PROGRAM 1 (this is our immediate need for Sept 10th)
1. The Fit Collective® Wellness Retreat (12-CME)
September 12th, Day 1 — Identify & Understand Your Stress Type
Lecture 1 – The Science of Stress Subtypes
Practice Gap:
Most healthcare professionals and leaders do not have a shared, evidence-based framework to categorize stress response styles. Without this, communication around coping behaviors is often vague, limiting targeted interventions and team alignment.
Objectives:
Define the six core stress subtypes and their distinguishing traits.
Explain the neuroscience underpinning stress coping styles.
Apply subtype identification results to inform personalized regulation strategies.
Lecture 2 – Deep Dive: Assertive, Isolation, Control Distress
Practice Gap:
While many professionals recognize their own stress reactions, they often cannot distinguish between different subtype patterns such as Assertive, Isolation, and Control distress. This lack of precision reduces the effectiveness of burnout prevention and regulation strategies.
Objectives:
Differentiate between Assertive, Isolation, and Control distress subtypes in terms of traits and behavioral patterns.
Analyze burnout risk factors unique to each subtype.
Design subtype-specific regulation strategies for clinical and workplace contexts.
Lecture 3 – Deep Dive: Validation, Catastrophizing, Impulsivity Distress
Practice Gap:
Leaders and clinicians often misinterpret people-pleasing, worst-case thinking, or impulsive decision-making as personality flaws rather than stress subtype responses. This mislabeling can hinder appropriate support and perpetuate maladaptive coping.
Objectives:
Describe key characteristics of Validation, Catastrophizing, and Impulsivity distress subtypes.
Evaluate the impact of these subtypes on team dynamics and personal well-being.
Implement targeted regulation tools to reduce maladaptive patterns in high-stakes environments.
Lecture 4 – Burnout Risk Mapping & Core Regulation Strategies
Practice Gap:
Although burnout is widely recognized, most prevention strategies are generalized and fail to address the specific burnout triggers tied to individual stress subtypes. This reduces their long-term effectiveness.
Objectives:
Identify the link between stress subtype profiles and specific burnout risk factors.
Construct a personalized burnout prevention plan using regulation strategies.
Integrate burnout mapping tools into team and organizational wellness initiatives.
September 13th, Day 2 — Relational Intelligence with the Stress Interaction Matrix
Lecture 5 – The Regulated × Regulated Matrix
Practice Gap:
Many clinicians and leaders are unaware of how regulated subtype pairings can be intentionally leveraged for synergy. Without this understanding, team potential for innovation, trust, and psychological safety remains underutilized.
Objectives:
Describe the strengths of regulated subtype pairings and their potential benefits in team dynamics.
Analyze how to intentionally design team roles based on regulated interactions.
Apply regulated pairing strategies to enhance collaboration and creativity in practice.
Lecture 6 – The Stressed × Stressed Matrix
Practice Gap:
When both individuals are dysregulated, relational breakdowns often escalate quickly. Many leaders lack structured tools to identify and interrupt these spirals, resulting in unresolved conflict and team dysfunction.
Objectives:
Identify common maladaptive patterns when both subtypes are stressed.
Evaluate the organizational impact of unaddressed stressed pairings.
Implement de-escalation strategies tailored to specific stressed subtype interactions.
Lecture 7 – Regulated Supporting Stressed Matrix
Practice Gap:
Leaders and peers often lack a framework for stabilizing dysregulated individuals without enabling maladaptive patterns. This gap limits the ability to restore group function and maintain psychological safety.
Objectives:
Explain the role of a regulated individual in supporting a stressed counterpart.
Demonstrate subtype-specific stabilization techniques.
Integrate regulated-to-stressed intervention scripts into leadership and coaching practice.
Lecture 8 – Applying the Matrix in Real-World Systems
Practice Gap:
Although the Stress Interaction Matrix offers robust relational insight, many organizations have not operationalized it in policy, training, or coaching. This limits its impact on burnout prevention and relational resilience.
Objectives:
Assess organizational contexts where the Matrix can be most impactful.
Develop an implementation plan for integrating the Matrix into team training.
Evaluate the outcomes of Matrix-based interventions in leadership and healthcare settings.
September 14th, Day 3 — Integrating the 12 Neuropsychological Stress Lenses
Lecture 9 – Lenses 1–4: Evolution, Attachment, Perception, Identity
Practice Gap:
Clinicians often lack awareness of how evolutionary mismatch, attachment patterns, cognitive appraisal, and role identity conflict interact to shape stress responses, leading to incomplete intervention strategies.
Objectives:
Explain the theoretical basis for the first four neuropsychological stress lenses.
Analyze the interplay between these lenses and stress subtype expression.
Apply lens-informed strategies to optimize regulation in clinical and leadership contexts.
Lecture 10 – Lenses 5–8: Relationships, Body, Story, Emotions
Practice Gap:
Providers may miss the somatic and relational cues of stress dysregulation, failing to integrate narrative reframing and emotional containment into care and leadership practices.
Objectives:
Identify key mechanisms underlying Safe Space Dysregulation, Somatic Baseline Shifts, Narrative Disruption, and Emotional Containment.
Demonstrate techniques for somatic awareness and narrative reframing.
Integrate emotional containment strategies to improve outcomes in stressed environments.
Lecture 11 – Lenses 9–12: Grief, Temperament, Boundaries, Anticipation
Practice Gap:
Grief, boundary collapse, and anticipatory anxiety are often overlooked in stress management training, resulting in unaddressed drivers of burnout and decreased resilience.
Objectives:
Describe the impact of Hidden Grief, Stress Type Temperament, Boundary Collapse, and Anticipatory Nervous System Hijack on stress responses.
Assess personal and professional patterns related to these lenses.
Apply interventions to address grief, restore boundaries, and reduce anticipatory stress loops.
Lecture 12 – Integration & Action Plan
Practice Gap:
Participants may leave training without a structured plan to integrate subtype awareness, relational intelligence, and neuropsychological lenses into daily practice, limiting long-term impact.
Objectives:
Synthesize knowledge from all retreat modules into a cohesive personal and professional strategy.
Develop a written action plan for ongoing subtype and lens integration.
Commit to measurable behavior changes that support regulation and resilience.
