen to muscles to speed our movement.
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The heart speeds up and blood
pressure soars forcing blood to the parts of the body that enable you to fight or run..
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Perspiration increases to cool the body while we exert ourselves.
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Muscles tense in preparation for
jumping away and running.
- Chemicals are released to promote blood-clotting in case of injury.
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Sugars and fats are poured into
the blood to provide fuel for quick energy as you try to kill the snake or avoid contact with it.
Psychologists who conduct research on stress say there are three basic ways we respond to
stress: (1) we fight; (2) we flee; or, (3) we freeze. Fighting is the power response, we try to influence the
source of stress by attack or counter attack. Sometimes it is better to escape--to run away and fight another day.
When the threat is overwhelming, flight may be the wiser option. When fighting or running is not appropriate we may
simply freeze. In sports this is called choking.
The flight-or-fight response is an automatic alarm. How we respond, when the alarm
sounds is critical to health and happiness. We may fall into mindless reactions that become a destructive, vicious cycle.
External events of biological, social, physical or economic origin impinge on us from outside our bodies. These events
may be highly predictable or they may be unpredictable. These lead to activation of changes in your nervous system,
as well as your cardiovascular, musculoskeletal, immune and digestive systems.
However, we are not mechanical robots. Our response to stress is not hard
wired. In over 30 years of research Dr. Richard Lazarus at University of California at Berkley found that it is our lightening fast appraisal of the nature of the environmental
event that determines whether we experience stress. That appraisal has two components. First we ask is this event a threat
to me? Then we ask, do I have the resources to cope with it? If the event threatens our well-being
or exceeds our ability to respond then we experience psychological stress.
If events are appraised as threatening, the changes in the body come about because of the
activation of a particular branch of the autonomic nervous system (ANS). This branch is called the sympathetic
nervous system (SNS), and it functions to prepare us for action. The other branch, called the parasympathetic
nervous system (PNS) acts as a brake. Its function is to slow things down -- to calm the body. The hypothalamus,
a master control switch, controls the activity of both branches.
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The opposing functions of the two branches is
summarized in these functions:
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One dilates the pupils while the
other constricts the pupil
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One inhibits salivation
while the other stimulates salivation
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One accelerates heartbeat while
the other slows heartbeat
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One inhibits digestion while the
other stimulates digestion
It is the SNS that kicks into action in situations you find threatening. It serves
the goals of vigilance, arousal, activation and mobilization. The PNS provides for body maintenance. It promotes
growth, energy storage and other activities important for longer term survival.
Hormones, called glucocorticosteriods, provide
the chemical basis for the fight- or- flight response. At the same time both the pituitary and the brain secrete a class
of morphine like substances called endorphins and enkephalins which help blunt pain
perception and make us feel very, very good!
The hypothalamus is part of a region in the brain called the limbic system and it
is the limbic system that is thought of as the seat of our emotions. There are complex interconnections between the
limbic system and the higher cortical centers, where we do our thinking and problem solving, as well as, the endocrine system
and our musculoskeletal system. Mobilization of our response to stress involves magnificent orchestration of all of
these systems. The way we have learned to think is part of the process and the way we feel is intimately involved. How
we think depends on whether the stress leads to an abbreviated event that is quickly over and done with or whether the experience
lasts and is replayed over and over in our minds.
It is useful to view stress as having four stages:
Stage 1- Environmental demand
Stage 2- Perception or appraisal of the demand
Stage 3- Physical and psychological response to stress
Stage 4- Behavioral consequence or performance
An event in the environment makes a demand on the person. That demand is not automatically
a source of stress unless the person views the event as a threat or that an adequate response may stretch the capacity of
the person. In Stage 3 the body may show signs of increased tension and arousal (e.g. increased heart rate, perspiration,
rapid breathing) and a flood of thoughts. Finally the person acts in a way that may either reduce the level of tension or
increase it further, and the cycle renews at Stage 1. If the behavior succeeds in meeting the demand, the person will approach
similar demands in the future with greater confidence. Learning is very important in determining our response to stress.
HEALTH RISK OF STRESS
There is growing evidence that stress is a major factor in maintaining
health and well-being. Health means more than the absence of illness. In China and in ancient Greece health was thought of as being in
balance with nature. The vital task was seen as maintaining equilibrium in the face of extensive demands. The
World Health Organization (WHO) definition of health is a state of complete physical, mental and social well being.
It seems increasingly clear that the naive notion that a germ
automatically leads to illness is no longer acceptable, although much of the lay public subscribes to the theory. Today we
know that the idea of a single external cause, such as a germ, is oversimplified. The presence of the germ does not always
cause the illness. The vulnerability of the person or the host animal is a major factor and that vulnerability is influenced
by such factors as immunity and stress levels. So the cause of illness is not quite as simple as we once thought.
