Webb Therapy Uncategorized Stress Management

Stress Management

NOTE: All these skills will require practice

1. Cognitive (thinking) techniques

  • Identify your stressors or potential stressors. Sometimes, “stress” is frustration or fear in disguise.
  • Plan ahead
  • Decision making and problem solving
  • Accept what we cannot change

Changing how we see stressful situations

We may not be able to change our circumstances, but we can see them differently (Forsyth & Eifert, 2016). For example, stress can be viewed as an experience that will support our learning, growth, and personal development.

Technique: Accept – Choose – Take action

Acceptance and Commitment Therapy (ACT) has proven valuable for people learning to manage anxiety and stress; it encourages:

  • Letting go of the struggles that keep them stuck
  • Cultivating peace of mind
  • Accepting what is, and doing what works

Rather than struggle to reduce stress and anxiety, we:

a. accept what we are already experiencing and then 

b. choose the direction we would like our life to take, and then

c. take action that reflects are values

Technique: Radical acceptance

Radical acceptance is often practiced within Dialectical Behaviour Therapy (DBT).  Radical acceptance is based on the notion that suffering does not come directly from painful experiences but our attachment to them. For example, workplace stress may be more about your identity and status in the workplace rather than the stress itself.

Radical acceptance means fully accepting everything that you are experiencing in the present moment i.e., thoughts, feelings, emotions, body sensations, reactions, attitude, environment etc. We fully accept the present moment because what we resist persists. The more we deny reality the more painful (or unpleasant) we will perceive it to be. Radical acceptance is about saying “yes” to exactly what is happening for us in the moment.

  • Radical acceptance is about accepting life on life’s terms and not resisting what one cannot or chooses not to change.
  • Accepting doesn’t mean agreeing. It’s simply exhausting to fight reality, and it doesn’t work.
  • Resisting reality delays healing and adds suffering to one’s pain.

Technique: Challenging core beliefs

Our core beliefs can shape how we face up to the difficult times and how we react to stress (Beck, 2011) and reconstructing them in a balanced way that allows room for perceived shortcomings.

Humans subconsciously “look for” evidence to support their core beliefs about themselves and the world.

You may have to take mental control to actively on-purpose look for evidence to the contrary.

Technique: Acceptance of our thoughts and feelings

The goal of ACT is to accept what lies beyond our control and commit to life-enhancing actions instead.

There are six core processes in ACT:

1. Contact with the Present Moment

Conscious awareness of your experience in the present moment enables you to perceive accurately what is happening Gives you important information about whether to change or persist in behaviour Enables you to ‘catch’ cognitive fusion ‘in flight’ Allows you to engage fully in what you are doing.

2. Acceptance

Actively contacting psychological experiences directly, fully, and without needless defense Definition: defused, open, undefended contact with the present moment, as a fully conscious human being.

‘Opening yourself fully to experience, as it is, not as your mind says it is’.

3. Defusion

Looking at thoughts, rather than from thoughts Noticing thoughts, rather than being caught up in thoughts Seeing thoughts as what they are, not as what they seem to be Aim of Defusion is NOT to feel better, nor to get rid of unwanted thoughts Aim of Defusion IS to reduce influence of unhelpful cognitive processes upon behaviour; to facilitate being psychologically present & engaged in experience; to facilitate awareness of language processes, in order to enhance psychological flexibility.

4. Self-as-context or The Observing Self:

Observe and accept all changing experiences.

How rigid is your thinking? Allow for psychological flexibility. Think in new ways. Consider other perspectives. Ask people for their perspective.

It is a process, not a thing: an awareness of awareness itself: ‘pure awareness’.

It is that aspect of a human being that does all the noticing/observing of one’s inner and outer world. You could call this “meta-awareness” or “pure awareness” if you prefer: it’s the awareness of one’s awareness, or the noticing of one’s noticing, or the consciousness of one’s consciousness.

5. Values

 Chosen life directions ‘Your heart’s deepest desires for the sort of person you want to be and the things you want to do in your time on this planet; in other words, what you want to stand for in life’ Provide motivation & inspiration Provide guidance for your actions Give life meaning Give a sense of abundance Are different to goals 6.Committed Action Overt behaviour in the service of values (may require skills training) Committed action is: values-guided, effective & mindful

Technique: Meditation for acceptance

Meditation is a powerful tool for accepting stressful situations and difficult emotions. Bring your attention, non-judgementally, to your mind, body, and environment. Here are some alternative definitions:

 “Bringing one’s complete attention to the present experience on a moment-to-moment basis.” (Marlatt & Kristeller)

“Paying attention in a particular way: on purpose, in the present moment, and nonjudgmentally” (Kabat-Zinn).

