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.
During your first session, you will likely begin by telling the therapist about your goals and issues. You will then work together to come up with a treatment plan. Once you enter a state of hypnosis, your body will feel calm and relaxed, even as you enter a state of increased awareness, similar to the way you might feel when meditating. Your therapist will speak to you in a calm and gently assertive voice, and place the suggestions you agreed to in your treatment plan into your subconscious mind.

Mental toughness is a psychological edge that helps one perform at a high level consistently. Mentally tough athletes exhibit four characteristics: a strong self-belief (confidence) in their ability to perform well, an internal motivation to be successful, the ability to focus one’s thoughts and feelings without distraction, and composure under pressure.[29] Self-efficacy is a belief that one can successfully perform a specific task.[30] In sport, self-efficacy has been conceptualized as sport-confidence.[31] However, efficacy beliefs are specific to a certain task (e.g., I believe I can successfully make both free throws), whereas confidence is a more general feeling (e.g., I believe I will have a good game today). Arousal refers to one's physiological and cognitive activation. While many researchers have explored the relationship between arousal and performance, one unifying theory has not yet been developed. However, research does suggest perception of arousal (i.e., as either good or bad) is related to performance.[32] Motivation can be defined broadly as the will to perform a given task. People who play or perform for internal reasons, such as enjoyment and satisfaction, are said to be intrinsically motivated, while people who play for external reasons, such as money or attention from others, are extrinsically motivated.[33]
Some exercise and sport psychology professionals are also licensed psychologists, who are doctorally trained individuals who have met their state's educational and training requirements and passed a comprehensive exam. These psychologists undergo specialized postdoctoral training in how to optimize athletes' performance and well-being. Only licensed psychologists may call themselves psychologists. 
Continuing weight loss may deteriorate into wasting, a vaguely defined condition called cachexia.[30] Cachexia differs from starvation in part because it involves a systemic inflammatory response.[30] It is associated with poorer outcomes.[25][30][31] In the advanced stages of progressive disease, metabolism can change so that they lose weight even when they are getting what is normally regarded as adequate nutrition and the body cannot compensate. This leads to a condition called anorexia cachexia syndrome (ACS) and additional nutrition or supplementation is unlikely to help.[27] Symptoms of weight loss from ACS include severe weight loss from muscle rather than body fat, loss of appetite and feeling full after eating small amounts, nausea, anemia, weakness and fatigue.[27]
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]
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In the 2000s, hypnotherapists began to combine aspects of solution-focused brief therapy (SFBT) with Ericksonian hypnotherapy to produce therapy that was goal focused (what the client wanted to achieve) rather than the more traditional problem focused approach (spending time discussing the issues that brought the client to seek help). A solution-focused hypnotherapy session may include techniques from NLP.[13]
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