Week 3: Coping with Change
Recording:
View this short 15-minute video which provides an introduction to our lesson on Coping with Change, delivered by Professor Minoo Pakgohar.
Coping with change (Stress and the Brain)
Change is hard because it can be uncomfortable. Some experts believe that reframing your thinking and interpreting the change as an opportunity to learn and grow may help overcome the stress of change. This class will also cover the effects of chronic stress on the brain and focus on how to cope with change as a way to help lower the risk of anxiety and depression.
What is stress?
Video: Let's view a short 3 minute video which explains stress and the effects of chronic stress to your health
Stress is a reaction that occurs when your body perceives that you are under threat. The sympathetic nervous system signals the adrenal glands to release hormones called adrenalin (epinephrine) and cortisol. These hormones contribute to the “fight or flight” or stress response which includes dilation of the pupils (for more light to enter), increased respiration (breathing), decreased digestion, faster release of energy (glucose) from cells, more energy delivered into the bloodstream, increased heart rate and blood pressure, improved hearing, and more blood to the brain. All of these occur so that we can respond and react. This is a necessary response for survival.
Let’s review the nervous system
The nervous system is the major controlling, regulatory and communicating system in the body. It is the central of all mental activity including thought, learning and memory. The nervous system and endocrine system are responsible for regulating and maintaining homeostasis (balance).
The endocrine system controls growth, sexual development, sleep, hunger, and the way the body uses food. It is a system of glands and cells that make hormones that are released into the blood and travel to tissues and organs throughout the body.
The nervous system has several divisions: the central division involving the brain and spinal cord and the peripheral division consisting of the autonomic and somatic nervous systems.
The autonomic nervous system has a direct role in physical response to stress and is divided into the sympathetic nervous system (SNS), and the parasympathetic nervous system (PNS). When the body is stressed, the SNS contributes to the “fight or flight” response (described above).
https://www.geeksforgeeks.org/difference-between-nervous-system-and-endocrine-system/
Responses to stress
Acute forms of stress or “good stress” when you are facing a work deadline can be beneficial in the short term because it causes a release of hormones (such as cortisol) that help improve motivation, ability to focus and perform. “Good stress” refers to the experience of rising to a challenge, taking a risk and feeling rewarded by an often positive outcome.
“Tolerable stress” refers to those situations where unpleasant things happen, but the individual is able to cope, often with the support of family, friends and other individuals. These adverse outcomes can be “growth experiences” for individuals with positive, adaptive characteristics and support systems that promote resilience.
Resilience is the process and outcome of successfully adapting to difficult or challenging life experiences, especially through mental, emotional, and behavioral flexibility and adjustment to external and internal demands.
Chronic stress or “toxic stress” refers to the situation in which unpleasant things happen to an individual who may have limited support and various other factors and the inability to cope may cause adverse effects on behavior and physiology.
https://calstarnetwork.org/resilience-aces-toxic-stress/
Cortisol and chronic stress
Once the brain senses danger, it sends signals down the spinal cord to the adrenal glands, instructing them to release the hormone adrenaline. Once released, adrenaline increases the amount of sugar in the blood (for energy) and increases the heart rate and blood pressure (for increased movement). The hypothalamus sends signals to the pituitary gland (located at the base of the brain), telling it to release factors that stimulate the adrenal cortex (the outer part of the adrenal gland) to produce a stress hormone, cortisol. Cortisol is important to keep blood sugar and blood pressure up to escape danger.
So, in small amounts, cortisol is important to keep blood sugar and blood pressure up (to escape danger). But prolonged stress increases the level of cortisol in the body, with many negative effects.
The long-term activation of the stress response system and too much exposure to cortisol and other stress hormones can damage the brain’s hippocampus, prefrontal cortex and disrupt almost all the body's processes. This puts you at higher risk of many health problems, including:
● Feelings of fear, anger, sadness, worry, numbness or frustration
● Anxiety.
● Depression.
○ Changes in appetite, energy, desires, interests
○ Trouble concentrating and making decisions
● Digestive problems.
● Headaches.
● Muscle tension and pain.
● Insulin resistance.
● Heart disease, heart attack, high blood pressure and stroke.
● Sleep problems.
● Fat accumulation.
● Systemic inflammation.
● Problems with long term memory - hippocampus
● Attention and executive function (cognitive processes that allow you to plan, organize, solve problems, engage in flexible thinking and control impulses) - prefrontal cortex
Change and stress
The only thing constant in life is change. Change can be stressful but it can differ between different experiences like a new job, losing a job, entering a new relationship or dissolving a relationship, becoming a parent, retiring, losing a loved one etc. etc. Any of these experiences can trigger a stress response that affects your brain and mental health.