PROGRAM 2
1. Nutrition Training and Obesity Prevention – (48-CME) credits
breakdown of hours
main nutrition modules: 6 hours
longevity modules: 14 hours
emotional eating and body composition training: 7 hours
Live Q&A sessions: 21
Week 1
Motivational Interviewing
Practice Gap: Clinicians often lack structured methods to assess and address patient ambivalence in lifestyle change.
Objectives:
Identify stages of readiness for change in patients.
Apply open-ended questions and reflective listening techniques.
Use motivational interviewing to uncover and address obstacles to adherence.
References:
Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. 3rd ed. Guilford Press; 2013.
Resnicow K, et al. Motivational interviewing in health promotion. Am J Prev Med. 2002;23(1 Suppl):68–74.
Gathering Data with InBody
Practice Gap: Providers may not be utilizing InBody metrics effectively to guide clinical decisions.
Objectives:
Interpret key metrics from InBody scans.
Use InBody data to establish a patient baseline.
Implement routine tracking to assess longitudinal progress.
References:
Kyle UG, et al. Bioelectrical impedance analysis—Part II. Clin Nutr. 2004;23(6):1430–53.
Moon JR. Body composition in athletes and sports nutrition. Curr Sports Med Rep. 2013;12(4):201–7.
Week 2
Assessing Body Type
Practice Gap: Personalized recommendations based on somatotype are underutilized in clinical nutrition.
Objectives:
Classify patients by primary body type.
Adjust recommendations based on body type.
Anticipate typical challenges by body type.
References:
Heath BH, Carter JEL. A modified somatotype method. Am J Phys Anthropol. 1967;27(1):57–74.
Norton K, Olds T. Anthropometrica. UNSW Press; 1996.
Nutrition Audit
Practice Gap: Providers fail to systematically evaluate patients' nutrition habits.
Objectives:
Guide patients in accurate food logging.
Identify behavior patterns.
Recognize nutritional deficiencies or excesses.
References:
Academy of Nutrition and Dietetics. Nutrition Care Process Model. 2022.
Thompson FE, Subar AF. Dietary assessment methodology. In: Nutrition in the Prevention and Treatment of Disease. Elsevier; 2017.
Week 3
Interpreting Nutrition Audits
Practice Gap: Clinicians don’t draw actionable insights from food logs.
Objectives:
Analyze food audits.
Translate findings into strategy.
Provide personalized feedback.
References:
Kirkpatrick SI, et al. Dietary assessment in health research. Nutrients. 2018;10(8):884.
Foster GD, et al. Behavioral treatment of obesity. Am J Clin Nutr. 2005;82(1 Suppl):230S–235S.
BMR & Hunger Hormones
Practice Gap: Hormonal and BMR metrics are underused in treatment plans.
Objectives:
Calculate BMR.
Explain ghrelin/leptin roles.
Apply data to planning.
References:
Müller MJ, et al. Basic concepts for energy expenditure. Clin Nutr. 2004;23(6):1226–43.
Klok MD, et al. The role of leptin and ghrelin in obesity. Obes Rev. 2007;8(1):21–34.
Week 4
Setting Goals
Practice Gap: Patients often set unrealistic goals.
Objectives:
Define SMART goals.
Align goals with readiness.
Monitor and adapt.
References:
Locke EA, Latham GP. Building a practically useful theory of goal setting. Am Psychol. 2002;57(9):705–17.
Bodenheimer T, Handley MA. Goal-setting for behavior change. Patient Educ Couns. 2009;76(3):319–25.
Fat Loss vs. Muscle Gain Nutrition
Practice Gap: Differentiated strategies are rarely taught.
Objectives:
Contrast caloric/macronutrient needs.
Educate patients accordingly.
Use data to revise targets.
References:
Helms ER, et al. Evidence-based recommendations for natural bodybuilding. J Int Soc Sports Nutr. 2014;11(1):20.
Thomas DT, et al. Position of the Academy of Nutrition and Dietetics on Nutrition and Athletic Performance. J Acad Nutr Diet. 2016;116(3):501–28.
Week 5
Choosing Nutrition Strategies
Practice Gap: Nutrition plans often mismatch patient lifestyle.
Objectives:
Compare various strategies.
Match based on personality.
Transition as needed.
References:
Tylka TL, Kroon Van Diest AM. Intuitive eating framework. Eat Disord. 2013;21(3):195–208.
MacLean PS, et al. Biological control of appetite. Obesity. 2015;23(8):1529–39.
Calculating Macros
Practice Gap: Estimations replace precise planning.
Objectives:
Use BMR and activity for calculations.
Adjust with feedback.
Include patient preferences.
References:
Mifflin MD, et al. A new predictive equation for resting energy expenditure. Am J Clin Nutr. 1990;51(2):241–7.
Hall KD, et al. Energy balance and obesity. Lancet Diabetes Endocrinol. 2017;5(12):873–82.
Week 6
Mindful Macros
Practice Gap: Macro tracking can trigger rigidity.
Objectives:
Integrate mindfulness with macros.
Identify disordered behavior.
Customize ranges.
References:
Kristeller JL, Wolever RQ. Mindfulness-based eating awareness. J Eat Disord. 2014;2(1):31.
Segal ZV, et al. Mindfulness-Based Cognitive Therapy for Depression. Guilford Press; 2013.
Intuitive Eating
Practice Gap: Not well integrated in clinical practice.
Objectives:
Define principles.
Integrate cues with goals.
Avoid restrictive patterns.
References:
Tribole E, Resch E. Intuitive Eating. 4th ed. St. Martin’s Essentials; 2020.
Van Dyke N, Drinkwater EJ. Relationships between intuitive eating and health indicators. Public Health Nutr. 2014;17(8):1757–66.
Week 7
Putting It All Together
Practice Gap: Integration of strategies is inconsistent.
Objectives:
Synthesize learned content.
Create sustainable plans.
Use reflection for adjustment.
References:
Prochaska JO, DiClemente CC. Stages of change and health behaviors. Am J Health Promot. 1992;7(1):38–48.
Miller WR. Integrating Clinical Strategies. Guilford Press; 2013.
Tracking Progress
Practice Gap: Patients don’t tie data to personal meaning.
Objectives:
Review metrics with emotion context.
Reframe plateaus.
Combine objective and subjective data.
