Case study on hypertension, physical exercise and psychophysiological coherence biofeedback
|
|
- Scarlett Wheeler
- 6 years ago
- Views:
Transcription
1 African Journal for Physical Activity and Health Sciences (AJPHES), Vol. 22(2:2), June 2016, pp Case study on hypertension, physical exercise and psychophysiological coherence biofeedback STEPHEN D. EDWARDS Psychology Department, University of Zululand, KwaDlangezwa, South Africa. (Submitted: 05 May 2016; Revision Accepted: 21 May 2016) Abstract Hypertension is a serious stress related disorder, typically requiring pharmacology in combination with various methods of health promotion including diet, specific lifestyle and psychophysiological techniques. This case study describes the effective treatment of a hypertensive crisis in a 63 year old woman with special reference to relevant, optimal, physical exercise and psychophysiological, heart rhythm variability, biofeedback interventions. Quantitative findings and client s experiential descriptions provided convergent support for the hypothesis that these interventions would be associated with blood pressure reductions. The single case study is instructive with regard to the typically holistic, multifactorial nature of aetiology, diagnosis and treatment, especially with regard to such common disorders as essential hypertension. Keywords: Introspection, case study, hypertension, blood pressure, physical exercise, HeartMath, psychophysiological coherence. How to cite this article: Edwards, S.D. (2016). Case study on hypertension, physical exercise and psychophysiological coherence biofeedback. African Journal for Physical Activity and Health Sciences, 22(2:2), Introduction Hypertension is a serious stress related disorder, which affects at least 1 in 4 adults (Abuldager, 2012; American Heart Association, 2014). It is measured in terms of systolic blood pressure, when the heart contracts, and diastolic blood pressure, when the heart relaxes. Diastolic pressure increases up to middle age and then tends to decline, whereas systolic pressure continues to increase with age and is an important determinant of elevated blood pressure in middle-aged and older adults. Hypertension risks increase with systolic readings above 140 mm Hg and diastolic readings above 90 mm Hg, reaching crisis levels when these readings exceed 180 and/or 110 mm Hg respectively (American Heart Foundation, 2014). In addition to pharmacology, blood pressure reductions are reportedly achievable with various health promoting methods, including specific lifestyle and mind-body techniques, such as optimum physical activity of 150 minutes a week and psychophysiological biofeedback, which are associated with mean systolic reductions of up to 9 mm Hg and 14 mm Hg respectively (Childre,
2 Hypertension, exercise and psychophysiological coherence biofeedback 515 Martin, Rozman & McCraty, 2016; Department of Health, Physical Activity, Health Improvement and Prevention, 2004; McCraty, Atkinson & Tomasino 2003; Oberg, 2009). These techniques are the focus of the present case study. Physical exercise may be defined as a subset of physical activities that are planned and purposeful attempts to improve performance, health and/or wellness. For example, in addition to vigorous, performance driven, pursuit of athletic excellence, this includes regular, moderate intensity, exercise interventions to promote health (Berger, 2001). Biofeedback involves the use of instrumentation to monitor typically unconscious psychophysiological processes, which may be brought under voluntary control (Thompson & Thompson, 2004). This study used a HeartMath, Inner Balance, biofeedback apparatus to monitor and train psychophysiological coherence, which was characterized by a heart rhythm pattern of elevated amplitude in low frequency heart rate variability of around 0.1 Hz, equivalent to about 5-7 breaths per minute, accompanied by heart focussed breathing and the cultivation of positive emotional states such as contentment, peace and happiness. The goal of this study was to promote health in a hypertensive crisis experienced by a client. In this context, health is viewed as a coherent, dynamic integrity of various interacting energies, components and contexts (Childre et al., 2016; Wilber, 2000). The aim was to evaluate physical exercise and psychophysiological biofeedback interventions. In view of the abovementioned, reported effectiveness of these techniques, it was hypothesized that they would be effective in reducing blood pressure levels. Methodology The case study, with mixed quantitative and qualitative methodology (Creswell & Plano-Clark, 2007), consisted of a health promotion intervention, involving the recording of physical exercise and psychophysiological coherence practice, and related personal experiences. The study began with a hypertensive crisis and extended over a period of exactly two months. A contracted minimum number of 30 BP recordings sessions, taken after both physical exercise and HeartMath practice, was deemed minimal for optimizing and evaluating intervention effectiveness. Participant The client, code name W, was a female, 63 year old, retired, pre-primary school teacher, with a Bachelor s degree in Psychology and Education. A well-known, active member of her local community, W was happily married, with two children and two grandchildren, practised yoga, played tennis twice a week and walked briskly for approximately 6 kilometres a day. This was her second
3 516 Edwards hypertensive crisis. Following the initial episode, she was previously maintained on the beta blocker, Bisoprolal fumerate (Cardicor), 2.5 mg by her medical practitioner for the past four years. This second episode followed a period of three weeks of fluctuating blood pressure, anxiety and stress related to a crisis involving a close relative. Additional medication, angiotensin receptor antagonist, Adco-Zetomax 5 mg, was prescribed. However acute symptoms of dizziness, headache, loss of balance and left sided sensations of tingling and numbness eventually led to emergency hospitalization. CT and MRA scans were not clinically significant. Aware of the possible iatrogenic effects of medication, as well as negative concomitants of anxiety and stress related activities, W committed to focus on minimizing negative stresses, and optimizing health promoting physical exercise and psychophysiological coherence interventions, to complement existing medical hypertension prevention measures. Ethics Ethical approval for community projects involving health and/or sport promotion was granted by the University to which the author, a clinical, sport psychologist and certified HeartMath coach, is attached. In addition to providing written informed consent, W was thoroughly informed on stress reduction with special reference to optimal amounts of physical exercise as well as HeartMath research and practice. Instruments A clinically validated, portable, battery operated, Dis-Chem Medic Upper Arm Blood Pressure Monitor, Model KD558, was used to measure hypertension levels. The cuff, which has a circumference of cm, is inflated by an automatic electric pump. The LCD display, and metric oscillations measuring method, provides automated readings of date, time, systolic and diastolic blood pressure, and pulse rate. The instrument, which has diastolic and systolic ranges of and mm Hg respectively, can record pulse rates of , with a pressure accuracy of approximately 3mm Hg and a pulse accuracy of approximately 5%. Heart Rate Variability (HRV) is well established as a diagnostic, training and performance monitoring tool for promoting health, physical activity, exercise and sport (Aubert, Seps & Beckers, 2003; Makivic, Nicik & Willis, 2013). Heart Rate Variability Biofeedback (HRVB) equipment typically utilizes Fast Fourier techniques for mathematical transformation of HRV into power spectral density (Lehrer & Gevirtz, 2014; Shaffer, McCraty & Zerr, 2014). The HeartMath biofeedback tool, Inner Balance, gives readings of psychophysiological coherence practice with regard to date, time, session duration, heart rate variability, average heart rate, achievement score, coherence score, challenge