Perception towards the change plays a major role on how negatively it affects mental health and stress. Our perception is molded by how much the change is desired, if it was expected, if it is controllable, and our window of tolerance (our capacity to manage our emotions). The resources (including a support system) we have to cope with change is also a big factor in how change affects our stress response and overall health.
Change can be especially difficult for those who have depression, anxiety or neurodivergency.
Video: Why is change scary? In this 14 minute video, cognitive scientist Maya Shankar describes how change can inspire transformation, and tools to embrace change
https://blog.mighty-well.com/2020/09/what-is-neurodiversity/
What is neurodivergency?
Neurodivergence is the term for when someone's brain processes, learns, and/or behaves differently from what is considered "typical". Neurodiversity is a framework for understanding human brain function and mental illness. It argues that diversity in human cognition is normal and that some conditions classified as mental disorders are differences and disabilities that are not necessarily pathological. "
The Window of Tolerance (developed by Dr. Dan Siegel, a Clinical Professor of Psychiatry)
The Window of Tolerance describes the best state of ‘arousal’ or stimulation in which we are able to function and thrive in everyday life. When we exist within this window, we are able to learn effectively, play, and relate well to ourselves and others. When you are within their window of tolerance, the brain is generally functioning well and can effectively process stimuli. You are likely to be able to reflect, think rationally, and make decisions calmly without feeling either overwhelmed or withdrawn.
During times of stress, we move outside of our window and we can become hyper-aroused or hypo-aroused. Hyper-arousal, (i.e., fight or flight response), is often characterized by hypervigilance, feelings of anxiety and/or panic, and racing thoughts. It can present as difficulties concentrating, irritability, anger and angry outbursts, panic, constant anxiety, easily scared or startled, self-destructive behavior, etc. Hypo-arousal, or a freeze response, may cause feelings of emotional numbness, exhaustion, depression, emptiness, disconnection, flat affect or paralysis.
In either of these states outside of the window of tolerance, an individual may become unable to process stimuli effectively. The prefrontal cortex “shuts down”, affecting the ability to think rationally and may lead to feelings of dysregulation, which can impair metabolic, physiological or psychological processes. Those who have a narrow window of tolerance may often feel as if their emotions are intense and difficult to manage. The wider we are able to make our window of tolerance the better we are able to handle intense emotions or situations without feeling like our ability to function has been significantly impacted.
We all have different ‘windows’, due to factors such as: significant childhood experiences, our social determinants of health (the conditions in the environments where people are born, live, learn, work, play), the systems we live in, our neurobiology, coping skills and social support. People are generally more able to remain within the window when they feel safe and supported.
https://neurodivergentinsights.com/blog/hypoarousal-hyperarousal
Managing the window of tolerance
It is possible for individuals who have become dysregulated to use techniques to return to their window of tolerance or even widen their window of tolerance to increase their sense of calm and ability to deal with stress that comes from change.
Moving from hyper-arousal back within the window of tolerance
Breathing. For example, try 7/11: Breathing in for a count of 7 and out for a count of 11. The longer outbreath triggers the parasympathetic response, which calms the body.
Brisk walking or marching on the spot
Weighted blanket: deep pressure stimulation of the body can increase the release of the feel good neurotransmitter serotonin in the brain.
Visualization: imagining going to a favourite place, such a beach or a meadow.
Warm tea or water: can feel soothing (warmth can reduce adrenaline and increase oxytocin).
Listening to Music: Music can be particularly calming and help to restore feelings of comfort and calm
Moving from hypo-arousal back within the window of tolerance
Stimulate the senses using smell (see Fall 2023 lesson on Smells and the Brain), taste, touch etc.
Going for a stroll/walk
Music and dancing
Rocking chair
Gently sitting on a yoga/therapy ball and bouncing
Finger tracing, drawing
How do you spend your time? (Dr. Dan Siegel)
According to Dr. Siegel, the “Healthy Mind Platter” is based on affective and social neuroscience, clinical practice, behavioral research, and psychology. It identifies 7 areas which strengthen the brain’s internal connections; strengthens connecting with other people; and improves integration.
Sleep: When we give the brain the rest it needs to consolidate learning and recover from the experiences of the day. Sufficient sleep helps concentration, emotional wellbeing, learning and behavior.
Physical time: Movement (aerobic, strength, flexibility and balance activities) improves mood, reduces stress and anxiety and increases focus.
Focus time: Taking on challenges, creating goals and/or concentrating on solving problems, writing essays, studying, etc. helps strengthen the brain’s internal connections.
Play time: Being spontaneous and creative, playfully enjoying novel experiences, joking, being silly and having fun all helps to make new connections in the brain.
