00:01
How will it impact your
behavior.
00:03
Now individuals may respond
differently to the same stressor
depending upon appraisal
and circumstance.
00:09
So we kind of briefed
this topic before
so let's take a look
at it again.
00:12
I know that something that
presented to you versus
presented to me, we might
appraise it differently.
00:19
So different people will
respond differently.
00:22
And we can use that statement
for so many different sections
that we're going to be talking
about for the MCAT.
00:26
But basically the same stressor
could be appraise differently.
00:31
You have to write an
MCAT exam tomorrow.
00:34
I have an MCAT exam tomorrow.
00:35
Are you more prepared
or I'm more prepared.
00:38
How you are going
to deal with that?
Now if I'm feeling very
prepared, my behavior might be
like, "Okay, that's fine."
"I'm fully prepared."
"I might go for dinner tonight."
And you response might be,
"I'm so not prepared."
You are completely
freaking out and therefore,
you are going to
act differently.
00:54
Now how are you going to act.
00:55
Typically we can put
things in two bends, okay.
00:58
You will either confront
the problem or you will avoid it.
01:01
So we can say, we can confront
the stressor or you can avoid
or illustrate avoidance.
01:06
Now what we mean by
confrontation is you can say,
"You know what, this is
extremely stressful."
This is going to be unusually hard
for me but I'm going to do it.
01:15
I'm going stay up all night
and I'm going to attack this.
01:18
Just bring it on.
01:19
You roll up your sleeves
and you do it.
01:21
Versus, "Oh my god."
"This is unbelievable."
You start crying.
01:26
You might may be wet yourself.
01:27
And you go to bed in
a little ball
and you hold your teddy bear.
01:30
And you're avoid the problem in
front of you which is
I need to study so that I do
well in the MCAT exam.
01:35
Now those individuals who avoid
instead of confronting
the stressor, might crutch
and self-medicate
and do things to deal with
the stressor in front of them.
01:48
So behaviorally they are expressing
it in different ways.
01:51
So the individual who is
confronting the behavior might
be to work, to relax and to deal
deal with it that way.
01:57
Somebody who is avoiding is
going to redirect that behavior
and do something else.
02:01
Typically it's usually
is unhealthy.
02:03
So things like, "I'm going to
drink myself silly
and fall asleep and pass out."
Or I'm going to partake in
taking some recreational drugs.
02:11
I might eat a tub of ice cream
and cry myself again to sleep.
02:16
Lot of crying, lot of sleeping
happening here.
02:18
So you can see how either way
you're going to
express your behavior.
02:22
One might be more productive
and help you actually deal
with your stress at hand.
02:25
And the other you avoid
and redirect.
02:29
Okay, so now let's take at
an extremely stressful situation
in what behavior comes
out of that.
02:37
So you may have heard
of something called
Post Traumatic Stress Disorder
or PTSD.
02:41
This is in response to
an extremely high stressful event.
02:46
Now it can be acute,
it can be chronic.
02:49
Either or the response
is the same.
02:52
When it's acute, typically
the response is little bit lower
on the scale and it might be
shorter lived versus something
that's little bit more chronic.
03:00
And we'll see that the affects
be a little bit more pronounced
and little bit more long
lasting.
03:05
So we're seeing here these
individuals they are shocked.
03:10
Okay the system is shocked.
03:12
It is overwhelmed.
03:13
And it does not know
how to deal with it.
03:14
So after the event or post trauma,
your body does not know
how to deal with the stress.
03:21
And so if you can't confront
or deal with something,
you avoid it.
03:24
So we illustrate avoidance.
03:27
And we also have things
like hyperarousal
and re-experiencing.
03:30
I want to walk you through
three of those points.
03:32
So the best example I can
give you is somebody who is,
have gone through some war-torn
situations.
03:39
So a soldier, a civilian who's
stuck in the middle of a war.
03:42
They've seen some horrific stuff.
03:45
So probably the most common
and prominent sub group that
suffers from PTSD would be,
you know, a soldier.
03:51
A soldier goes and does a tour
of duty in the Middle East
coming from the States.
03:55
Goes from the Middle-East
and fights
and does a six months tour.
03:58
They've had to do some terrible
things.
04:00
They've experience some
terrible things.
04:03
They've seen their comrades
get shot.
04:06
Arms, limbs blown off.
04:07
You see some crazy,
crazy things.
04:09
Now those are things that
are extremely stressful.
04:11
Those aren't things that you
and I probably won't see
on a daily basis.
04:14
Hopefully not.
04:16
And so, that sits there
and their body and brain
really doesn't know how
to deal with that.
04:20
And they kind mentalized it
and they avoid it.
04:22
They go back to base camp.
04:23
And they high-five on
making a back safe.
04:25
And that they've accomplished
the mission.
04:27
And they aren't
saying, "Oh, my god!
"I had to shoot somebody."
Or "I can't believe you know
this happened."
They might but typically they
bundle it up and they avoid it.
04:36
You also see something called
"Hyperarousal"
with these individuals seem.
04:40
You know, highly aroused,
highly agitated, you know
lot of high-fiving, a lot of
King Kong chest thumping.
04:46
They are really aroused and part
of that again the body not
knowing how to deal with this
arousal that they are feeling.
04:54
And then when they are kind
of alone, lot of times
when they are sleeping after
they've been removed
from the event so they return
home and they are back
with their family,
he's lying in bed.
05:02
They re-experience the sounds,
the smells,
and re-live that experience of
bombs going off and they wake up
in cold sweats.
05:10
Not knowing how to deal
with again.
05:12
So those three key
characteristics show that
typical symptoms you see
with PTSD.
05:16
How you deal with that
is a long term process.
05:21
Lot of it is psychotherapy.
05:23
Having to not confront what's
presented in front of you
as opposed to avoiding.
05:28
So individuals who just
continue to avoid
or continue to experience PTSD.
05:31
And really the primary goal
around solving the problem or
trying to solve the problem
is to address the original stressor.