As chronic obstructive pulmonary disease (COPD) advances, about 35% of patients experience severe weight loss called pulmonary cachexia, including diminished muscle mass.[31] Around 25% experience moderate to severe weight loss, and most others have some weight loss.[31] Greater weight loss is associated with poorer prognosis.[31] Theories about contributing factors include appetite loss related to reduced activity, additional energy required for breathing, and the difficulty of eating with dyspnea (labored breathing).[31]


This course examines organizational coaching and surveys the foundational disciplines on which the practice of organizational coaching is based, applicable theories and methods. Coaching will be explored as an intervention and developmental technology. Students are introduced to the practice of coaching and coaching conversation models as well as coaching-related skills including contracting, listening, questioning, designing actions, planning and goal setting, and managing progress and accountability. 
Practice in the field of applied sport and exercise psychology usually involves a combination of individual and group consulting or counseling depending on the style of the professional conducting the intervention and the needs of the client.  Although there are many specific concepts within applied sport and exercise psychology (e.g., goal setting, concentration, motivation, relaxation, imagery), the general goal is to teach mental skills necessary to perform consistently in training and competition, increase adherence to exercise programs, and to help individuals realize their potential.
Mary Ellen will be responsible for leading our global coaching practices and solutions through working with zone leadership around the world to ensure we continue to aligning our coaching process & practices to client expectations and growth with focus on 3 critical areas: •	Global Coaching Infrastructure: Assessing & aligning talent and engagement processes to secure existing revenues and promote new revenues opportunities •	Global Coaching Solutions: Evaluating & contemporizing existing solutions to current and future generations of leaders •	New Opportunities: Integrating coaching into new Talent Development solutions and scaling regional coaching solutions for broader organizational reach Mary Ellen holds a MS with honors in Human Resource Development - University of Wisconsin-Stout and holds several professional certifications in Coaching, Change Management, Inclusive Leadership, Negotiations, Personal Effectiveness, and Developing High Performing Teams. She lives in Delafield Wisconsin enjoying most outdoor activities with her 2 daughters and 2 rescue dogs.

Sport psychology is an interdisciplinary science that draws on knowledge from many related fields including biomechanics, physiology, kinesiology and psychology. It involves the study of how psychological factors affect performance and how participation in sport and exercise affect psychological and physical factors.[1] In addition to instruction and training of psychological skills for performance improvement, applied sport psychology may include work with athletes, coaches, and parents regarding injury, rehabilitation, communication, team building, and career transitions.
Coleman Griffith made numerous contributions to the field of sport psychology, but most notable was his belief that field studies (such as athlete and coach interviews) could provide a more thorough understanding of how psychological principles play out in competitive situations. Griffith devoted himself to rigorous research, and also published for both applied and academic audiences, noting that the applicability of sport psychology research was equally important with the generation of knowledge. Finally, Griffith recognized that sport psychology promoted performance enhancement and personal growth.
Students may wish to become student members of Division 47 of the American Psychological Association: Sports Psychology. Membership may provide them with leadership as well as networking opportunities. They will receive a newsletter and a journal, Sport, Exercise, and Performance Psychology. The dissertation provides an opportunity to distinguish oneself in the field. Division 47 has an award competition for dissertations.
There is an intense mental toll of reaching—and remaining—at the pinnacle of a sport. “The top six inches of the body matter just as much the rest,” says Matthew Cunliffe, a sports psychologist, who spoke with Quartz about what goes through the minds of elite athletes and how psychologists can help them win. The conversation has been edited and condensed for clarity.
In 2007, a meta-analysis from the Cochrane Collaboration found that the therapeutic effect of hypnotherapy was "superior to that of a waiting list control or usual medical management, for abdominal pain and composite primary IBS symptoms, in the short term in patients who fail standard medical therapy", with no harmful side-effects. However the authors noted that the quality of data available was inadequate to draw any firm conclusions.[2]
Specialists in this area commonly work alongside other professionals who make up the team support system, such as coaches, trainers, physical therapists and game strategists. In a corporate setting, sports psychologists may be called upon by HR managers or department heads to develop team-building strategies for colleagues of a particular business or organization.
Hypnosis is not a dangerous procedure. It is not mind control or brainwashing. A therapist cannot make a person do something embarrassing or that the person doesn't want to do. The greatest risk, as discussed above, is that false memories can potentially be created and that it may be less effective than pursuing other, more established and traditional psychiatric treatments.
The challenges can come from a few different aspects. There is the level of difficulty that clients have in overcoming obstacles that they may be facing. Then there are outside dynamics that can make a difference, such as pressure that athletes may feel from their family, relationships, coaches, or even the media. One of the biggest challenges is when an athlete may lack some of the motivation necessary to bring change or develop a necessary skill—perhaps it was their coach’s or family’s idea that they see a sports psychologist and they are still uncertain about whether or not they want to put in the time to address the mental side of their game. Sports psychology is not a magic formula for success. It is an approach to performance enhancement that requires motivation and participation by the athletes themselves. So when that cooperation and motivation are lacking, it is perhaps the biggest challenge.

Cognitive behavioural hypnotherapy (CBH) is an integrated psychological therapy employing clinical hypnosis and cognitive behavioural therapy (CBT).[14] The use of CBT in conjunction with hypnotherapy may result in greater treatment effectiveness. A meta-analysis of eight different researches revealed "a 70% greater improvement" for patients undergoing an integrated treatment to those using CBT only.[15]
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