Kathleen Helen Lisson's Blog: Stress Reduction and Mindfulness
July 3, 2023
Why do mind / body professionals need to know about Adverse Childhood Experences?
My clients are all adults, why do their adverse childhood experiences matter?
I’m not their psychologist, I help people with their physical health.
Do your clients with chronic illnesses have difficulty sticking with their self-care plan and setting and meeting their health care goals? Even though they are adults, they may still be feeling the impact of their adverse childhood experiences (ACEs).
What do we mean when we say Adverse Childhood Experiences?
“ACEs include child abuse (emotional, physical, or sexual), neglect (physical or emotional), and household challenges (household incarceration, mental illness, substance use, intimate partner violence, or parental separation or divorce) experienced by 18 years of age” (Ortiz et al., 2022).
ACEs are associated in a dose-dependent way with over 60 mental and physical health outcomes and premature death, including many of the leading causes of death in the US, such as:
heart disease,
cancer,
unintentional injuries,
stroke,
chronic lower respiratory disease,
diabetes,
kidney disease, and
suicide (Ortiz et al., 2022).
ACEs are also associated with:
dementia and memory impairment,
epilepsy or seizure disorder,
attention-deficit/hyperactivity disorder (ADHD),
headaches,
sleep disturbances, and
chronic pain (Ortiz et al., 2022).
Your clients may think they are not good enough, not worthy of help and that what has happened to them is all their fault.
There are several research-based strategies for helping clients with Adverse Childhood Experiences, including:
Fostering healthy relationships
Improving sleep quality
Ensuring balanced nutrition
Encouraging regular physical activity
Sharing mindfulness practices
Increasing time spent in nature
Providing professional referrals to mental health care, if needed.
The book Mindful Strategies for Adult Clients with Adverse Childhood Experiences provides the information and research to empower mind-body professionals to support their clients with adverse childhood experiences in reaching their health goals.
Resource:
Ortiz R, Gilgoff R, Burke Harris N. Adverse Childhood Experiences, Toxic Stress, and Trauma-Informed Neurology. JAMA Neurol. 2022;79(6):539–540. doi:10.1001/jamaneurol.2022.0769
I’m not their psychologist, I help people with their physical health.
Do your clients with chronic illnesses have difficulty sticking with their self-care plan and setting and meeting their health care goals? Even though they are adults, they may still be feeling the impact of their adverse childhood experiences (ACEs).
What do we mean when we say Adverse Childhood Experiences?
“ACEs include child abuse (emotional, physical, or sexual), neglect (physical or emotional), and household challenges (household incarceration, mental illness, substance use, intimate partner violence, or parental separation or divorce) experienced by 18 years of age” (Ortiz et al., 2022).
ACEs are associated in a dose-dependent way with over 60 mental and physical health outcomes and premature death, including many of the leading causes of death in the US, such as:
heart disease,
cancer,
unintentional injuries,
stroke,
chronic lower respiratory disease,
diabetes,
kidney disease, and
suicide (Ortiz et al., 2022).
ACEs are also associated with:
dementia and memory impairment,
epilepsy or seizure disorder,
attention-deficit/hyperactivity disorder (ADHD),
headaches,
sleep disturbances, and
chronic pain (Ortiz et al., 2022).
Your clients may think they are not good enough, not worthy of help and that what has happened to them is all their fault.
There are several research-based strategies for helping clients with Adverse Childhood Experiences, including:
Fostering healthy relationships
Improving sleep quality
Ensuring balanced nutrition
Encouraging regular physical activity
Sharing mindfulness practices
Increasing time spent in nature
Providing professional referrals to mental health care, if needed.
The book Mindful Strategies for Adult Clients with Adverse Childhood Experiences provides the information and research to empower mind-body professionals to support their clients with adverse childhood experiences in reaching their health goals.
Resource:
Ortiz R, Gilgoff R, Burke Harris N. Adverse Childhood Experiences, Toxic Stress, and Trauma-Informed Neurology. JAMA Neurol. 2022;79(6):539–540. doi:10.1001/jamaneurol.2022.0769
Autoimmune diseases and mindfulness - a quick introduction for the mind/body professional
What are autoimmune disorders?
