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Dealing With Work Stress and Anxiety

Dr Aaron Chambers
As 2019 really starts to get moving in terms of work, school and the other necessities of life, we have been struck by the number of people who have been into the clinic recently because they are feeling stressed, anxious, worn out or uncertain, despite a recent holiday.

Welcome to the age of face-paced change, increasing work demands, job uncertainty and an increasingly disconnected society; a society rife with loneliness and fertile ground for anxiety.
Dealing with Work Stress & Anxiety | Grow Medical

At least 15% of the Australian population has an anxiety disorder , with a much larger number experiencing symptoms of anxiety without necessarily having a medical diagnosis. This means that in most families like yours, someone will experience anxiety sooner or later.

We've broken it down into the most common concepts we see, and that we think you need to know.

1. You are wired to feel anxious
Anxiety is normal. Everyone gets anxious. It can even be healthy - scientists speculate that anxiety in fish may protect them from dangerous situations like getting eaten - as their behaviour appears to be much more risk-taking (putting them at risk of being eaten) when they are exposed to anti-anxiety drugs as reported in Science. Your body courses with adrenaline, cortisol and other stress hormones as a normal part of life, surging to prompt action when you are threatened. The feeling of a racing heart, tight chest, falling stomach, flushed face and a need to run away or fight. This adrenaline rush is designed to help us deal with situations of danger via this “fight or flight” response.

A moderate amount of anxiety is useful. It provokes us to perform, by making us worried what might happen if we don’t prepare for a presentation or train for an upcoming event.

However, there is a limit to the benefit of anxiety. Our modern society means you now can’t run away from a problem like a caveman faced with a sabre toothed tiger. And you definitely can’t punch your boss, business partner or anyone else, no mater how high your adrenaline levels run.

Consequently, high levels of unresolved anxiety tend to result in decreased performance with complex tasks, as our minds play on loop about the issue we are worried about, and the unused adrenaline makes us feel restless and fidgety.

So it is important to acknowledge that anxiety is normal, it can be your friend, and that learning to manage it wisely is the best strategy for long term success.

2. Setting life’s priorities can set you free
As GPs, we talk to people from all walks of life. From children to the elderly, unemployed to CEOs and large business owners. A common theme across these groups is that anxiety represents an imbalance in life that means stress is not allowed to resolve.

The most common story is that of work demands piling up, resulting in a lack of attention to family life. We see that lack of attention affect both the primary carer and the main breadwinner.

The irony is that when prompted, most people list their life priorities in roughly the following order:

1. Family
2. Friends
3. Health
4. Everything Else

And yet our behaviour is often driven by work or money. Ask yourself: is your work more important than your family? Does the culture of your workplace improve the wellbeing of the things most important to you or detract from it?

An exercise as simple as sitting down alone, and then with your family, and listing your priorities, can help crystallise this idea.
Then be brave and start pursuing your main priorities.

3. Exercise is your biggest friend
We mentioned Adrenaline before. If you’re feeling anxious, it typically means that the source of your anxiety has not been dealt with. Cavemen used to relieve their anxiety by running away or fighting the source of their anxiety. As we said before, you can’t do this in our society, but you can deal with the hormonal consequences.

Any sort of exercise that feels intense to you can help. Just ensure it is hard enough to cause you to feel a bit out of breath, and to have trouble concentrating on anything other than the exercise you are doing.

This is a great way to burn off that excess adrenaline, and will have a myriad of health benefits along the way.

A good tip is to aim for a group activity. Data from the exercise-monitoring giant Strava shows that people exercise up to 50% more when they are with someone else. Social contact, anxiety reduction, and increased fitness all in one place. Much better than any counselling session or prescription tablet.

4. Alcohol may make you feel better in the short term, but worse in the long run
There isn’t anything quite as relaxing as a well-earned beer or wine on a Friday evening. Or is there?

Many people don’t realise that alcohol has a paradoxical effect to be initially relaxing, but to trigger rebound anxiety the next day. This creates a classic reinforcing effect of stress and anxiety during the day, relieved by a drink at the end of the day, only to leave you with more rebound anxiety the next.

Surprisingly, it only takes as little as one or two standard drinks to cause this rebound anxiety. And the effect can last for several days after. Because alcohol is so ubiquitous in our social lives and dining culture, it can be years since you have had an extended period of abstinence to notice this effect. And when stress levels at work or at home go up, alcohol consumption is frequently used as a coping strategy.