4 Hypertension, exercise and psychophysiological coherence biofeedback 517 level; which ranges from 1 to 4, coherence ratio, in terms of percentage of time spent in low, medium or high coherence, time elapsed, and graphic display of practice activity spent in a demarcated, coherent, zone of optimal, autonomic nervous system functioning. Biofeedback consists of red, blue and green coloured bars, with percentage indications and accompanying tones for low, medium and high coherence levels respectively, as well as coherence points accumulated. Session measurements are continuously monitored and recorded on a Heart Cloud. Physical exercise was simply measured in terms of its duration in minutes, and intensity, using the Borg 10 point Category scales with Ratio properties (CR10) of perceived exertion as a rough guide (Borg & Kaijser, 2005). Data collection Data collection simply took the form of recording 5 baseline or pre-test measures and 30 blood pressure readings after both some form of physical exercise and HeartMath practice sessions. W typically practised approximately one minute of relaxation after each activity before recording BP in a sitting position in the same chair. As indicated in the following experiential description, this brief relaxation time was an additional source of improved resilience, insight and self-efficacy. Data analysis Data analysis took place after W had recorded 30 blood pressure readings following some form of physical exercise or HeartMath practice. Quantitative data were analysed with the Statistical Package for the Social Science (SPSS) non parametric programmes for Kruskal Wallis, Mann Whitney, Wilcoxon and Chi Square statistics. Results Quantitative findings. W s records lasted exactly two months. Her 30 physical exercise sessions consisted of 16 walks, 5 individual sessions of tennis, 3 of yoga, 3 shopping and 3 of house cleaning. The records indicated a mean duration of 56.8 minutes, with a standard deviation (SD) of 35.0, at an intensity level of 4.8 (SD = 1.4) spent on physical exercise. Thus her physical exercise was typical of regular, moderate intensity, interventions, known to promote health (Berger, 2001). Her 30 HeartMath sessions, recorded at the basic or beginner challenge level, averaged 11.1 minutes (SD = 4.3), with a mean Achievement level of (SD = 171.6) points accrued at a mean coherence level of 2.7 (SD = 0.6). The HeartMath Institute recommends a minimum of 300 points a session. The Coherence Score
5 518 Edwards Guide has the following categories: 0.5 = basic good beginner level; 1 = good; 2 = very good; 3+ = excellent. (Most regular practitioner scores fall in the 3 to 6.5 range (R. McCraty, personal communication, 31 May, 2015). Thus, W s HeartMath practise satisfied minimum session achievement recommendations and fell into the very good category of coherence. Her blood pressure, physical exercise and HeartMath practice findings follow in Table 1. Table 1: Means, Standard Deviations (SD), in parenthesis, and Kruskal Wallis analysis of Baseline, Exercise (E) and HeartMath (H) conditions for Systolic Blood Pressure (SPB), Diastolic Blood Pressure (DBP) and Pulse readings Measure Baseline Exercise (E) HeartMath (H) Statistic SPB (5.0) (9.7) (6.5) X 2 = 12.52** DBP 88.6 (6.7) 73.4 (4.8) 75.3 (3.7) X 2 = 12.26** Pulse 72.0 (10.0) 58.9 (4.8) 58.2 (5.9) X 2 = 9.0 ** Table 1 refers to Means, Standard Deviations (SD), in parenthesis, and Kruskal Wallis, Chi Square (X 2 ) comparisons between Baseline, Exercise (E) and HeartMath (H) conditions for Systolic Blood Pressure (SPB), Diastolic Blood Pressure (DBP) and Pulse readings respectively. As observed, there were significant differences for comparisons between baseline, Exercise and HeartMath interventions for: Systolic Blood Pressure (SPB), X 2 = 12.52, p =.00; Diastolic Blood Pressure (DBP), X 2 = 12.26, p =.00; and Pulse recordings, X 2 = 9.0, p =.00 respectively. Individual Mann-Whitney U comparisons indicated that both interventions, separately, were significantly different from baseline. The Baseline versus Exercise comparison indicated significant differences at the 1 % significance levels for: SPB, Z = 3.5, p =.00; DBP, Z = 3.5, p =.00 and Pulse Z = 3.0, p =.00 recordings respectively. The Baseline versus HeartMath comparison indicated significant differences at the 1 % significance levels for: SPB, Z = 3.5, p =.00; DBP, Z = 3.5, p =.00 and Pulse Z = 2.9, p =.00 recordings respectively. When individual comparisons were made between the two interventions, results were as follows for: SPB, Z = 2.1, p =.03; DBP, Z = 1.7, p =.09 and Pulse Z = 0.5, p =.64 recordings respectively. Thus in summary, the quantitative findings provide support for the hypothesis that both Exercise and HeartMath interventions would be associated with improvements in blood pressure. As can be observed from Table 1, although the Exercise intervention appeared to be slightly more effective than the HeartMath intervention, significance was only reached in the case of SPB. This difference could be related to the relatively greater duration of time spent on physical exercise, the basic, beginner level of HeartMath practise and/or various less obvious factors.
6 Hypertension, exercise and psychophysiological coherence biofeedback 519 Qualitative findings W s verbatim experiential description of the physical exercise and HeartMath interventions was as follows: I am a health conscious and active person, who enjoys exercise and being outdoors, however at times I tend to drive myself and overdo things. My husband describes me as being: Ever ready. I also do not handle stressful situations very well and tend to internalise them. Two months ago, after a stressful time related to a crisis involving a close relative, I experienced extreme dizziness and an overwhelming feeling of anxiety while playing tennis. I visited my Doctor and my blood pressure was very high and medication was prescribed. As the weeks passed I continued to feel unwell, with headaches, dizziness, a feeling of being uncoordinated and off balance. I also experienced the sensation of numbness and tingling in my limbs and face. I was no longer sufficiently confident to do many of my routine activities like play tennis or drive a car. This lead to increased anxiety on my part. I was admitted to hospital for tests and, besides my potassium being below the normal reading, nothing abnormal was found. I visited my Doctor for a follow up consultation and my blood pressure was still moderately elevated and he again increased my blood pressure medication. I was unhappy that my symptoms were being treated without a cause being found. The medication was causing detrimental side effects and I did not feel I wanted to take these blood pressure medications long term. On doing some intensive research I discovered that many of my symptoms correlated with a magnesium deficiency. I started taking a magnesium supplement and began to sleep much more peacefully. Although I had practiced HeartMath prior to this episode I was not very proficient, nor did I do it regularly. In consultation with my psychologist I agreed to do HeartMath, recording at least 1000 points a day. I also did moderate exercise daily according to how severe my symptoms were at the time. I purchased a home Blood Pressure machine to monitor my BP and began reducing the blood pressure medication. I relaxed and monitored my blood pressure in the same chair after either exercise or HeartMath. With the above interventions my symptoms began to improve. I feel I have taken control of my life again. I am now only on my original medication cardicor. My blood pressure is back to what it was before this episode. I am becoming more proficient in HeartMath and my coherence is improving all the time. I am able to get into the zone quicker and centre positive feelings towards my heart. I have learnt to relax, control my breathing and distance myself from stressful situations. I try to live in the moment and let go of situations I can t control. I am now able to participate in all my sporting activities again and am back to driving a car.
