Professional sports psychologists often help athletes cope with the intense pressure that comes from competition and overcome problems with focus and motivation. They also work with athletes to improve performance and recover from injuries. But sports psychologists do not just work with elite and professional athletes. They also help regular people learn how to enjoy sports and learn to stick to an exercise program.
Often, when an executive coach is engaged, business transformation is top of mind. Executive coaching efforts often focus on change management, yielding important results. It is common for organizations to seek out executive coaches who are adept at developing new business practices, implementing new technologies, or adopting new strategies. The tangible organizational benefits of executive coaching are manifold. Research by Performance Sales Executive Council found that effective coaching directly increased sales performance. On average, executive coaching of core sales representatives resulted in an 8 percent performance increase. A study published in the Manchester Review that primarily investigated executives from Fortune 1000 companies reported that executive coaching leads to improved customer service (39 percent frequency), cost reduction (23 percent) and increased bottom-line profitability (22 percent). 

While there as many different hypnosis techniques as there are brands of cigarettes, a typical program will usually begin with a phone consultation, followed by an in-person session where the client is walked through breathing and visualization exercises and then “induced” into a “trance” — which is essentially a state of extreme relaxation. Once the patient is in the trance, and his “suggestibility” is maximized, the practitioner makes statements (“I am uninterested in cigarettes” or “I hate the smell of smoke on my clothing”) that will hopefully take root and change the client’s behavior. Then the client is “awakened,” or brought out of the hypnotic state. In short, a hypnotherapist verbally guides a client to a hyper-responsive, hyper-attentive state in which the patient’s subconscious mind (the part that tells them that smoking is cool and totally worth it) is in its most persuadable state, and then replaces the harmful or unwanted thoughts with positive, healthy ones.
Thomas works in partnership with psychologists, so that they are trained to administer our assessments and deliver valuable feedback to the rest of the organisation. This approach will enable them to build on their detailed knowledge of the athletes, coaches, sport and organisation so that feedback is unique and based on a high level of relevant content.
GoodTherapy.org is not intended to be a substitute for professional advice, diagnosis, medical treatment, or therapy. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. Never disregard professional psychological or medical advice nor delay in seeking professional advice or treatment because of something you have read on GoodTherapy.org.
Professional coaching uses a range of communication skills (such as targeted restatements, listening, questioning, clarifying etc.) to help clients shift their perspectives and thereby discover different approaches to achieve their goals.[7] These skills can be used in almost all types of coaching. In this sense, coaching is a form of "meta-profession" that can apply to supporting clients in any human endeavor, ranging from their concerns in health, personal, professional, sport, social, family, political, spiritual dimensions, etc. There may be some overlap between certain types of coaching activities.[5]
I have no prior experience with hypnosis.  I went into this with no expectations, but I did have the willingness to quit smoking.  I have tried nicoderm patches, nicoderm gum, Chantix, Wellbutrin, cold turkey, weaning off, etc...for the last two years.  The most I ever got were 28 agonizing days.  The cravings never went away.  Then I met with Rita Black and here I am 6 weeks later to share how amazed I am with the success of our 1 meeting!  I walked out of Rita's office a non-smoker in every way.  Rita explained to me how to manage the "cravings" if and when they come.  I have totally regained my power against smoking.  I highly recommend this life saving service (not to mention, financial savings).

In today’s demanding business environment (cost pressures leading to flatter organizations, executive managers with more direct reports, “speed to market” as a competitive advantage with time pressure, etc.) executives have limited opportunity to devote time and energy to their own development as leaders. “Most executives struggle to fulfill the responsibilities of their positions and are too busy and too stressed to step back and learn from their experiences or to implement changes to satisfy best management practices.”[3]
Performance profiling can provide a rigorous evaluation of psychological characteristics and can be used in conjunction with existing measures of physical ability to provide great insight for players, athletes and coaches. Psychometric assessments can help athletes explore their own unique characteristics, such as self-confidence, motivation, resilience and mental toughness. This greater self-awareness can help athletes to shape their development and can encourage them to take ownership of their performance with a significant impact on focus, drive and achievement.

