The Stress Management Institute Stress Management Consultants & Trainers since 1995 Stress Management Training Courses by Distance Learning

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"An excellent training course that has stimulated my interest in Stress Management enormously and has not only delivered but has facilitated learning".

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How can our Diploma Courses benefit you professionally?

Stress Management Training can be learned quickly and is applicable in many settings. You can use it as a short course of treatment or as an on-going therapeutic activity. Our training will enable you to speedily add Stress Management Training to your helping skills so that you will rapidly become a competent practitioner.

Our Diploma in Stress Management Training covers the theory, information, skills and techniques that you will need to work effectively with individuals and groups, both in private practice, or in any therapeutic or community setting.
Our Diploma in Organisational Stress Management enables you to take these skills into the Company or Organisation as a Consultant, whilst also enabling you to address specific corporate need.

Our courses are designed to provide you with a practical toolkit that you can edit with your logo and details for your own Client work. Thus, trainees will find that they can soon put our training to use within their current work, private practice or new venture. It is not essential for you to be currently working with Clients in order to undertake our courses. We are able to offer a fee reduction if you enroll before the end of the month.

Why train with The Stress Management Institute?

We are the specialists in Stress Management Training by Distance Learning and
our Diploma Courses are popular world wide. Our experience, professionalism and commitment to quality make us the first training course of choice for individuals looking to enhance their skills portfolio or to start up their own business.

For many Companies too, we are the first choice in auditing,
understanding and solving problems within the organisation.
Our list of Corporate Clients speaks for itself.

The Academic Level of the Training

The Academic level of the Diploma Course in Stress Management Training has been assessed as the equivalent of one term of the final year of an Honours Degree.

The Duration of the Training

You have 12 months to complete each training course. There is, however, no minimum time limit and you can work through the courses entirely at your own pace.

Training Course Fees

The fee for each course is currently £299.00 which is a fee reduction that is available until the end of the month. There is a further reduction if you enroll for both courses together. You can do this for a fee of £399.00 before the end of the month.

How is the Training Delivered?

The training is entirely by distance learning, consisting of printed training materials and the relevant CDs. You will receive the entire training course or courses through the post within two working days of payment, if you are a U.K. Trainee.


Professional Indemnity Insurance is an absolute necessity if you are intending to set up in private practice. If you plan to work from home it is particularly important to have Public Liability Insurance in case of injury or accident. The Institute's Trainees, on completion of either our Diplomas can obtain a Certificate of Professional Liability Insurance from independent insurers.

This insurance includes cover for:

  • Public Liability Insurance
  • Professional Indemnity Insurance
  • Product Liability Insurance
  • Libel and Slander Insurance.

What is Stress?

Our bodies react to stress in a similar way that they react to fear. We experience fear when we have cause to be concerned about our well-being or safety. We experience stress when we are in situations where we feel under threat but are not actually in any immediate danger.

When we feel under threat in this way our bodies respond with the fight or flight syndrome, which prepares our bodies to fight or flee and involves a number of physical changes. Our heartbeat increases, our breathing becomes shallow, all of our senses work better, we may have a desire to defecate, our muscles tense to fight or flee, our hands and feet become colder and we begin to sweat to cool ourselves, as all of these changes make us hot.

This response can be set off by many situations that are not really dangerous or life-threatening, however, we are reacting as if our lives were actually threatened, and the reaction to such threat is a very powerful one. When there is no enemy to fight or run from, the physical feelings created have no release, leading to stress, which will eventually find an outlet in chronic fatigue, anxiety and a variety of minor, or more serious, physical illnesses.

“I am glad to have had the opportunity to take your course and I appreciate your dedication in making it available, together with your professionalism, which shines through the course“

Panic Disorder

What's the difference between anxiety and panic? The two states originate in different cerebral hemispheres. Scientists studying anxiety had produced conflicting reports of its site in the brain because they failed to distinguish anxious apprehension (worry) from anxious arousal (panic). Worriers have more left brain activity, and panickers more right. The left hemisphere controls speech production, worrying is primarily a verbal activity, while the right side plays a greater role in regulating panic's physical effects: increased heartbeat, sweating, and production of stress hormones.

Panic Disorder is an illness characterized by spontaneous episodes of intense, gripping terror accompanied by heart palpitations, dizziness, and smothering sensations. The causes are thought to be psychological vulnerabilities, stress, unresolved childhood issues, or a combination of all three. The length of typical panic attack is 10 minutes. The typical frequency of panic attacks is four attacks over four weeks or one or more attacks followed by a month of fearful anticipation of more attacks.

The percentage of Panic Disorder sufferers with additional psychological and psychiatric conditions is up to 70%. The number of patients who also suffer agoraphobia - a fear of any situation which help or escape is difficult or impossible is1 in 3. The percentage of people who suffer depression as well is 40%

Panic attacks can be both bewildering and terrifying, but they're not unusual. An estimated 2.4 million people experience one every year. It may begin as tightness in the chest, shortness of breath or a galloping heartbeat. Many sufferers believe they are having a heart attack and rush to Accident and Emergency.