Autoimmune disorders are “a group of conditions in which structural or functional damage to cells/tissues/organs/organ systems is produced by the correlation of immunologically competent cells or antibodies against the normal component of the body” (Penberthy et al., 2018). Treatment includes education and pharmacologic management of physical symptoms.
Can mind / body professionals help clients with autoimmune diseases? What does the research show?
Authors from the University of Virginia School of Medicine reviewed 21 studies and found that “non-pharmacological treatment can positively impact psychological functioning as well as biological markers and may thus be used to complement standard medical treatment” (Penberthy et al., 2018).
How does mindfulness help people with autoimmune diseases?
Mindfulness-based interventions (MBIs) are “aimed generally at the reduction of psychological symptoms of distress and enhancement of quality of life are used to cultivate the mental quality of mindfulness, an open minded, flexible, and nonjudgmental awareness of whatever is happening at each successive moment of perception. The objects of both direct and pre-reflexive perception range from somatic interoceptive, kinesthetic, and proprioceptive experiences (bodily sensations, movements, awareness of breath, etc.) to internal psychological states (feelings, thoughts, images, etc.) as well as external stimuli experienced through the senses” (Penberthy et al., 2018).
In their review of the current literature on treatment with MBSR, adapted versions of MBSR/MBCT, and MAPs as contemplative interventions for patients suffering from autoimmune disease processes or symptoms similar to such, the authors found a correlation in the majority of studies with:
respective biomarker changes and
improvements in psychological functioning
Why will mindfulness be helpful for our clients?
The authors state that there appears to be general consensus regarding the psychological benefits of mindfulness-based interventions correlated with:
improvements in the occurrence of negative emotions including anxiety, stress, and
increased experiences of positive emotions including optimism, feelings of support, and better coping in a variety of treatment lengths and variations (Penberthy et al., 2018)
Is there a link between autoimmune disease and childhood trauma?
What do we mean when we say Adverse Childhood Experiences? According to Ortiz et al., “ACEs include child abuse (emotional, physical, or sexual), neglect (physical or emotional), and household challenges (household incarceration, mental illness, substance use, intimate partner violence, or parental separation or divorce) experienced by 18 years of age” (2022).
Dube et al. looked at the level of adverse childhood experiences (ACE) in adults with autoimmune diseases (AD) including:
Addison's disease,
autoimmune hemolytic anemia,
autoimmune thrombocytopenia purpura,
celiac disease,
dermatomyositis,
Graves' disease,
Hashimoto's thyroiditis,
idiopathic myocarditis,
idiopathic pulmonary fibrosis,
insulin-dependent diabetes mellitus,
irritable bowel disease,
multiple sclerosis,
myasthenia gravis,
pernicious anemia,
psoriasis,
rheumatoid arthritis,
scleroderma,
Sjogren disease,
systemic lupus erythematosus,
vitiligo, and
Wegener's granulomatosis.
The researchers found that “the likelihood of a first hospitalization for any AD was higher among adults with 2 or ≥3 ACEs compared with those with no ACE … for every increase in the ACE Score, the likelihood of a first hospitalization with any AD increased 20% for women and 10% for men.” They concluded that “childhood traumatic stress increased the likelihood of hospitalization with a diagnosed autoimmune disease decades into adulthood” (Dube et al., 2009).
The good news is that mindfulness is indicated to help reduce the effects of adverse childhood experiences as well as autoimmune diseases.
There are several research-based strategies for helping clients with Adverse Childhood Experiences reduce stress levels, including:
Fostering healthy relationships
Improving sleep quality
Ensuring balanced nutrition
Encouraging regular physical activity
Sharing mindfulness practices
Increasing time spent in nature
Providing professional referrals to mental health care, if needed.
The book Mindful Strategies for Adult Clients with Adverse Childhood Experiences provides the information and research to empower mind-body professionals to support their clients with adverse childhood experiences in reaching their health goals.
If you are a health coach or other mind/body professional, I encourage you to take the free online class Mindful Interventions for Health Coaches.
Upon completion of this course, health coaches will have knowledge of short mindfulness practices that may assist clients in motivational interviewing and behavior change.
https://plasticsurgeryrecoverymassage...