The answer is simple: Executive coaches offer seemingly quick and easy solutions. CEOs tell me that what they fear most about psychotherapy is not the cost in dollars but the cost in time. A coaching engagement typically lasts no more than six months. Psychotherapy, by contrast, is seen as a long-term treatment; people joke that it takes six months for therapist and patient just to say hello. What’s more, therapy requires a greater time commitment than the standard 50-minute sessions; it also involves travel to and from the therapist’s office, taking even more time away from work.


The program is delivered in five modules and students do not have to commit to the full degree until the end of Module 3. For Module 1 you can choose one of two options: Coaching for Organization Consultants (click link for more information) or Team Coaching for Consultants. Module 3 enables you to prepare to become an Ashridge Accredited Coach, a popular certification that has been helping coaches to excel since 2002.
Confusion can occur when one seeks a hypnotherapist, as a result of the various titles, certifications, and licenses in the field. Many states do not regulate the title "hypnotist" or "hypnotherapist," so care must be exercised when selecting someone to see. As a rule, it is best to consult a professional in the field of mental health or medicine, although alternative sources for hypnosis are available. Care must be taken also by the therapist to ensure adequate training and sufficient experience for rendering this specialized service. The therapist must be well grounded in a psychotherapeutic approach before undertaking the use of hypnotherapy. Professionals should not attempt hypnotherapy with any disorder for which they would not use traditional therapeutic approaches. The patient seeking hypnotherapy is reminded that unskilled or amateur hypnotists can cause harm and should not be consulted for the purpose of implementing positive change in an individual's life. The detrimental effects of being subjected to amateur or inadequately trained persons can be severe and long lasting. (See abnormal results below.)
This is the ability to plan and maintain one's regular schedule in a way that avoids confusion, conflict and undue stress. Common time management techniques include: (a) teaching how to use a planner, (b) learning about the demands of a task, (c) setting legitimate goals for tasks, (d) understanding the demands of one’s life (managing role conflict), and (e) developing pre–performance routines.
Despite some web sites and promotional materials that say otherwise, hypnosis is not an approved therapy by the American Medical Association (AMA). The organization does not have an official position on the use of hypnosis. A position statement regarding the use of the technique for medical and psychological purposes was rescinded by the AMA in 1987.
Self-knowledge and the relational competencies they’re linked with are central to a CEO’s ability to formulate, articulate and lead a strategic vision for a motivated, energized organization. Self-knowledge builds clarity about objectives; it fine-tunes one’s understanding the perspectives, values, aims and personality traits of others. When that’s lacking, you often see discord and conflict among members of the senior management team; or between some of its members and the CEO.
I've been a smoker for 45+ years, tried quiting with the patch, Chantix, other hypnotist with zero… I've been a smoker for 45+ years, tried quiting with the patch, Chantix, other hypnotist with zero results. One afternoon with Rita and my wife, my mother-in-law and myself have all been non-smokers for six months today!  Best money I have ever spent.  I AM A NON-SMOKER AND WILL BE A NON-SMOKER FOR THE REST OF MY LIFE!  Thank you Rita! Read more
But coaching is not just for tackling new assignments. It can also play an invigorating role. Coaches can help executives "develop new ways to attack old problems," says Vicky Gordon, CEO of the Gordon Group coaching practice in Chicago. "When efforts to change yourself, your team, or your company have failed—you are frustrated or burned out—a coach can be the outside expert to help you get to the root cause and make fundamental changes."

Rita is the real deal. First, you have to believe it is going to work... then you go see Rita and she will make your dreams come true.  I saw Rita for smoking...  I had smoked on and off socially since college.  Then I picked up the nasty habit full time because all my co-workers were doing it and I thought it relieved stress. Here I was... a 30 year old woman smoking 2-3 packs a week and buying cigarettes when I really shouldn't have been spending my money that way.  Not long after I couldn't breath, was hacking up my lungs, and embarrassed of the smell and reputation of being a "smoker"... I tried to quit and after many unsuccessful attempts I thought about hypnosis.  It was almost comical but I was willing to do anything to stop this nasty addiction.  


