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First Aid at Work (RQF) accredited course delivered by Health Care Professionals

– the practical steps you need to know This live online suicide intervention training covers a wealth of essential information and strategies to help you help anyone you suspect may be thinking about or planning suicide, or who has survived a previous attempt… Accredited CPD Certificate: 6 hours Length: 1 day (9.15am - 4.00pm GMT) You never know when you may need these skills… Brilliant! I’ve been on previous suicide intervention courses over the years, but this is by far the best – great pace, very knowledgeable trainer...who brings real experience into the learning...SUE HASWELL Join Malcolm Hanson LIVE ONLINE on Tuesday 12th March for his essential suicide intervention training, delivered via Zoom. Book your place and we’ll send you the Zoom link the day before the event. BONUS Recording – the training is recorded, in case anyone experiences technical difficulties, so you also get a recording for a limited time afterwards to maximise your learning. Why take this suicide prevention course Suicide can be a difficult subject to broach and a daunting one to deal with – anyone working with distressed or depressed people wants to keep them safe, to give them the hope they need that circumstances can change for the better, and to provide the skills for coping until that comes about. When people can’t envisage an end to their difficulties, particularly in highly challenging times, a slump into depression can all too quickly spiral down into suicidal thoughts, plans and suicide attempts. The negative trance state of depression itself can beguile people into thinking that there is no other way out of their hopelessness. Thankfully, there is much we can do to help – as this indepth suicide intervention course shows. Tutor Malcolm Hanson has a wealth of experience at helping seriously distressed people get through difficulties which he draws upon as he takes you clearly through the steps to take when faced with anyone who feels suicidal. (He worked for 9 years as a psychotherapist in NHS primary care in an area of extreme deprivation, and for many more years since has seen patients referred by GPs, social workers, psychiatrists, police and probation officers for complex issues.) He has successfully helped clients experiencing multiple trauma (including veterans), chronic pain and terminal illness, clients struggling with uncertain asylum status or facing deportation, and also victims of human trafficking – a tragic range of circumstances in which even the most resilient may sometimes sink into despair. His compassion and understanding shine through this course as he shares with you what he has learnt, along with the latest psychiatric research and risk assessment strategies, to give you the knowledge and assurance you need to work confidently and respectfully with clients struggling to find reasons to stay alive. You will learn how to build in expectation of positive change from the start, have plenty of time to benefit from group discussions and will work through case scenarios with other attendees to help embed your learning. Suicide affects countless people, not only those directly involved, and is now the most common cause of death in men aged 17 to 34. The highest suicide rate is in men aged 45–49; in women, it is highest in those aged between 50–54.1 Join us for this practical online suicide prevention training to learn how you can help reverse this state of affairs… Book your place So much helpful and insightful information delivered in a way that was easy to listen to and take on board...STEVEN TESSEYMAN What will you learn Deeper insight into when and why different people consider suicide Crucial elements needed to build rapport with suicidal people Why most suicidal crises are surprisingly temporary How to normalise circumstances safely A model for running therapeutic sessions that best manages suicide risk Ways to use your own demeanour to instil confidence in the person who is feeling suicidal Effective information gathering to challenge unhelpful beliefs What to look for in their answers to your questions How to broach the subject of suicidal thoughts A structure for difficult conversations The ability to reframe unhelpful beliefs Methods of risk assessment that do not risk losing rapport Advances in psychiatric research on suicide risk management and the implications of this for psychotherapy and counselling How to use language of influence Effective means to address beliefs about being a burden How to set realistic and empowering goals How to make best use of the client’s own resources The importance of addressing emotional needs How to create a safety plan Strategies for client safe self-management between sessions The power of guided imagery for working with suicidal clients Powerful insights and hope from real case histories How to take care of yourself – and more… Malcolm is a wonderful communicator: so clear, measured and thoughtful ... it was a pleasure and privilege to learn from himMATTHEW HOPKINS Course Programme The ‘How To Reduce Suicide Risk’ live online course starts at 9.15am and runs until 4.00pm. 9.15am Join the Zoom meeting 9.30am The important first steps for suicide risk management 11.00am Comfort break and discussion 11.30am Working with what the client brings 1.00pm Lunch break 1.45pm Rehearsing the safety plan 2.45pm Comfort break and discussion 3.00pm Putting what you have learned into practice 4.00pm Day ends Who is this suicide awareness and prevention course for? Psychotherapists and counsellors All mental health and welfare professionals – including GPs, social workers, the emergency services, pastoral care and outreach workers – and anyone else working with people with suicidal ideation Anyone concerned for personal or HR reasons – the training contains a lot of key, helpful information which is presented in a clear, easy to understand way, even though it is primarily geared towards carrying out therapy effectively with suicidal clients Anyone working with young people, such as teachers and youth workers, will benefit from this live online suicide intervention course Anyone who may come into contact with people who are very distressed, whether through their paid or volunteer work, will also learn essential live-saving information. Please Note This course is not a substitute for therapy. Reference 1. www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/suicidesintheunitedkingdom/2019registrations The one certainty in life is that circumstances ALWAYS change... This online suicide awareness and prevention course has been independently accredited by the internationally recognised CPD Standards Office for 6 hours of CPD training. On completion of this training you’ll receive CPD certificates from the College and the CPD Standards Office.