Find the studies here:
Dube SR, Fairweather D, Pearson WS, Felitti VJ, Anda RF, Croft JB. Cumulative childhood stress and autoimmune diseases in adults. Psychosom Med. 2009 Feb;71(2):243-50. doi: 10.1097/PSY.0b013e3181907888. Epub 2009 Feb 2. PMID: 19188532; PMCID: PMC3318917. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Ortiz R, Gilgoff R, Burke Harris N. Adverse Childhood Experiences, Toxic Stress, and Trauma-Informed Neurology. JAMA Neurol. 2022;79(6):539–540. doi:10.1001/jamaneurol.2022.0769
Penberthy JK, Chhabra D, Avitabile N, Penberthy JM, Le N, Xu YR, Mainor S, Schiavone N, Katzenstein P, Lewis JE, Hubbard L. Mindfulness Based Therapies for Autoimmune Diseases and Related Symptoms. OBM Integrative and Complementary Medicine 2018;3(4):039; doi:10.21926/obm.icm.1804039.Retrieved from: https://www.lidsen.com/journals/icm/i...
Autoimmune disorders are “a group of conditions in which structural or functional damage to cells/tissues/organs/organ systems is produced by the correlation of immunologically competent cells or antibodies against the normal component of the body” (Penberthy et al., 2018). Treatment includes education and pharmacologic management of physical symptoms.
Can mind / body professionals help clients with autoimmune diseases? What does the research show?
Authors from the University of Virginia School of Medicine reviewed 21 studies and found that “non-pharmacological treatment can positively impact psychological functioning as well as biological markers and may thus be used to complement standard medical treatment” (Penberthy et al., 2018).
How does mindfulness help people with autoimmune diseases?
Mindfulness-based interventions (MBIs) are “aimed generally at the reduction of psychological symptoms of distress and enhancement of quality of life are used to cultivate the mental quality of mindfulness, an open minded, flexible, and nonjudgmental awareness of whatever is happening at each successive moment of perception. The objects of both direct and pre-reflexive perception range from somatic interoceptive, kinesthetic, and proprioceptive experiences (bodily sensations, movements, awareness of breath, etc.) to internal psychological states (feelings, thoughts, images, etc.) as well as external stimuli experienced through the senses” (Penberthy et al., 2018).
In their review of the current literature on treatment with MBSR, adapted versions of MBSR/MBCT, and MAPs as contemplative interventions for patients suffering from autoimmune disease processes or symptoms similar to such, the authors found a correlation in the majority of studies with:
respective biomarker changes and
improvements in psychological functioning
Why will mindfulness be helpful for our clients?
The authors state that there appears to be general consensus regarding the psychological benefits of mindfulness-based interventions correlated with:
improvements in the occurrence of negative emotions including anxiety, stress, and
increased experiences of positive emotions including optimism, feelings of support, and better coping in a variety of treatment lengths and variations (Penberthy et al., 2018)
Is there a link between autoimmune disease and childhood trauma?
What do we mean when we say Adverse Childhood Experiences? According to Ortiz et al., “ACEs include child abuse (emotional, physical, or sexual), neglect (physical or emotional), and household challenges (household incarceration, mental illness, substance use, intimate partner violence, or parental separation or divorce) experienced by 18 years of age” (2022).
Dube et al. looked at the level of adverse childhood experiences (ACE) in adults with autoimmune diseases (AD) including:
Addison's disease,
autoimmune hemolytic anemia,
autoimmune thrombocytopenia purpura,
celiac disease,
dermatomyositis,
Graves' disease,
Hashimoto's thyroiditis,
idiopathic myocarditis,
idiopathic pulmonary fibrosis,
insulin-dependent diabetes mellitus,
irritable bowel disease,
multiple sclerosis,
myasthenia gravis,
pernicious anemia,
psoriasis,
rheumatoid arthritis,
scleroderma,
Sjogren disease,
systemic lupus erythematosus,
vitiligo, and
Wegener's granulomatosis.
The researchers found that “the likelihood of a first hospitalization for any AD was higher among adults with 2 or ≥3 ACEs compared with those with no ACE … for every increase in the ACE Score, the likelihood of a first hospitalization with any AD increased 20% for women and 10% for men.” They concluded that “childhood traumatic stress increased the likelihood of hospitalization with a diagnosed autoimmune disease decades into adulthood” (Dube et al., 2009).