“The nonjudgmental observation of the ongoing stream of internal and external stimuli as they arise.” (Baer)

“Awareness of present experience with acceptance.” (Germer, Segal, Fulton)

“Consciously bringing awareness to your here-and-now experience, with openness, interest, and receptiveness.”

Allow everything to be just as it is. Do the following to start for 2 minutes, 5 minutes, 10 minutes, or as long as you like, whenever you like:

1. Take a seat. Find place to sit that feels calm and quiet to you.

2. Set a time limit.

3. Notice your body.

4. Feel your breath.

5. Notice when your mind has wandered.

6. Be kind to your wandering mind.

7. Close with kindness.

Technique: Grounding and centering

  • 5-4-3-2-1 Technique

Using the 5-4-3-2-1 technique, you will purposefully take in the details of your surroundings using each of your senses. Strive to notice small details that your mind would usually tune out, such as distant sounds, or the texture of an ordinary object.

VisionWhat are 5 things you can see? Look for small details such as a pattern on the ceiling, the way light reflects off a surface, or an object you never noticed.
TouchWhat are 4 things you can feel? Notice the sensation of clothing on your body, the sun on your skin, or the feeling of the chair you are sitting in. Pick up an object and examine its weight, texture, and other physical qualities.
SoundWhat are 3 things you can hear? Pay special attention to the sounds your mind has tuned out, such as a ticking clock, distant traffic, or trees blowing in the wind.
SmellWhat are 2 things you can smell? Try to notice smells in the air around you, like an air freshener or freshly mowed grass. You may also look around for something that has a scent, such as a flower or an unlit candle.
TasteWhat is 1 thing you can taste? Carry gum, candy, or small snacks for this step. Pop one in your mouth and focus your attention closely on the flavours.
  • Naming categories

Choose a category (e.g., colours, shapes, textures), then look around the room and name all of the things you can see in that category.

Cold water

Have a few slow sips of cold water, feeling the sensation of the cold water in your mouth and notice the sensation as you swallow.

Washing your face with cold water can also reduce your heart rate and lower stress levels.

  • Counting

Count backwards from 20. You can do this as many times as you need to. Say to yourself that you are becoming calming as you count down each number.

  • Notice your breath

Take a deep breath and as you exhale, imagine breathing out strongly through the soles of your feet. Feel the connection of your feet with the floor. Do this three times.

2. Behaviours that can protect our vulnerability to stressful situations

It is essential to consider what skills and tips we can use to manage stress and ultimately improve our wellbeing inside and outside work:

  • Exercise i.e., running, swimming, resistance training, aerobics etc.
  • Eating healthy foods
  • Avoiding alcohol and other drugs
  • Recommended sleep at the recommended times i.e., 8 hours during the night hours.
  • See your GP if you are experiencing physical or psychiatric illness
  • Spend time with family and friends
  • Engage in a hobby or create a hobby
  • Meditation, yoga, group exercise, group mindfulness classes
  • Listening to music
  • Setting a time to watch tv and having boundaries re length of time watching tv
  • Read a book

Self-care tips

Life, and particularly work, can be stressful. Self-care is essential to keep us functioning well and improving our overall wellbeing (Bush, 2015).

The following aspects of our health are vital to our wellbeing and crucial for managing stress better. Ask yourself the following questions when your intuition tells you that you may be in a deficit:

  1. Without sleep, we cannot think clearly – are you getting sufficient sleep?
  2. Exercise is one of the best cures for stress – are you prioritizing physical activity?
  3. Our brain is maintained by the food we eat – are you eating a balanced and varied diet?
  4. Healthy relationships are vital for our wellbeing – are you making time for the people you care about?
  5. Self-expression enriches who we are and how we live – are you giving the focus you would like to the things you are passionate about?
  6. Community and spirituality ground who we are and how we live – how can you make yourself more open to both?

Managing stress in the workplace

Stress is a significant factor in many workplaces, resulting in countless hours lost due to time off or non-productive hours. We may think the responsibility is on workplaces to create environments that reduce stress and help workplace stress, but it’s also very much an individual responsibility.