If this is the case for you, choosing to take a month completely off alcohol can reset the balance, and allow you to break the cycle. Call it Dry July, NO-vember or whatever you wish. Give it a go and you will likely notice yourself more productive, less stressed, and with more energy to do the things that are truly important to you.

5. Our society is overwhelmed by keeping up with the Joneses.
We all need to work to support ourselves, but some of the happiest people I know have honestly appraised their life and chosen to pursue family happiness over material wealth. I have seen people drop their income by half after making this decision, to report back years down the track that it was the best decision they have made.

This phenomenon impacts so many aspects of our lives. We need a flash car, our social media personas need to be closely curated, our kids can’t yell at one another, and the house must look perfect, even if we are bringing up 3 children under 5.

We believe that working for a purpose, and striving for constant improvement is a necessary part of being human; it is part of the reason we live in such a wonderful society. But feel free to given yourself a break now and then. Leave the dishes, spend more time chatting with the people you love at the dinner table, and don’t feel embarrassed about the mismatched clothes your children are wearing. Your friends will thank you for it. And will be more likely to remember the shared laughter than the brand of table cloth.

What next?
We want the the
Grow Medical community to be the healthiest in the country . That means we need doctors , nurses , allied health , receptionists and patients to have positive mental health, a healthy family and be part of a thriving community. Please do your part to make this happen by sharing this widely with those you love, by clicking the share buttons below, as a way to start a conversation about what sort of society you want to build. All too often we don’t see fathers in the clinic, exactly because life is taking them in a direction they hadn’t intended. We believe this is the next frontier in growing the strength of your family. In fact, we believe so strongly in elevating the conversation around this topic, we have launched an annual essay competition . 2019's topic is "Stories of Fatherhood ". Sitting down and writing an entry may help you focus your priorities, and even inspire someone else to sharpen theirs.

If you read this article and noticed warning signs in yourself, or someone you love, please ask them to see a doctor. Acting sooner rather than later is really important, as once you have crashed it is much harder to pick yourself back up again and move on with life. Your
doctors and psychologists are experts in physical, mental and family health. Speaking to someone independent and trustworthy outside of your family can sometimes be the factor that starts you on the path to recovery. In the the mean time remember:

1. Acknowledge anxiety for what it is and
book now to see your GP.
2. Focus on your life priorities
3. Start exercising with friends, family or a group
4. Give alcohol a break
5. Don’t worry about the Joneses

See you soon. Remember to share via social media or email by clicking the buttons below. And thanks for reading.


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"The Ineligible People" I am sure I used to consider myself ineligible from writing such a story about the topic of Family. A sad state of affairs you may conclude, correctly, but let me assure you that this short story has both light and dark, despair and hope.

 Nowhere I looked were other families recognisably like mine; all of them seemed so warm, so shiny, so active, perfect and well adjusted.
 So Together.
 So Normal.
 Sure, there’s the thing about “people put on fronts” and “it’s not always as it seems”, but, that all looked a heck of a lot more tempting than mine.
 You see the thing about my family, and my parents, is that they’re DEFINITELY human. Flawed. And I do not just mean my Mother or Father likes to go and lose 100 dollars at the pokies once a month, no.

 I’m sure like “most” (all) I didn’t get the “choose the ideal family for you” document to fill out before my…um…conception. There were issues of all kinds in my immediate family, and beyond, as temporarily and chaotically as my parents were together, I was made from their…perhaps somewhat desperate, union.
 I have learned that my parents, like me, are of course oddballs.
 Talented, I believe strange to some, aloof, emotional and at least a little haunted.
 My family was and is in many ways very typical. 
Too typical in some cases.
 I am increasingly learning empathy for my parents from reflecting upon how they were themselves raised.
 Among quite a few positive stories are ones of quite less positive treatment, attitudes and behaviours.
 I really want my parents to know that they weren’t wrong, as children, to be subjected to such punishments, behaviours and, to be frank in some situations, elements of contempt, carelessness and even cruelty.
 And if not exactly carelessness and cruelty, fallout from their own parents being confused and merely human people, also flawed and seeking something.
 Not everyone succeeds in life, that’s a fact, some people settle and live out long lives of mediocrity and resentment, confused at how they let it slip through their perhaps too eagerly grasping fingers.
 Do I judge the parents of my parents too harshly? 
I do not think so. 
Nor do I blame them either for merely being human.
 At least not so much any more.