Proven to be effective and to improve the prospects of quiet, shy, self-conscious and introverted people. Would you love to Express Yourself and let the real you out? Want to play more in life – and have a whole lot more fun? Want to overcome your fear of performing in front of groups In this unique one-day self-confidence workshop you will be discovering the keys to an authentic confidence and how to exude the kind of magic and passion for life that enables you to look and feel good. The workshop provides a context to express yourself in a safe environment with other people who feel in the same boat as you, and are 100% committed in supporting you in making breakthroughs in the area of self-expression, confidence and overcoming your fears of performing/speaking in front of others. This helps to counteract the effects of having your confidence undermined in the past.

Discover effective new ways to: find out what the problem is, communicate with reluctant teens, discover their hidden strengths, promote positive behaviour change, improve their mental health – and much more… Accredited CPD Certificate: 6 hours Length: 1 day (9.15am - 4.00pm GMT) The best live online I have attended so far and I’ve done eight! Everything was relevant – completely spot onTEACHER / TUTOR Live Online – Join Richard Brook on Tuesday 19th March for this live online training event via Zoom. Simply book your place and we will email you details of how to join the Zoom workshop the day before. BONUS RECORDING – the training is recorded, in case anyone experiences technical difficulties on the day, so you will also get a recording for a limited time afterwards to maximise your learning. Why take this course This live online training event gives you the essential knowledge, tips and practical skills you need to help troubled teenagers unlock their potential and begin to build lives for themselves that work well. Tutor Richard Brook has a wealth of hands-on practical experience in adolescent mental health and social work which he draws on throughout the day – you will have plenty of time to ask questions and discuss how you can implement the skills and techniques in your own work or with the teens you care for.   The programme is varied and intensive, yet lively with a strong focus on gaining skills. It clarifies what healthy teenage development looks like, why things can go wrong and the best ways to help young people overcome obstacles and begin to create lives for themselves that work well. Richard also shows how, by working with the ‘givens’ of human nature, and ensuring that sound knowledge of how people really function is applied intelligently to teenagers, you can speed up progress, reduce anti-social behaviour and teen depression, and bring young people real benefits. At the end of the day you will find yourself more empowered to respond effectively to each individual’s needs and temperament, whilst avoiding yourself the emotional pitfalls of working in stressful situations. Such a realistic and logical approach – it's given me lots of ideas for working with a variety of people, not just teenagers!PROBATION OFFICER What will you learn An increased understanding of what drives most problematic behaviour, including anti-social behaviour Essential knowledge and skills to deliver effective interventions to young people, both individually and in groups A deeper understanding of the causes of adolescent mental health problems Simple yet effective techniques for engaging uncommunicative young people, building rapport and promoting behavioural changes Constructive ways to help prevent teenage depression, anxiety and stress Four vital guiding principles that ensure your work with young people is relevant and effective Ways to motivate young people and help them set achievable goals How to discover and build upon a young person’s strengths and engage them in practical problem-solving Knowledge of how the insights from the human givens approach can dramatically improve interventions and their outcomes The opportunity to discuss how you could implement these in your own work with a highly knowledgeable tutor who has years of hands-on experience Also covered: The common misconceptions about adolescence What healthy teenage development looks like – this may bring you some surprises! A clear and logical foundation upon which to structure creative and effective interventions Ways to respond effectively to each individual’s needs, temperament and learning style How to avoid the emotional pitfalls of working in stressful situations An expanded repertoire of skills and a refined understanding of what works and – most importantly – why Course Programme The ‘How to help troubled and troublesome teenagers’ course starts at 9.15am and runs until 4.00pm. 9.15am Join the Zoom meeting 9.30am What’s the trouble? 11.00am Comfort break and discussion 11.30am How to communicate with teenagers 1.00pm Lunch break 1.45pm Practical problem solving 2.45pm Comfort break and discussion 3.00pm How to help them create a life that works well 4.00pm Day ends This course has been independently accredited by the internationally recognised CPD Standards Office for 6 hours of CPD training. On completion of this training you’ll receive CPD certificates from the College and the CPD Standards Office.