Putting in place each of the following will help (modified from HBR guide to beating burnout, 2021):

  1. Increase psychological safety
    Trust and collaboration will reduce the perception that the workplace is a threat.
  2. Build regular break times
    We cannot focus for beyond 120 minutes without appropriate rest breaks. Build them into the day and encourage people to use them.
  3. Encourage the use of private workspaces
    Open offices often have many distractions that can frustrate staff when unable to concentrate. Supply private workplaces where staff can focus without interruption.
  4. Set boundaries around time outside of work
    The borders between work and personal life are often blurred, especially if working remotely. Set clear expectations and stick to them.
  5. Create flexible work policies
    Juggling work and family life is not easy. Flexibility can remove or reduce that stress without feelings of guilt.
  6. Make sure people are in the right roles
    When staff are doing jobs they enjoy and are well supported they thrive and take challenges in their stride.
  7. Encourage autonomy
    Micromanaging is stressful for everyone. Give teams the autonomy to manage their own projects and staff their individual tasks.

3. Further Stress Relief Activities

Positive emotions such as joy, awe, hope, and optimism are essential to living the good life and are known stress relief techniques. They strengthen our psychological resources for overcoming tough, stressful times (Seligman, 2011).

Boosting positive emotions

  • Practice gratitude. A helpful way to practice gratitude is to think of everything you have in life and imagine if something was taken away.
  • Spent time with people who you love.
  • Do something kind for someone else.
  • Spend time in nature.
  • Take a break from screens (tv, mobiles, computers).
  • Take a break from listening to the news.
  • Take a work holiday.
  • Laugh more – find something to laugh about and share it with someone. How often are you laughing?

Build hope

Hope is a positive, optimistic frame of mind in which we expect good events and scenarios to occur. The ability to remain hopeful can help you bounce back more effectively from life’s difficulties when they crop up (Seligman, 2011).

Improving self-awareness

Mindful reflection can leave us grounded and better aware of ourselves and our situation. The Who am I without this stress? exercise helps us focus on what is “right” with us rather than what is “wrong”.

Once centred by our breathing, ask yourself to consider:

What do I value most in life?
Are my current stressors more important than what’s most important?
What do I enjoy doing?
What do I look forward to every day?
When do I feel at my best?

Change the way you talk to yourself

When we are stressed, we sometimes say negative or self-defeating things to ourselves. Unhelpful self-talk might include things like, “I can’t cope”, “I’m too busy to deal with all this”, “This is all their fault”, or “I’ll never get this done”. Negative self-talk can make it more difficult to manage stress.

Notice your self-talk and work on using helpful, soothing, and calming self-talk, such as, “I am coping well given what I have on my plate”, “Relax, this stressful time will pass”, or “This is a stressful situation, but what is one thing I can do to help me get through this?”

Ask yourself:

  • Am I overestimating the likelihood of a negative outcome?
  • Am I overestimating how bad the consequences will be?
  • Am I underestimating my ability to cope?

Related Post

Mortality DeterminantsMortality Determinants


Overall Global Leading Cause of Death

  • Ischemic heart disease (coronary artery disease) – Still the #1 cause of death worldwide.
  • Followed by: Stroke, chronic obstructive pulmonary disease (COPD), lower respiratory infections, and cancer (e.g., lung, liver, colorectal).

Breakdown by Category

By Age

Age GroupLeading Cause(s) of Death
Infants (<1)Neonatal conditions, birth complications, infections
Children (1–14)Accidents (injuries), infections (low-income countries), cancers (e.g., leukemia)
Youth (15–24)Road injuries, suicide, homicide (varies by country)
Adults (25–44)Injuries (road, drug overdose), suicide, HIV/AIDS (in some countries), heart disease
Middle Age (45–64)Heart disease, cancer (esp. lung, colorectal, breast), liver disease
Older Adults (65+)Heart disease, stroke, cancer, Alzheimer’s disease

By Gender/Sex

GroupLeading Cause of Death
Cisgender MenHeart disease, cancer (lung, liver), accidents
Cisgender WomenHeart disease, cancer (breast, lung), stroke
Transgender IndividualsElevated risk from violence, suicide, and HIV/AIDS (especially trans women of color); limited large-scale data
Non-binaryInsufficient population-specific data, but risks often parallel those of trans populations or assigned sex at birth

By Race/Ethnicity (Example: United States)

GroupTop CausesUnique Issues
White (non-Hispanic)Heart disease, cancer, drug overdose
Black or African AmericanHeart disease, cancer, higher stroke risk
Hispanic/LatinoHeart disease, cancer, diabetes
Native AmericanAccidents, liver disease, diabetes, suicide
Asian AmericanCancer (leading cause), stroke, heart disease

Note: Disparities arise from systemic inequalities, access to care, and social determinants of health.


By Sexuality (LGBTQ+)

  • Limited global data, but in many regions:
    • Higher risk of suicide, mental health disorders, substance abuse, HIV/AIDS (especially among MSM and trans women).
    • Discrimination and healthcare avoidance contribute to worsened outcomes.
  • Common causes of death still include heart disease and cancer, with higher rates of premature death linked to stigma and healthcare disparities.