 It has been very hard to enact empathy, reason and compassion for my family.
 Their dedication and support to each other has been questionable.
 Judgement and detachment have been present.
 But don’t get me wrong, there are many happy memories also; riding in the maw of a tractor in Palmwoods as a young child, the open blue sky and massive rolling green planes of hills all about me, and details of my Grandfathers house there, still very vivid in my memory, despite my very early age.
 Many happy memories in Mebbin kayaking with my father in lusciously green creeks, his industrious construction of water efficient and ecologically friendly buildings for the lovely Human inhabitants there.
 Crossing that very high and rickety pedestrian only bridge across that same creek.
 The time I fell and my legs went through that cattle-grate bridge, less happy, but then my father carried me quite a distance to safety so I could receive some probably minor medical treatment. 
I was positively incessant that we stop, any time I saw them, at the sugarcane fields on our journey to…”borrow” a few cheeky stalks for me (and my half-sister, and I think perhaps later on my half-brother too) to munch on.
 Given my fathers general disposition he did extremely well considering the near constant nature of those demands.
 Playing among many streams in Maleny, the somewhat regular journeys down to the creek at the back of our, my Mother’s, property to check on the water pump.
 A whole watermelon hidden away in the rocks and covered with a cloth, if I remember at all correctly. So many hours getting absolutely covered in sand in the sand pit there, the specific toys I played with also, the wooden horse and carriage particularly.
 The time we, someone, lopped that large tree down on our property, watching it topple down, and being told so many times to stay back.
 Being grossed out by people de-shelling and eating prawns, most likely around Christmas.
 These are the crystalline pure years and memories I have. 

To put it lightly the many years since were not always quite so magical and awe inspiring, though there must be some experiences of that sprinkled amongst the… rest. 
I have been diagnosed with, at least significant elements of, ASD and CPTSD (Autism Spectrum Disorder, Complex Post Traumatic Stress Disorder).
 Cannabis has helped me greatly in overcoming and combating some very significant issues in relation to my…special brain chemistry and “interesting” past experiences.
 Mindfulness, less stress and issues with eating amongst them. 
I do not even use Cannabis any more, as I much prefer jogging, conversing, doing things with people, my parents, creating things, writing and the like.
 Cannabis - once an illegal escape and my pretty sole solace from so much chaos, isolation and confusion - is now too intense for me. 
And you may observe that I’m not exactly Plain Jane as it is, I would much rather put my existential dread, ponderings and effort into writing and the other things I have previously mentioned.

 After much distance from my parents and the other members of my family over the years, I am finally finding, now at thirty-three (my “Jesus Year”) years of age, stillness, calm, empathy and enough self presence to see my parents more for what they actually are.
 I have helped my father build a fence at his property, a task I would have previously in my awkward, timid and insecure years thought of and found much too challenging to attempt.
 It was a task that would have taken “the Old Dog” (lovingly) much-much longer without my fastidious and dedicated assistance. 
I am starting to reconnect, or connect rather, to other members of my family too, my loving and to my previous mind “quite too conventional” Aunt and Uncle.
 It can be difficult to identify with and approve of such healthy, active and balanced people when one does not exactly feel much at all like that oneself.

 So, Dear Reader, please-please-please DO have hope.

 Whatever your situation, your family, your experiences, light and dark, keep trying, for your “poor” self, and family, so-so human that they, and we too, are.

 If that is too much to suggest, I hope you have the time, peace and prosperity to help you come to some form of closure for yourself, if not also them.
 The road is not always easy.
 I do hope you can have the presence and self confidence to ask for what you need to make it through - even if that thing (in the case of Marijuana anyway) is considered at some time illegal by the somewhat naive public populi and those profiting from its illegality, and now stigmatised - so you too can see the beautiful and awe inspiring sights this wee life has to, and should, offer us all.

 Go With God, or like, whatever.


 Affectionately,

 Reuben Bristed.

 Make Sure you vote in the Grow Medical 2020 Essay Competition by going to our Facebook Page , and liking and sharing your favourite Story of Families. If this one is your favourite, tell us why in the comments, and share it by clicking one of the circle icons below. Otherwise, read on with this year's finalists entries...
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