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Id like to welcome everybody todays presentation on coping with holiday stress and triggers Im your host Dr Donnelly Snipes in this presentation were going to explore the impact of holiday Triggers on the whole person Define relapse identify exacerbating and mitigating factors for relapse and explore some unique relapse triggers and traps during the holidays and were really going to talk about different issues like depression grief eating disorders and substance misuse starting at the beginning stress we know triggers the HPA axis it triggers our fight or flight response and when our HPA axis is activated remember we have the fight which is anger the flea which is anxiety or the um forget it which is depression and depression can happen when were grieving or when were just plumb out of energy and we just we dont have it in us to even care at this point were just were done when that HPA axis is activated it suppresses our immune system so were more susceptible to getting sic