Working Smarter

Humans made it through the survival gauntlet of evolution because of our legendary adaptability. Cold, heat, bad food—we adjusted and kept on ticking. Yet adaptability is a habit that can threaten your survival—and the productivity, decision-making, and bottom line of your organization when it comes to stress.

At first, you might feel the churning stomach or the headaches of a stressor overloading coping ability. Then the body gets used to it. The adrenaline set off by the stress response to help you fight or run from danger masks the fact that your body is going down in any number of ways—heart disease, diabetes, irritable bowel. Your team or department also gets used to the stress and adapts to it.

The adrenaline set off by the stress response makes you think you are handling it, but it’s an illusion. Stress is eating away at your health, suppressing your immune system, increasing the bad cholesterol, decreasing the good cholesterol and providing a false sense of energy and transcendence. Chronic stress can lead to stroke, depression, and burnout, the last stage of stress and a three-way shutdown of mind, body, and emotions.  

STRESS KILLS

Stress is nothing to mess around with. It’s a factor in five out of the six leading causes of death and some estimates have it as an element in more than 75% of doctor visits.

Stress is a killer. At one workshop I led for a large consulting firm, I learned that one of their top consultants, in his forties, had a heart attack on a bathroom floor while on assignment. He was known as someone who would go to the wall on every job. At a federal agency, managers told me about hospitalizations and nervous breakdowns because of stress. One entrepreneur I spoke with had a heart attack at the age of 29 from out-of-control stress.

Of course, all this has a massive impact on productivity, health costs, errors, and absenteeism for organizations. Stress costs U. S. companies $407 billion a year in health bills, absenteeism, lost productivity, and recruiting and training, according to U. C. Irvine stress researcher Peter Schnall.

The havoc doesn’t have to happen. We can manage stress with one simple new habit: regular stress testing. We do eye checkups, mammograms, blood panels, but we are never taught to identify and manage stress. We need to measure stress levels on a regular basis, say experts like Schnall, or we wind up at the mercy of a runaway medical train.

How do you know if you are in the danger zone? There are a number of tests you can do to monitor your stress levels, from saliva to blood and treadmill tests. If you are under a lot of strain, and even if you think you are managing the pressure, you need to make the time to take a stress test. Tom Row, a Tennessee scientist I spoke with, didn’t even know he was stressed when he had a heart attack at his office and was carried out on a stretcher. He’d been doing 12-hour workdays for years. 

ASSESS YOUR STRESS

Let’s take a look at some of the main types of stress tests, beginning with cortisol testing. Stress sets off a flood of hormones from your adrenal glands, including adrenaline and cortisol, also known as the stress hormone, to help your body prepare for action to confront danger.

Elevated cortisol levels from stress, though, cause a host of problems, from high blood pressure to heart disease, and can increase the risk of depression. Interestingly, researchers have found that cortisol levels drop in people who have burnout—another reason to do the test. Burnout depletes your adrenal glands of the hormones and energetic resources you need to function. Chronic fatigue and Addison’s disease are marked by low cortisol levels. So cortisol testing can determine both if you have abnormally high levels of the hormone or very low.

• Saliva Test. This may be the simplest stress test, one which checks cortisol levels at various times throughout the day. The process involves leaving your saliva in a test tube-like device and sending it off to a lab for analysis. You can buy saliva test kits over the counter and online. Most experts, though, feel that the saliva test is less accurate than a blood serum test.

• Cortisol Blood Test.  We all know the drill here. Needle time. Have your doctor draw blood and submit it to a cortisol analysis. The test will determine whether you have abnormal cortisol levels, high or low. Certain medications can interfere with test results, such as steroid drugs, estrogen, androgens, and anti-seizure drugs. According to the National Institute of Health, the normal values for a test at 8 a.m. are 6 to 23 micrograms per deciliter (mcg/dL).

• Cortisol Urine Test. You can also measure your cortisol levels with a standard urine test.  The National Institute of Health reports that the normal range is 10 to 100 micrograms per 24 hours (mcg/24h).

• Cognitive Stress Test. This non-invasive approach can be very helpful in identifying stress and various physical byproducts of strain and high demands. The questionnaire can be used in conjunction with other tests, such as a blood test or blood pressure test to map out the larger picture of demands outstripping coping ability and the effects that is having on your body and thinking. 

• Blood Pressure Test. Keeping an eye on blood pressure is an important tool to track the effect of stress on your cardiovascular system. U. C. Irvine’s Schnall says that it’s crucial you get your blood pressure measured, not just at the doctor’s office, but also at work. The true state of elevated blood pressure may not appear in the calm of the doctor’s room. He strongly recommends that you test BP at work to measure how your body is faring in the heat of the workday. According to the American Heart Assoc., Stage 1 Hypertension begins at a systolic number (the top number on your BP reading) of 140-159 or a diastolic number (the lower figure) of 90-99. Hypertension Stage 2 is a systolic of 160 or higher and a diastolic of 100 or higher, while a Hypertension Crisis is higher than 180 for systolic and 110 for diastolic.

• Electrocardiogram Test (EKG). This test can find underlying issues of heart disease and hypertension. Electrodes measure electrical signals in the heart that can find patterns of rhythms and heartbeats that may be a tipoff to problems. The devices have gotten very streamlined and much easier to use, and can spit out results on the spot, so you can get a very quick analysis of your heart health.

