Core Services

1. Managing College StressVickie SkorjiAssistant Director, Tokyo English Life LineLori WigmoreDirector Children and Families, TELL Counseling

2. The Life Line (03-5774-0992) Free anonymous telephone counseling in English 9am-11 pm daily Accessible anywhere in Japan TELL Counseling Accredited by the Samaritan Institute Multi-lingual, confidential, face-to-face counseling by licensed professionals Psychiatric evaluation and medication Flexible fees Core Services TELL Children and Families Provides confidential assessments counseling and psychological testing

3. Today’s Talk • Stages of adapting to college life • Cultural adjustment • Common college stressors • How does stress impact you? • Unhealthy coping behavior • Healthy stress management • How to help a friend • Where to get help

4. Common Changes You Can Expect the First Year Away • New environment • New relationships • Greater personal freedom • Added responsibility • Changing relationships

5. Culture Shock Cycle

6. Arrival Confusion • Jet lag • Meeting New Friends • Navigating campus and new country • New language • New foods • Course selection

7. The Honeymoon Stage • Excitement over the newness • Immerse self in new culture • Cultural High

8. Differences become less exciting Tired of explaining self Tired of language difficulties Value conflict Critical toward the host culture Cultural Shock

9. Homesickness • Often occurs after vacation break • Feel lonely, frightened and isolated • Missing old friends, old routines

10. Challenges and Expectations • The reasons for coming • Nationality • Ethnicity • Cultural and educational background • Previous experience • Financial Status (SES) • Marital status • Age • Gender • Expectation to be successful

11. Acceptance and Integration • Strong friendships develop • Isolation starts to subside • Comfort with adapted identity vs. home identity • Identify with new ways of thinking

12. Stage 4: Adaptation • Growing sense of acceptance and appreciation for the new customs and culture and sense of enjoyment. • Ability to function in two cultures and growing sense of self confidence • Feel more relaxed and comfortable in your new `home` and life may even be better than before. • Realization that there will be things you will miss about your new country, when you have to pack up and go home.

13. Reverse Culture Shock • Friends, family, or colleagues are not really interested in discussing your experience. • Friends made abroad missed. • Getting socially up-to-speed may be frustrating. • Feeling alienated in your own country. • Limited opportunities to apply new knowledge and skills. • You have grown and changed

14. What is Stress Stress is the “wear and tear” our minds and bodies experience as we attempt to cope with our continually changing environment.

15. HARVARD STRESS TEST The picture you are about to see has 2 identical dolphins in it. It was used in a case study on stress levels at Harvard. Look at both dolphins jumping out of the water. The dolphins are identical. A closely monitored, scientific study revealed that, even though the dolphins are identical, a person under stress would find differences in the two dolphins.The more differences a person finds between the dolphins, the more stress that person is experiencing. Look at the photograph and if you find more than four differences you should seek help.

17. Common Stressors Academic and Exams • Managing challenging course work • Schedules • Grades • Deciding on a major • Large classroom sizes

18. Common Stressors Time Management • Managing new responsibilities • Socializing • Structuring study time • Time on the internet

19. Common StressorsLanguage Japanese study on cultural adjustment stress found that English-speaking foreign residents ranked language as the second biggest stressor.

20. More Common Stressors • Roommate conflict • Host family challenges • Relationships • Money Management

21. Common StressorsBody Image • Confusing cultural messages about ideal body • Aggravated by trying to fit in and new relationships • If spending an inordinate amount of time worrying, seek help

22. How can stress impact your well being? • Physically • Emotionally • Thoughts • Behaviorally Can also lead to increased risk of depression & suicide

23. Common signs of stress on your body • Change in sleeping habits • Experiencing a change in appetite, eating and weight • Experiencing physical problems or discomfort for which doctors can find no reason • Having many minor illnesses • Colds • Headaches, or • Stomach pains • Back pain • Chest pain • Heart palpitations • High blood pressure • Decreased immunity

24. Common Signs of Stress on your Feelings • Feeling homesick & lonely often • Feeling lonely much of the time • Feeling sad or anxious much of the time • Crying more than usual, often for no particular reason • Feeling irritable much of the time • Feeling tension & pressure

25. Common Signs of Stress on Your Thoughts • Forgetful • Confused • Difficulty making decisions • Lack of concentration • Experiencing academic difficulties not typically experienced before

26. Common Signs of Stress on Your Behavior • Excessive eating or little appetite • Angry outbursts • Drug or alcohol abuse • Increased smoking • Social withdrawal • Relationship conflicts

27. What is Depression? When you have at least 5 of the following 9 symptoms at the same time: • A depressed mood during most of the day often with frequent crying • Fatigue or loss of energy almost every day • Feelings of worthlessness or guilt almost every day • Feelings of helplessness and hopelessness • Impaired concentration, indecisiveness • Insomnia or hypersomnia almost every day • Diminished interest or pleasure nearly every day • Recurring thoughts of death or suicide • A sense of restlessness.