Connecting time: When we connect with other people, ideally in person, or take time to appreciate our connection to the natural world around us, richly activating the brain’s relational circuitry.
Down time: Find time to be non-focused without any specific goal, and let your mind wander or simply relax– this helps our brain recharge and is an important part of consolidating learning.
Time in, to quietly reflect internally. Focusing on sensations, images, feelings and thoughts, mindfulness and self-awareness activities all help to integrate the brain.
More on how to deal with change and manage stress
Having the resources, a support system and a community to manage stress lays the foundation to cope better when unexpected and undesired life changes happen. These resources can be coping skills you already practice, connecting with your social network, and services you have access to (therapy, coaching, etc.). Applying these resources also helps to widen your window of tolerance.
Here are some ways you can cope with change that feels stressful:
Find your people, create/build a support system, and/or confide with people close to you. Connecting and being vulnerable about your struggles and challenges is an important way to process your thoughts around the change.
Prioritize activities that feel beneficial for you. What are your values? What would provide more meaning to your life? The activities you do frequently for your physical, mental, emotional, and spiritual needs are often pushed to the side when you feel stressed. However, they are critical to reducing the likelihood and impact of stress. Introducing and being consistent with activities that make you feel good may help to reduce stress and also provide a sense of structure in the midst of change.
Creating more change. This might seem counter-intuitive, but introducing a change you chose and wanted can lead you to feeling more in control of your situation and give you a sense of agency in your life. The change could be something as large as moving to a new city to as small as starting a new hobby.
Find something familiar. For example, rewatching a television series you love, or even eating your favorite comfort food can ease the stress during change and transitions. Grounding yourself in something familiar can make yourself feel happy and improve your overall mood.
Evaluate Your Level of Control. Sometimes it’s all too easy to become fixated on events over which we have no power. But rather than focus on blaming others or moving the unmovable, resilient people set their sights on what they can control. To evaluate your level of control over a situation, you can ask yourself, “What can I take responsibility for in this situation?” When you look for opportunities to empower yourself and work towards change that is possible, you’re less likely to feel stuck in difficult situations.
VIdeo: How do you cope with stress? This 6 minute video offers some suggestions for healthy coping mechanisms to help us deal with stress.
The Power of Positive Thinking
One of the best ways to cope with change is to use your thoughts. By identifying positive outcomes of the change, you can better adapt. You can do this in different ways.
Change your thoughts about change:
Reframing your perception of the change can help you manage the change. The mind can often ruminate on negative feelings and get stuck in thoughts that increase stress. Reframing your thoughts around the change that is causing stress can reduce the stress or even shift it into being motivating. Talking to someone or journaling can help you to increase your awareness of your current perceptions and reframe them. Another tool to reframe your perception is Cognitive Behavioral Therapy (CBT) from a mental health professional, which can help you to explore and change your thoughts and feelings towards stressful situations.
Check Your Thought Patterns:
In times of change, it’s normal for your mind to see everything in black or white, or you assume the worst will occur. You can take some “time in” to self-reflect and nudge your thinking by examining your thought patterns – e.g., ask yourself “Is this a rational thought?.” If you find your mind racing, you can try to slow down the brain by practicing relaxation techniques, such as tai chi, yoga and deep breathing; these can help you feel more in control of your brain and how you evaluate a major change. You can also generate more positive thoughts if you take the time to recall and remind yourself about transitions and challenges you successfully navigated in the past. Make a list of ways you’ve been resilient in your life, and consider what traits and actions might be able to see you through the current challenge. Then focus on your strengths to feel more empowered to meet whatever change and stressors are ahead of you.
Video: Change your thoughts from negative to positive
https://community.thriveglobal.com/positive-thinking-how-to-rewire-your-brain-and-stay-positive/
Final Thoughts
Any life is a life of change. We experience transitions in work and relationships, changes in our physical and mental health, and new events in our local communities and our world. Sometimes we know a change will occur, while other times it comes suddenly and unexpectedly. Maybe it’s a disappointment, or maybe it’s a wonderful surprise.
The most resilient individuals and communities see change as an opportunity rather than something to fear. Transitions in life may be an opportunity to re-prioritize. Ask yourself these questions: How do I want to spend my time? What are my values? What’s really important to me? Where do I see myself wasting my time and energy? With a clearer sense of your goals and values, you may find your mind and body can be much more resilient when it comes to the stressors of change.
Don’t be afraid to ask for help if/when you need it. Humans are social creatures by nature, and we are not built to withstand every sudden event in life without the support of others. Talk to family and friends who are experiencing similar changes, or consider finding a mental health professional or support group in your community. You can’t avoid change, but you live a life of resilience. You can embrace transition and see challenges as opportunities to live, grow and thrive.