Stress vs. Distress
Another important distinction that came out of the seminal work of Hans Selye
is between stress and distress. Both involve demands on the person to adapt to a challenging event. However, when we appraise
the situation as being something we can handle it can be an exhilarating experience. When a person appraises the event as
beyond their ability or as exceeding resources the situation is experienced as distress. Another way to look at it is that
stress is positive and distress is negative. It is a valuable distinction since many people believe all stress is bad for
you. It is not.
The diathesis-stress theory
The diathesis-stress theory of the origin of certain illnesses holds that we are born with
certain biological predispositions but that whether or not an illness manifests itself is dependent on the level of stress
one experiences and the resources one can use to overcome the stress. For example, although a person may have inherited a
genetic deficiency in metabolizing alcohol, whether that person becomes an alcoholic or not also depends on the types and
levels of stress they experience. Another person may have inherited a problem with glucose metabolism; however, it is factors
such as the level of stress, or a sedentary life style or a combination of the two that result in development of type 2 diabetes.
We may be born with certain vulnerabilities; it is stress that tips us into active illness.
Impact of stress on illnesses
Certain ailments have been recognized for some time as being influenced by stress.
The most common example is intestinal distress such as indigestion and colitis. Other disorders like migraine, tension headaches,
high blood pressure, arthritis and certain skin disorders may also be influenced by stress. In some instances, stress
emotions seem to make an ailment worse, while in others stress may be a factor in bringing on illness. Research increasingly
supports the hypothesis that stress may have at least some impact on many diseases.
There are several reasons for believing that stress contributes to the development of cardiovascular
disease. First, stress emotions increase the level of low-density blood cholesterol and this leads to clogging of the
arteries of the heart. Second, stress emotions result in maladaptive coping behaviors such as smoking, drinking and
overeating, which can damage the heart and surrounding vessels. Finally, stress emotions result in the release of powerful
hormones which result in increases in heart rate and blood pressure. One of these stress emotions is anger, and anger expressed
in the form of hostility is known to increase the risk of cardiovascular disease.
Several hypotheses are being explored in the role of emotions
in cancer. Again stress emotions may play an indirect role leading the person to smoke or drink excessively. More
direct influence is attributed to a tendency to suppress or deny emotions. There is some evidence that those who suppress
emotions are more susceptible to cancer. Again the mediating factor is hormonal activity.
At the 2002 meeting of the American Psychological Association a group-based stress management
study was presented that indicated that group stress management training could lower blood glucose levels in Type 2 diabetes.
Patients that received instruction regarding the health consequences of stress and instruction in the use of cognitive and
behavioral skills such as deep breathing and recognition of major life stresses as well as instruction in progressive muscle
relaxation lowered their glucose levels more than patients that did not have stress management training. Thirty-two percent
of the patients receiving stress management lowered their A1C glucose levels by one percent or more as compared to 12% of
the patients who did not receive this training. This modest change is larger than the half percent change that has been associated
with significant reduction in microvasclar complications that can accompany out of control diabetes.
While this change might move someone with tightly controlled diabetes to near normal levels; even those diabetics with poorer
control would benefit from the reduction in glucose levels with fewer diabetic complications.
In summary, if you are a type 2 diabetic, learning to manage stress should have special health
consequences for you. Although this was a group program, if none is available in your area, individual stress reduction strategies
should be beneficial, especially if you have a friend or family member trying to learn stress management with you.
Stress and the immune system
The immune system has been called our liquid nervous system. With our growing knowledge
of the human body has come an increasing conviction that stress may be a factor in susceptibility to colds, flu, mononucleosis
and other infectious illnesses. It appears that some of the hormones secreted in the presence of stress emotions impair
or weaken the immune process by reducing the number of disease-fighting components such as lymphocytes (white cells) thus
leaving us more vulnerable to infection. This may be one of the reasons why so many people die within a year or so of
their spouse's death. Recently there has been research into why some HIV positive patients develop full blown AIDS while
others do not. One interesting finding is that patients with a more effective style of coping with stress seem to have
stronger resistance as a result. It is now reasonable to hypothesize that stress emotions increase secretion of certain
hormones. These hormones weaken the immune system and that weakness results in an increased likelihood of infectious
illness.
Recent research indicates that brief time-limited stress that may be viewed as a challenge
(e.g. passing an exam, good performance in sports, solving a difficult puzzle under pressure) may actually enhance the body’s
immune response. However, chronic stress seems to reduce the effectiveness of the immune system and thus make the person more
susceptible to diseases.
LESSONS FROM SPORTS PERFORMANCE
Sports teach us many valuable lessons about the
relationship between stress and performance that we can apply to other aspects of our lives. On one hand brief, time or event-limited
stress can be beneficial, while on the other hand, chronic, excessive stress can be very detrimental. Learning how to determine
which type of stress we are experiencing is a valuable skill indeed.
Participation in sports challenges the body and mind which creates stress. Anyone that thinks
there are no mental aspects to sports activities has obviously not participated in competitive athletic endeavors. Whether
it is learning plays or making decisions about pacing oneself during a race, or trying to figure out the complexities of making
an uphill putt in the wind on a fast green, sports require considerable mental concentration. Fortunately most of the stress
caused by sports falls in the form of eustress, which is good stress as opposed to distress, which
is bad stress.