The good news is that mindfulness is indicated to help reduce the effects of adverse childhood experiences as well as autoimmune diseases.
There are several research-based strategies for helping clients with Adverse Childhood Experiences reduce stress levels, including:
Fostering healthy relationships
Improving sleep quality
Ensuring balanced nutrition
Encouraging regular physical activity
Sharing mindfulness practices
Increasing time spent in nature
Providing professional referrals to mental health care, if needed.
The book Mindful Strategies for Adult Clients with Adverse Childhood Experiences provides the information and research to empower mind-body professionals to support their clients with adverse childhood experiences in reaching their health goals.
If you are a health coach or other mind/body professional, I encourage you to take the free online class Mindful Interventions for Health Coaches.
Upon completion of this course, health coaches will have knowledge of short mindfulness practices that may assist clients in motivational interviewing and behavior change.
https://plasticsurgeryrecoverymassage...
Find the studies here:
Dube SR, Fairweather D, Pearson WS, Felitti VJ, Anda RF, Croft JB. Cumulative childhood stress and autoimmune diseases in adults. Psychosom Med. 2009 Feb;71(2):243-50. doi: 10.1097/PSY.0b013e3181907888. Epub 2009 Feb 2. PMID: 19188532; PMCID: PMC3318917. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Ortiz R, Gilgoff R, Burke Harris N. Adverse Childhood Experiences, Toxic Stress, and Trauma-Informed Neurology. JAMA Neurol. 2022;79(6):539–540. doi:10.1001/jamaneurol.2022.0769
Penberthy JK, Chhabra D, Avitabile N, Penberthy JM, Le N, Xu YR, Mainor S, Schiavone N, Katzenstein P, Lewis JE, Hubbard L. Mindfulness Based Therapies for Autoimmune Diseases and Related Symptoms. OBM Integrative and Complementary Medicine 2018;3(4):039; doi:10.21926/obm.icm.1804039.Retrieved from: https://www.lidsen.com/journals/icm/i...
Creating a Healing Space
I spoke about the concept of creating and spending time in healing spaces at the 2022 FDRS Conference. Healing spaces are specifically designed to have a therapeutic effect, including reducing stress and improving recovery and well-being. Nature can be a healing space as well, and bringing elements of nature inside can be one aspect of creating a healing space.
A Special Issue of “Healing Spaces: Designing Physical Environments to Optimize Health, Wellbeing and Performance” published in the International Journal of Environmental Research and Public Health (IJERPH) features research on the effects of green space in communities as well as the importance of acoustic environments to persons with dementia.
Find links to the articles here: https://www.ncbi.nlm.nih.gov/pmc/arti...
Watch my FDRS presentation here:
https://youtu.be/tJe4iQkbNEc (less)
A Special Issue of “Healing Spaces: Designing Physical Environments to Optimize Health, Wellbeing and Performance” published in the International Journal of Environmental Research and Public Health (IJERPH) features research on the effects of green space in communities as well as the importance of acoustic environments to persons with dementia.
Find links to the articles here: https://www.ncbi.nlm.nih.gov/pmc/arti...
Watch my FDRS presentation here:
https://youtu.be/tJe4iQkbNEc (less)
Yoga for people with Lymphedema
Lymphedema therapists - our clients may already be practicing yoga!
Australian researchers sent a survey to 247 members of the Lymphedema Association of Queensland and found that, in addition to using mainstream medicine treatments for lymphedema, half of the respondents reported using at least one of 22 complementary and alternative medicine (CAM) therapies to treat their lymphedema. CAM therapies included meditation, t’ai chi and yoga (Finnane et al., 2011).
Why is yoga a good option for our clients with lymphedema? Stress reduction practices including yoga, meditation, and repetitive prayer can create the Relaxation Response, which may improve mitochondrial resiliency (Balasubramanian, 2015).