7 520 Edwards I believe this holistic treatment which includes HeartMath, moderate exercise and the correct balance of magnesium, calcium and potassium have restored my health and wellbeing. For this I have an enormous sense of gratitude and I will continue with the above programme as a way of life. Discussion W s qualitative, experiential description supports and extends the abovementioned brief summary and quantitative data. Clearly, she has experienced emotional insight and change with regard to hypertension, anxiety, stress management and general lifestyle. In addition to her blood pressure reduction, she reports increased confidence, self-efficacy, health and well-being. She attributes her transformation to holistic treatment which includes HeartMath, moderate exercise and the correct balance of magnesium, calcium and potassium. As effective treatment is typically multifactorial, it should be noted that healing could also include many other, specific and non-specific, biopsycho-social-spiritual variables, as, for example, support of family and friends, the relaxation response and biofeedback function of the blood pressure monitor. To complete the scientific rigour of randomized controlled trials with large samples of participants, single case study methodology adds this advantage of readily elucidating the typically holistic, multifactorial nature of aetiology, diagnosis and treatment. The case study is based on and supportive of many research studies, demonstrating the effectiveness of optimal physical exercise in preventing stress, anxiety and depression (Biddle, Fox & Boutcher, 2000; Weinberg & Gould, 2016). Regular, moderate intensity exercise interventions seem particularly valuable in promoting health and well-being, where the type, intensity and duration of the exercise programmes are tailored to suit the particular exercisers (Berger, 2001). Studying desirable changes in mood and meaning in exercise programmes, researchers have emphasized non-competitive movement, involving rhythmic, abdominal breathing of 20 to 30 minutes duration in comfortable, predictable contexts as in Tai Chi, Pilates, Yoga, dance, aerobic exercise and resistance training, which is performed in a slow, controlled way. Various qualitative, quantitative, mixed and integrative methodologies have been used to both describe the experience/meaning and measure such changes (Berger, 2001; Edwards, 2006). Public health interventions attempting to improve quality of life through increased exercise adherence clearly need to take such personal meanings into account, as well as the learning principle that people will repeat behaviours that are intrinsically rewarding. Although the quantitative research evidence base for the benefits of physical exercise interventions in health promotion programmes has become well established internationally (Weinberg & Gould, 2016), there has been a relative
8 Hypertension, exercise and psychophysiological coherence biofeedback 521 dearth of qualitative research on therapeutic movement interventions (Edwards, 2006). Health professionals need to explore carefully the meaning of physical activity and movement in their clients before, during and after health and physical exercise investigations and interventions. From a phenomenological perspective, the lived body is mediator and anchor in the world. In dialogue with the world, it is the source of pre-reflective intentionality, meaning and goal directed behaviour. Building on positive past experiences that have been bodily re-experienced as anchors is also an experientially grounded, theoretical basis for such healing methods as Yoga, Tai Chi, remedial breathing, progressive relaxation, systematic desensitization, visualization, imagery, multicultural counselling and various forms of psychotherapy (Edwards, 2006; Ivey, Ivey & Simek-Morgan, 1997; Weinberg & Gould, 2016). In W s case, HeartMath practise had been sporadic and, although physical exercise was well established, it was occasionally excessive. Inclusive of and similar to such techniques as transcendental meditation, zen and yoga, research has indicated that the relaxation response (Benson, 1997, 2000) is associated with significant reductions in blood pressure in hypertensive persons. By its very nature, HeartMath practice is a concentrated and/or focussed form of relaxation, associated with positive emotions, psychophysiological coherence, enhanced resilience, insight, intuition, sense of coherence and/or self-efficacy (Childre & Martin, 1999; Childre et al., 2016). In clinical, health and sport contexts, HRV analysis serves as a non-invasive test of neuro-cardiac integrity and autonomic balance, which is valuable in detecting and managing many illnesses. For example, in addition to particular patterns associated with particular conditions, stress, overtraining, ageing, illness and disorders such as diabetes, hypertension, depression, anxiety and anger all also typically present with lowered HRV. In addition to its great value in optimizing HRV, the Inner Balance trainer includes a power spectrum display indicating a zone of optimal sympathetic and parasympathetic functioning, for heart rhythm biofeedback training towards effecting a perfect synchrony of zero degree phase relationship between respiration and heart rate assisted by cultivation of positive emotions and rhythmically stimulated paced breathing at a frequency of about 0.1 Hz, or 10 second rhythm and/or 5-7 breaths per minute (Edwards, 2015). HeartMath research views emotions as energetic happenings generated immediately from the occurrence of discontinuities or novel patterns that do not match familiar, ongoing and recurring inputs (McCraty & Shaffer, 2015). Stress related negative emotions, such as anxiety, are associated with amygdala generated fight/flight/freeze responses. HeartMath theory postulates that HeartMath techniques facilitate an immediate re-patterning effect via the natural emergence of the physiological coherence mode. It is hypothesized that this operates at physiological, emotional and cognitive levels, through changes in the pattern of afferent cardiac signals sent to the brain, a positive feeling pattern
9 522 Edwards match and associated cortical electrophysiological activity respectively. Rigorous research has provided empirical support for these hypotheses in health and physical activity contexts. (Edwards, 2015; McCraty, Atkinson, Tomasino, & Bradley, 2009). After appropriate practice, their great value is to transform the energy of negative emotions into polar opposites, e.g., anger into assertiveness, feelings of overwhelming panic into centred motivation, overexcitement into relaxed release, sadness into contentment, hatred into love, negative into positively perceived stress. Physiologically, changes in afferent information that occurs with HeartMath self-regulation techniques integrate a bottom up process as well as a top-down cognitive approach. Firstly, energy expenditure is required to better self-regulate, as techniques are practised and anchored. Adherence is facilitated by mentoring. Secondly, the process become less effortful, more automatic and intuitive. Thirdly, continued practice improves resilience, lifts consciousness and brings more consistent, intuitive alignment with the moment to moment intuitive guidance of the deeper Self (McCraty & Zayas, 2014). Conclusion The case study satisfied the objective of health promotion for hypertension with special reference to evaluation of physical exercise and psychophysiological biofeedback interventions. Quantitative and qualitative, evidential and experiential descriptions converged in support of the research hypothesis as to reduction in blood pressure levels and related experiential phenomena. In view of the typically holistic and multifactorial nature of successful treatment, therapy and/or healing, it is probable that many other specific and non-specific, biopsycho-social-spiritual variables, were related to the aetiology and effectiveness of these interventions. Further case studies as well as randomized controlled trials using classic experimental designs, double blind methodologies and large samples of participants will complement and extend evidence and knowledge on the collective and exclusive usage of these and related hypertension interventions. References Abuldager, A.A. (2012). Coherence: A novel nonpharmacological modality for lowering blood pressure in hypertensive patients. Global Advances in Medicine, 1(2), American Heart Association (2014). Understanding and Managing High Blood Pressure. Dallas, TX: American Heart Association. Aubert, A.E., Seps, B. & Beckers, F. (2003). Heart rate variability in athletes. Sports Medicine, 33, Benson, H. (1997). Timeless Healing. London, UK: Scribner.