Our response to significant demands is the body’s fight or flight response. We become
aroused to action. Heart rate increases to send more blood to muscles, we breathe more rapidly to make the blood richer in
oxygen, we perspire to cool our bodies, we spill blood sugars to give us energy and our attention becomes more focused. It
is this arousal to action that is one of the keys to performance. A certain level of arousal seems to enhance performance.
But after a certain point there are diminishing returns and eventually performance declines. Stress leads to arousal and arousal
levels have a major impact on performance.
For many years psychologists believed that the impact of stress on performance was like an
upside down U. Stress leads to arousal and that improved performance initially, then it leveled off and at very high levels
of stress performance declines. However, psychologists who study sports have learned that the upside down U does not always
apply. For simple activities like sprinting a hundred yards, stress seems to improve performance longer, before a decline
sets in. On the other hand for complex activities like swinging a golf club stress results in a much earlier decline in performance.
Another dimension is how well learned the activity may be. Golfers who practice their swings a lot will get more of a performance
boost than the new golfer who falls apart even under minimal stress and arousal (e.g. on the first tee when people are watching).
Put the two together and it seems the best way to be sure to get a boost from stress is to practice the activity frequently.
More recently Sports Psychologists have discovered that there are zones of optimal performance
under stress that vary from individual to individual. A lot seems to depend on the level of anxiety a person brings to the
performance. Anxiety is anticipation. We have more anxiety when we anticipate a negative performance outcome. While most of
us worry about the possibility of failure, some of us worry more than others. Excessive worry intensifies our level of anxiety
while we are participating in the sports activity. In other words some of us begin the task with more arousal, even before
the performance begins. If you begin the performance with high arousal you will quickly reach your optimal zone and your performance
will begin to decline sooner than if you begin with low levels of arousal. If you start out with relatively low levels of
arousal and respond to the pressures and cues of intense competition by getting pumped up, you will achieve optimal zones
of performance at critical times. In fact, people who worry may actually do better initially but they are not able to maintain
peak levels and their performance deteriorates very, very rapidly.
Stress also influences performance through attentional focus. For sports activity with a
significant mental component, the effects of stress can be catastrophic. The body’s natural stress response is to narrow
the focus of attention to better attend to a threat. That is great if the stressor is a bear and the response is a simple
one like climbing a tree or running. Understanding this mechanism is important. A quarterback dropping back for a pass must
be tense enough to focus on the patterns being run, but if too aroused, his focus will become too narrow and instead of seeing
an open receiver not planned in the play he only sees the runner who is exactly where he expected. Interception and touchdown.
When there is too little stress or arousal the attentional field is too broad and there is too little focus. Too much and
the field is too narrow; options are missed.
There is no better illustration of the effect of stress on sports performance than in golf.
What could be more stressful than making a putt with a million dollars at stake? Is there any movement in sports more complicated
than a golfer’s swing? A certain level of stress and arousal helps to sharpen attentional focus. However, since the
fine motor movements are so complex performance rapidly declines as stress and tension increases. The key is learning to control
tension levels by becoming an expert at relaxation. The other key seems to be practice, practice and more practice with the
swing. It must be overlearned so that the boost from stress will last longer and performance will
decline more slowly.
Stress can be a friend or an enemy in sports. The more you know about it the more likely
you can make it your ally.
METHODS OF STRESS REDUCTION
Self-soothing strategies
One of the most important methods of managing stress is to develop your capacity to calm
yourself down and remove yourself emotionally from stressful events. In this section we will describe many of the methods
you can use for soothing yourself such as constructive thinking, relaxation, deep breathing, meditation, auto-hypnosis, exercise
and yoga, massage, vacationing, getting into the natural world, time management and making time for the simple joys of living.
One of the most important of all methods is
humor. Norman Cousins, who was editor of the Saturday Evening Post, was diagnosed with a debilitating disease. However,
Norman Cousins refused to surrender to his illness. Rather than accept the sterile and cold atmosphere of the hospital in
which he was confined, he had favorite comedy films and humorous books brought to him. He not only recovered but went
on to be appointed to the faculty of UCLA medical school where he taught medical students about the "laughter cure."
Dr. Lee S. Birk of
Loma Linda University conducted a
study of two groups. One watched an hour-long humorous video and the other a neutral video. After the session the presence
of several hormones known to increase during the classical stress response were measured. The levels were significantly
lower for those exposed to the humorous video.
Research suggests you are less affected by stress if you use humor in your daily life.
There are three mechanisms that explain this:
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Humor gives you a break from stress.
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Humor replenishes your emotional
resources.
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Humor sustains you so that you
are better able to persist.
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As you are reading this, smile. Let a full facial
smile creep across your face. If you need to think of something funny then do so. But smile! Now how do
you feel? To help you start to involve humor in your everyday life, collect cartoons, obtain funny videos, keep a notebook
of funny jokes and try to be around other people who can laugh.
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Humor is one of the best ways to sooth away
the stress of life.