By Geographic Region

RegionLeading Cause(s)
High-Income CountriesHeart disease, cancer, Alzheimer’s, stroke
Low- and Middle-Income CountriesInfectious diseases (TB, HIV), maternal mortality, stroke, heart disease
AfricaHIV/AIDS, malaria, lower respiratory infections
AsiaStroke, heart disease, chronic lung disease
North AmericaHeart disease, cancer, drug overdose (opioid crisis)
EuropeHeart disease, stroke, cancer
Latin AmericaViolence (in younger adults), heart disease, diabetes

By Profession

  • Agricultural/farm workers: High injury rates, pesticide exposure, suicide
  • Construction workers: Falls, injuries, exposure to toxins (e.g., asbestos)
  • Healthcare workers: Infectious disease, burnout, mental health risks
  • Military/first responders: Combat-related injuries, PTSD, suicide
  • Office workers: Sedentary lifestyle risks (heart disease, diabetes)

Occupation-linked deaths often relate to environmental exposures, physical risks, or psychological stressors.


Conclusion:

Across almost all demographics, heart disease remains the leading cause of death, followed by cancer, stroke, and—in certain populations—accidents, suicide, or infectious diseases. However, the underlying causes (social, economic, political) differ significantly based on identity, geography, and profession.

Would you like this formatted into a chart, infographic, or specific to a country or report you’re working on?

Why We Choose Now Over Later: Instant vs Delayed Gratification and CostWhy We Choose Now Over Later: Instant vs Delayed Gratification and Cost

We all know the feeling of eating the last Tim Tam even though we said we’d stop, or putting off the gym even though we know we’ll feel better after. There’s a simple psychological framework behind this tug-of-war, and it’s more nuanced than “willpower” or “laziness.”

Four combinations, not two

Most people think of this as one axis — instant vs delayed — but really there are two separate questions: when something happens, and whether it’s a reward or a cost. That gives four combinations:

  • Instant gratification: reward now (a cigarette, a scroll through social media, a splurge on payday)
  • Delayed cost: the price paid later (lung damage, lost hours, an empty bank account)
  • Instant cost: effort or discomfort now (a hard training session, saying no to dessert)
  • Delayed gratification: the pay-off later (fitness, health, savings)

These naturally pair up in everyday life — instant gratification tends to travel with a delayed cost (gluttony, addiction, procrastination), and instant cost tends to travel with delayed gratification (discipline, exercise, saving). But they’re not the same thing by definition; they’re just common bundles. Sometimes you get gratification with barely any real cost (an afternoon nap), or cost with barely any real reward (over-saving to the point of never enjoying your money).

Why the future feels so much less real

The underlying mechanism is called temporal discounting — our tendency to value a reward less the further away it sits. Offer someone $50 today or $100 in a year, and plenty will take the $50. The future reward gets “discounted” in the mind, even though it’s objectively worth more. This isn’t a flaw exclusive to people struggling with addiction or avoidance — everyone discounts the future to some degree. What differs from person to person is how steeply.

A more specific quirk sitting inside this is present bias — an extra, disproportionate pull toward anything happening right now, over and above normal discounting. The classic sign of it is a preference reversal: someone might happily choose $100 in 31 days over $50 in 30 days when both options are off in the future. But offer them $50 today versus $100 tomorrow, and many flip to taking the smaller amount immediately. Nothing about the maths changed — only whether “now” was on the table. This is the same mechanism behind grand plans made the night before that evaporate the next morning: the plan looked easy when “now” was still hypothetical.

Why does this happen? Economists originally assumed we discount the future smoothly and consistently — a steady, predictable decline in value the further out a reward sits. Real behaviour doesn’t work that way. Instead, people follow what’s called a hyperbolic discounting curve — value declines really fast for anything in the near future (i.e., pushing a reward from today to next week costs it a lot of its appeal) then flattens out for anything further away. But pushing a reward from five years away to six years away barely changes how appealing it feels at all. The decline is steep early and flat later. That steep early drop is what makes “right now” so magnetic, and the flat tail is why consequences six months away can feel almost as unreal as consequences five years away, even though they’re nothing alike in real terms.