Some popular beliefs attached to weight loss have been shown to either have less effect on weight loss as commonly believed or are actively unhealthy. According to Harvard Health, the idea of metabolism being the "key to weight" is "part truth and part myth" as while metabolism does affect weight loss, external forces such as diet and exercise have an equal effect.[43] They also commented that the idea of changing one's rate of metabolism is under debate.[43] Diet plans in fitness magazines are also often believed to be effective, but may actually be harmful by limiting the daily intake of important calories and nutrients which can be detrimental depending on the person and are even capable of driving individuals away from weight loss.[44]
Performance Consultants provides you with the opportunity to fulfil your potential by working one-to-one with a choice of some of the world’s best executive coaches. Our worldwide team of highly qualified and experienced coaches are rigorously selected to meet our high standards both in coaching practice and in business experience. Our coaches have a combination of recognized coaching qualifications, advanced academic degrees and corporate backgrounds.
In the UK, up to 5% of the general population is underweight, but more than 10% of those with lung or gastrointestinal diseases and who have recently had surgery.[29] According to data in the UK using the Malnutrition Universal Screening Tool ('MUST'), which incorporates unintentional weight loss, more than 10% of the population over the age of 65 is at risk of malnutrition.[29] A high proportion (10-60%) of hospital patients are also at risk, along with a similar proportion in care homes.[29]
Executive coaches are at their most dangerous when they win the CEO’s ear. This puts them in a position to wield great power over an entire organization, a scenario that occurs with disturbing frequency. Since many executive coaches were corporate types in prior lives, they connect with CEOs far more readily than most psychotherapists do. They are fluent in business patois, and they move easily from discussions of improving an individual’s performance to conducting interventions that can help entire business units capture or retain market share. Unless these executive coaches have been trained in the dynamics of interpersonal relations, however, they may abuse their power—often without meaning to. Indeed, many coaches gain a Svengali-like hold over both the executives they train and the CEOs they report to, sometimes with disastrous consequences.
Organizations must be in favor of and agree to provide resources to support the executive coaching, and recognize that it requires a long-term investment in order for the coaching and change to succeed. “Executives need follow-on coaching and reinforcement in order to sustain changes in behavior. In addition, professionals’ development should be kept separate from performance because the high level of trust and openness required for development would be compromised if these two essential processes are mixed.”[5]

Sloane Perras, chief legal officer for The Krystal Co., has worked with several coaches over the years. “My first coach helped me deal with an enemy at work. I was able to understand my own part in the situation and to mitigate the effects of the drama. I learned so much from that situation that now I use my coach to facilitate and focus me on setting goals. If I didn’t have a coach, I would never take time out to think about my future and navigating my way forward.”

With an emphasis on quality, we strive to create, develop and produce the best self hypnosis audio programs we possibly can. Our professionally produced, life-enhancing recordings are authored by our team of vocally talented hypnotherapists – and supported by our hugely experienced script writers, who have a combined 75+ years of experience in the field of hypnotherapy.

Due to the increase in certified coaches, the improved ROI that results from pairing coaching with leadership training, and the normalization of coaching rates due to a supply and demand shift in the market, coaching will become more commonly used in employee and leadership development at all levels. Coaching will no longer be viewed as something that is only available at the executive level. - Amy Douglas, Spark Coaching, LLC
There are certain times when executives are most likely to benefit from coaching. Executives should seek coaching "when they feel that a change in behavior—either for themselves or their team members—can make a significant difference in the long-term success of the organization," says Marshall Goldsmith, a high-profile executive coach and author of eighteen books, including The Leader of the Future (Jossey-Bass, 1996).
One increasingly common use of coaching for senior executives focuses on the challenges of managing younger workers, and on helping executives better understand and lead a new generation of employees whose work ethics and values are different, says Stephen Fairley, president of Chicago-based Today's Leadership Coaching and coauthor of Getting Started in Personal and Executive Coaching (Wiley, 2003).
Whatever the reason, distinct from other forms of training, coaching focuses on a specific way of “learning” for the executive. It is believed that “the more an individual is involved in identifying problems, in working out and applying solutions for them and in reviewing results, the more complete and the more long-lasting the learning is. This form of self-improvement tends to bring about learning with a deeper understanding than learning that is taught.”[1] Given the right circumstances, one-on-one interaction with an objective third party, who is not tied to the organization or other executive or company influences, can provide a focus that other forms of organizational support cannot. Coaching develops the leader in “real time” within the context of their current job while allowing them to maintain their day-to-day responsibilities.
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.
Hypnotism was one of the earliest psychoanalytic techniques employed by Sigmund Freud, who was introduced to the technique by physician Josef Breuer. Freud and Breuer believed that traumatic memories that were not accessible to the waking mind could be revealed while a person was under hypnosis, thus facilitating a “cure.” Freud eventually abandoned hypnosis in favor of forced association, and then free association, after he found that not all of his patients responded to hypnotism.
Kwit is inspired by gaming and incorporates game thinking, game mechanics, and game design. Gamification helps to keep quitting smoking fun and is used as a tool to help people stick to their decision, stop smoking, and change their behavior. As time goes on and you make headway to becoming the "Ultimate Kwitter," you reach higher levels and rankings.
The third element is suggestibility. The person becomes more responsive to suggestions given to him or her. Fourth is what he calls “involuntariness.” That means when you come out of hypnosis, you feel subjectively like you haven't done anything, but that something has been done to you. You may recognize that you're being told to lift you arm, for example, but you feel as if it is being lifted by some external force. Which makes sense, since when I reach for a cigarette, especially when I know I don't need it, I’m being governed by similar subconscious impulses.