Cognitive distortions
Much of human suffering is a product of cognitive distortions. By learning more about
the common kinds of distortions, we can learn to think more constructively and reduce suffering. Much of what we have
learned about such matters has been based on the work of psychiatrist Aaron Beck. The following types of distortions
are harmful:
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Catastrophizing - involves expecting disaster even though evidence does not support such a judgment. We expect
the worst will happen.
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Personalization - involves thinking that everything people say or do is some kind of reaction to you. We must remember
that there are other people in the world.
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Filtering - means distorting or filtering out information
that is not based on our mindless bias. We must be careful to look at the entire situation before we leap to conclusions
based on a single element of a situation.
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Polarized thinking - involves seeing things as black
or white, good or bad. There is no middle ground. We need to try not to label people, or situations as either all good
or all bad.
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Overgeneralization - involves coming to a general
conclusion based on a single piece of evidence. We need to try not to jump to conclusions.
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Mind reading - involves inferring what is going on
in the mind of another and then acting on it. We have a hard time reading our own minds much less reading the minds of others.
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Control fallacies - involves seeing oneself as a helpless
victim of fate or that you are responsible for the "happiness" or "suffering" of people around you when in fact it is not
under your control. We are responsible for how we choose to let ourselves view the world: a pessimistic outlook robs us of
the energy we need to make changes in order to deal with what is happening to us. Try to find the positives in difficult situations.
While we have the ability to empathize and be emotionally supportive of people around us, we cannot make everything better
for everybody all the time. Do the best you can and then let it go.
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Fallacy of change - involves the belief that others will change because we want them to do so. What we want has little
to do with what others do.
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Blaming - involves making someone else responsible for choices and decisions that are your own responsibility.
Assuming responsibility for your choices and decisions opens the door for productive changes.
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Emotional reasoning - involves believing that what
you feel must be true. If you feel stupid you must be stupid. Because you feel it, it must be true. If you make a mistake
and feel foolish for having done so, you are not stupid. You only made a mistake—like we all do. Try not to ruminate
but think what you might do next time to prevent a recurrence.
Learn to challenge the distorted thoughts that
amplify the effects of stress. Many people find if useful to keep a diary of irrational thoughts for a week. Try to record
the situations in which you find yourself using any of these cognitive distortions. At the end of the week count them. Now
look at the categories. Do you tend to catastrophize? Are you a blamer? Do you tend to personalize
things that happen? Learning more about how you think can be a major step in managing stress better.
Dr. Herbert Benson, a Harvard cardiologist, has made a study of the counterbalancing mechanisms
of the body's stress reaction. He discovered that while the fight-or-flight response is part of the hard wired response
to stress, there is an opposite response, he called the relaxation response. The relaxation response causes the body
to calm itself. Metabolism decreases, heart rate decreases, blood pressure decreases, breathing rate decreases and muscle
tension decreases. Dr. Benson has discovered that the relaxation response can be elicited by a number of techniques
including:
Those who elicit the relaxation response regularly, such as on
a daily basis, report these kinds of changes:
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Improved sleep
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Decrease in stress-related symptoms
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Decrease in anxiety
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Increase in concentration and awareness
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Greater self-acceptance
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Enhanced performance and efficiency.
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Freedom from compulsive worrying, self- criticism, negative thoughts
There are the basic steps in learning to elicit the relaxation
response:
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A mental focusing device, such
as attending to your breathing, or repeating a word, phrase, prayer, sound, to help you shift your mind from everyday worries.
He suggest you use the word ‘one’ or ‘calm’ as your device.
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Gently direct your mind back to
your mental or physical relaxation exercise when you notice yourself getting caught up in a train of thought. Keep a passive
attitude toward distractions.
The basic steps necessary to elicit the relaxation
response are:
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Step 1: Pick a focus word, phrase, image,
or prayer.
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Step 2: Sit quietly in a comfortable position.
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Step 3: Close your eyes.
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Step 4: Relax your muscles.
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Step 5: Breathe slowly and naturally,
and as you do, repeat your focus word or phrase as you exhale.
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Step 6: Do not worry about how well you
are doing. When other thoughts come to mind, simply say to yourself, "Oh well," and gently return to the repetition.
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Step 7: Continue for ten to twenty minutes.
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Deep breathing is the body’s natural way
to relax. We seem to know how to breathe as children but as we grow up, we forget. We tend to breathe in a very shallow way
in the upper part of the chest. Try this exercise:
Lie down on a bed or on the floor. Bend your knees and relax your toes.
Keep your spine straight. If need be put a small pillow under your lower back for support. Scan your body for tension. Imaging
the tension just draining away. Place on hand on your abdomen and one on your chest.
Inhale slowly and deeply. Notice which hand moves the most. For many people
it is the hand on the chest.
Continue breathing deeply. Concentrate on moving the hand on your abdomen
more than the hand on your chest.Continue this for 5 or 10 minutes. This is a way to
learn abdominal breathing and to learn to breathe yourself into relaxation.
