1. stress
2. sleep difficulties
3. illness
4. anxiety
5. work
6. extracurriculars
7. distractions

1. physical
2. social
3. mental
4. emotional
5. environmental
6. spiritual

• nonmodifiable determinants: genetics
• modifiable determinants: eating/exercising habits
• pollution, environment modifications (urban sprawl)

• relationships: abused or loved
• social situations: how do you handle them
• economic disadvantages
• lack of access to education
• poor housing
• food & essentials
• insecure employment/reliance

Rosentock's classic theory that the following factors must support a belief for change to be likely

• perceived seriousness
• perceived susceptability
• cues to action

EX: dont smoke because it gives you bad breath, can cause impotence, and fuck up your teeth

Bandura

idea of modeling as a way to learn acceptable behaviors (how people react to you changes your behavior)

Three aspects that all influence each other

• behaviors
• social environment
• emotions/thoughts (inner cognition)

• feeling good about yourself
• believing you have skills that you can rely on to produce the desired effect

Transtheoretical Model

(Stages of Change/Readiness)

1. precontemplation
• do what ever you want
2. contemplation
• start thinking about change but not ready
3. preparation
• sharing the process
4. action
• first 6 months
5. maitenance
• 6 months - 1 year
6. termination
• now a habit

possible stumbling blocks

• overambition
• self-defeating
• not realistic
• lack of support negative emotions

• they feel good about themselves
• they feel comfortable with other people and express respect and compassion toward
• they control tension and anxiety
• they meet the demands of life
• curb hate and guilt
• maintain a positive outlook
• they value diversity
• they appreciate and respect nature

• person perceives life realistically
• adapt
• develop rational strategies
• manages personal and professional responsibility

• responds appropriately to stressors
• does not let feelings over power thoughts and actions
• emotional turmoil may seriously affect the ability to think, reason, and act rationally

• THREE CONCEPTS
• interactions w/ others
• ability to use social resources and support in times of need
• ability to adapt
• enjoy a wide range of interactions with family and friends
• able to have healthy interactions w/ an intimate partner
• act in socially acceptable and responsible ways and find the best fit for themselves in society

• nature
• people
• higher power
• perspective

severe enough to interfere significantly with daily life, may cause restlessness, difficulty in concentrating, tension, and other symptoms

mental illness with biological origins that is characterized by irrational behavior, severe alterations of the senses (hallucinations), and often an ability to function in society

(alterations of the senses, INABILITY TO SORT INCOMING STIMULI AND MAKE APPROPRIATE RESPONSES, altered sense of self, radical changes in emotions, movements, and behaviors)

1. sleeping conserves body energy
2. restores you physically and mentally

alertness, ability to do mental tasks, focus

• reaction time
• sustained attention
• quick decision making
• mistakes

the 24 hour cycle to which you are accustomed to going to sleep, waking up, and performing habitual behaviors ("internal clock")

• regulated by the pineal gland which releases melatonin

1. (NREM) first 5-10 minutes, myoclonic jerk
2. (NREM) 5-15 minutes; body temp, heart rate, and blood pressure drops
3. (NREM) transition between light and deep sleep
4. (NREM) deepest stage, growth hormones are released, 30 minutes
5. (REM) energizing, paralyzing, dreaming

brain fails to tell the respiratory system muscles to initiate breathing (alcohol)

• hypothalamus stimulates adrenal glands to release epinepherin
• increased blood flow, heart rate, respiratory rate
• body poised to act

a hormone that is released by the adrenal glands that makes stored nutrients more readily available to meet energy demands

• increase blood glucose
• suppress immunity
• decrease bone formation
• counteracts insulin
• increase blood pressure
• suppreses fertility
• increase apetite 
• stimulates visceral fat storage

• body tries to return to homeostasis by resisting alarm response
• does not achieve complete rest

• prolonged effort to adapt to stress
• exhaustive wear and tear on the body (allostatic load)
• as cortisol remains in the blood stream it can reduce the ability of the immune system to attack

• adjustment to change
• hassles
• relationships
• academics
• frustrations
• overload
• bias/discrimination

• food substances that can produce stresslike physiological responses
• caffeine
• gives adrenaline response

1. intimacy
2. social integration
3. nurturance
4. assistance
5. affirmation

include all the characteristics of friendships as well as 

1. fascination
2. exclusiveness
3. sexual desire
4. giving the utmost: making sacrifices
5. being a champion or advocate: helping them be successful

when you only care about your own point of view

"good arguer"