References:
Bland JM, Altman DG. Statistical methods for assessing agreement. Lancet. 1986;1(8476):307–10.
Andersen E, et al. Self-monitoring and weight loss. Obesity. 2008;16(12):2913–21.
Week 8
Exercise Strategy
Practice Gap: Routines reflect outdated or aesthetic goals.
Objectives:
Design goal-driven programs.
Focus on strength and function.
Deconstruct toxic fitness messaging.
References:
Garber CE, et al. Exercise guidelines. Med Sci Sports Exerc. 2011;43(7):1334–59.
Kravitz L. Exercise and body image. IDEA Fit. 2002.
Handling Plateaus
Practice Gap: Plateaus seen as failure.
Objectives:
Normalize physiological adaptation.
Identify causes.
Build resilience.
References:
Dulloo AG, et al. Adaptive thermogenesis. Am J Clin Nutr. 2015;102(4):804–11.
Foster GD, et al. Behavioral approaches to plateaus. J Am Diet Assoc. 1997;97(9):1041–7.
Week 9
Mindset Barriers
Practice Gap: Cognitive distortions limit progress.
Objectives:
Recognize thought patterns.
Apply CBT tools.
Link mindset to behavior.
References:
Beck JS. Cognitive Behavior Therapy: Basics and Beyond. Guilford Press; 2011.
Burns DD. Feeling Good: The New Mood Therapy. Harper; 1999.
GLP-1 Medications
Practice Gap: Muscle loss risk is not addressed.
Objectives:
Explain mechanism of GLP-1s.
Combine with resistance training.
Monitor InBody for muscle mass.
References:
Nauck MA, et al. GLP-1 physiology and pharmacology. Diabetes Obes Metab. 2004;6(6):402–14.
Wilding JPH, et al. Muscle preservation during weight loss. Obesity. 2021;29(1):124–133.
Week 10
4 Pillar Obesity Medicine
Practice Gap: Only one pillar often emphasized.
Objectives:
Describe all four pillars.
Integrate into a single plan.
Prioritize based on need.
References:
Garvey WT, et al. AACE/ACE obesity guidelines. Endocr Pract. 2016;22(Suppl 3):1–203.
Kushner RF, Ryan DH. The 4 pillars of obesity treatment. Obesity. 2014;22(S2):S17–S24.
Post-Bariatric Nutrition
Practice Gap: Long-term guidance is lacking.
Objectives:
Tailor macros post-surgery.
Prevent deficiencies.
Offer lifestyle reinforcement.
References:
Mechanick JI, et al. ASMBS guidelines. Surg Obes Relat Dis. 2013;9(2):159–91.
Heber D, et al. Nutritional management of bariatric surgery patients. Am J Clin Nutr. 2010;91(5):1320S–1325S.
Week 11
GLP-1 Nutrition Considerations
Practice Gap: Lean mass monitoring is neglected.
Objectives:
Interpret InBody changes.
Adjust protein and training.
Educate on retention strategies.
References:
Lean ME, et al. GLP-1 and muscle health. Lancet Diabetes Endocrinol. 2019;7(5):356–367.
Keeping Kids Out of Diet Culture
Practice Gap: Harmful messages still pervade pediatric nutrition.
Objectives:
Promote body positivity.
Avoid restrictive language.
Support caregiver modeling.
References:
Golden NH, et al. Preventing obesity and eating disorders. Pediatrics. 2016;138(3):e20161649.
Week 12
Beginner Nutrition for Kids
Practice Gap: Few age-appropriate nutrition models exist.
Objectives:
Introduce food groups simply.
Model balanced plates.
Reinforce positive mealtime habits.
References:
USDA. MyPlate for Kids.
Evaluating Muscle Mass in Adults
Practice Gap: Muscle composition isn’t tracked routinely.
Objectives:
Analyze InBody for muscle metrics.
Spot sarcopenia early.
Integrate data into exercise/nutrition.
References:
Cruz-Jentoft AJ, et al. Sarcopenia: revised consensus. Age Ageing. 2019;48(1):16–31.
Buckinx F, et al. Body composition and health. Clin Nutr. 2018;37(6 Pt A):2328–2343.Week 8: Catch Up
Longevity Modules
1. Nutrition & Cellular Repair
Objectives:
Explain the biological mechanisms of autophagy and mitophagy.
Identify nutrients and interventions that enhance mitochondrial healing.
Apply lifestyle strategies that upregulate nutrient signaling pathways (e.g., AMPK, mTOR).
Practice Gap:
Clinicians often lack practical tools to assess and enhance cellular turnover and energy production in aging patients, particularly through non-pharmaceutical interventions.
References:
Madeo F, Zimmermann A, Maiuri MC, Kroemer G. Cell Metab. 2019;29(3):546–561. https://doi.org/10.1016/j.cmet.2019.01.006
Lopez-Otin C, Kroemer G. Nat Rev Mol Cell Biol. 2021;22(4):263–284. https://doi.org/10.1038/s41580-020-00327-9
2. Strength Training for Muscle Preservation
Objectives:
Describe the relationship between skeletal muscle mass and all-cause mortality.
Implement progressive resistance training tailored to age and comorbidities.
Counsel patients on protein timing and intake for hypertrophy support.
Practice Gap:
Many clinicians are not trained to prescribe strength training protocols or assess sarcopenia risk proactively in aging populations.
References:
Fragala MS et al. J Am Med Dir Assoc. 2019;20(1):124–135. https://doi.org/10.1016/j.jamda.2018.10.003
McLeod M et al. Nutrients. 2019;11(6):1257. https://doi.org/10.3390/nu11061257
3. Metabolic Flexibility
Objectives:
Define metabolic flexibility and its role in aging and chronic disease.
Recognize signs of impaired fuel switching in clinical practice.
Integrate nutritional strategies (e.g., fasting, low glycemic index) to enhance metabolic adaptability.
Practice Gap:
Metabolic inflexibility is underdiagnosed, and most clinicians are unfamiliar with lifestyle-based strategies to restore insulin sensitivity and mitochondrial function.
References:
Smith RL et al. Metabolites. 2020;10(6):236. https://doi.org/10.3390/metabo10060236
Muoio DM. Cell Metab. 2021;33(2):214–231. https://doi.org/10.1016/j.cmet.2021.01.011
4. Sleep & Circadian Rhythm
Objectives:
Explain the effects of circadian disruption on hormone balance and cellular repair.