There are many books and tapes on relaxation and breathing. One
of the best things you can do for yourself is to begin to develop your relaxation skills.
Meditation
You have meditated. You just do not know it. However, when the word is used you may think
of saffron robes and bearded gentlemen in contorted positions. If so that is too bad. Meditation is simply putting your mind
at ease by using special methods of attention. It is a skill and is tied to no particular religious point of view. And it
is a skill that can be learned.
While many viewed meditation as an activity for kooks, Dr. Hebert Benson, a cardiologist
at Harvard Medical School and Deaconess Hospital in Boston, decided to study
it systematically. As a result of his research, meditation has enjoyed widespread acceptance in the west. School teachers
meditate, CEOs meditate, and people concerned about stress are making meditation a part of their lives.
Meditation allows you to develop greater control over your thoughts, worries and anxiety.
Americans like to stay busy and judge everything by the numbers. If we are not running from event to event we feel guilty.
Meditation requires pausing for at least a brief time each day. It involves sitting still and focusing your attention on what
happens when you are sitting still. For a little while each day you live in the present and not the past or the future.
The best introduction to meditation is meditative breathing since breathing properly is the
key to relaxing. Try these steps:
Put on comfortable loose clothing. Sit down on the floor in a comfortable
position. Cross your legs in a comfortable way. Or, if you prefer, sit in a chair with good
back support. Scan your body for tension. As you notice any tension just imagine it is
draining away and being replaced by relaxation.
Just begin to breathe through your nostrils in a relaxed way. Breathe
from your abdomen. Some people imagine a balloon just under their belly button that inflates and then deflates. As you inhale count one. Exhale slowly. Then on the next inhale count two. County silently to yourself
up to ten.
If you find distracting thoughts just return to the count.
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Keep
the focus on your breathing, attending to each inbreath for its full duration and each outbreath
for its full duration, as if you were riding the waves of your own breathing.
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Every
time you notice that your mind has wandered off the breath, notice what it was that took you away and then gently bring your
attention back to your belly and the feeling of the breath coming in and out.
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If your mind wanders away from the breath a thousand times,
then your "job" is simply to bring it back to the breath every time, no matter what it becomes preoccupied with.
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Become
aware of your thoughts and feelings at these moments, just observing them without judging them or yourself.
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At the
same time be aware of any changes in the way you are seeing things and feeling about yourself.
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After
you have completed the count to ten you can add a word like ONE or CALM or AMEN as you exhale.
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Keep
going for about 15 minutes.
Once you have tried this exercise, you have given yourself a taste
of meditation. It is a skill you can continue to learn about for the rest of your life.
Another aspect of meditation
is called mindfulness. Mindfulness means focusing on what you are doing right now. One way to learn more about mindfulness
is to focus on the experience of eating a favorite fruit. Many people use an orange cut into wedges for this exercise. Others
people prefer to use a mango or even raisins. Pick a favorite fruit and then try this exercise:
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Take a few deep breaths and relax your body.
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Scan
your body and release tensions.
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Let go
of the past and the future, and bring your attention to the present moment.
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Let your attitude be open and receptive.
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Take
a moment to appreciate where the orange (mango, or raisin) came from; look carefully at its color, texture, shape.
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Notice the aroma.
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See,
as if for the first time, how it is formed.
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Eat one section of orange, piece of mango or raisin at a time,
very slowly, as if you had never tasted this fruit before.
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How do
you chew? On one side of your mouth, the other, or both? How many times do you chew before swallowing? Slow
down if you start to hurry.
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Whenever
you notice any distraction from the moment-to-moment experience of eating, stop, take a deep breath, and then continue.
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Allow
feelings of enjoyment to arise as you experience the pleasure of eating mindfully.
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This is just an exercise
but it shows you what the experience of eating is like when you attend completely to what you are doing.
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Try to do the breathing
meditation for 10 to 15 minutes a day. Repeat the mindful eating exercise during at least one quiet
meal time each day. You have begun to learn meditation.
Auto-hypnosis
There is a lot of hype about hypnosis. Hollywood has taken license to dramatize it. Hypnosis is simply a state of consciousness between being asleep
and being awake during which you can do a number of things that can help reduce stress. We should begin by ridding ourselves
of some myths about a hypnotic trance:
You slip in and out of a hypnotic trance all the time. Have you ever been driving and arrive
at your destination only to realize you do not remember the drive? You slipped into a trance. Do you ever daydream and simply
get lost in thought? You were in a trance. Have you been in a movie and get so engrossed you were oblivious to what went on
around you? You hypnotized yourself.
There are many audio tapes and CDs that you can purchase at any book or tape shop to learn
the art of self-hypnosis. If you want to learn more about hypnosis give one a try.
Exercise and yoga
When you exercise you produce endorphins, morphine like chemicals,
that produces feelings of well-being and calm. By getting active you use the body’s natural fight or flight response,
rather than suppress it, so you feel better. Research reveals the value of exercise in reducing stress. For example:
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Fifteen minutes of walking (as
to maintain a heart rate of 100 beats per min) was found to be a more powerful muscle relaxant than was 400 mg meprobamate.