10 Hypertension, exercise and psychophysiological coherence biofeedback 523 Benson, H. (2000). The Relaxation Response. New York, NY: HarperCollins. Berger, B.G. (2001, May/June). Feeling good': mood alteration and meaning in exercise. In A. Papaioanou, M. Goudas & Y. Theodorakis (Eds.), In the Dawn of the New Millennium. Proceedings of the 10th World Congress of Sport Psychology, Skiathos, Sporades: Greece. Biddle, S.J., Fox, K.R. & Boutcher, S.H. (2000). Physical Activity and Psychological Well-Being. London, England: Routledge. Borg, E. & Kaijser, L. (2005). A comparison between three rating scales for perceived exertion and two different work tests. Scandinavian Journal of Medicine & Science in Sports, 16(1), Childre, D.L. & Martin, H. (1999). The HeartMath Solution. New York, NY: Harper Collins. Childre, D.L., Martin, H., Rozman, D. & McCraty, R. (2016). Heart intelligence. Connecting with the intuitive guidance of the heart. HeartMath, CA: Waterfront Press. Creswell, J.W. & Plano-Clark, V. L (2007). Designing and Conducting Mixed Methods Research. Thousand Oaks, CA: Sage. Department of Health, Physical Activity, Health Improvement and Prevention, (2004). Five Times a Week. Evidence from the Impact of Physical Activity and Its Relationship to Health. The Chief Medical Officer s Report. London, England: Department of Health. Edwards, S.D. (2006). Physical exercise and psychological well-being. South African Journal of Psychology, 36(2), Edwards, S.D. (2015).The psychology of the heart: Implications for health, physical activity and sport, African Journal for Physical Health Education, Recreation and Dance, 21(3.2), Ivey, A.E., Ivey. M.B. & Simek-Morgan, L. (1997). Counselling and Psychotherapy, A Multicultural Perspective. Boston, MA: Allyn and Bacon. Lehrer, P. & Gevirtz, R. (2014). Heart rate variability biofeedback: How and why does it work? Frontiers in Psychology, 5, 756. Makivic, B., Nicik, M.D. & Willis, M.S. (2013). Heart rate variability as a tool for diagnostic and monitoring performance in sport and physical activity. Journal of Exercise Physiology, 16(3), McCraty, R., Atkinson, M. & Tomasino, D. (2003). Impact of a workplace stress reduction program on blood pressure and emotional health in hypertensive employees. Journal of Alternative and Complementary Medicine, 9(3), McCraty, R., Atkinson, M., Tomasino, D. & Bradley, R. J. (2009). The coherent heart. Heartbrain interaction, psychophysiological coherence and the emergence of a system wide order. Integral Review, 2, McCraty, R. & Shaffer, F. (2015). Heart rate variability: New perspectives on physiological mechanisms, assessment of self-regulatory capacity, and health risk. Global Advances in Health and Medicine, 4(1),
11 524 Edwards McCraty, R. & Zayas, M. A. (2014). Cardiac coherence, self-regulation, autonomic stability and psychosocial well-being. Frontiers in Psychology, DOI: /fpsyg Shaffer, F., McCraty, R. & Zerr, C.L. (2014). A healthy heart is not a metronome: An integrative review of the heart s anatomy and heart rate variability. Frontiers in Psychology, 5, Thompson, M. & Thompson, L. (2004). The Neurofeedback Book. New York, NY: W.W. Norton & Company. Oberg, E. (2009). Achievable blood pressure reductions from lifestyle and mind-body techniques. Integrative Medicine, 8(5), 56. Weinberg, R.S. & Gould, D. (2016). Foundations of Sport and Exercise Psychology (6 th ed.). Champaign, IL: Human Kinetics. Wilber, K. (2000). Integral Psychology. Boston, MA: Shambhala.
Evaluation of HeartMath training programme for improving personal resilience and psychophysiological coherence
African Journal for Physical, Health Education, Recreation and Dance (AJPHERD) Volume 21(3:2), September 2015, pp. 996-1008. Evaluation of HeartMath training programme for improving personal resilience
More informationThe HeartMath Resilience Advantage Program
The HeartMath Resilience Advantage Program Henry J. Novak, Esq. 1 Introduction This presents the fundamentals of the Institute of HeartMath s highly regarded Resilience Advantage program. This program,
More informationStéphane Bensoussan, M.A. Health Psychologist Clinic Director, Author. Montréal Sept 2018
Manage Your Stress: Preventing and Coping with Heart Disease in Women Stéphane Bensoussan, M.A. Health Psychologist Clinic Director, Author. Montréal Sept 2018 www.psysante.com Tel: 514-542-6888 E-mail:
More informationCombining EEG with Heart Rate Training for Brain / Body Optimization. Combining EEG with Heart Rate Training. For Brain / Body Optimization
Combining EEG with Heart Rate Training For Brain / Body Optimization Thomas F. Collura, Ph.D. March 13, 2009 DRAFT There is a growing interest in combining different biofeedback modalities, in particular
More informationbiofeedback: goals of intervention: 8/24/2011 Biofeedback An interactive and innovative treatment modality.
