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As a family physician I continually talk to patients about healthy living. I have always known that finding happiness and balance in our life would bring better health. There are so many factors in our society today that are throwing this balance off and pushing us into burnout and stress. If not kept in check, stress can rob us of our health and happiness.

Why am I so Anxious, Feeling Panic Attacks, and Generally Stressed Out

Stress is our bodies’ response to a demand or threat. It is our “fight or flight” response. In years past it allowed us to escape predators and run away from attackers. It is modulated by adrenaline and cortisol, our stress hormones. Stress can lead to physical symptoms like headaches, indigestion or palpitations.  If left unchecked the strain can lead to heart disease, ulcers, hypertension and mental health problems. Prolonged stress can lead to panic attacks, generalized anxiety, depression and insomnia. The National Institute of Mental Health reports 18% or 40 million of adults age 18 and older are affected with anxiety disorders. 

Common factors that are leading to increase stress in the US are

• Economic hardships.


• Loss of community.


• Less social support.


• Texting and social media.


• Information overload on internet and television.


• Intolerant attitude towards negative feelings. 

Our lives are so hectic.

What causes Stress in our Lives

• Traffic


• Busy schedules


• Work meetings


• Deadlines


• Computers that misbehave


• Financial worries


• Relationship problems

5 Major Types of Anxiety Disorders

1. Panic disorder
   is a condition in which feelings of terror strike suddenly. One can
   experience attacks that include sweating, chest pain, palpitations,
   feeling of choking or shortness of breath with a feeling of impending
   doom. 


2. Social anxiety is overwhelming worry and self-consciousness about social situations. 


3. Phobias are fears of a specific object or situation like heights of driving. 


4. Post-traumatic stress disorder is a condition caused by a traumatic event where anxiety or fear is brought on by flash backs or triggers related to event- like loud noises. 


5. Generalized anxiety disorder is a condition that demonstrates unrealistic worry and tension. 

Common Symptoms of Anxiety Disorder

• Feelings of panic or fear


• Problems sleeping


• Cold or sweaty hands or feet


• Shortness of breath


• Heart palpitations


• Not being able to sit still


• Dry mouth


• Numbness or tingling in the hands or feet


• Nausea


• Muscle tension


• Dizziness

How Can I Find Happiness Instead of Stress and Anxiety

Trying to find happiness in our hectic lives is a real challenge. There is a growing field of research called Positive Psychology.
They have done extensive research into what makes people happy. They
have determined that 50 % is determined by genetics, 40% by behavior and
10% by circumstances. A recent study has shown that individuals that
are optimistic and have a greater sense of purpose have a 20% reduction
in major illnesses. Another study has shown that those individuals
reporting increased happiness ratings live 10 years longer than those reporting low happiness ratings. More research has been done to see how we can increase our optimism and happiness ratings. 

There are some simple steps you can take to increase happiness and improve health. 

Researchers,
Robert Emmons and Mike McCullough, at UC Davis have determined that
keeping a gratitude journal improves optimism and feeling better about
life.

Another
researcher, Martin Seligman, found that delivering a letter of
gratitude to someone for their kindness caused a large increase in happiness scores. 

Practicing mindfulness allows the person to focus on the present moment through meditation and can reduce stress. 

Practicing random acts of kindness improves happiness ratings. 

A
75 year-long Harvard study on happiness showed that it wasn’t money or
jobs but positive relationships that had largest impact on happiness. Just being surrounded by happy people makes you happier. 

The happiest people sleep eight hours a night. 

Other mood boosters include sunlight, Omega 3 Fatty Acids in fish and smiling. 

11 Simple Steps to Reduce Stress in Your Life 

• Simplify your life.


• Limit technology.


• Set boundaries.


• Follow Gods plan for your life.


• Practice time management.


• Stay positive.


• Practicing gratitude every day and limiting gossip and complaining help keep things positive.


• Laughter is a very powerful tool to lower stress. 


• Routine relaxation such as prayer, meditation, technology breaks and time spent in nature all reduce stress. 


• Practicing outreach through acts of kindness, volunteering in community and missions all provide us with purpose. 