The How to Quit Smoking Hypnosis has taught me the psychological and physical addiction side to smoking and has helped me understand why my body craved nicotine. I smoked for 20 years. Now I don't even want a cigarette. I don't even want to be around people that smell like smoke. That makes me almost sick to my stomach. When my body does crave nicotine it doesn't crave a cigarette, just the nicotine and I let that feeling pass through me. It goes away within a couple minutes. Cigarettes no longer dictate my life. I love letting my hair down and it still smells like shampoo.

Skill using all of the mind's senses (e.g., sight, sound, taste, touch, hearing, kinesthetic/muscular feel) to re-create or create an experience in the mind. Uses include: (a) mental preparation, (b) anxiety control, (c) attention, (d) building self-confidence, (e) learning new skills, and (f) injury recovery. Common components include the evaluation of imagery ability, the establishment of the proper physical and mental setting (i.e., relaxed and quiet), and practice creating vivid and controllable images.
Performance Consultants pioneered coaching in business over 30 years ago and continues to lead the field globally, providing executive coaching, leadership development, team development and coaching skills training for leaders and managers around the world. Through coaching interventions and our unique evaluation methods we help individuals focus on current and future achievements in a way that builds awareness of strengths, establishes personal responsibility and results in behaviour change that impacts the bottom-line.
Luke O’Neil for The Atlantic reviewed quit smoking hypnotherapy when he tried the treatment himself. He said “I left the session feeling noticeably different. I sat in my car outside for a half hour and did not smoke. I went to dinner nearby and sat, and had a drink, and did not smoke. Eventually I caved in to the craving, but I didn't like it. I'm still smoking, I just don't enjoy them anywhere near as much as I used to anymore.”
Team cohesion can be defined as a group's tendency to stick together while pursuing its objectives.[42] Team cohesion has two components: social cohesion (how well teammates like one another) and task cohesion (how well teammates work together to achieve their goal). Collective efficacy is a team's shared belief that they can or cannot accomplish a given task.[43] In other words, this is the team's belief about the level of competency they have to perform a task. It is important to note that collective efficacy is an overall shared belief amongst team members and not merely the sum of individual self-efficacy beliefs. Leadership can be thought of as a behavioral process that influences team members towards achieving a common goal.[44] Leadership in sports is pertinent because there are always leaders on a team (i.e., team captains, coaches, trainers). Research on leadership studies characteristics of effective leaders and leadership development.
*Comments made by former clients are true and factual. Miami Hypnosis Center, its officers, and personnel, do not imply or claim that these comments represent typical results. Results vary depending on age, gender, lifestyle, motivation, and individual commitment to achieve a desired result. Each comment, and/or review, is the opinion of one person at a specific time and should only be considered in that context.