Identify key biomarkers of sleep quality and circadian health.
Counsel patients on light exposure, sleep timing, and chrononutrition.
Practice Gap:
Sleep is often overlooked in preventive medicine, and few providers incorporate circadian rhythm optimization into routine care.
References:
Walker WH et al. Nat Rev Endocrinol. 2020;16(4):213–225. https://doi.org/10.1038/s41574-019-0310-1
Manoogian ENC, Panda S. Nat Rev Endocrinol. 2017;13(7):427–439. https://doi.org/10.1038/nrendo.2017.56
5. Stress Adaptation & Resilience
Objectives:
Describe the physiological impact of chronic stress and allostatic load.
Integrate nervous system training techniques (e.g., breathwork, HRV biofeedback).
Recognize signs of stress-induced metabolic or immune dysregulation.
Practice Gap:
While stress is ubiquitous in patient populations, few providers are equipped with somatic and behavioral tools to build resilience.
References:
McEwen BS, Akil H. Neuropsychopharmacology. 2020;45(1):105–129. https://doi.org/10.1038/s41386-019-0441-9
Thayer JF, Lane RD. Biol Psychol. 2019;148:107–116. https://doi.org/10.1016/j.biopsycho.2019.06.009
6. Cardiovascular Conditioning
Objectives:
Identify VO₂ max as a key predictor of longevity.
Prescribe zone 2 and HIIT training to improve mitochondrial and endothelial health.
Assess cardiovascular fitness with practical, in-clinic tools.
Practice Gap:
Fitness biomarkers such as VO₂ max and endothelial function are rarely incorporated into routine evaluations or treatment plans.
References:
Ross R et al. Prog Cardiovasc Dis. 2019;62(1):54–67. https://doi.org/10.1016/j.pcad.2019.01.007
Santos-Parker JR et al. J Physiol. 2019;597(6):1685–1700. https://doi.org/10.1113/JP277300
7. Hormone Optimization
Objectives:
Review normal aging trajectories for sex and metabolic hormones.
Evaluate hormone panels and signs of dysregulation (e.g., insulin resistance).
Implement lifestyle changes that support endocrine balance.
Practice Gap:
Hormone decline is frequently dismissed as “normal aging” without considering safe optimization strategies or patient quality of life.
References:
Taylor AE et al. Lancet Diabetes Endocrinol. 2019;7(7):628–636. https://doi.org/10.1016/S2213-8587(19)30074-9
Santoro N et al. J Clin Endocrinol Metab. 2021;106(4):e1747–e1759. https://doi.org/10.1210/clinem/dgaa972
8. Gut Microbiome & Inflammation
Objectives:
Explain the gut-immune-longevity axis and its clinical implications.
Identify patterns of dysbiosis and common contributing factors.
Recommend nutrition and prebiotic/probiotic interventions.
Practice Gap:
Clinicians often lack clear clinical protocols for assessing or treating gut inflammation as it relates to aging and chronic disease.
References:
Wilmanski T et al. Nat Metab. 2021;3(2):274–286. https://doi.org/10.1038/s42255-021-00348-0
Vemuri R et al. Nutrients. 2018;10(10):1488. https://doi.org/10.3390/nu10101488
9. Purpose, Identity & Mental Fitness
Objectives:
Define purpose and identity as modifiable healthspan determinants.
Introduce tools to assess psychological flexibility and life satisfaction.
Guide patients in cultivating meaningful engagement and mental fitness habits.
Practice Gap:
Mental health is often siloed from physiological care, and tools for fostering purpose-driven health behaviors are rarely used.
References:
Boyle PA et al. JAMA Psychiatry. 2019;76(5):426–434. https://doi.org/10.1001/jamapsychiatry.2018.4746
Ryff CD. Psychother Psychosom. 2018;87(5):261–273. https://doi.org/10.1159/000488998
10. Body Composition & Visceral Fat
Objectives:
Explain the impact of visceral fat on metabolic and cardiovascular risk.
Interpret DEXA or InBody results in clinical decision-making.
Prescribe lifestyle strategies to shift the lean mass to fat ratio.
Practice Gap:
Body weight remains overemphasized, while muscle-to-fat ratios and visceral fat assessments are underutilized in clinical contexts.
References:
Neeland IJ et al. Circulation. 2019;139(7):837–849. https://doi.org/10.1161/CIRCULATIONAHA.118.031534
Kyle UG et al. Clin Nutr. 2022;41(4):818–825. https://doi.org/10.1016/j.clnu.2021.12.008
11. Environmental & Toxin Exposure
Objectives:
Identify common environmental toxins that impair metabolic and hormonal function.
Counsel patients on reducing exposures to plastics, pesticides, and endocrine disruptors.
Recommend strategies to enhance biotransformation and detoxification.
Practice Gap:
Environmental exposures are often omitted from clinical evaluations despite evidence linking them to chronic disease.
References:
Heindel JJ et al. Environ Health Perspect. 2017;125(9):A206–A209. https://doi.org/10.1289/EHP644
Kim MJ et al. Environ Int. 2020;134:105225. https://doi.org/10.1016/j.envint.2019.105225
12. Social Health & Connection
Objectives:
Describe the biological mechanisms by which social connection impacts longevity.
Screen for social isolation and relationship strain.
Prescribe strategies to enhance social support and community.
Practice Gap:
Social health is rarely addressed systematically in medical care despite being a strong predictor of morbidity and mortality.
References:
Holt-Lunstad J. Am Psychol. 2021;76(3):294–306. https://doi.org/10.1037/amp0000703
Haslam C et al. BMJ Open. 2018;8(3):e020313. https://doi.org/10.1136/bmjopen-2017-020313
13. Brain Health & Neuroprotection
Objectives:
Identify modifiable risk factors for cognitive decline.
Apply lifestyle interventions to promote neuroplasticity.
Use early screening tools for executive function and memory.
Practice Gap:
Neuroprotection is reactive rather than preventive in many clinical settings, missing key opportunities for early intervention.