Essential self-care for helping professionals New research gives us practical ways to prevent overwhelm or burnout in ourselves and others, manage workplace stress, avoid ‘compassion fatigue’ and much more… Accredited CPD Certificate: 6 hours Length: 1 day (9.15am - 4.00pm GMT) Really interesting and engaging online course with lots of tips to support ourselves and our clientsCOMPLEMENTARY THERAPIST Live Online Training – Join Emily Gajewski on Thursday 11th April 2024 to take some important time out for yourself, or to help those you support. Once you’ve booked your place we will email you confirmation and you will receive details of how to join the Zoom workshop the day before the event. Bonus Recording – the training is recorded, in case anyone experiences technical difficulties on the day, so you will also get a recording for a limited time afterwards to maximise your learning. Can’t make this date? Then please register your interest below – and we’ll email you when a new date is available. To help others effectively, we need to have enough ‘spare capacity’, which means looking after our own wellbeing too – new research shows us how… Why you should take this course When our day-to-day jobs involve continually listening to other people’s emotional difficulties, how do we avoid being overwhelmed by them ourselves or succumbing to compassion fatigue? We are the ‘tool’ of our trade. It could be argued that we have a duty to those we work with to prioritise our own mental health and wellbeing so that we can give them the best possible service. This live online training events shows you how. ‘Burnout’ is commonly defined as a physical and emotional state caused by excessive or overwhelming workplace stress. This is often specifically related to work but of course feelings of burnout can be impacted or compounded by other life events and caring roles too. Even if we know good stress management techniques, this often isn’t enough. Burnout is a very common phenomena in the ‘helping professions’, A 2018 research review paper published in the Journal of Clinical Psychology analysed 30 years of research on this topic, involving 9,000 psychotherapists. Over half of the therapists they sampled reported “moderate-high levels of stress and burnout”. The good news is that burnout, overwhelm and empathy fatigue are not a given of working in roles where we are consistently exposed to others’ emotional pain. New research and insights into ‘buffering’ the impact of this work mean that we can consciously choose to put in safeguards to our own mental wellbeing, whilst also remaining connected and present with our clients. Emily Gajewski’s online course draws on her extensive experience of working as a therapist and clinical supervisor, in the NHS and privately, for over 20 years. Throughout the day she examines the many ways working in the caring professions can impact us personally and gives you a wealth of practical steps you can take to mitigate them. She also covers the most up-to-date guidance on keeping ourselves well and thriving in caring roles and will help you develop a realistic plan for your own continuing wellbeing. Excellent online training…. very insightful and thought provokingHILARY KEARNS, ACUPUNCTURIST What you will learn The latest research on how to prevent burnout in your working life How to identify burnout in ourselves and others – the warning signs you need to look out for Easy, practical steps to protect yourself in stressful work situations How to avoid ‘compassion fatigue’ Evidence based ‘top tips’ for optimal working practices to maintain your own wellbeing The Cycle of Stress – how to ‘work with it’ for optimal health An understanding of vicarious trauma – and how to avoid it Techniques to calm yourself in client sessions when you are ‘triggered’ by something they bring up Understanding the difference between compassion fatigue and empathy fatigue Reducing your own risk of depression when you’re worried about your clients The joy of creating ‘flow’ in our working life Constructive ways to manage difficult feelings that arise as a result of your work Practical techniques for grounding and ‘letting go’ of clients How to safely explore our own areas of vulnerability Useful tips for ongoing stress management What you need to maintain your own mental health How to re-ground yourself if you’re feeling overwhelmed or derailed by a client An opportunity for you to reflect on your own practice and wellbeing, take some time to step back, learn what works for you and how you can create more spare capacity Time to relax, try out techniques and refresh your tools to support your wellbeing and build resilience How to utilise what you’ve learnt to create your own realistic wellbeing plan. Very useful and practical. The term ‘burnout’ is become as over-used as ‘wellbeing’ and ‘stress’. This online course provides clarity on what the term ‘burnout’ means in reality ... with strategies to counter the effectsHEADTEACHER SUPPORT SERVICE COUNSELLOR Course Programme The ‘How to avoid burnout’ live online course starts at 9.15am and runs until 4.00pm. (GMT). 9.15am Join the Zoom meeting 9.30am Understanding Burnout and how to halt the journey towards it 11.00am Comfort break and discussion 11.30am Exploring practical self-care steps that can work for YOU! 1.00pm Lunch break 1.45pm How to manage difficult feelings that arise as a result of our work 2.45pm Comfort break and discussion 3.00pm Creating a plan for your own wellbeing 4.00pm Day ends Who this workshop is suitable for Anyone who works within a role that involves caring for others – including: medical professionals – including GPs and nurses health and social care professionals therapists and mental health workers counsellors educators, teachers professional carers (foster carers and non-paid carers) social workers occupational therapists outreach workers volunteers holistic practitioners etc. This course has been independently accredited by the internationally recognised CPD Standards Office for 6 hours of CPD training. On completion of this training you’ll receive CPD certificates from the College and the CPD Standards Office.