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Five minutes of stepping (30 steps
per min) on a 20-inch bench was found to cause a 32% decline in leg-muscle tension one hour after exercise.
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Exercise programs of jogging,
calisthenics, and aquatics have been found useful in reducing muscle tension in men aged 52 to 88.
Whatever specific exercises you choose you should be able to answer yes to these questions:
-
Does it take an hour or less a day?
-
Is
it possible to do easily and well without a great deal of mental effort?
-
Can
you do it alone?
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If you persist in the activity will you improve yourself?
-
Can
you do it without criticizing yourself?
If the answer to these questions is yes you can make it a habit or as one psychologist puts
it, a positive addiction.
The best way to keep exercise going is to make some form of exercise part of everyday.
Make it as natural as eating or brushing your teeth. If you have to think and plan too much it becomes easy to skip,
delay, avoid or postpone exercising. Formulate a simple plan and then follow it. Many people set a time each day to
engage in some kind of physical activity. Remember walking can be an excellent activity. But from the beginning you
must find a way to enjoy the activity or find a way to reward yourself immediately afterwards. You will keep up activity
only if there are rewards. If it is all pain there will be no gain! Until you can maintain from the experience
of gain -- reward yourself.
Yoga is a stress relieving activity that affects the mind as well as the body. Yoga uses
a series of gentle fixed poses, stretches and breathing techniques to relax the body and calm the mind. It is not necessary
to attempt to perform some of the more advanced postures in order to derive benefits. Yoga has been demonstrated to relieve
muscle tension as well as help lower blood pressure and cholesterol levels.
There are many different types of yoga. Hatha is probably the most
frequently encountered type in the United States. It focuses on meditation, breathing and slow focused stretches. Bikram
is the type often practiced in rooms with temperatures over 80º. Ashtanga is a very active form
of yoga involving a fairly rapid pace as participants move from one pose to another. Yoga Fit© is a new take on yoga that
combines traditional yoga poses with the use of light weights. Sport Yoga is a type of yoga which is easy for beginners. It
is based primarily on Hatha yoga but also includes some traditional sports stretching, some pilates exercises and martial art warm-ups. It is more effective than regular sports stretching because
of its emphasis on structure and balance.
As in any new endeavor, a beginner should be patient with themselves as they begin their
yoga study. The use of props, such a foam bricks and cloth straps, is recommended as it allows the novice yoga student to
correctly approximate postures which they may not be able to do because of tight muscles. Over time a student will gradually
become more flexible and able to do more and more. Physical and emotional benefits are available to all participants.
As you take class, select postures you enjoy for practice at home; if you completely understand
the proper way to do some of the more difficult postures you can also work on those at home. Balance postures, like the tree
asana, may be practiced with your back against a wall (at home) allowing you learn what the pose feels like and gain skill
so the pose will be easier when performed in class without a prop. .
Massage
Psychologist Sidney Jovrard studied
the number of times men and women touched in cafes in different countries. In San
Juan, Puerto Rico he counted 180 contacts per hour. In Paris the rates were 110 per hour. In Gainesville, Florida twosomes touched only twice per
hour and in London the count was zero! And
yet touching seems to help reduce stress. For example, a massage by a professional or by a loved one can be excellent.
Today you can get a massage about as easy as a haircut. There
are a number of approaches:
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Acupressure
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Swedish massage
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Reflexology
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Shiatsu
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Chiropractic
All these approaches have their origins in early medicine and
healing arts. If you have money to spend you can find an expert near you and set up an appointment. If you prefer you can
ask a partner to give you a back rub or you can do it yourself.
There are specialty stores that sell a variety of devices from
vibrating chairs to simple hand held vibrators. These devices can help relieve the tension at the end of a tough day. However,
a good friend can be of great help. Just be sure to offer to reciprocate. This is the way to get started:
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Use warm oil or body lotion for even greater relaxation
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Lower the lights and put on some soothing music
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Focus on the lower back, neck and shoulders
-
Start with light pressure, increase the pressure then end with light pressure
again
The best way for your partner to learn is to do it. Give them
feedback about what works and what does not. Make massage part of your stress management program.
Vacation
Vacations are great. Two weeks away from the office makes you feel good and the tension is
gone while you are away. However, by 2:00 PM on
the Monday after you return you are tied in knots again and now you have to wait for a year for another vacation. As a way
to reduce stress you are far better off to take a number of mini-vacations throughout the year than to depend on just one.
Furthermore, it is better to take them before the level of stress builds rather than use them for stress relief when overwhelmed.
Start a mini-vacation notebook. Study a map of your area, go to a book store and get books
on the attractions in your area, make a list of the things you really like to do that take hours, rather than days, and put
those in your notebook. . Keep an eye on the articles in your newspaper about things worth doing and seeing. Put those in
your notebook too.