References:
Livingston G et al. Lancet. 2020;396(10248):413–446. https://doi.org/10.1016/S0140-6736(20)30367-6
Erickson KI et al. Neurobiol Aging. 2019;83:140–147. https://doi.org/10.1016/j.neurobiolaging.2019.03.005
14. Cold & Heat Therapy for Longevity
Objectives:
Explain the physiological effects of hormetic stress via cold and heat exposure.
Evaluate evidence for saunas, ice baths, and contrast therapy.
Design safe protocols for thermal exposure based on patient health status.
Practice Gap:
Providers are unfamiliar with evidence-based applications of thermal therapies and how to integrate them into longevity plans.
References:
Laukkanen JA et al. Ann Med. 2019;51(1):47–55. https://doi.org/10.1080/07853890.2019.1605610
Tipton MJ. Exp Physiol. 2023;108(3):259–268. https://doi.org/10.1113/EP091429
Bonus Sessions
Emotional Eating & Body Composition Training Series
Practice Gap: Many clinicians and patients fail to connect emotional eating patterns with long-term body composition changes, leading to ineffective interventions and weight cycling.
Objectives:
Identify emotional eating triggers and differentiate them from physiological hunger cues.
Implement evidence-based strategies such as journaling, mindfulness, and coping techniques to reduce emotional eating.
Align emotional eating awareness with body composition goals using tools like InBody trends and behavior reflection.
Reference:
Sattelmayer GS, et al. (2017). The impact of emotional eating on weight loss. International Journal of Obesity, 41(5), 735–741.
Live Session Q&As
Practice Gap:
Many clinicians and patients lack practical, evidence-based guidance on applying nutrition principles to real-world scenarios. Without the opportunity to address individualized questions and clarify misconceptions, patients may rely on outdated or inaccurate information, leading to inconsistent dietary habits, suboptimal nutrient intake, and limited progress toward long-term health and body composition goals.
Learning Objectives:
By the end of the live Q&A nutrition education call, participants will be able to:
Clarify common nutrition questions by applying current, evidence-based recommendations to individual scenarios raised during the session.
Differentiate between nutrition myths and scientifically supported strategies in areas such as macronutrient distribution, meal timing, hydration, and supplementation.
Apply personalized nutrition strategies, including mindful eating and body composition tracking tools, to improve adherence, health outcomes, and sustainable lifestyle change.
Reference:
Slavin JL. (2023). Evidence-based nutrition: An overview. Nutrition Research Reviews, 36(1), 1–12.
PROGRAM 3
1. Transform® “Cure” Burnout (72-CME Credits)
Processing Emotion and Journeying Into Physical Transformation to Amplify Self-care and Prevent Burnout.
Transform® Program: Full Objectives & Practice Gaps
Program Overview
Transform® is a 12-month physician coaching program awarding 72 CME credits. It combines cognitive behavioral strategies, emotional mastery, physical health optimization, and resilience training to prevent and heal burnout.
Month 1 – Stress Onboarding & Mismatch Theory
Core Topic:
Stress Subtype Identification Quiz™
Evolutionary origins of stress
Chronic stress in modern life
Technology overload & decision fatigue
Dopamine/reward mismatch
Biological rhythms vs. societal pace
Skill Work:
CBT Principles – intro & foundational skills
Onboarding Cognitive Distortions (identify 5+ types)
Baseline InBody & Nutrition Audit (TDEE calculation)
Nutrition/Exercise:
Onboarding Exercise Strategy (movement assessment)
Establish baseline protein & macro awareness
Month 2 – Attachment Activation & Emotional Awareness
Core Topic:
Adult attachment styles under stress
Abandonment sensitivity & triggers
Secure base vs. dependency
Attachment trauma & regulation
Reparenting the inner attachment wound
Skill Work:
DBT Principles – mindfulness & distress tolerance
Onboarding Stress Scale – create personal 1–10 system
Identifying Your Stress Tendencies
Nutrition/Exercise:
Mindful Macros® – eating with intention
Hunger hormones (ghrelin, leptin, insulin)
Month 3 – Cognitive Appraisal Theory & Reframing
Core Topic:
Stress as perception vs. pressure
Primary & secondary appraisal
Stress mindset: challenge vs. threat
Control perception & learned helplessness
Mental filters & distortion loops
Skill Work:
Radical Acceptance
Realistic Goal Setting & Handling Disappointment
Is Your Goal Worth It?
Nutrition/Exercise:
Body composition goals – scale vs. non-scale metrics
Tracking progress & micro-wins
Month 4 – Role Identity Conflict & Value Alignment
Core Topic:
Role strain & burnout
Conflicting internal identities
People-pleasing & validation loops
Role exit: grief & growth
Aligning values with daily roles
Skill Work:
What If This Is As Good As It Gets? (perfectionism release)
What Age Are You Showing Up As? (emotional maturity)
Self-Boundary & Boundaries with Others
Nutrition/Exercise:
Consistency Creates Results – habit tracking
Energy for Optimal Health – fueling patterns
Month 5 – Safe Space Dysregulation & Relationship Resilience
Core Topic:
“Drop-the-mask” effect
Co-regulation & mirroring
Trust as a trigger
Repairing relational ruptures
Boundaries in intimate spaces
Skill Work:
Strengthening Relationships Through Communication
Managing Conflict
Recognizing What is Yours… And What is Not
Nutrition/Exercise:
Emotional Eating, Willpower, & Urges
Energy & Relationships – how connection impacts choices
Month 6 – Somatic Baseline Shifts & Recovery Awareness
Core Topic:
Allostatic load & body budgeting
Physical signs of chronic stress
Somatic mapping & awareness
Breath, posture, & tension patterns
Interoception cues
Skill Work:
Emotional Processing & Grounding Techniques
Get Snobby with Your Extras (selective commitment)
Neuroplasticity & Emotional Adaptability
Nutrition/Exercise:
Anti-inflammatory nutrition focus
Active recovery training week
Month 7 – Narrative Disruption & Meaning-Making
Core Topic:
Life transitions & identity shifts
From breakdown to breakthrough
Story rewriting & self-talk reframing
Coherent healing narratives
Skill Work:
Allow Growth by Leaning Into Discomfort
Compassion & Forgiveness
Lessons to Unlearn (“Pain Made You Stronger”)
Nutrition/Exercise:
Mid-year body comp reassessment
Nutrition plan refinement for current goals
Month 8 – Emotional Containment & Energy Boundaries
Core Topic:
Emotional suppression vs. flooding