Our clients with secondary lymphedema from cancer treatment may already be using yoga for stress reduction! Swedish researchers conducted a systematic review of systematic reviews for interventions following treatment for breast cancer and found that “exercise and yoga … have shown effects on anxiety, depression and QoL” (Olsson et al., 2019). Society for Integrative Oncology Clinical Practice Guidelines indicate “high levels of evidence support the routine use of mind-body practices, such as yoga, meditation, relaxation techniques and passive music therapy to address common mental health concerns among breast cancer patients, including anxiety, stress, depression, and mood disturbances. Additionally, meditation has been shown to improve quality of life and physical functioning, and yoga has been found to improve quality of life and fatigue” (Greenlee et al., 2017). Researchers from the Mayo clinic sent questionnaires to over 800 breast cancer survivors and 507 out of 802 respondents (63%) stated that they included yoga in their self-care practices. Almost 90% of respondents stated that yoga helped improve their symptoms (Patel, et al., 2021).
Do these benefits also occur for clients with lymphedema? Australian researchers state that “as a holistic practice, yoga may be of benefit by reducing both the physical and psychosocial effects of lymphoedema” (Loudon et al., 2017).
Yoga can also have an impact on the lymphatic system, if postures are used to stimulate the parasympathetic nervous system. Ryan states that “the lymphatic system, which is so dependent on body movements, benefits from yoga because of movement, but also yoga can control the autonomic stimuli causing the muscular walls of collecting lymphatics to contract” (Ryan, 2019).
I will cover much more about yoga for lymphedema stress reduction, including yoga protocols for both upper and lower limb lymphedema as well as lymphatic filariasis in the book ‘Stress Reduction for Lymphedema,’ which will be published in Summer 2023. Stay tuned!
Balasubramanian S, Janech MG, Warren GW. Alterations in Salivary Proteome following Single Twenty-Minute Session of Yogic Breathing. Evid Based Complement Alternat Med. 2015;2015:376029. doi: 10.1155/2015/376029. Epub 2015 Mar 19. PMID: 25873979; PMCID: PMC4383272. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Finnane A, Liu Y, Battistutta D, Janda M, Hayes SC. Lymphedema after breast or gynecological cancer: use and effectiveness of mainstream and complementary therapies. J Altern Complement Med. 2011 Sep;17(9):867-9. doi: 10.1089/acm.2010.0456. PMID: 21875352. Retrieved from: https://eprints.qut.edu.au/46303/1/46...
Greenlee H, DuPont-Reyes MJ, Balneaves LG, Carlson LE, Cohen MR, Deng G, Johnson JA, Mumber M, Seely D, Zick SM, Boyce LM, Tripathy D. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin. 2017 May 6;67(3):194-232. doi: 10.3322/caac.21397. Epub 2017 Apr 24. PMID: 28436999; PMCID: PMC5892208. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Loudon A, Barnett T, Piller N, Immink MA, Williams AD. Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial. BMC Complement Altern Med. 2014 Jul 1;14:214. doi: 10.1186/1472-6882-14-214. PMID: 24980836; PMCID: PMC4083036. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Olsson Möller U, Beck I, Rydén L, Malmström M. A comprehensive approach to rehabilitation interventions following breast cancer treatment - a systematic review of systematic reviews. BMC Cancer. 2019 May 20;19(1):472. doi: 10.1186/s12885-019-5648-7. PMID: 31109309; PMCID: PMC6528312. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Patel SR, Zayas J, Medina-Inojosa JR, Loprinzi C, Cathcart-Rake EJ, Bhagra A, Olson JE, Couch FJ, Ruddy KJ. Real-World Experiences With Yoga on Cancer-Related Symptoms in Women With Breast Cancer. Glob Adv Health Med. 2021 Jan 8;10:2164956120984140. doi: 10.1177/2164956120984140. PMID: 33473331; PMCID: PMC7797571. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/33473...
Ryan, T. (2019). The Nature of care in the management of Lymphoedema; not without laughter! Journal of Lymphoedema, 14(1), 54–55. Retrieved from: https://lymphoedemaeducation.com.au/w...
Australian researchers sent a survey to 247 members of the Lymphedema Association of Queensland and found that, in addition to using mainstream medicine treatments for lymphedema, half of the respondents reported using at least one of 22 complementary and alternative medicine (CAM) therapies to treat their lymphedema. CAM therapies included meditation, t’ai chi and yoga (Finnane et al., 2011).
Why is yoga a good option for our clients with lymphedema? Stress reduction practices including yoga, meditation, and repetitive prayer can create the Relaxation Response, which may improve mitochondrial resiliency (Balasubramanian, 2015).
