1. 1 © 2012 HeartMath LLC Transforming Stress into Resilience Bruce Cryer Director, HeartMath UK Global Director, HeartMath HealthCare Staff Resilience and the Use of Heart Rate Variability Biofeedback 11 June 2013

2. 2 © 2012 HeartMath LLC Transforming Stress into Resilience 2 s s

3. 3 © 2012 HeartMath LLC Transforming Stress into Resilience A Brief History of HeartMath Founded near Silicon Valley in 1991 to study relationship between stress, emotion, performance, brain and heart function Authored more than 60 published studies on cardiovascular health, cognitive performance, health care utilization, staff retention, PTSD Developed award-winning biofeedback and mobile stress reduction technology

4. 4 © 2012 HeartMath LLC Transforming Stress into Resilience Publications American Journal of Cardiology Harvard Business Review Wall Street Journal Journal of Holistic Healthcare (UK) Modern Healthcare Journal of Stress Medicine Journal of Preventive Cardiology

5. 5 © 2012 HeartMath LLC Transforming Stress into Resilience Resilience Adapt more quickly to change Recover quickly after hardships Increased capacity to prevent debilitating reactions – “bounce back stronger”

6. 6 © 2012 HeartMath LLC Transforming Stress into Resilience

7. 7 © 2012 HeartMath LLC Transforming Stress into Resilience 1400 biochemical changes Nervous system overload Mental inconsistencies Resilience Depletion Compromised performance Stressful Emotions

8. 8 © 2012 HeartMath LLC Transforming Stress into Resilience Positive Emotions Beneficial biochemical changes Nervous system balance Increase mental clarity Build Resilience Enhance performance

9. 9 © 2012 HeartMath LLC Transforming Stress into Resilience

10. 10 © 2012 HeartMath LLC Transforming Stress into Resilience

11. 11 © 2012 HeartMath LLC Transforming Stress into Resilience Heart Rate Variability (HRV) 0.859 sec. 0.793 sec. 0.726 sec. 70 BPM 76 BPM 83 BPM

12. 12 © 2012 HeartMath LLC Transforming Stress into Resilience HEART RATE (BPM) Seconds HRV = The Heart Rhythm 100 90 80 70 60 50 40 30 20 10 0 8 10 12 14 16 18 20 22 24

13. 13 © 2012 HeartMath LLC Transforming Stress into Resilience Heart Rate Variability Key indicator of autonomic function Low HRV = high cardiac risk High HRV = low cardiac risk Decreases with age Low HRV is predictive of MI and sudden death – Circulation, 1996;93: 1043-1065

14. 14 © 2012 HeartMath LLC Transforming Stress into Resilience The good news: We can regulate our own HRV. 14

15. 15 © 2012 HeartMath LLC Transforming Stress into Resilience HEART RATE TIME (SECONDS) Frustration Appreciation HRV and emotion Inhibits Brain Function (Incoherence) Facilitates Brain Function (Coherence)

16. 16 © 2012 HeartMath LLC Transforming Stress into Resilience DemonstrationDemonstration

17. 17 © 2012 HeartMath LLC Transforming Stress into Resilience Selected Outcomes

18. 18 © 2012 HeartMath LLC Transforming Stress into Resilience

19. 19 © 2012 HeartMath LLC Transforming Stress into Resilience Pre-Post psychometric survey Improvements - Exhaustion

20. 20 © 2012 HeartMath LLC Transforming Stress into Resilience Improvements - Anxiety

21. 21 © 2012 HeartMath LLC Transforming Stress into Resilience Improvements - Annoyed & Angry

22. 22 © 2012 HeartMath LLC Transforming Stress into Resilience Improvements in Health Aches and Pains 44% Decrease

23. 23 © 2012 HeartMath LLC Transforming Stress into Resilience Thank You! www.heartmath.com.ukwww.heartmath.com.uk – training, research and technology bcryer@heartmath.com Connect with me on LinkedIn, Twitter, Facebook, brucecryer.com