Emotional leakage in leadership/parenting
Intentional containment strategies
Somatic discharge & completion
Skill Work:
Boundaries & Anger
Want vs. Need
Visionary Thinking with 80/20
Nutrition/Exercise:
Nutrient timing for sustained energy
Clipping Thick Cords – letting go of draining habits
Month 9 – Hidden Grief & Micro-Stress Recovery
Core Topic:
Unacknowledged losses
Micro-stressors & irritability
Rituals for small goodbyes
Invisible load & chronic overwhelm
Micro-recovery practices
Skill Work:
Emotional Charge Awareness & Shift
Leaning into Freedom for Authentic Development
Nurturing Emotional Resilience
Nutrition/Exercise:
Simple, busy-day fueling strategies
Recovery-focused exercise week
Month 10 – Temperament & Personalized Stress Tools
Core Topic:
6 Transform Distress Subtypes in practice
Reactivity & regulation styles
Coping personalization based on temperament
Mismatched type conflict resolution
Skill Work:
The Power of “YET” & “AND”
Should Statements & Anxiety
Personalization & Worry Tools
Nutrition/Exercise:
Adjusting macros & training based on progress
Energy & Environment – optimizing surroundings
Month 11 – Boundary Collapse & Burnout Prevention
Core Topic:
Internal vs. external boundaries
Saying no without guilt
Sustainable boundary clarity
Skill Work:
All-or-None Thinking & Next Best Decision
Increasing Vibrational Energy
Protection for Empaths
Nutrition/Exercise:
Simplification strategies for nutrition & workouts during high stress
Month 12 – Anticipatory Nervous System Hijack & Integration
Core Topic:
Future-casting & catastrophizing
Preparing vs. bracing
Somatic pre-stress clues
Safety anchors in uncertainty
Skill Work:
Vision Integration – personalized regulation plan
Maintaining Consistency with External Inconsistencies
Nurturing Long-Term Emotional Resilience
Nutrition/Exercise:
Year-end reassessment & next-year goal mapping
Sustainability plan for fitness & fueling
Detailed Educational Objectives & Practice Gaps
1. CBT Principles: Foundational Skills for Cognitive Behavioral Awareness
Objectives:
Identify and challenge negative automatic thoughts impacting professional and personal performance.
Apply three CBT-based reframing techniques during stress episodes.
Develop a personal "thought journal" to monitor and shift cognitive distortions.
Practice Gaps:
Difficulty identifying negative automatic thoughts due to unconscious cognitive patterns.
Lack of familiarity with structured CBT reframing methods.
Inconsistent journaling habits or lack of guidance on how to track and analyze cognitive patterns.
2. Onboarding Cognitive Distortions: Identifying Common Thought Patterns
Objectives:
Recognize at least five cognitive distortions commonly experienced under stress.
Practice structured reflection to challenge distorted thinking weekly.
Implement a replacement thought strategy for each identified distortion.
Practice Gaps:
Limited awareness of different types of cognitive distortions (e.g., catastrophizing, black-and-white thinking).
Inadequate practice in structured reflection and thought replacement.
Struggles with integrating cognitive replacement into real-life scenarios.
3. DBT Principles: Tools for Emotional Regulation
Objectives:
Utilize at least three DBT skills (e.g., mindfulness, distress tolerance) during high-stress situations.
Design a personal emotional regulation plan using DBT tools.
Track emotional triggers and corresponding coping strategies weekly.
Practice Gaps:
Insufficient knowledge of DBT techniques.
Lack of a personalized plan to apply DBT skills.
Infrequent tracking of emotional triggers and inadequate application of coping mechanisms.
4. Onboarding Stress Scale: Building Individualized Stress Recognition Tools
Objectives:
Develop a personalized 1–10 stress scale based on physical, mental, and emotional indicators.
Use the stress scale weekly to guide self-care interventions.
Adjust and refine the stress scale based on reflective journaling.
Practice Gaps:
No individualized stress measurement system in place.
Limited self-awareness of emotional, physical, and mental stress signals.
Failure to adjust coping strategies based on changing stress patterns.
5. Onboarding Body Type & Genetics: Understanding the Genetic Basis for Stress Responses
Objectives:
Analyze personal body composition and genetic tendencies affecting stress response.
Understand the role of genetic predisposition in stress reactivity and recovery.
Integrate genetic awareness into stress and resilience plans.
Practice Gaps:
Lack of understanding of how body type and genetics influence stress response.
Inability to interpret genetic data or body composition metrics.
Absence of practical application of genetic awareness in stress management.
6. Onboarding Nutrition Audit & TDEE: Evaluating Nutritional Baselines for Resilience
Objectives:
Calculate Total Daily Energy Expenditure (TDEE) and evaluate current intake.
Identify three nutritional habits impacting energy and emotional resilience.
Implement one nutritional change based on audit findings.
Practice Gaps:
Limited knowledge of how to calculate TDEE.
Poor insight into how current nutrition affects energy and mood.
Resistance or uncertainty about making data-driven nutritional changes.
7. Onboarding Nutrition Strategy: Personalized Plans to Prevent Exhaustion
Objectives:
Design an individualized nutrition plan to promote sustained energy and prevent burnout.
Track energy levels against food intake weekly.
Modify macronutrient balance based on performance feedback.
Practice Gaps:
Absence of a personalized nutrition strategy.
Inability to correlate energy dips with food intake.
Lack of macronutrient literacy or feedback-based adjustments.
8. Mindful Macros®: Eating Intentionally for Energy and Clarity
Objectives:
Practice mindful eating with an emphasis on macro balance.
Adjust macronutrient distribution to optimize mental clarity.
Reflect weekly on how food choices impact cognitive and emotional function.
Practice Gaps:
Limited understanding of macronutrient roles and balance.
Poor implementation of mindful eating practices.
Inconsistent reflection on how nutrition affects mental/emotional state.
9. Hunger Hormones and Strategies: Understanding Internal Hunger Cues
Objectives:
Understand the role of ghrelin, leptin, and insulin in hunger and satiety.
Implement hunger awareness techniques to improve eating habits.
Utilize meal timing strategies to regulate hunger hormones.