Our clients with secondary lymphedema from cancer treatment may already be using yoga for stress reduction! Swedish researchers conducted a systematic review of systematic reviews for interventions following treatment for breast cancer and found that “exercise and yoga … have shown effects on anxiety, depression and QoL” (Olsson et al., 2019). Society for Integrative Oncology Clinical Practice Guidelines indicate “high levels of evidence support the routine use of mind-body practices, such as yoga, meditation, relaxation techniques and passive music therapy to address common mental health concerns among breast cancer patients, including anxiety, stress, depression, and mood disturbances. Additionally, meditation has been shown to improve quality of life and physical functioning, and yoga has been found to improve quality of life and fatigue” (Greenlee et al., 2017). Researchers from the Mayo clinic sent questionnaires to over 800 breast cancer survivors and 507 out of 802 respondents (63%) stated that they included yoga in their self-care practices. Almost 90% of respondents stated that yoga helped improve their symptoms (Patel, et al., 2021).
Do these benefits also occur for clients with lymphedema? Australian researchers state that “as a holistic practice, yoga may be of benefit by reducing both the physical and psychosocial effects of lymphoedema” (Loudon et al., 2017).
Yoga can also have an impact on the lymphatic system, if postures are used to stimulate the parasympathetic nervous system. Ryan states that “the lymphatic system, which is so dependent on body movements, benefits from yoga because of movement, but also yoga can control the autonomic stimuli causing the muscular walls of collecting lymphatics to contract” (Ryan, 2019).
I will cover much more about yoga for lymphedema stress reduction, including yoga protocols for both upper and lower limb lymphedema as well as lymphatic filariasis in the book ‘Stress Reduction for Lymphedema,’ which will be published in Summer 2023. Stay tuned!
Balasubramanian S, Janech MG, Warren GW. Alterations in Salivary Proteome following Single Twenty-Minute Session of Yogic Breathing. Evid Based Complement Alternat Med. 2015;2015:376029. doi: 10.1155/2015/376029. Epub 2015 Mar 19. PMID: 25873979; PMCID: PMC4383272. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Finnane A, Liu Y, Battistutta D, Janda M, Hayes SC. Lymphedema after breast or gynecological cancer: use and effectiveness of mainstream and complementary therapies. J Altern Complement Med. 2011 Sep;17(9):867-9. doi: 10.1089/acm.2010.0456. PMID: 21875352. Retrieved from: https://eprints.qut.edu.au/46303/1/46...
Greenlee H, DuPont-Reyes MJ, Balneaves LG, Carlson LE, Cohen MR, Deng G, Johnson JA, Mumber M, Seely D, Zick SM, Boyce LM, Tripathy D. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin. 2017 May 6;67(3):194-232. doi: 10.3322/caac.21397. Epub 2017 Apr 24. PMID: 28436999; PMCID: PMC5892208. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Loudon A, Barnett T, Piller N, Immink MA, Williams AD. Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial. BMC Complement Altern Med. 2014 Jul 1;14:214. doi: 10.1186/1472-6882-14-214. PMID: 24980836; PMCID: PMC4083036. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Olsson Möller U, Beck I, Rydén L, Malmström M. A comprehensive approach to rehabilitation interventions following breast cancer treatment - a systematic review of systematic reviews. BMC Cancer. 2019 May 20;19(1):472. doi: 10.1186/s12885-019-5648-7. PMID: 31109309; PMCID: PMC6528312. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/arti...
Patel SR, Zayas J, Medina-Inojosa JR, Loprinzi C, Cathcart-Rake EJ, Bhagra A, Olson JE, Couch FJ, Ruddy KJ. Real-World Experiences With Yoga on Cancer-Related Symptoms in Women With Breast Cancer. Glob Adv Health Med. 2021 Jan 8;10:2164956120984140. doi: 10.1177/2164956120984140. PMID: 33473331; PMCID: PMC7797571. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/33473...
Ryan, T. (2019). The Nature of care in the management of Lymphoedema; not without laughter! Journal of Lymphoedema, 14(1), 54–55. Retrieved from: https://lymphoedemaeducation.com.au/w...
Stress Reduction and Mindfulness
I help people with chronic illnesses including lymphedema and lipedema as well as those recovering from surgery.
- Kathleen Helen Lisson's profile
- 10 followers