Where this shows up in society

This isn’t just an economics quirk — it explains a lot of everyday human struggle:

  • Addiction runs almost entirely on this pattern: an intensely immediate reward (a drink, a hit, a bet) paired with a cost that’s not just delayed but sitting on that flat, barely-felt part of the curve.
  • Avoidance behaviours (procrastination, dodging a hard conversation, skipping medical checkups) work in reverse — the relief of avoiding discomfort is instant, while the cost of avoidance quietly compounds somewhere out on the flat tail.
  • Overeating or “gluttony” fits the same shape — the pleasure of eating is immediate and vivid; weight gain or health decline is real but distant and abstract, so it barely registers in the moment of choosing.
  • Under-saving and impulse spending are the financial version — a purchase feels good today; retirement or a rainy-day fund is decades away and easy to discount to near zero.

Why this matters practically

The useful reframe here is that struggling with this isn’t a personal failing or a lack of insight — it’s the human valuation system doing exactly what it evolved to do, just more steeply in some people than others. That points toward practical fixes that work with the curve rather than fighting it: shrinking the delay before a good choice pays off (visible progress, milestone rewards), making the cost of a bad choice show up sooner rather than later (a streak, a check-in, immediate feedback), or removing the in-the-moment choice altogether through precommitment (automatic savings transfers, not keeping temptation in the house). Trying to simply convince someone to “care more” about the distant future tends not to work, because the problem was never a lack of caring — it’s that the future is quietly, structurally, worth less to the mind than the present.

Unhelpful Cognitions (thoughts) and DistortionsUnhelpful Cognitions (thoughts) and Distortions

Unhelpful Cognitions

Mental Filter: This thinking style involves a “filtering in” and “filtering out” process – a sort of “tunnel vision”, focusing on only one part of a situation and ignoring the rest. Usually this means looking at the negative parts of a situation and forgetting the positive parts, and the whole picture is coloured by what may be a single negative detail.

Jumping to Conclusions: We jump to conclusions when we assume that we know what someone else is thinking (mind reading) and when we make predictions about what is going to happen in the future (predictive thinking).

Mind reading: Is a habitual thinking pattern characterized by expecting others to know what you’re thinking without having to tell them or expecting to know what others are thinking without them telling you. This is very common, and most people can identify. Oftentimes, when we are telling someone a story about an interaction, we’ve had with someone else, we will make mind reading assumptions without actually having fact or evidence e.g., “They haven’t phoned me in two weeks so they must be angry with me for cancelling on them last week.”

Personalisation: This involves blaming yourself for everything that goes wrong or could go wrong, even when you may only be partly responsible or not responsible at all. You might be taking 100% responsibility for the occurrence of external events. It can also involve blaming someone else for something for which they have no responsibility. This can often occur when setting a boundary with someone and you take responsibility for their guilt or anger.

Catastrophising: Catastrophising occurs when we “blow things out of proportion” and we view the situation as terrible, awful, dreadful, and horrible, even though the reality is that the problem itself may be quite small.

Black & White Thinking: Also known as splitting, dichotomous thinking, and all-or-nothing thinking, involves seeing only one side or the other (the positives or the negatives, for example). You are either wrong or right, good or bad and so on. There are no in-betweens or shades of grey.

Should-ing and Must-ing: Sometimes by saying “I should…” or “I must…” you can put unreasonable demands or pressure on yourself and others. Although these statements are not always unhelpful (e.g., “I should not get drunk and drive home”), they can sometimes create unrealistic expectations.

Should-ing and must-ing can be a psychological distortion because it can “deny reality” e.g., I shouldn’t have had so much to drink last night. This is helpful in the sense that it communicates to us that we have exceeded our boundaries, however, saying “shouldn’t” about a past situation can be futile because it cannot be changed.

Overgeneralisation: When we overgeneralise, we take one instance in the past or present, and impose it on all current or future situations. If we say, “You always…” or “Everyone…”, or “I never…” then we are probably overgeneralising.

Labelling: We label ourselves and others when we make global statements based on behaviour in specific situations. We might use this label even though there are many more examples that are not consistent with that label. Labelling is a cognitive distortion whereby we take one characteristic of a person/group/situation and apply it to the whole person/group/situation. Example: “Because I failed a test, I am a failure” or “Because she is frequently late to work, she is irresponsible”.

Emotional Reasoning: This thinking style involves basing your view of situations or yourself on the way you are feeling. For example, the only evidence that something bad is going to happen is that you feel like something bad is going to happen. Emotions and feelings are real however they are not necessarily indicative of objective truth or fact.

Magnification and Minimisation: In this thinking style, you magnify the positive attributes of other people and minimise your own positive attributes. Also known as the binocular effect on thinking. Often it means that you enlarge (magnify) the positive attributes of other people and shrink (minimise) your own attributes, just like looking at the world through either end of the same pair of binoculars.

(CCI, 2008)