• Exercise Stress Test.  An EKG, though, may not always be enough. Brian Curin, co-founder of the Flip Flop Shops, can thank the exercise stress test for saving his life. An EKG didn’t catch the massive jam in his arteries. Sometimes known as a treadmill test, the exercise test measures the way your heart responds to physical effort, and the extra demands can ferret out issues other tests can’t. This test pinpointed an array of problems so serious that Curin was advised to go directly into surgery, where he had to have a quadruple bypass at the age of 39. Do yourself a favor, and take the time for your health and get this test done.

Beyond monitoring and testing, if your office or department has a stress problem, don't ignore it. Fix it. Reach out and contact us, and we can show you how a stress management program can give your team tools to control demands, instead of the other way around. Stress is optional. 

Click the button below for more details on our stress management programs.  

Humans are energy machines. We expend energy over the course of the workday and work year in our body and brains (which use up 20% of the body’s calories), and then we have to replace it, or fatigue sets in, stress and exhaustion build, and productivity plummets.

It’s a basic law of effort: Quality output requires quality input. It’s called work recovery in the scientific journals, and one of the best ways to get it is through the recuperative benefits of a vacation.

TIME OFF BOOSTS TIME ON

The annual vacation, which used to be a rite of summer for families in the 1960s and 1970s, has been shrinking ever since, with nearly two-thirds of Americans telling a Harris poll that they won’t be taking a vacation longer than a week. Numerous surveys show Americans giving back vacation days, 169 million days a year, according to a study conducted by Oxford Economics for the U.S. Travel Association.

There are many reasons for these trends—lean staffing, fear of layoffs, technology addiction, crisis mentality from an epidemic of false urgency and frenzy, and certainly ignorance about how our biology works, or doesn’t, when it can’t get the recovery it needs, from the cellular level to the blood glucose that gets spent in the course of staying disciplined and focused on the job. But executives shouldn’t cheer the extra days people spend on the job, since exhaustion doesn’t lead to effective work. Without recovery, employees fall prey to chronic stress, absenteeism, and burnout, the central feature of which is exhaustion.

ENGAGEMENT OR BURNOUT?

Exhaustion is the opposite of what every manager wants: employee engagement. When employees are engaged, they are 28% more productive, according to Gallup data. Engaged employees willingly put out extra “discretionary effort.” They are so committed to the work they do, they go the extra mile. Studies have shown that the key dimensions of engagement are involvement, efficacy, and energy. Engagement takes physical and mental energy, participation. That can’t happen when someone is exhausted and burned out.

The antithesis of engagement, say researchers, is burnout. Instead of energy, the key burnout dimension is exhaustion. Instead of involvement, you get cynicism, which is described as an active disengagement from others. You get depersonalized, demotivated. Not a recipe for interacting with colleagues and customers. And, of course, there's no efficacy when someone is weary and cynical. Instead, you have the opposite: ineffectualness.

Gallup found that only 29% of American workers are engaged. That means business leaves more than $300 billion on the table in lost discretionary effort. Add to that more than $400 billion that American business loses every year due to stress-related costs, according to U. C. Irvine stress researcher, Peter Schnall, and you begin to see that having a recovery strategy like vacations—and making sure your employees take them—is critical.

PERFORMING BETTER ON VACATIONS

The concept of the vacation was invented by companies back in the early part of the twentieth century as a productivity tool. They conducted fatigue studies and found that employees performed better after a respite. The same is true today. In one study by Alertness Solutions, reaction times went up 40% after a vacation.

Work demands build up strain and that causes a loss of energetic resources. That in turn, research by Stevan Hobfoll and Arie Shirom (“Conservation of Resources”) shows, increases stress. Time off helps build lost resources back up again. Hobfoll and Shirom called it “regathering.” They found that it takes two weeks of vacation to get the recuperative benefits to regather crashed emotional resources such as a sense of social support and mastery that go down when we’re burned out.

Vacations shut off the stressors and pressures of work. With the danger signal turned off, the stress response stops, and the body's parasympathetic system can get to work on reparative and maintenance functions. Through the process energy-drained cells get new sustenance. Vacations build positive mood, which crowds out negative experiences/thoughts and “undoes” the physical and mental effects of stress, as Barbara Fredrickson of the University of North Carolina has documented.

VACATIONS: THE TALENT INSURANCE POLICY

Since 40% of job turnover is due to stress, consider the vacation then, a proven stress buster, as an insurance policy against losing top talent and the high costs associated with replacing an employee. Some studies show that it can cost up to two times an annual salary to replace a valued salaried employee.

Charlotte Fritz and Sabine Sonnentag (2006) found that “health complaints and exhaustion significantly decreased during vacation,” and that there was a performance increase when employees got back to the job. Employees reported less effort needed to do their work.

LEADING THE WAY

Some companies are starting to put two and two together and are emphasizing vacations as a key component of productivity and workplace cultures that walk the talk on work-life balance. Highly successful inbound marketing firm Hubspot, based in Cambridge, Massachusetts, offers unlimited vacations to its employees and mandates they take at least two weeks of it.

Another major company, Evernote, also has an unlimited vacation policy. To make sure people take time off, Evernote pays employees $1000 to take at least a week of vacation. Go Daddy offers three weeks of vacation the first year on the job.

Many of the companies leading the charge to a new understanding about the role of recovery/vacations in productivity and work-life balance policies are technology companies. They are embracing a belief that in the knowledge economy, it’s not how maxed-out your gray matter is that leads to productive results, it’s how fresh your brain is. A focused, energized brain gets the most work done the fastest. Policies that keep minds in the red zone of chronic stress and see endurance as a measure of commitment undermine productivity and fly in the face of all the data. 

There is a word on the other side of the hyphen of “work-life” balance. The life side is essential to resupply the resources needed to get the work done well—and, is, after all, the point of all the work, isn’t it?