Biofeedback An interactive and innovative treatment modality. Gretchen Noble, PsyD Children s Medical Center Dallas Pediatric Pain Management Center biofeedback: The technique of making unconscious or
More informationPreventing Burnout: Rest, Relaxation, and Reduced Stress
Digital Commons@ Loyola Marymount University and Loyola Law School Dance Department Student Works Dance 12-16-2012 Preventing Burnout: Rest, Relaxation, and Reduced Stress Georgina Lewis Loyola Marymount
More informationHearts Have Their Own Brain and Consciousness
Hearts Have Their Own Brain and Consciousness From mindfulmuscleblog.com Heart Fields Many believe that conscious awareness originates in the brain alone. Recent scientific research suggests that consciousness
More informationHIGH PERFORMANCE GLOBAL LTD
HIGH PERFORMANCE GLOBAL LTD Biofeedback For Enhanced Trading Performance Utilising Heart Rate Variability Training For Creating Peak Trading Emotional States, Improving Trader Decision Making and Developing
More informationrelaxation and nervous system regulation exercises
relaxation and nervous system regulation exercises Objectives to provide a range of simple exercises that encourage the regular practice of relaxation and to help build resilience with increased awareness
More informationBy The American Institute of Health Care Professionals, Inc.
By The American Institute of Health Care Professionals, Inc. Table Of Content 2 The Impact Of Stress 4 What is 5 Conditions Treated By MBSR 6 Principles of MBSR 7 The Basis Of Mindfulness 8 The Core Of
More informationWHOLE HEALTH: CHANGE THE CONVERSATION
Advancing Skills in the Delivery of Personalized, Proactive, Patient-Driven Walking the Circle of Health: How Are You Doing? Clinical Tool This document has been written for clinicians. The content was
More informationnervous system calculation of Heart Rate Variability
#1 Introduction to the autonomic nervous system 1 The science of variability 3 Heart Rate Variability 5 Applications of Heart Rate Variability 7 Methods of measurement and calculation of Heart Rate Variability
More informationThe Benefits of Mindfulness Meditation for the Elderly
'Mindfulness' is a popular catchword these days. We are inundated with books, shows, movies, articles and even unsolicited emails celebrating the benefits of mindfulness and inviting people to try it.
More informationHealth and Well-Being in Communities of Color
Health and Well-Being in Communities of Color A Consideration of Transcendental Meditation: A Means of Empowerment Randolph Carter East Ed Presented at the 38 th Annual Minority Health Conference UNC Gillings
More informationMONTGOMERY COUNTY PUBLIC SCHOOLS
MONTGOMERY COUNTY PUBLIC SCHOOLS 9 th Physical Education Curriculum Pacing Guide Days SOL Objective Activity 2 Weeks PE 9.1 - Motor Skill Development: The student will perform all basic movement skills
More informationExercising with Persistent Pain
Exercising with Persistent Pain Why You Feel Pain When you are injured, your mind and body react. They protect the weak part of your body, and you feel pain when you try to use it. This protection is important
More informationIntroduction to Neurofeedback. Penny Papanikolopoulos
Introduction to Neurofeedback Penny Papanikolopoulos Our World is.. The Marvelous World of the Brain Senses, Perception, Cognitions, Images, Emotions, Executive functions etc. Are all regulated by the
More informationThe Truth About Relaxation Techniques
The Truth About Relaxation Techniques Roger Elliott We all know that relaxation techniques are all the rage - be it meditation, yoga, massage, or whatever. But how important is relaxation? And what exactly
More informationPlease place a number from 0 to 5 in all the responses below. Score as follows:
How Healthy Are You? Introduction Physical and Environmental Health Survey Mental and Emotional Health Survey Spiritual and Social Health Survey Scoring Points to Ponder Introduction Healing and whole
More informationget moving breathe easy
Last update March 2009 BreathWorks toll-free helpline 1-866-717-COPD (2673) www.lung.ca/breathworks www.livingwellwithcopd.com get moving breathe easy Get moving breathe easy Notes: Despite constant breathlessness,
More informationBlood Pressure. And Natural Strategies for Optimizing C O N T E N T S. What is Blood Pressure?
Blood Pressure And Natural Strategies for Optimizing Blood Pressure What is Blood Pressure? As the heart beats, it pumps blood throughout the body carrying nutrients and oxygen to the cells and removing
More informationAdapting MBCT for Primary Care Clients:
Adapting MBCT for Primary Care Clients: Louise Marley, Counsellor and mindfulness teacher, NHS Manchester, Mental Health and Social Care Trust Below is a summary of points covered at the Minding the Gap
More informationHow Can Pilates Help My EDS/HSD Symptoms?
How Can Pilates Help My EDS/HSD Symptoms? I have no disclosures to declare Bringing Solutions to HSD & EDS Teaching Pilates and Movement Therapy since 2008 Create+ London clinics SW London & Central London
More informationExpanding Mindfulness as a Core Treatment Skill for Men and Women With Cognitive Deficits Thomas G. Beckers BS, LADC Vinland Center
Expanding Mindfulness as a Core Treatment Skill for Men and Women With Cognitive Deficits Thomas G. Beckers BS, LADC Vinland Center What Are We Going to Cover? To gain understanding of the nature of addiction
More informationACTIVITY FOR THE ELDERLY THEORY
+ PHYSICAL ACTIVITY FOR THE ELDERLY THEORY Contents 1. Benefits of physical activity 2. The problem 3. How to increase physical activity? ty 2 + THE BENEFITS OF PHYSICAL ACTIVITY Physical Activity (PA)
More informationGet moving breathe easy
get moving breathe easy Get moving breathe easy Despite constant breathlessness, it is very important for people with Chronic Obstructive Pulmonary Disease (COPD) or any chronic respiratory disease to
More informationhow do you view these? what is mindfulness? what is mind? simply put why mindfulness? The Neuroscience of Mindfulness 12/8/15 ! Brain!
how do you view these?! Brain! Mind The Neuroscience of Mindfulness Copyright held by Intuitive Psychology, PLC Sari Roth- Roemer, Ph.D. Intui4ve Psychology, PLC www.intui4vepsychologyplc.com what is mind?!
More informationAcademy for Coaching Parents International 524 Cranbrook Drive Fort Worth, TX FULL WAVE BREATHING
FULL WAVE BREATHING SIMPLE INFO Only the basics of Full Wave Breathing are given here. Scientific and empirical background, case studies and testimonials positively support incorporating it into your life.