What are the natural world attractions in your area? Where are the parks? Look for water,
as water seems to be natural way for use to relax. It can be a creek, a lake, a bay, a gulf or an ocean. Plan to walk beside
it, sit beside it, picnic beside it or even jump in it.
Here are some things to try:
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Visit a small nearby town you have never seen. Get out and walk around.
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Check into a nice hotel nearby for a night
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Find a great place and go for a hike
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Get a bike and ride it
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Find and stay in a county inn
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Go to a botanical garden
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Visit historic sites nearby
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Find a vineyard and visit it
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Locate mansions nearby and visit them
The list could go on and on. The best vacations from stress are frequent breaks in your routine.
Plan for them. Take that two weeks but don’t put all your stress reduction eggs in that one basket.
Natural Environment
Our great-great grandparents were able to look at natural scenes
and not parking lots, buildings and brick walls. Research has shown that patients have better recovery from surgery
when they have hospital windows with scenes of nature rather than brick walls. We should treat ourselves to feasts like
watching the clouds in the sky, or the surface of a tranquil lake or watching birds nesting. Pictures of ponds, streams
and trees produce lower levels of arousal and higher alpha waves, brain waves associated with wakeful relaxation.
Researchers have found that even watching aquariums can lower
blood pressure and produce a state of calm relaxation. Learn to look for and dwell upon the natural scenes in your environment.
Stop by a park and walk or ride through. Let your eyes, ears, and nose soak in the pleasant scenes that are already
part of your everyday world. Stop and look.
The lonely view of a mountain with snowy crests stretching upward
into the sky or the blue green white capped waves at the beach and the roar of those waves as they crash onto the shore can
be restorative. We seem attracted to the sound of a river as it flows. For thousand upon thousands of years
these were a part of daily life. Now instead of the sounds of the wind we hear the sounds of auto horns. Instead of
the colors of a forest we are bombarded with the blacks and grays of asphalt and cement. We are more likely to smell
petroleum waste than the intoxicating aroma of evergreen.
Find time for nature. It can help you cope with stress.
Time management
To manage stress you need to manage yourself in the context of time. While no one would say
it out loud, in many organizations time is treated as an unlimited or renewable resource. However, there is only so much time
in each life, each year, each month, each week, each day, each hour, and each minute. And once it is gone, there is no getting
it back. In order to make your workday more efficient, you need to identify the top time-killers in your day and how to eliminate
them.
Some of the biggest time killers are:
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Poor communication
-
Confused responsibility
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Meetings
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Crisis management
-
Interruptions
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Poor planning.
Traditional time management gives too great an emphasis to working life and too little emphasis
to a balanced life with family and to restorative activity (e.g. recreation). The old methods can lead you to the delusion
that you are in control of your life when in reality you are not. Purpose, principles and values should be used to align weekly
and daily priorities. Traditional approaches to prioritizing tend to lead to crisis management because it is based more on
urgency than on what is vital. People and relationships are taken out of the equation and turned into objects and barriers.
It often leads to a guilt trip and that in turn leads to abandonment of the time management effort. In a nutshell, the old
time management adds to stress; it does not reduce it.
To cope with stress you must become a master of timing. You should:
-
Know in every hour of the day the use you would like to make of time.
-
Know your weaknesses (e.g. procrastination), as well as your strengths,
and learns ways to overcome weaknesses.
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Conduct ongoing evaluations, whether formal or informal, as to how you spend
your time.
-
View time as a whole and keep professional and personal routines in balance
and consistent with life goals and personal values.
-
Use any and all memory and performance aids (e.g. Daytimers,
reminders, project software) that can enable you to engage in preferred actions at just the right time.
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Make use of time in relation to a clear set of goals that represent a balance
between what is expected by others (e.g. the boss) and what is desired for you and your family.
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Use time for play as well as work, taking breaks during episodes of intense
work and employ effective methods for reducing tension.
At the end of each day you should be able to say…”the way I
spent my time was a reflection of my personal values and philosophy of life.”
Develop a very personal statement entitled, ‘My Purposes in Life’. To keep you
do so, ask yourself these questions and write out your answers on cards or paper:
-
What are the five most important things in your life?
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How would you spend this week if you had only six months to live?
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What are the most important relationships in your life and what must you
do to cultivate those relationships?
-
What are your long-range goals in life in these areas: family, career and
financial?
-
What would you like to see written as your epitaph?
Take what you have written and create a purpose in life statement. Review it before you set
weekly and/or daily priorities. Make it a habit. Never prioritize without reviewing it. It will help keep your life in balance.
More balance means a reduction in stress.
Making time for joy
We are built to gain important information and to learn important
lessons from sensory events. We love sweetness such as the taste of a peach or a mango. Once we have tasted it
we will go back for more. On the other hand our bodies are built such that the senses can also warn us about danger.
A distinctive stench can warn us about spoiled food. Bitterness can tell us that certain foods may harm us. Loud
noises may warn us to avoid a falling tree. A flash of pain leads us to recoil and thus avoid a serious burn.