– essential guidance for safe and effective remote working Join our expert tutors to discover how you can make online therapy work for your practice Accredited CPD Certificate: 4 hours Length: 9am – 1.15pm (BST) LIVE ONLINE – Specialist training in delivering effective therapy online or over the phone – Join Ros Townsend live online on Tuesday 11th June 24 for this jam-packed, informative session. You will receive your Zoom link the day before the event. NB. Spaces are limited and tend to go quickly. Register your interest here if you can’t make this date, and we’ll let you know when there’s another one. BONUS RECORDING – the training is recorded, in case of technical difficulties, so you will also get a recording for 2 weeks afterwards to maximise your learning. Delivering online therapy, or counselling clients on the phone, requires a particular set of skills and brings with it specific considerations. This live online workshop will help you gain confidence in working safely and ethically, examining the advantages, potential drawbacks and adjustments you need to make to work remotely successfully. There will be plenty of time for questions, and helpful discussions with your peers and experienced tutors. Why take this course Whether you are a new practitioner wanting to develop your online practice, or an experienced therapist who has decided to start offering services online or on the phone, this course will help you gain the skills and understanding you need to do so safely and effectively. Unlike other online courses, this practical live online CPD training gives you the opportunity to ask our experienced tutors questions about any aspects that concern you, as well as learning from their case histories about what has worked – and what hasn’t – for them. Covering essential areas such as managing client expectations, setting up a therapeutic online environment, risk management, and the use and adaptation of various skills and techniques for online or telephone work, this course gives you the essential information you need to deliver therapeutic interventions remotely. Both Jo Baker and Ros Townsend, the course tutors, have extensive experience of working with clients online, with Ros now running her entire therapy practice remotely. Jo works using a blended approach (combining face-to-face counselling and online psychotherapy), and both bring a wealth of practical tips, hands on experience and real-life examples to the training. During the day, there will be ample opportunity to discuss and share ideas with both tutors and peers, and to enter into both structured and more free-ranging discussions about both the benefits and potential difficulties that one might encounter when working therapeutically through remote mediums. What the training covers: The importance of aligning client and therapist expectations for online therapy, or therapy over the phone How to set-up successfully for work on the phone or online – including template agreements to use with your clients Managing your technology and ensuring good communication – key things to ascertain, plus troubleshooting tips What to do when the call won’t connect The importance of confidentiality and privacy – and the potential problems you need be aware of when working online Agreeing safe communication methods between sessions How to successfully manage dual therapy spaces The importance of setting and maintaining professional boundaries Discussion regarding what is / is not acceptable in a home therapy space How to manage transitions before and after the session – for clients and therapists The key differences between online and face to face therapy work How to adapt and work successfully with a range of key therapeutic skills – such as Guided Imagery and The Rewind technique Assessing suitability of client presentations – including guidance on cases that are not suitable for online therapy How to manage risk effectively in an online or telephone environment How to put in place effective contingency plans for when technology fails Developing flexibility: dealing with the unexpected – including what to do if a session is interrupted When to refer a client on The additional pressures and potential stressors of online and telephone working Working in a blended way – combining remote and face-to-face sessions Key differences for the client of receiving therapy online or over the telephone The particular considerations of working with a wider client group from different geographical locations The importance of self-care and self-awareness Insurance and GDPR considerations when delivering online therapy or counselling, or working via the phone The importance of appropriate supervision Course Programme The ‘Online and phone therapy training’ course starts at 9.00am and runs until 1.15pm. (BST). 9.00am Join the Zoom meeting 9.15am First session starts 11.00am Comfort break and discussion 11.30am Second session 1.15pm Day ends Who is this course suitable for? This course is designed for both trainee and fully-qualified therapists, psychotherapists and counsellors It is recommended to all HG practitioners by the Human Givens Institute – trainee HG Therapists are expected to take this training if they are considering working online. This course has been independently accredited by the internationally recognised CPD Standards Office for 4 hours of CPD training. On completion of this training you’ll receive CPD certificates from the College and the CPD Standards Office.