28. Signs of Increased Suicide Risk • Significant weight loss or gain • Neglect of personal hygiene • Intense feelings of hopelessness, worthlessness, sadness, anger, and/or guilt • Engaging in risky or self-destructive behaviors • Other impulsive or aggressive behaviors • Preoccupation with death or violence • Recent crisis such as a major loss, failure or rejection • Unhealthy or unstable interpersonal relationships • Struggles with one's identity; feeling a loss of "self" • Previous suicide attempts or a family history of suicide attempts • Interpersonal isolation

29. Unhealthy Coping Behavior BINGE DRINKING • Binge drinking is the consumption of 5 or more drinks by men or 4 or more drinks by women over a two hour period. • Recent study of Japanese freshmen looked at a 30 day period and found • 14% engaged in binge drinking • 6.5% had alcohol induced blackouts • 6% experienced alcohol related harassment

30. Alcohol-related Consequences for College Students • Death • Injury • Assault • Sexual Abuse • Unsafe Sex • Academic Problems • Health Problems • Suicide Attempts

31. Unhealthy Coping Behavior • Drugs Abuse - Marijuana, Kakuseizai (Stimulants) , Ecstacy, Ketamine, Cocaine • Eating Disorders • Self-harm

32. Stress Management • Identify the problem • Understand the triggers • Listen to your body • Relaxation exercises • Eat well • Sleep well • Take Holiday or break • Journaling • Volunteer • Humor • Talk to someone

33. Strategies for a Healthy College Experience • Manage your time • Develop assertiveness skills • Good study habits • Take some time to explore Japan • Be Patient : Remember that culture shock is NORMAL. • Seek help: Find out what services and resources are available to help you • Get involved: Join one or two student organizations, attend campus sporting events & cultural events

34. Listen and observe Give your undivided attention. Show you are interested in them. Ask effective questions. Don’t give advice. Be non-judgmental. Show unconditional positive regard for the student. Know when to refer or get help. How to Help a Friend or Student How Do I Begin?

35. Examples Student: I’m flunking out of school, losing my boyfriend, fighting with my parents – I don’t feel like I can do anything well and I think I’m depressed. • You - Poor – Don’t worry about your boyfriend we’ll find another one, I never liked him anyway. I know what you need, your so serious, you need to lighten up, lets go partying tonight that will make you feel better. You can get serious with your studies next week, we might even find another guy for you. • You - Poor – Failing school! How have you let that happen, what have you been doing? Have you been wasting all your time on that loser of a boyfriend? What are you going to do. Your parents are going to kill you.

36. The Power of Listening “If I can listen to what they tell me, If I can understand how it seems, If I can sense the emotional flavor which it has, then I will be releasing potent forces of change from within.” Carl Rogers

37. Getting personal. Kidding / teasing. Giving advice Being judgmental Asking lots of questions Looking away. Watching the clock. Fidgeting and restless. Being hurried Common Mistakes

38. Examples • Student: I’m flunking out of school, losing my boyfriend, fighting with my parents – I don’t feel like I am doing anything well, I think I’m depressed. • You - Good – “I can hear you are really worried with everything that is going at the moment. You also said you think you might be depressed, can you help me understand more about that. • You - Good – You have a lot going on at the moment. Do you have time to talk with me now about what about what is worrying you the most? Maybe together we can come work something out.

39. Faculty counselors. Faculty services. Lecturers. Other students. Family & relatives. Friends. Internet chat groups. Local Doctor. Community Services. Tokyo Community Counseling Service. Tokyo English Life Line. Crisis lines in other countries. Support Systems

40. Getting Help in Japan • Tokyo English Life Line - 03 5774 0992 • TELL Counseling – (03) 4550 1147 • TELL Website www.telljp.com • Inochi no Denwa (Japanese Life Line) - (03) 3263-5794 • Wiki-Tell( mental health services in Japan) - www.telljp.com • Downloadable audio relaxation scripts http://medweb.mit.edu/wellness/resources/downloads.html

41. TELL Website www.telljp.com