In short, we need not advocate mindless hedonism in order to ackmowledge that we are built to seek
certain joys and avoid pain. We need a balance in the direction of joys in order to reduce stress. Many of us
have fallen out of balance. We need more joy in our lives.
The belief that saunas are good for your health may have merit.
Following a sauna, electrical discharges in muscles show a more relaxed pattern. In addition, saunas can also decrease pain
in muscles and joints. One study revealed that 30 minutes in a sauna doubles the beta-endorphin level in the blood. Beta-endorphins
are chemicals in the brain that relieve pain and produce a sense of well being. The heat may deplete the body's stores
of stress hormones. After a sauna people show more brain waves related to deeper more restful sleep. If you do
not have a sauna, many of the same benefits can be obtained by taking a very hot bath. It is a simple joy that can have
multiple benefits.
To the ancient Greeks, Apollo was the god of both medicine and
music. Early physicians used music to regulate heartbeats and music and singing were used to cure many ailments. At
least part of the joy of music may come from the release of endorphins. When an experimental drug that blocks the return
of those chemicals is used, the joyful experience of music is blunted.
Music is a part of all our lives whether your preference is jazz,
gospel, pop, rock or Beethoven and Bach. Music is a mood mover. High-pitched music is experienced as happy and playful.
Low-pitched music is experienced as sad and serious. The faster the beat the more the music heightens alertness and
arousal. Slow music lowers the body's response to stress. Music influences respiration rate, blood pressure, stomach
contractions and levels of stress hormones in the blood stream. Our hearts beat at 70 to 80 times per minute. Most western
music is set to this tempo. Research has shown that heart rate will synchronize with music and music alters the brain's
electrical rhythms. It is well worth the effort to make music more a part of our lives. Try different types of
music and evaluate the degree to which the music serves to relax you. Remember mood matching may be the way to begin.
If you are tense you may wish to start out with music that matches your tension and then gradually move to more soothing and
relaxing sounds.
We eat not only to stay alive but also for the social and emotional
pleasures eating brings us. Our emotional connections to food are one of the many reasons that following a weight loss diet
is so difficult. It is very likely that our "sweet tooth" evolved to guide our ancestors toward ripe fruits, ready sources
of energy and certain essential vitamins. The taste for sweet and fat in foods served our ancestors well making foods
rich in calories attractive and allowing them to store fat for burning in times of famine. Fortunately for our ancestors,
there were no pizza parlors, hamburger joints and ice cream shops on each corner in the forest or jungle of long ago.
While our great grandparents survived on grains, fruits and vegetables we have the choice of daily feasting on fats and sugars.
We must learn to eat wisely while maintaining the joy food brings us.
People seem to love variety and crave different taste sensations.
Diets that are weak in flavor and variety of texture tend to fail because they fail to bring joy. Enhanced flavors and
a wide variety of foods is recommended. Spicier foods, for example, not only may be pleasurable, there is also evidence
such foods burn more calories.
You like chili peppers so much they must be bad for you, right?
Wrong! The hot cuisine of Szechwan, India, Thailand, Mexico and the American Southwest may be
a joy you should seek. Chili pepper may very well lower your cholesterol levels and there is evidence such peppers may
help prevent blood clots.
You can increase joys and reduce your waistline by slowing down
to enjoy your food while you are eating. Savor every bite. Be mindful of what you are eating, bite-by-bite, rather than wolfing down the meal.
Since much of the flavor of food comes from odor you will find that slowly and thoroughly chewing your food not only breaks
it down but creates air currents that carry the aroma of foods to olfactory receptors. Turn eating into a joy.
Carbohydrates are a natural stress food. They raise the
brain levels of tryptophan, a building block of the calming chemical serotonin. A small carbohydrate
snack can make you feel calmer and relaxed during a trying afternoon. Proteins seem to provide for alertness.
It adds stimulation but it may also increase levels of stress. Carbohydrates may also be useful at the end of the day
to set the stage for a good night's sleep.
Studies of Laboratory animals and humans show that generous doses
of garlic can reduce dangerous LDL cholesterol levels while increasing the heart saving good HDL cholesterol. Other
evidence suggests garlic may boost immune functions and may even provide some protection against cancer. So whether
you like pepper and/or garlic you can clearly enjoy the simple joys of food without loss of health.
In your time mastery program include approaches with these joys
to reduce stress:
Walking barefoot at dawn in a dew-covered meadow.
Taking a child to a circus or sporting event.
Catching rainwater in your mouth.
Taking a long leisurely bubble bath.
Building a snowman.
Drinking hot chocolate on a cold winter's night.
Visiting the newborn babies' window on a maternity ward.
Listening to a kitten purr.
Sitting in front of a fireplace on a cold night.
Listening to a bowl of Rice Krispies.
Attending to the gentle sound of wind chimes.
Singing a Christmas Carol.
Collecting seashells.
Whistling your favorite tune.
Having a water pistol fight.
Dancing.
Making a baby giggle.
Feeding milk to a stray kitten.
Watching the full moon rise.
Listening to the rain fall.
Licking the middle out of an Oreo cookie.
Waking
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