More specifically, the experts say, coaching can be particularly effective in times of change for an executive. That includes promotions, stretch assignments, and other new challenges. While you may be confident in your abilities to take on new tasks, you may feel that an independent sounding board would be beneficial in helping you achieve a new level of performance, especially if close confidants are now reporting to you. More so, you may recognize that succeeding in a new role requires skills that you have not needed to rely on in the past; a coach may help sharpen those skills, particularly when you need to do so on the fly.

Psychiatrists who’ve studied the Vietnam War are all too familiar with this type of hostile reaction to ineffectual leaders. Lieutenants fresh from ROTC training were hazed, sometimes even killed, by veteran troops who resented what they perceived to be an illegitimate attempt by the “F—ing New Guy” (FNG) to exercise authority. Military psychiatrists soon realized that these FNG lieutenants, clueless about the laws that governed life on the front lines, had been pulling rank in an effort to assert authority. The troopers did not take this well. In their view, the new lieutenants did not stack up to their predecessors, who had learned to let their hair down. To address the FNG syndrome, the military cautioned lieutenants to take it easy until the troopers accepted that they had developed field credentials.
Asking insightful questions to help people achieve their goals will always be central to good coaching. However, it is insufficient. We will see more operators with deep industry or leadership experience serve as coaches. The demand for "been there, seen that, done that" coaches will continue to rise, as they are better positioned to help leaders look around the corners. - Shoma Chatterjee, ghSMART

Consultation and training. Team building; sports organization consultation; systems interventions with parents and families involved in youth sports participation; education of coaches regarding motivation, interpersonal and leadership skills and talent development; education of coaches and administrators regarding early identification and prevention of psychological difficulties.

Mayo Clinic in Rochester, Minn., also is exploring adding hypnotherapy for IBS patients. — Sumathi Reddy, WSJ, "A Surprise Medical Solution: Hypnosis," 7 May 2018 Click to Read Story A Surprise Medical Solution: Hypnosis Major hospitals are finding hypnotherapy can help sufferers of digestive conditions like heartburn, acid reflux and irritable bowel syndrome. — Sumathi Reddy, WSJ, "From Meditation to Medication: Headspace Has a Prescription Strategy," 25 June 2018 The case’s progression is traced on Friday night’s episode of ABC’s 20/20, which is exclusively previewed above, in a clip that explains how Marcell first decided to undergo hypnotherapy to aid law enforcement. — Adam Carlson, PEOPLE.com, "Years After a High School Senior Was Nearly Beaten to Death, Hypnosis Helped Her ID the Suspect," 15 June 2018 Most professionals who conduct hypnotherapy treatments are psychologists. — Sumathi Reddy, WSJ, "A Surprise Medical Solution: Hypnosis," 7 May 2018 Such feats helped lay the foundation for both hypnotherapy and the work of later famous disabled Americans such as Helen Keller. — Justin T. Clark, BostonGlobe.com, "Building Boston to shape morality," 14 Apr. 2018 Exercise, healthy eating, and stress-reduction techniques—like mindfulness, acupuncture, or hypnotherapy—may be helpful, as well. — Amanda Macmillan, Health.com, "12 Reasons You Might Have Cramps That Have Nothing to Do With Your Period," 27 Mar. 2018 This past Saturday, almost 100 women and a smattering of men showed up to hear inspirational speakers participate in a healing circle, discover their inner power and watch a demonstration on the healing capabilities of hypnotherapy. — Ruth Sowby Rands, latimes.com, "On the Town: Event emphasizes inspiration, empowerment and healing," 26 Mar. 2018 The guideline said that non-drug therapies such as acupuncture (as well as physical and massage therapies, biofeedback and hypnotherapy) should be considered as first-line treatments for acute pain. — Brie Zeltner, cleveland.com, "New Medicaid rule will further open acupuncture services to 108,000 Ohio patients with low back pain, migraines," 31 Dec. 2017
While executives can hire their own coaches (usually CEOs or business owners), it’s more common for companies (often Human Resources) to recommend a coach to an executive as a part of an executive development program. The coachee could be newly promoted (transition coaching), be facing a number of challenges (usually involving people relationships), or is being groomed for larger roles. And yes, coaches are still hired to correct behavioral problems and help leaders resolve interpersonal conflicts.
Applied sport and exercise psychology involves extending theory and research into the field to educate coaches, athletes, parents, exercisers, fitness professionals, and athletic trainers about the psychological aspects of their sport or activity. A primary goal of professionals in applied sport and exercise psychology is to facilitate optimal involvement, performance, and enjoyment in sport and exercise.
Water helps you feel full, so you eat less. “Consuming eight to 10 cups of plain water daily can boost weight loss because research shows that thirst can be confused with hunger,” says Misti Gueron, MS, RDN, nutritionist at the Khalili Center. “Many people reach for food because of cravings, low energy or boredom, and these habits can lead to unnecessary weight gain,” she added. In fact, it’s so powerful that one study found that people who drank two cups of water 30 minutes before meals for three months dropped nearly three more pounds than people who didn’t pre-hydrate before mealtime. To help achieve your weight loss goal, try drinking eight ounces of water when you first wake up, carrying a BPA-free water bottle or tracking your water intake on your phone.
To customize and enhance your 3-week investment, for an additional fee of $2,500, you can partner with a Kellogg leadership coach during and after the program. You will meet with your coach three times for one hour during the program (once each week), and have up to three one-hour coaching sessions via phone after the program, with the same coach. This is ideal for newly promoted or soon-to-be promoted executives.
It further identified target groups that would benefit from sports psychology, including active amateur and professional athletes; sports teams and leagues, athletes suffering from temporary or permanent injuries; as well as the family members, teammates, coaches and friends of athletes. Finally, the APA identified specific problems and the techniques that could be used to address them, including mental skills training, visualization and motivational techniques, rehabilitation counseling after injuries, stress management, boosting self-confidence, leadership and team-building training, and counseling for eating disorders or substance abuse.