Practice Gaps:
Insufficient knowledge of hormonal influences on hunger.
Unawareness of hunger and satiety cues.
Lack of structured meal timing practices to stabilize hunger.
10. Body Composition Goals for Weight Loss: Setting Realistic, Sustainable Goals
Objectives:
Establish SMART goals for body composition.
Monitor progress through measurements beyond scale weight.
Adjust strategies monthly based on body composition changes.
Practice Gaps:
Unrealistic weight loss expectations or over-reliance on scale weight.
Neglecting alternative measurements like waist circumference or body fat %.
Infrequent review of body composition data to inform progress.
11. Onboarding Consistency Creates Results: Building Sustainable Health Habits
Objectives:
Identify one key health behavior to implement consistently over 12 weeks.
Build habit-tracking systems to support new behaviors.
Reflect and adjust for obstacles to consistency.
Practice Gaps:
Difficulty in establishing consistent health behaviors.
Lack of accountability systems (e.g., habit trackers).
Tendency to abandon habits after minor setbacks.
12. Onboarding Exercise Strategy: Structuring Physical Activity for Resilience
Objectives:
Develop a 52-week exercise plan focused on building resilience.
Customize exercise plans based on stress levels and recovery needs.
Track performance and recovery to modify plans.
Practice Gaps:
No structured, long-term fitness plan.
Lack of adaptability based on stress or recovery needs.
Failure to track or respond to performance data.
13. Tracking Progress: Metrics for Emotional and Physical Health
Objectives:
Establish weekly self-assessment tools for emotional well-being and fitness.
Review and adjust progress-tracking systems quarterly.
Celebrate micro-wins to reinforce motivation.
Practice Gaps:
No standard system for monitoring emotional and physical metrics.
Lack of periodic reviews or data interpretation.
Inability to recognize and celebrate small wins.
14. Realistic Goal Setting and Handling Disappointment: Managing Expectations
Objectives:
Set emotionally realistic goals aligned with core values.
Practice self-compassion strategies when facing setbacks.
Reflect on disappointment as a learning tool.
Practice Gaps:
Setting goals misaligned with values or abilities.
Poor emotional regulation after setbacks.
Viewing disappointment as failure rather than feedback.
15. Is Your Goal Worth It?: Authentic Goal Evaluation
Objectives:
Perform regular goal audits for alignment.
Create a values-goals matrix.
Adjust goals based on life changes.
Practice Gaps:
Infrequent goal reassessment.
No structured method to visualize value alignment.
Rigidity in goal pursuit.
16. Radical Acceptance: Integrating Acceptance-Based Strategies
Objectives:
Implement daily practices of radical acceptance.
Identify and release resistance to stressors.
Journal experiences to enhance flexibility.
Practice Gaps:
Resistance to accepting uncontrollable events.
Inconsistent use of mindfulness-based acceptance.
Difficulty letting go of emotionally charged stressors.
17. What if This Is as Good as It Gets?: Releasing Perfectionism
Objectives:
Challenge perfectionistic beliefs.
Practice gratitude for current state.
Redefine success flexibly.
Practice Gaps:
Persistent perfectionistic standards.
Low gratitude practice.
Inflexible definitions of success.
18. What Age Are You Showing Up As?: Emotional Maturity and Stress Management
Objectives:
Reflect on emotional reactions via maturity lens.
Identify “younger selves” in decisions.
Cultivate mature leadership strategies.
Practice Gaps:
Lack of self-awareness around emotional reactivity.
Limited understanding of developmental psychology.
Few tools to foster emotional maturity.
19. Emotional Processing and Grounding Techniques: Practical Coping Skills
Objectives:
Practice at least two grounding exercises daily.
Utilize labeling and journaling for emotional processing.
Create a high-stress coping plan.
Practice Gaps:
Lack of daily emotional regulation tools.
Difficulty processing complex emotions.
No contingency plan for stress surges.
20. Emotional Eating, Willpower, Urges: Emotional Regulation Strategies
Objectives:
Identify emotional triggers for eating.
Use urge surfing and substitution strategies.
Track episodes and resilience responses.
Practice Gaps:
Inability to recognize emotional eating triggers.
Lack of non-food coping strategies.
No system to track urges or growth.
21. Get Snobby with Your Extras: Selective Commitment for Energy Preservation
Objectives:
Audit commitments to reduce energy drains.
Create a personal "yes/no" framework.
Conduct monthly reviews for adjustments.
Practice Gaps:
Overcommitment due to unclear values.
No time/energy audit method.
Difficulty saying “no.”
22. Identifying Your Core Desires: Anchoring Growth in Authentic Emotional Goals
Objectives:
Create a Core Desire Map.
Align goals with desires monthly.
Reflect quarterly on alignment.
Practice Gaps:
Lack of clarity around core desires.
Goals set based on external expectations.
Misalignment between values and actions.
23. Understanding Old Habits Coming Back: Recognizing Patterns Compassionately
Objectives:
Track recurring patterns compassionately.
Develop gentle intervention strategies.
Celebrate increased self-awareness.
Practice Gaps:
Lack of compassion for relapse.
No recognition system for patterns.
Few re-engagement strategies.
24. Self-Boundary and Boundaries with Others: Establishing Protective Limits
Objectives:
Set personal non-negotiables.
Use respectful boundary-setting scripts.
Reflect monthly on integrity.
Practice Gaps:
Weak or undefined boundaries.
Difficulty communicating needs.
Infrequent reflection on boundary integrity.
Live Session Q&As (96 hours per calendar year)
Practice Gap:
Many clinicians and patients lack practical, evidence-based guidance on applying cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) principles to real-world challenges. Without structured coaching and opportunities to apply these techniques to individualized situations, patients may rely on ineffective coping strategies, leading to persistent maladaptive thought patterns, emotional dysregulation, and difficulty achieving sustainable behavior change.
Learning Objectives:
By the end of the live evidence-based coaching call, participants will be able to:
Clarify common mindset and behavioral challenges by applying CBT and DBT principles to individual scenarios discussed during the session.
Differentiate between unhelpful cognitive patterns and evidence-based reframing strategies to improve emotional regulation and problem-solving.
Apply personalized behavioral strategies, including mindfulness skills, distress tolerance techniques, and thought-challenging exercises, to enhance resilience, goal attainment, and long-term habit sustainability.