References
Russell G, Lightman S. The human stress response. Nat Rev Endocrinol. 2019 Sep;15(9):525-534. doi: 10.1038/s41574-019-0228-0. Epub 2019 Jun 27. PMID: 31249398.
National Institutes of Health. National Cancer Institute. Introduction to the Nervous System. Accessed from https://training.seer.cancer.gov/anatomy/nervous/. Retrieved on February 8, 2024.
Powell-Wiley TM, Dey AK, Rivers JP, Chaturvedi A, Andrews MR, Ceasar JN, Claudel SE, Mitchell VM, Ayers C, Tamura K, Gutierrez-Huerta CA, Teague HL, Oeser SG, Goyal A, Joshi AA, Collins BS, Baumer Y, Chung ST, Sumner AE, Playford MP, Tawakol A, Mehta NN. Chronic Stress-Related Neural Activity Associates With Subclinical Cardiovascular Disease in a Community-Based Cohort: Data From the Washington, D.C. Cardiovascular Health and Needs Assessment. Front Cardiovasc Med. 2021 Mar 10;8:599341. doi: 10.3389/fcvm.2021.599341. PMID: 33778019; PMCID: PMC7988194.
McEwen BS. Neurobiological and Systemic Effects of Chronic Stress. Chronic Stress (Thousand Oaks). 2017 Jan-Dec;1:2470547017692328. doi: 10.1177/2470547017692328. Epub 2017 Apr 10. PMID: 28856337; PMCID: PMC5573220.
Centers for Disease Control and Prevention. Coping with Stress. Accessed from: https://www.cdc.gov/mentalhealth/cope-with-stress/index.html. Retrieved on February 8, 2024.
Chapter 4. Window of Tolerance. Accessed from https://books.google.com/books?hl=en&lr=&id=pE8_EAAAQBAJ&oi=fnd&pg=PA25&dq=window+of+tolerance&ots=XtSeNE55Zx&sig=D0riDOK_h8NwKav2AjcErHCfqyw#v=onepage&q=window%20of%20tolerance&f=false Retrieved on February 8, 2024.
Bryson, T. & Siegel, D. (2012) The Whole Brain-Child Desautels, L. (2017) Brain Aligned Strategies: Addressing the emotional, social and academic health of all students Melrose, R. (2013) The 60 Seconds Fix Rock, D. et al (2012) ‘The Healthy Mind Platter’ in NeuroLeadership Journal (Issue 4) Siegel, D. (2015) The Developing Mind Siegel, D. & Bryson, T. (2020) The Power of Showing Up Treleaven, D. (2018) TraumaSensitive Mindfulness
Wendy Suzuki, a professor of neural science and psychology at New York University, “Good Anxiety: Harnessing the Power of the Most Misunderstood Emotion”
Seigal, Dan, The Healthy Mind Platter. Accessed from https://drdansiegel.com/healthy-mind-platter/. Retrieved on February 8, 2024
Smith, Kathleen, PhD, (2020) The Psychology Of Dealing With Change: How to Become Resilient. Accessed from https://www.psycom.net/dealing-with-change. Retrieved on February 8, 2024
Community Mental Health Action Plan. Why change can be stressful and how to manage it. Accessed from https://mentalhealthactionplan.ca/2022/09/20/why-change-can-be-stressful-and-how-to-manage-it/ Retrieved on February 8, 2024
Cole, Esther, CPsychol. (2020) Expanding the “window of tolerance”. Accessed from https://www.psychologytoday.com/us/blog/lifespan-psychology/202004/expanding-the-window-tolerance. Retrieved on February 8, 2024
Bamford, Richard (2019). Window of Tolerance. Accessed from https://www.richardbamfordtherapy.co.uk/blog/window-of-tolerance/. Retrieved on February 8, 2024
American Psychological Association (2018). Accessed from https://www.apa.org/topics/stress/body. Retrieved on February 8, 2024
Colino, Stacey (2022). How stress can damage your brain and body. Accessed from https://www.washingtonpost.com/wellness/2022/04/26/inner-workings-stress-how-it-affects-your-brain-body/ Retrieved on February 8, 2024
Mayo Clinic. Chronic stress puts your health at risk. Accessed from https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress/art-20046037#:~:text=Cortisol%2C%20the%20primary%20stress%20hormone,fight%2Dor%2Dflight%20situation. Retrieved on February 8, 2024
Interview with Dr. Santosh Kesari. How to train your brain to accept change, according to neuroscience. Accessed from
https://www.nbcnews.com/better/health/how-train-your-brain-accept-change-according-neuroscience-ncna934011. Retrieved on February 8, 2024.