• Healthy
  living through healthy sleep practices, exercise like walking or yoga,
  eating a heart healthy diet, decreasing caffeine and avoiding drug use
  all improve health.

Sonja
Lyubominsky a happiness researcher at UC Riverside found that
journaling on gratitude for 6 weeks increased individuals satisfaction
with life and Robert Emmons at UC Davis stated that engaging in
gratitude exercises like thank you letters elevates mood. So start your
day with a list of what you are grateful for and show your appreciation
throughout your week. Meditate on your list and watch it grow! 

It
is important to put technology free space back in our lives. Learn to
embrace the quiet. When you stop the steady flow of sensory input from
your electronic devices you can see things much clearer. It reminds us
to be grateful for all of our blessings. Venture outside to enjoy a tech
free day. 

People lowered their cortisol (a stress hormone)
and reported an improvement in their mood after just 30 minutes of
gardening. So remember gardening as a great way to get healthy, reduce
stress and grow healthy vegetables for family and friends. Connecting
again with nature has been a real joy. I am so grateful for God’s
amazing love and peace in his presence. Learning to stop long enough,
turn off all the media devices, quiet all the noise in our heads and
listen takes some practice. It is in the quiet and the stilling of our
thoughts, surrounded by nature, that we can let go of stress and draw
closer to Him.

What is the Best Exercise for Reducing Stress and Finding Health and Happiness

Walking for Health

I am constantly giving out advice about healthy forms of exercise.
I often recommend a walking program for patients who have not had an
active lifestyle. Walking is a good aerobic workout and does not require
expensive equipment. 10,000 steps a day is a great goal to set for
yourself and has been shown to improve health. 

Yoga for Stress Reduction

Another exercise I encourage people to try is yoga.
Yoga is a 5000 plus year practice. It combines strengthening and
stretching poses with special breathing and meditation. There are many
different forms of yoga. It helps to take a beginner class to be taught
the poses and breathing.  The intensity can vary quite a bit depending
on the style of yoga so you want to be sure it matches your fitness
level.

Benefits of Yoga 

• Improved emotional health


• Enhanced strength


• Flexibility and balance


• Lessened  back pain


• Enhanced fertility


• Improved cardiac health


• Eased symptoms of asthma


• Improved pain from arthritis


• Improved sleep

There are many other positive effects to yoga.
It is felt that the majority of it’s benefits are achieved by the deep
level of relaxation that you can attain by participating in a regular
yoga practice. Yoga should be combined with a good aerobic workout for
maximum benefit. You may have to try different forms to find the right
one for you. But I encourage you try a Hatha yoga class, it is the most common form of yoga.

Healthy Diet for Health and Happiness

The
American diet is full of all the wrong things. Our lives are so busy
and full of stress. I recently reviewed the literature to see which of
the popular diets are most effective. Across the board in multiple
studies and reviews Weight Watchers was ranked #1. Also in the top 5 were the DASH diet, the Mediterranean diet, TLC Diet and the Dean Ornish diet. 

It is important to remind people to see their doctors to evaluate for medical problems leading to weight gain; such as thyroid abnormalities and Type 2 Diabetes which
requires medication and special diets. Once these problems are ruled
out and you are given a clean bill of health you can start a healthy
weight loss program. Remember all programs should include a diet program
and regular exercise. 

15 Basic Steps to Reduce Stress and Prevent Anxiety

1. Exercise - walking and yoga


2. Volunteer


3. Practice gratitude


4. Practice mindfulness meditation


5. Perform random acts of kindness


6. Develop strong, positive relationships


7. Get sunlight


8. Enjoy nature


9. Sleep well


10. Eat healthy diet - fish and lots of fruits and vegetables


11. Laugh often


12. Smile


13. Simplify life


14. Limit technology


15. Stay positive 

For
anyone who is suffering from more severe stress, anxiety or mental
health problems it is important to seek counseling and mental health
treatment if these stress reduction techniques do not improve your
symptoms. Sometimes medication and behavioral therapy are necessary to
reduce anxiety.  

Health and Happiness!!

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