The cause of an attack can be unclear, but they often arise in the face of major life changes, such as childbirth or a new job. Attacks may also follow trauma. Prevalence rates have been on the upswing since the 1950s, although many experts believe what seems like a trend is simply better diagnosis.

A panic attack is more than a feeling of anxiety, it produces distinctive physical symptoms. Each person experiences panic differently, but most people report intense fear accompanied by bodily sensations that can range from a racing heart to nausea and dizziness. Panic can come on suddenly or slowly and usually lasts no more than 20 minutes at its peak.

Scientists believe panic attacks stem from the brain's "fight or flight" system gone awry, often ignited by stress or a traumatic event. In our high-octane society, that response can kick in with no real threat in sight or after the source of stress is long gone. Research suggests that chronic panic sufferers may be easily flummoxed by their bodily sensations. Someone vulnerable to panic might interpret a rapid heartbeat as a heart attack. If fear overwhelms them, the symptoms intensify in a vicious cycle.

The diagnostic standard for psychological disorders, the DSM-IV, defines panic attacks as either expected or unexpected. Those that are expected, or cued, occur when a person feels an attack is likely, such as in closed spaces, while driving or in a crowded place. But in an unexpected panic attack, the patient reports the attack to occur out-of-the-blue

Although individuals were not aware of an impending attack, subtle physical changes appear to impact panic sufferers more severely. By definition, the majority of the 13 symptoms of panic attack are physiological: shortness of breath, heart racing, dizziness, chest pain, sweating, hot flashes, trembling, choking, nausea and numbness. Only three are psychological: feeling of unreality, fear of losing control and fear of dying. Most patients obviously feel that there must be something going on physically and may worry they’re having a heart attack, suffocating or going to pass out. People think that something catastrophic is going on.

Panic attacks do not always strike without warning but can start subtly as much as an hour beforehand or more. There are changes in respiration, heart rate and other bodily functions that occur for at least 60 minutes before awareness of the panic attacks. This suggests sufferers of panic attacks may be highly sensitive to, but unaware of, an accumulating pattern of subtle physiological instabilities that occur before an attack. Monitoring data also shows sufferers are hyperventilating on a chronic basis. However, they are unaware of their changing physiology and report the attacks as unexpected.

Patients’ carbon dioxide, or C02, levels are in an abnormally low range, indicating that they are chronically hyperventilating. These levels rise significantly shortly before panic onset and correlate with reports of anxiety, fear of dying and chest pain. It is possible that increases in CO2 cause feelings of suffocation and can be panic triggers. This might explain why medication or interventions aimed at normalizing respiration for treating panic are effective. Medication generally buffers arousal, keeping it low and regular, thereby preventing unexpected panic attacks.

Vulnerability to anxiety may have a biological basis. If a parent or sibling has panic attacks, a person's risk increases by about six fold. Panic attack sufferers have fewer serotonin receptors in their brains, while studies suggest those with anxiety may have overly sensitive "suffocation alarm systems," which detect a shortage of oxygen even under normal conditions.

Panic attacks are so frightening that sufferers will do just about anything to avoid another. That may mean staying away from situations associated with anxiety. Someone who once panicked on an airplane might decide not to fly. But the fear often extends to other settings; the plane phobic might start to dread cars and buses as well. People with full-blown panic disorder, in which attacks are a frequent problem, feel constantly vulnerable, which forces them to be vigilant. Only about a third of people who get occasional panic attacks will go on to develop panic disorder. Even though men and women report the attacks with equal frequency, women are twice as likely to get the disorder.

Some scientists think Irritable Bowel Syndrome (IBS) may be linked to panic disorder. Because IBS can be uncomfortable and embarrassing, sufferers dread their next IBS attack and become highly sensitive to their digestive system. When something feels awry, their agitation mounts, causing real stomach upset and pain. Since both panic and IBS symptoms are highly stress-sensitive, sufferers of either condition might find themselves trapped in a feedback loop.

Untreated panic disorder can raise the potential for more serious conditions. These conditions include depression, drug abuse, and suicide. Panic disorder doesn’t just influence emotional well-being. This common disorder could be intense enough to result in or aggravate headaches, gastrointestinal syndromes, abnormal heart rhythms and sleep disorders.

The link between depression and anxiety is so powerful that some antidepressants are used to address people who don’t have depression and are alternatively living with anxiety disorders. Anxiety coping strategies are often recommended for people with depression, even when the individual doesn’t suffer from anxiety. Other studies have also revealed that the same neurotransmitters might also lead to both anxiety and depression.

Depression can develop due to anxious thoughts. This seems to be particularly true of those with panic disorder, possibly since panic attacks tend to trigger feelings of fear, helplessness, and disaster. Furthermore, those coping with anxiety may not be living the life they want and this reinforces feelings of powerlessness or loss which can ultimately lead to depression.

Many people who have anxiety and/or depression assume that treatment for these disorders may not be effective — that if you have previously tried therapy or medication without much relief, then nothing can be done but this is not true. It may take time and effort, but the right treatment can be found.