More informationSession Two: Presence and the Executive Control of Attention
Session Two: Presence and the Executive Control of Attention Somewhere in this process, you will come face-to-face with the sudden and shocking realization that you are completely crazy. Your mind is a
More informationSCIENCE & TECHNOLOGY
Pertanika J. Sci. & Technol. 26 (3): 1539-1546 (2018) SCIENCE & TECHNOLOGY Journal homepage: http://www.pertanika.upm.edu.my/ Short Communication The Effectiveness of the Quick Coherence Technique using
More informationCorporate Yoga. You Know Your. Guidance Clinic India Pvt. Ltd. By: Guidance Clinic India Pvt. Ltd. Research and Development Wing
You Know Your Wellness Quotient Corporate Yoga By: 106 Aknaksha Trade Center,156 Kanchan Bagh,Indore (MP) INDIA Mail ID : info@guidanceclinicindia.com Website: www.guidanceclinicindia.com Corporate Life
More informationTherapeutic Presence and the Naturopathic Doctor: Bringing one's whole self into the encounter with the patient
1 Therapeutic Presence and the Naturopathic Doctor: Bringing one's whole self into the encounter with the patient When we are mindful, Deeply in touch with the present moment, Our understanding of what
More information11/15/2017. Disclosure. What is an EAP and History of Biofeedback at UCLA s Staff and Faculty Counseling Center
From Good to Great: The Use of Biofeedback in Employee Assistance Programs as a Tool to Build Resilience in the Workplace by: Dr. J. Cherbosque. PhD, CEAP, Dr. S. Sideroff, PhD, and Beth Argus, MFT, CEAP
More informationThe Priory Hospital Hayes Grove Addiction Treatment Programme
The Priory Hospital Hayes Grove Addiction Treatment Programme Take the first step to recovery A REAL AND LASTING DIFFERENCE FOR EVERYONE WE SUPPORT We believe that anyone struggling with addictive behaviours
More informationAthlete Mindfulness:
Athlete Mindfulness: The Development and Evaluation of a Mindfulness Based Training Program for Promoting Mental Health and Wellbeing in Student Athletes NCAA Innovations in Research and Practice Grant
More informationThe. State of Ease. from. Doc Childre. Founder of HeartMath
The State of Ease from Doc Childre Founder of HeartMath If you would like to receive additional tools and future writings to help you navigate through these changing times, go to http://www.heartmath.org/signup
More informationRestoring Your inner habitat. Self-Care for Restoration Specialists Dawn Hamilton, CYT
Restoring Your inner habitat Self-Care for Restoration Specialists Dawn Hamilton, CYT Our Brain Likes Being Outside Researchers Glasgow University polled 2000 people walking, running & cycling in natural
More informationThought Technology Ltd.
Thought Technology Ltd. 8205 Montreal/ Toronto Blvd. Suite 223, Montreal West, QC H4X 1N1 Canada Tel: (800) 361-3651 ۰ (514) 489-8251 Fax: (514) 489-8255 E-mail: mail@thoughttechnology.com Webpage: http://www.thoughttechnology.com
More informationPSYCHOLOGICAL EFFECTS OF AQUATIC ACTIVITY IN HYDROTHERAPY PROGRAMS
PSYCHOLOGICAL EFFECTS OF AQUATIC ACTIVITY IN HYDROTHERAPY PROGRAMS Amelia Elena STAN 1 Abstract The objectives of the hydrotherapy programs are the recovery and relaxation of the pacient. Traditional methods
More informationZEN Wellness Services
ZEN Wellness Services 100% Wellness Inspiration 100% Relaxation ZEN Beach Retreat Southern Great Barrier Reef ZEN Time, Your Time Taking some time out to rest, relax and recuperate has never been more
More informationEmbodied Self-Awareness
WELL-BEING & TRAUMA RECOVERY PRACTICES A Three-Day Workshop in Embodied Self-Awareness with Alan Fogel PhD, LMT Friday 10th April - Sunday 12th April 2015 Recent research into the physiological and neurological
More informationPresident s Message. Patrick R. Steffen, Ph.D. Winter 2014 Contents: From the Editor
ISMA-USA Newsletter President s Message Patrick R. Steffen, Ph.D. Winter 2014 Winter 2014 Contents: From the Editor 2 Getting to Know You: Dr. Tom McCutchen 2 Embracing Stress in Your Life: Dr. Tom McCutchen
More informationWhole Health for Pain and Suffering
ABOUT THE COURSE Whole Health for Pain and Suffering Whole Health for Pain and Suffering: An Integrative Approach is an advanced clinical education course designed to support any VA clinician working with
More informationand breathing Relaxation techniques East and North Hertfordshire NHS Trust Patient Information Series PI 83 a patient s guide
Relaxation and breathing techniques Patient Information Series PI 83 East and North Hertfordshire NHS Trust 2 a patient s guide Relaxation and breathing techniques Contents Introduction 4 When and where
More informationMeditation can help people reduce stress
International Journal for Psychological and Complementary Therapies, 2012, 4(1): 76-80 Journal homepage: http://inpacting.wordpress.com/ Service-users Forum Meditation can help people reduce stress Maria
More informationACCPH Mindfulness Therapy
ACCPH Mindfulness Therapy Mindfulness Mindfulness originated from Buddhist meditation that helps people focus on the present to gain greater awareness of their emotions and improve general well-being.