We’ve had the privilege of partnering with the following organizations to significantly impact their performance, culture and bottom-line results. While some of these corporations have directly hired us to work in an executive coaching or training capacity, others represent corporations in which one or more senior executives or partner-level leaders have hired us independently.
Needless to say, effective leadership must also include necessary skills, vision and perspectives. For example, sustainable practices for long-term success, as business executive and sustainability thought-leader John Friedman regularly writes about, here. Another is the movement towards joining business success with addressing social needs, as Richard Branson has described, where “taking care of people and the planet are at the very core of all businesses everywhere in the world.” Adding that our current world of transparency and social media demands that “business reinvents itself and becomes a force for good in the world,” he’s leading a new effort in that direction, called The B Team.

I am based in Boston and serve clients from the local area, throughout the United States, and around the world. Many clients come to see me in person, and I am able to travel to see them as needed. I am also available to work with executive coaching and philosophical counseling clients by telephone and video conferencing. Contact me at (617) 932-1548 or [email protected]
"Dr. Kirby works with individuals and couples in his practice. Many of his clients are "worried well," adults who are generally functioning well, but adjusting to difficult life situations or recurring emotional and relational patterns. When these situations are causing anxiety, stress or depression, therapy can help. Dr. Kirby is known as a direct, smart, caring clinician. As a therapist, he helps his clients set and move forward with their life goals, improve relationships, and create more meaning and purpose. Whatever brings you in, Dr. Kirby prioritizes transparency and collaboration throughout the therapy process."
Following its stated goal of promoting the science and practice of applied sport psychology, AAASP quickly worked to develop uniform standards of practice, highlighted by the development of an ethical code for its members in the 1990s. The development of the AAASP Certified Consultant (CC-AAASP) program helped bring standardization to the training required to practice applied sport psychology. AASP aims to provide leadership for the development of theory, research and applied practice in sport, exercise, and health psychology.[19] Also during this same time period, over 500 members of the American Psychological Association (APA) signed a petition to create Division 47 in 1986, which is focused on Exercise and Sport Psychology.
Hypnotherapy is a therapy that spans hundreds of years and has many practitioners across the United States. Researchers have studied whether hypnosis can treat a variety of medical conditions, from irritable bowel syndrome to anxiety and depression. The goal for hypnotherapy is to help a patient learn to better control their state of awareness. In the case of depression, hypnotherapy sessions may be focused on helping a person achieve a state of relaxation. In this relaxed state, they can discuss their feelings and emotions without raising stress and anxiety levels.
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