Reference:
Beck JS. (2021). Cognitive Behavior Therapy: Basics and Beyond (3rd ed.). New York: Guilford Press.
Linehan MM. (2015). DBT Skills Training Manual (2nd ed.). New York: Guilford Press.
PROGRAM 4
Stress Rx™ – The Stress Prescription: Identify, Interact, Integrate — A 3-Phase Framework for Understanding and Regulating Emotional Dysregulation (12-CME Credits)
Module 1 – The Science of Stress Subtypes
Practice Gap:
Most healthcare professionals and leaders do not have a shared, evidence-based framework to categorize stress response styles. Without this, communication around coping behaviors is often vague, limiting targeted interventions and team alignment.
Objectives:
Define the six core stress subtypes and their distinguishing traits.
Explain the neuroscience underpinning stress coping styles.
Apply subtype identification results to inform personalized regulation strategies.
Module 2 – Deep Dive: Assertive, Isolation, Control Distress
Practice Gap:
While many professionals recognize their own stress reactions, they often cannot distinguish between different subtype patterns such as Assertive, Isolation, and Control distress. This lack of precision reduces the effectiveness of burnout prevention and regulation strategies.
Objectives:
Differentiate between Assertive, Isolation, and Control distress subtypes in terms of traits and behavioral patterns.
Analyze burnout risk factors unique to each subtype.
Design subtype-specific regulation strategies for clinical and workplace contexts.
Module 3 – Deep Dive: Validation, Catastrophizing, Impulsivity Distress
Practice Gap:
Leaders and clinicians often misinterpret people-pleasing, worst-case thinking, or impulsive decision-making as personality flaws rather than stress subtype responses. This mislabeling can hinder appropriate support and perpetuate maladaptive coping.
Objectives:
Describe key characteristics of Validation, Catastrophizing, and Impulsivity distress subtypes.
Evaluate the impact of these subtypes on team dynamics and personal well-being.
Implement targeted regulation tools to reduce maladaptive patterns in high-stakes environments.
Module 4 – Burnout Risk Mapping & Core Regulation Strategies
Practice Gap:
Although burnout is widely recognized, most prevention strategies are generalized and fail to address the specific burnout triggers tied to individual stress subtypes. This reduces their long-term effectiveness.
Objectives:
Identify the link between stress subtype profiles and specific burnout risk factors.
Construct a personalized burnout prevention plan using regulation strategies.
Integrate burnout mapping tools into team and organizational wellness initiatives.
Module 5 – The Regulated × Regulated Matrix
Practice Gap:
Many clinicians and leaders are unaware of how regulated subtype pairings can be intentionally leveraged for synergy. Without this understanding, team potential for innovation, trust, and psychological safety remains underutilized.
Objectives:
Describe the strengths of regulated subtype pairings and their potential benefits in team dynamics.
Analyze how to intentionally design team roles based on regulated interactions.
Apply regulated pairing strategies to enhance collaboration and creativity in practice.
Module 6 – The Stressed × Stressed Matrix
Practice Gap:
When both individuals are dysregulated, relational breakdowns often escalate quickly. Many leaders lack structured tools to identify and interrupt these spirals, resulting in unresolved conflict and team dysfunction.
Objectives:
Identify common maladaptive patterns when both subtypes are stressed.
Evaluate the organizational impact of unaddressed stressed pairings.
Implement de-escalation strategies tailored to specific stressed subtype interactions.
Module 7 – Regulated Supporting Stressed Matrix
Practice Gap:
Leaders and peers often lack a framework for stabilizing dysregulated individuals without enabling maladaptive patterns. This gap limits the ability to restore group function and maintain psychological safety.
Objectives:
Explain the role of a regulated individual in supporting a stressed counterpart.
Demonstrate subtype-specific stabilization techniques.
Integrate regulated-to-stressed intervention scripts into leadership and coaching practice.
Module 8 – Applying the Matrix in Real-World Systems
Practice Gap:
Although the Stress Interaction Matrix offers robust relational insight, many organizations have not operationalized it in policy, training, or coaching. This limits its impact on burnout prevention and relational resilience.
Objectives:
Assess organizational contexts where the Matrix can be most impactful.
Develop an implementation plan for integrating the Matrix into team training.
Evaluate the outcomes of Matrix-based interventions in leadership and healthcare settings.
Module 9 – Lenses 1–4: Evolution, Attachment, Perception, Identity
Practice Gap:
Clinicians often lack awareness of how evolutionary mismatch, attachment patterns, cognitive appraisal, and role identity conflict interact to shape stress responses, leading to incomplete intervention strategies.
Objectives:
Explain the theoretical basis for the first four neuropsychological stress lenses.
Analyze the interplay between these lenses and stress subtype expression.
Apply lens-informed strategies to optimize regulation in clinical and leadership contexts.
Module 10 – Lenses 5–8: Relationships, Body, Story, Emotions
Practice Gap:
Providers may miss the somatic and relational cues of stress dysregulation, failing to integrate narrative reframing and emotional containment into care and leadership practices.
Objectives:
Identify key mechanisms underlying Safe Space Dysregulation, Somatic Baseline Shifts, Narrative Disruption, and Emotional Containment.
Demonstrate techniques for somatic awareness and narrative reframing.
Integrate emotional containment strategies to improve outcomes in stressed environments.
Module 11 – Lenses 9–12: Grief, Temperament, Boundaries, Anticipation
Practice Gap:
Grief, boundary collapse, and anticipatory anxiety are often overlooked in stress management training, resulting in unaddressed drivers of burnout and decreased resilience.
Objectives:
Describe the impact of Hidden Grief, Stress Type Temperament, Boundary Collapse, and Anticipatory Nervous System Hijack on stress responses.
Assess personal and professional patterns related to these lenses.
Apply interventions to address grief, restore boundaries, and reduce anticipatory stress loops.
Module 12 – Integration & Action Plan
Practice Gap:
Participants may leave training without a structured plan to integrate subtype awareness, relational intelligence, and neuropsychological lenses into daily practice, limiting long-term impact.
Objectives:
Synthesize knowledge from all retreat modules into a cohesive personal and professional strategy.
Develop a written action plan for ongoing subtype and lens integration.
Commit to measurable behavior changes that support regulation and resilience.