More informationRelaxation and Stress Management. Brought to you by the Counselling Service (RaeLynn Wicklein) ph:
Relaxation and Stress Management Brought to you by the Counselling Service (RaeLynn Wicklein) ph: 9925 4365 email: counselling@rmit.edu.au What to expect today Understanding the connection between stress
More informationThe Effect of External Versus Internal Types of Feedback and Goal Setting on Endurance Performance
September, 2007 Volume 9, Issue 3 The Effect of External Versus Internal Types of Feedback and Goal Setting on Endurance Performance Marios Goudas, Yannis Theodorakis, University of Thessaly, Greece &
More informationStrength and Core Stability - Handout
Strength and Core Stability - Handout The National Physical Activity Guidelines for Australians are simple to achieve by focusing on: Thinking of movement as an opportunity, not an inconvenience. Being
More informationManaging Stress Through Exercise and Therapy
Higher National Unit Specification General information for centres Unit title: Managing Stress Through Exercise and Therapy Unit code: DP2M 35 Unit purpose: This unit provides underpinning knowledge surrounding
More informationUnderstanding the impact of pain and dementia
Understanding the impact of pain and dementia Knowing how to identify and manage the symptoms of pain in people living with dementia is an important part of a carer s role. This guide provides an overview
More informationEnglish Language Arts READING COMPREHENSION: SESSION 1
English Language Arts READING COMPREHENSION: SESSION 1 DIRECTIONS This session contains one reading selection with seven multiple-choice questions and one open-response question. Mark your answers to these
More informationWellbeing at Work NZ managing resilience in the workplace symposium. Dr Anne Messervy Dr Aaron Jarden 12 th September, 2016
Wellbeing at Work NZ managing resilience in the workplace symposium Dr Anne Messervy Dr Aaron Jarden 12 th September, 2016 Geelong Breathing Breath One. Take a deep breath in through your nose and fill
More informationTHE PSYCHOLOGY OF HAPPINESS D A Y 3 T H E G O O D L I F E
THE PSYCHOLOGY OF HAPPINESS D A Y 3 T H E G O O D L I F E EXPERIENCE SAMPLING On a scale of 1 (not at all) 10 (extremely) Do you feel: Happy? Relaxed? Awake? AGENDA Grounding Exercise Homework Discussion
More informationSupport for Kidney Cancer
Page 1 Fact sheet Introduction Our series of kidney cancer fact sheets have been developed to help you understand more about kidney cancer. This fact sheet provides support information for people affected
More informationWorkplace Wellness Programs. The Gong is one of man s most powerful and oldest transformational and therapeutic instruments
Workplace Wellness Programs The Gong is one of man s most powerful and oldest transformational and therapeutic instruments Introduction My name is Leith James, I am Ccertified Sound Practitioner (CSP,
More informationHello. emwave2. Quick Start Guide
Hello emwave2 Quick Start Guide Welcome to the emwave2 Take charge of your emotional wellbeing. Release Stress Find Balance Build Resilience The emwave2 helps you activate Coherence an optimal physiological
More informationEvaluating the Make Health Happen Integrated Stress Management Program
1 Bier, M., Peper, E., & Burke, A. Integrated Stress Management with Make Health Happen: Measuring the Impact through a 5-Month Follow-Up. Presented at the 36th Annual Meeting of the Association for Applied
More informationAutogenic Training According to J. H. Schultze
Autogenic Training According to J. H. Schultze An instruction for self-learning Coach training under Content 1. What you should know about AT What is autogenic training?...................................................
More informationNEURO-BRAIN BOOTCAMP Expanding Leadership and Creativity through the Miracle of Modern (Neuro)Science
NEURO-BRAIN BOOTCAMP Expanding Leadership and Creativity through the Miracle of Modern (Neuro)Science Gina Paigen, PCC, CPCC, CNTC Chief Impact Officer Two Roles Role #1: Be fully immersed in your experience
More informationMeditation: A simple, fast way to reduce stress
Meditation: A simple, fast way to reduce stress Meditation can wipe away the day's stress, bringing with it inner peace. See how you can easily learn to practice meditation whenever you need it most. By
More informationThe Power of Meditation This practice of focused attention can reduce pain and stress while improving health and healing
The Power of Meditation This practice of focused attention can reduce pain and stress while improving health and healing By Emmy Vadnais, OTR/L Originally posted on ADVANCE Magazine on October 1, 2015
More informationPriory Hospital Glasgow
www.priorygroup.com GLASGOW Priory Hospital Glasgow Addiction Treatment Programme Take the first step to recovery A real and lasting difference for everyone we support We believe that anyone who is struggling
More informationby Brian D. Johnston
Exercise Science Made Simple by Brian D. Johnston For some people, exercise seems like a very complex subject. But like any complex subject, it can be made simple... at least exercise theory is fairly
More informationWHITE PAPER PASSIONATE ABOUT. NLP TRAINING & COACHING CERTIFICATION
WHITE PAPER NLP TRAINING & COACHING CERTIFICATION PASSIONATE ABOUT www.globalnlptraining.com United States 333 Washington Blvd. #475 Marina Del Rey, CA90292 (Administrative & Back-Office, no visitors.)
More informationDrug Free Stress Management using Biofeedback by
John C Coates ND CHt Melbourne Victoria Australia Biofeedback Practitioner Hypnotherapist Naturopath Herbalist Kinesiologist Telephone: 0402 309 534 Email: coates.john1@gmail.com Drug Free Stress Management
More informationThis module includes informational handouts. and instructional exercise handouts on abdominal breathing, grounding, relaxation, mindfulness,
Relaxation Module The Relaxation Module has been organized so that materials can be handed out sequentially. More advanced skills are built on the preceding foundation. This module includes informational
More informationCaring For You --- Reducing Stress
Caring For You --- Reducing Stress Are you someone who gets stressed out and overwhelmed with all sorts of planning, family activities, parties, shopping, work and more? What does that do to your life?
More informationNot sure if a talking therapy is for you?
South Tyneside NHS Foundation Trust Primary Care Mental Health Service Not sure if a talking therapy is for you? Take a look at the different types of therapy we have available to find out more about them.
More informationEMPOWER YOUR LIFE THROUGH FITNESS. About Me. My Story
EMPOWER YOUR LIFE THROUGH FITNESS How exercise can turn you into the person you want to become About Me Owner of Strategie HR & Wellness, LLC - helps employers with human resources needs and wellness program
More informationBiofeedback is a new tool and you don t need expensive equipment to use it.
Biofeedback is a new tool and you don t need expensive equipment to use it. by Timmie Pollock Riding is a very challenging sport. Not only do riders need strength, balance, coordination and good timing,
More informationIn my coaching, what place does my attention originate from and which level of listening do I practise?
one from the heart Accessing the intelligence of our heart is one of three doorways into presence-based coaching. As we develop this skill, we might sense that we are nurturing ourselves and supporting
More informationTime Frame Content (Topics) Objectives Faculty Teaching Methods. Identify objectives and methods
Time Frame Content (Topics) Objectives Faculty Teaching Methods State the timeframes for each session Sunday 7:00-8:30PM Sunday 8:30-10:00 PM Provide an outline of the content of each session/objective
More informationInterpersonal Biofeedback Training with Couples
Couples Biofeedback Training using Alive Prepared by Somatic Vision, Inc., makers of Alive, May 2014 Pioneer Alive Pioneer enables couples to train together with both partners being measured simultaneously
More informationAn Introduction to Mindfulness
An Introduction to Mindfulness The intention behind mindfulness - To bring your awareness back to the present moment without judgment whenever we become aware of projecting our thoughts to the future or
More informationSports Psychology. Getting your head right so you can stay in the game
Sports Psychology Getting your head right so you can stay in the game The Mind-Body Link Our thoughts strongly influence our performance. Example of Cliff Young and Roger Bannister. Mind-body exercise
More informationProfessional Hypnosis Scripts for Medical Issues. Copyright 2016, Dr. Richard Nongard.
