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Other names: Lopressor, Toprol, Toprol XL, Lopid

COPING WITH ANGINA AND STRESSFUL EVENTS: MANAGING PREDICTABLE AND CONTROLLABLE LIFE EVENTS
Looking back over the past two to three weeks, you may be able to pick out several events which you knew would happen, and over which you may have tried to exert some control. These may he everyday events such as your car or a domestic applicance breaking down, a holiday, a visit from a relative or a distant friend. Or it may be less ordinary such as a trip to an exotic part of the world, an offer of a new job or a pregnancy. These events may be welcomed, or seen as potentially threatening or stressful.
However, because they were predictable, you probably had more chances of being able to plan and therefore control your response and maybe even control when, or if, the event occurred. For each event, you may learn how to improve on your stress-coping techniques by seeing how well you coped at each stage. Taking one event which did stress you, for example, chest pain while shopping, ask yourself to:
1. Identify all aspects of the event which cause you to
feel stressed/not stressed
It will hurt.
I will have to stop suddenly and I may look foolish.
It will remind me that I am sick.
2. Identify the personal impact of the event
I’ll feel hurt and embarrassed, a failure.
3. Identify what you can do to manage your feelings
about the event
Decide if it is rational to believe you have failed?
Is it likely other people will notice?
Does it matter if other people notice?
4. Identify what you can do to change the situation
Either: To stop it happening at all by avoidance or by prevention; or: To act to minimize how it will affect you.
For example, if you were planning to go shopping and knew you sometimes get chest pain if you walk fast or get flustered by other people jostling you, you could:
Either: Get someone else to do the shopping (avoidance).
Or: If you feel chest pain coming on, stop, look into a shop window as if you are window-shopping or trying to get your bearings, and do the rapid relaxation to ease the chest pain, talk sense to yourself to stop yourself feeling embarrassed that some people might be looking at you.
The same four-step approach can be used with other predictable events once you know there is a pattern to them. By using a simple stress and angina diary you will find there are patterns to your stress, and many of the stressful events can be avoided, or planned for and so controlled and coped with.
*25/108/2*