John was not found to be severely anxious- but if he was he would have been referred to psychology service, which vary from area to area in accessibility and service provision. The importance of early identification of clinical depression and anxiety is recognised within cardiac rehabilitation and there should be a protocol in place for local referral to specialist psychology services.
Stress Management is part of the integrated approach to CR programmes and will vary but generally contain the following as part of the whole education programme.
- causes and symptoms of stress
- types of relaxation including compassionate mindfulness
- goal setting
- challenging negative thinking
- assertiveness
- sleep clinic
- problem solving
This can increase patients confidence and all aspects of their recovery can improve including activities.
Pulse point
Mood Café have produced and collated information and resources relevant to various common psychological problems. If the mood takes you , use the menu bar to check out their resources, browse the self help guides and visit recommended websites.
Mood café – click on ‘self-help material’, then ‘relaxation’, to access audio tracks of various relaxation types, in male andhttp://www.moodjuice.scot.nhs.uk/ female voices – click on the link for ‘Non-English Speakers’ to access information on stress management in different languages
Mood juice – to access audio tracks and written instructions for different relaxation techniques, including progressive muscular relaxation (PMR), click ‘Enter Moodjuice’ then ‘go to next page’ twice, then click ‘relaxation’ in the top right hand corner.
Page last reviewed: 27 Jul 2020