Current studies suggest that treatment should start with addressing depression first. A decrease in depressive symptoms often means a reduction of anxiety symptoms as well. Also, some common and efficient prescription drugs for depression hold the added bonus of decreasing anxiety.

While it is well known that mental health is linked to physical heath, physicians often disregard a person’s complaints of physical symptoms when a mental illness is present. However, Panic disorder may be a predictor for a number of physical conditions previously considered unrelated to mental conditions, and for which there may be no or few biological markers.

As reported in the Journal of Neuropsychiatry and Clinical Neurosciences, researchers proposed the existence of a spectrum syndrome comprising a core anxiety disorder and four related domains, for which they have coined the term ALPIM:

A = Anxiety disorder (mostly panic disorder);
L = Ligamentous laxity (joint hypermobility syndrome, scoliosis, double-jointedness, mitral valve prolapse, easy bruising);
P = Pain (fibromyalgia, migraine and chronic daily headache, irritable bowel syndrome, prostatitis/cystitis);
I = Immune disorders (hypothyroidism, asthma, nasal allergies, chronic fatigue syndrome); and
M = Mood disorders (major depression, Bipolar II and Bipolar III disorder, tachyphylaxis. Two thirds of patients in the study with mood disorder had diagnosable bipolar disorder and most of those patients had lost response to antidepressants).

The study documented high prevalence of physical disorders among patients with panic disorder compared to the general population.

For example, joint laxity was observed in 59.3 percent of patients in the study compared with a prevalence of approximately 10 percent to 15 percent in the general population; fibromyalgia was observed in 80.3 percent of the subjects compared with approximately 2.1 percent to 5.7 percent in the general population; and allergic rhinitis was observed in 71.1 percent of subjects, whereas its prevalence is approximately 20 percent in the general population.

Further, it is not uncommon for individuals with attention deficit hyperactivity disorder (ADHD) to struggle with anxiety, whether it’s several symptoms or a full-blown disorder. About 30 to 40 percent of people with ADHD have an anxiety disorder, which includes obsessive-compulsive disorder, generalized anxiety disorder, phobias, social anxiety and panic disorder.

Here’s why ADHD and anxiety co-occur. ADHD symptoms can be very intrusive and make life a lot more stressful. For instance, you might miss a critical deadline at work and get fired, forget about your exams or act impulsively and put yourself in danger. Even the fear that you might forget something can keep people continuously worried and anxious.

People with ADHD tend to be sensitive, which can leave them especially vulnerable to feeling things more deeply and being more affected by situations and emotions.

Genetics also may explain why ADHD and anxiety co-occur. There is good evidence to show that ADHD and OCD have genetic underpinnings. Studies from Massachusetts General Hospital suggest that 30 percent of people with OCD have ADHD.

Anxiety adds another element to ADHD treatment, It potentially complicates treatment because anxiety can paralyze and leave people stuck in their old ways. People who are anxious are less likely to try new things for fear of them not working out—this includes new strategies to help them get on top of their ADHD.”

Anxiety has another side effect. We don’t think as clearly when we feel anxious or preoccupied which can add to the ADHD-based distractibility and forgetfulness,”

Stimulant medications are highly effective in treating ADHD. But stimulants “can sometimes exacerbate anxiety symptoms. Also, these symptoms actually might be responses to the medication. The physical sensations of faster heartbeat, dry mouth, etc. are just normal reactions to the medication, just as we would expect that our heart rate would increase after running up a flight of stairs.

It is though that panic attacks may be associated with an aversion to bright light. Although the finding does not imply a cause-and-effect relationship, the discovery of an association may lead to development of new therapies for panic disorder. Previous studies have shown that it has a strong seasonal component. Patients with panic disorder seem to have medium to high levels of aversion to bright light.

There have been several hints that photophobia is associated with panic disorder; for example in some people, fluorescent light can induce panic attacks. It had also been noted that people with panic disorder often protect themselves from light by wearing sunglasses. If photosensitivity and panic attacks are related, then steps can be developed to avoid some of the triggers to panic attacks.

Thus, though Panic Disorder is a crippling enough illness on its own. It has many suspected co-morbidities, the general understanding of which may eventually may lead to better treatments.

Stress Management Training by Distance Learning

Our training teaches you how to enable Clients to better manage stress. We do not attempt to eliminate it altogether as we need a certain amount of tension in our lives in order to achieve our goals. Too much, however, can lead to fatigue, illness or unnecessary restrictions on our lives. Our Training is empowering to the individual, enabling them to take a greater control of their own life and health, goals and relationships.

Stress Management Training really can help people to change.
Add Stress Management Training to your skills to further enable
and empower others.

When you enroll online you will receive your training materials within:
  • Two to Three working days (United Kingdom)
  • Three to Five working days (Europe)
  • Five to Nine working days (Rest of World)

Stress Management Training may also be known as Stress Training or as Stress Counselling Courses or Coaching, Relaxation Therapy and also cover many aspects of Mindfulness.

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