Additional specialist online training for anyone working with couples or helping with relationship issues… Accredited CPD: 4 hours Length: 8.45am–1.00pm (GMT) Live training delivered online – Join Jennifer Broadley on Tuesday 9th July 24 for another jam-packed session live online via Zoom. You will have plenty of opportunities to ask questions. Simply book your place and we will send you email confirmation – your Zoom link will be sent the day before the event. BONUS RECORDING – the training is recorded, in case anyone experiences technical difficulties, so you will also get a recording for 2 weeks afterwards to maximise your learning. Can’t make this date, then please register your interest and we’ll let you know as soon as another date is available. This additional online training session gives us time to look in more depth at narcissism and what a relationship with a narcissist might look like In most cases, applying the skills and techniques learned in the Couples Therapy Online Masterclass is all that’s needed to help a couple move forward in their relationship. But sometimes additional knowledge is needed, as in the case of relationships where narcissism is a suspected factor, to help a therapist assess more quickly and meaningfully the relationship dynamic and specific challenges involved, thus allowing them to help the couple more effectively to find a constructive and compassionate way forward and out of their current difficulties. Why take this course The term ‘narcissist’ is often bandied about and narcissism is frequently covered in the media – but is this language over-used or misused? It’s great that awareness is being raised generally about narcissism and the impacts it can have on a relationship, but it’s important to be well informed. As a result of this increased awareness, more people are seeking information and answers to their own experiences, as well as about the causes of their own relationship difficulties and what they can do about them. As part of that process they may well seek some counselling or therapy so it’s important that, as therapists, our knowledge, skillset and stories are as up-to-date and relevant as possible to best serve our clients. If you already work with couples, in your private practice or employed role, and you want some more detailed insight into narcissism and how to spot it, as well as some of the additional relationship challenges it brings, this live online training is for you.. Jennifer gave a very informative response to my specific request for information relating to narcissismPAULINE, THERAPIST ATTENDING JENNIFER'S 'COUPLES THERAPY' COURSE What will you learn What is a narcissistic personality disorder (NPD) – and what are the criteria for clinical diagnosis What specific unkind or manipulative behaviours in relationships can be classed as narcissism – and when should we really not use that term Why the reports of narcissistic emotional abuse in relationships are significantly on the increase – and how (or whether) this parallels family, relationship and societal changes If it’s not narcissism, what else could be causing the dysfunctional relationship pattern? The truths and myths of the nature vs nurture debate in relation to NPD How to spot narcissism when both partners are in your therapy room How to spot NPD when only one partner is in your therapy room Why it’s usually the co-dependant partner, rather than the one with narcissistic personality traits, that instigates therapy How to support an abused partner to exit a narcissistic relationship – OR to remain in it if he/she won’t or can’t leave How to identify which needs are not being met for one or both partners of a couple – and strategies to quickly change that Tools and checklists to keep your clients emotionally and physically safe as you support a rise in their self-esteem, self-compassion and emotional needs being met more healthily The common language (media and social media) for NPD-related behaviours How to raise children (separately or together) when one parent has NPD – the critical Do’s and Don’ts Additional resources to steer your clients towards – plus recommended reading for you as a therapist And more… You will also have plenty of opportunities to ask questions and benefit from those asked by other people. Who is this course suitable for? Anyone who has previously attended our Couples masterclass 1-day workshop (live or in person). Anyone working with couples, perhaps as a relationship counsellor or through couples therapy, who would like a better understanding of narcissism and NPD, and ideas for helping couples deal with the challenges these bring. Please Note This course is not a substitute for therapy.