Professional Hypnosis Scripts for Medical Issues Copyright 2016, Dr. Richard Nongard www.subliminalscience.com PRE-SURGICAL HYPNOSIS In this self-hypnosis audio I m going to be guiding you through an experience
More informationShiatsu College. Prospectus
Shiatsu College Prospectus 2017-18 Introduction We re delighted to welcome you to this Prospectus giving details of our courses in Shiatsu, Acupressure and energy medicine. After 30 years of providing
More informationClasses, Workshops and Lectures: Clinical Services: UNM & UNMH employees get a 10% discount on all paid-up-front services (PUF).
Clinical Services: Integrative Health and Wellness Consultation Acupuncture & Chinese Medicine Consultation Comprehensive Chronic Pain Consultation Comprehensive Stress Reduction Consultation Nutrition
More informationMind the Moment Instructors
Mind the Moment Instructors Tara Healey Tara is the director of Harvard Pilgrim Health Care s Mind the Moment mindfulness program. Since 2006, Tara has been developing mindfulness workshops and courses
More informationStep 1: THERAPY. Psychotherapy otherwise known as Talk Therapy Music Therapy Art Therapy Blue Wave Light Box Therapy Breathing Therapy
by Kevin Hines Step 1: THERAPY Psychotherapy otherwise known as Talk Therapy Music Therapy Art Therapy Blue Wave Light Box Therapy Breathing Therapy Step 2: PROPER NUTRITION The brain is the seat of our
More informationThe Effect of Massage on Hypertension
The Effect of Massage on Hypertension Chatelain Jean International Academy of Massage Inc. Ottawa ON K2B 8E6 April 2011 1 Abstract For centuries, massage has been used to calm a crying baby, to comfort
More informationDepression Major Depressive Disorder Defined. by Yvonne Sinclair M.A.
Depression Major Depressive Disorder Defined. by Yvonne Sinclair M.A. Have you been feeling sad a lot lately, can t seem to shake the blues. Do you know someone who has changed, no energy, lack of concentration,
More informationMental Health and Stress Management
Mental Health and Stress Management In recent years, psychologists have become more interested in positive psychology Focus on positive emotions, characteristics, strengths, and conditions that create
More informationEffects of Breathing Practice in Vinyasa Yoga on Heart Rate Variability in University Students
Effects of Breathing Practice in Vinyasa Yoga on Heart Rate Variability in University Students Item Type text; Electronic Thesis Authors Tay, Kimberly Sarah Publisher The University of Arizona. Rights
More informationMindfulness-Based Stress Reduction
Mindfulness-Based Stress Reduction William Frey, M.Ed. Organization & Professional Development 919-962-9685 Will_Frey@unc.edu What are some ways you experience stress (in your body or mind)? Stress is
More informationREDUCE YOUR STRESS! This month is all about being happy. Find things that make you happy and do them. It s that simple.
REDUCE YOUR STRESS! MONTHLY WELLNESS CHALLENGE This month is all about being happy. Find things that make you happy and do them. It s that simple. One in 10 people will deal with depression at some time
More informationMindfulness as a Mediator of Psychological Wellbeing in a Stress Reduction Intervention for Cancer Patients - a randomized study
Mindfulness as a Mediator of Psychological Wellbeing in a Stress Reduction Intervention for Cancer Patients - a randomized study Richard Bränström Department of oncology-pathology Karolinska Institute
More informationEast Meets West: Yoga and Biofeedback
East Meets West: Yoga and Biofeedback Stephen Larsen, Ph.D. BCIA-eeg Patricia Gerbarg, M.D., Richard Brown, M.D. Willie Yee, M.D. Leslie Sherlin,, M.A. and Jay Gunkelman,, EEG Diplomate The self-liberating
More informationPut Your Worries Here With Teen Clients, Students, and Patients
Ten Practical Techniques for Using Put Your Worries Here With Teen Clients, Students, and Patients by Lisa M. Schab, LCSW While Put Your Worries Here is set up to be of benefit to the average teen wanting
More informationPhysical Fitness. Chapter 4
Physical Fitness Chapter 4 Lesson 1: The Parts of Fitness The Parts of Fitness Physical Fitness is the ability to do everyday activities without becoming short of breath, sore, or tired. There are four
More informationThe Effect of Cranial Electrotherapy on Preoperative Anxiety and Hemodynamic Responses
The Effect of Cranial Electrotherapy on Preoperative Anxiety and Hemodynamic Responses Page 1 Cranial Electrotherapy (CES) is a non pharmaceutical treatment for anxiety, depression, insomnia, stress, headache
More informationCancer Retreat. Emotional healing and beyond. Proven programme to make a significant difference for people affected by cancer
I Choose Living Cancer Retreat Emotional healing and beyond Proven programme to make a significant difference for people affected by cancer When: 12 to 19 August 2015 Where: Booking: Mana Centre Retreat
More informationHabits & Goals Discovery & Assessment. What kind of person do I want my child to grow up to be? How do I react to my child most often?
Habits & Goals Discovery & Assessment How do I react to my child most often? What kind of person do I want my child to grow up to be? Focus on the Relationship Conscious Communication Practice Use these
More informationChapter # 3 Aerobic Exercise
Chapter # 3 Aerobic Exercise Know how your aerobic exercise program works You Will Learn: 1) What aerobic exercise is and why it is important 2) The components of your aerobic exercise program 3) Why it
More informationArgentina survey, respondents by age
Respondents WELLBEING SURVEY WFMH Argentina August 2013 Summary of findings Context The survey was conducted as part of a workshop delivered by Dr Jenny Willis and Dr N Yoganathan at the World Federation
More informationHEALTHIER YOU. Spring Into a. Good Mood Food Letting Go of Anger Boosting Self-Esteem and much more... Wellness Services at Jefferson Center
Spring Into a HEALTHIER YOU Wellness Services at Jefferson Center 2018 Spring Classes April May June Good Mood Food Letting Go of Anger Boosting Self-Esteem and much more... jcmh.org/wellness 303-425-0300
More informationREBOOT: A PTSD TREATMENT FACILITY FOR VETERANS OUR PROGRAM MODELS
REBOOT: A PTSD TREATMENT FACILITY FOR VETERANS OUR PROGRAM MODELS A LIFE-RESTORING PTSD RECOVERY PROGRAM Our USA Re-Boot Resort is a weeklong, intensive treatment program that uses proven and evidence-based
More informationOvercome your need for acceptance & approval of others
Psoriasis... you won t stop me! Overcome your need for acceptance & approval of others Royal Free London NHS Foundation Trust Psoriasis You Won t Stop Me This booklet is part of the Psoriasis You Won t
More informationHow Hypnosis Feels. P a g e 1 6
How Hypnosis Feels Since everyone has experienced light levels of hypnosis at different times, don t be surprised if you don t feel hypnotized. All that is required to be hypnotized is a motivation to
More information