Additional specialist training for those working with couples or helping with relationship issues… Accredited CPD: 4 hours Length: 8.45am–1.00pm (GMT) Fresh, engaging and very, very informative. I learnt things to use in my personal life as well as with the couples I work with Live training delivered online – Join Jennifer Broadley on Thursday 9th May 24 for another jam-packed session live online via Zoom. You will have plenty of opportunities to ask questions. Simply book your place and we will send you email confirmation – your Zoom link will be sent the day before the event. BONUS RECORDING – the training is recorded, in case anyone experiences technical difficulties, so you will also get a recording for 2 weeks afterwards to maximise your learning. Can’t make this date, then please register your interest and we’ll let you know as soon as another date is available. This additional training session gives us more time to look at how neurodiversity can impact relationships In most cases, applying the skills and techniques learned in the Couples Therapy Online Masterclass is all that’s needed to help a couple move forward in their relationship. Sometimes though, some extra focused knowledge of the challenges within specific types of relationship can help a therapist assess more quickly and meaningfully the relationship dynamic, allowing them to more effectively help the couple find a constructive and compassionate way forward. Why take this course Neurodiversity has been given significant media attention recently, which is all hugely positive. As a result though, more people are seeking out information and answers for their questions and personal experiences. As part of that process, they may well seek some counselling or therapy. It’s important then that, as therapists or counsellors, our knowledge, skillset, language and stories stay as up-to-date and relevant as possible to best serve our clients. In this session, we take time to clarify what’s most helpful and identify practical steps that can help. Jennifer's knowledge and experience shone through What will you learn Debunking the myths about neurodiversity – and replacing them instead with newer, more positive and inclusive research-based thinking The value (or not) of a diagnosis – and the possibility of mis-diagnosis The challenges when one or both partners are neurodiverse The most effective tools to support a re-steer back to respect and compatibility What to look out for with right- and left-brain-orientated neurodiversity How best to get mutual emotional needs met when two partners have different priorities, awareness and emotional expectations Having a neuro-divergent child – and how that can impact a relationship (positively and otherwise) Managing expectations – around the speed of change, and the consistency of more-respectful and kinder behaviours after therapy is complete Strategies that could work well with a neuro-divergent partner – and when might we have to get more creative A therapist’s next steps – when they suspect one or both of a couple is neurodivergent. And much more… You will also have the opportunity to ask Jennifer questions and benefit from the discussions resulting from those asked by others. Who is this course suitable for? Anyone working with couples, perhaps as a relationship counsellor or couples therapist, who would like further insights and ideas for helping couples when one or more is neurodivergent Anyone who has previously attended our Couples masterclass 1-day workshop (live or in person) If you already work with couples in your salaried work or private practice and you want to develop more insight into the different ways neurodivergence can impact couples specifically, and relationships generally, then this online training is for you. Please Note This course is not a substitute for therapy. This course has been independently accredited by the internationally recognised CPD Standards Office for 4 hours of CPD training. On completion of this training you’ll receive CPD certificates from the College and the CPD Standards Office.

Outdoor fitness class which is baby friendly. Suitable from 6-12 weeks postpartum following the all clear from your GP to exercise. We do cardio (no/low/high impact options), bodyweight & resistance exercises. We also focused on core & pelvic floor restoration. We welcome all fitness levels, there are variations to all exercises to suit different Postnatal needs and goals. We are a friendly, supportive & non-judgemental space. Your mental wellbeing is just as important to us as your physical health. Classes are small and in the fresh air for that extra wellness boost, the babies seem to love being outdoors too.  Classes are also a sociable place to chat and support each other. A lot of people head for lunch or coffee or stay for a picnic in the park after.

Awareness of what is happening during the rupture of a coronary plaque assists the attendee in understanding why such a microscopic event can have such a catastrophic outcome.