#133 - When Performance Becomes Personal: Mental Health, Identity, and the Injured Athlete with Dr. Karolina Shander, Part 3

Welcome to The Factor podcast, where we talk about the stuff they didn't teach you in school, how to grow your practice, refine your clinical skills, and get better results for your patients. We're here to help you navigate the real world challenges of being a healthcare provider, from delivering top notch patient care to running a business that doesn't run you into the ground. Whether you're fresh out of school or scaling your practice, we're diving into effective, cutting edge treatments to get patients better, faster. We'll also talk about business strategies and tactics to help you work smarter and not harder, and the mindset shifts required to thrive as a top performer in your field so you can build a career you love without burning out. If you're ready to learn what works and what doesn't from leading experts, industry innovators, and respective clinicians across a wide range of specialties, you're in the right place. My friend. Let's dive in. Welcome back to the Factor podcast, where we rich the gap between rehab performance and real world clinical practice. I'm your host, Jessica Riddle, and today we're closing out our three part conversation with doctor Carolina Shander, licensed psychologist and certified mental performance consultant who specializes in sport and performance psychology. Throughout this series, we've talked about the whole human behind the athlete, the role of identity, mental health, pain recovery, burnout, agency, and communication in clinical care and performance. In this final part of the conversation, we move into resources, referral pathways, and what providers can actually do when they recognize that a patient may need support beyond the physical care plan. Doctor Shander shares practical places to look for mental health and performance psychology providers, how to think about finding the right fit, and why building a relationship with a trusted provider in your area can make it easier to support patients. When those needs arise. We also talk today about accessible resources for patients who may not have the financial means for one on one care, including support groups, low cost options, books, apps, and community based resources. And finally, we'll touch on the role of AI and mental health and performance care, where it may be useful for education or finding resources, but why it can't fully replace the human connection that makes therapy so meaningful. This episode is a practical and thoughtful close to a conversation every provider should be having. How do we treat the person in front of us, not just the injury that they walked in with. Let's dive into part three of my conversation with doctor Carolina Shander. What are some practices that you would recommend for healthcare providers to do for themselves to prevent burnout and to help them be healthy and be in a place where they can continue to give at such a high level. You just said something super important about burnout or even like, let's say, challengees sometimes because we're so a driven but also we're doing so many things and supporting so many people, like we don't notice it in ourselves. And so something I like to ask people is when do you know that you're performing at your best and then be able to scale that back to like when do you know that you're performing just at like meets expectations and that you're doing just enough right to get by? And if those are the things that are different and you're not kind of lining up to those, then maybe you start to ask yourself questions of like, Okay, maybe there's something I need to shift and change. But a big part is awareness and also prevention so like being aware and also kind of doing some of these mental skills or mental performance skills for prevention are the two things that make people really elite, at least from my experience, because we got to know ourselves super well, and then we also got to look at things in a way from prevention and not just reaction. And so for practitioners, it's about how do we implement breaks and not breaks like self care like oh, take two weeks off or what not to recover and rejuvenate. But what does it look like to take fifteen minutes to ourselves before we start our workday, literally just sitting in our car to be able to either meet ourselves where we're at and ask ourselves like what do I need right now? Or to jam out in our car and give ourselves just I guess, the space to just be and feel whatever we want to, y'all. I also recommend being able to have like a regular check in with like how am I doing? Maybe it's on a Sunday, but maybe not, it's Sunday scaries too, but like maybe at some point during the week that you know and you can depend on giving yourself the opportunity to not have to be available to anybody else but yourself. I think the helping profession and including myself, we get wrapped up in how helpful I can be to somebody else versus that I also have to be helpful to myself. I also think about what are the kind of three non negotiables that I, as a human have each day to make myself be able to function at just like a baseline, Like for me, it's some kind of movement at least a cup of coffee, and then a favorite snack, like I have to have some kind of favorite snack every day that I look forward to because that gives me that like jolt and excitement of like, Okay, I'm not just like eating you know, my egg bites or like my fruit or anything like that, but something that's going to give me that extra jolt in the afternoon that I can depend on. I think the big part about burn is there's no kind of anticipation of relief. And if we can build that in throughout our day, within our week, within our month, we're more likely to be able to feel like, Okay, I'm honoring what I need and what I feel right now, and I can be okay. And I've heard that some too, when it comes to like the even the neuroscience behind motivation and behind fulfillment in your career or even in other areas of life. Your brain needs novelty and your brain to look forward to. And I think one of the things that you said was so important is that it doesn't have to be a two week vacation because oftentimes, especially if you are a business owner or a parent, or someone who has a heavy amount of responsibility, you're caring. You can't just peace out. But if you can build in little things like having a favorite snack, like having something to look forward to in your day to day or even something once a week, that can be a really crucial component. And I think you know, I would venture to guess even asking your patience about that too, Like do you have something on a regular basis that you do just for you? Like how are you feeding yourself? Not just from a food standpoint, but how are you like feeding your soul right now? What are you doing to incorporate something positive in your daily life? Yeah, and having that awareness of how and what fuels your soul right Like, I think something that's really effective sometimes for people is this idea of just being a little bit more mindful and aware, right, Like, so can we slow things down? Can I pay attention to Okay, when I drive up to my office, do I just shut the car off really quickly and run out and get in the office, or do I take a second and like take a couple deep breasts, and do I make sure I have my water and my coffee and my snack, and like, okay, I have what I need today and give myself I guess that promise that I have everything that I need today, or maybe just the awareness that I don't, and that's okay. But to slow down just a little bit, I mean that awareness just allows us to feel so much more comfortable and safe over time, because our body is prepared for us to do so. If we're constantly, for example, running like you'll be running from a bear forever, versus like, oh, I have a hiding spot, I'm able to take a sit down and be able to rest and be okay. I mean, our body and our nervous system responds so much better to promises of rest and recovery than it does to a never ending goal that we don't know when we're going to get there and achieve. I know, a lot of high achievers or driven individuals, and I can even speak from my own experience, sometimes have feelings of guilt. So take even if it's small, you have guilt because there's a never ending to do list. Yeah, I feel like, especially a lot of times, caregivers or parents experience this where it's like, how do I take time for me when they need so much? Do you feel like it is helpful to you plan or to schedule these instances of rest or these instances of feeding your soul so to speak? Is that a better way to kind of counteract that guilt that inevitably comes from that if they at least know it's coming, or if you can at least plan it or set it aside, then maybe that takes away some of the weight of the guilt of all the other things that are stacking up while I'm taking this time. I mean, first of all, I would be really curious of like where that guilt comes from, because I mean, it is pretty common, but where it comes from is different for different kinds of people. But I think pre scheduled is always important because there's that dependability and almost like accountability or responsibility you create for yourself as well as the fact that like, you know it's there and you can you show up to eight am on a Thursday and you know that that's your half hour walk or your time that you have for yourself. For sure, I think what is important, at least for me to assess an access is what kind of how do we build in this kind of time and rest that it actually makes sense to you for you to be able to do it and commit to it in function. So I don't know about you, but there have been moments in my life where I've taken a day off and I end up doing more on my day off than I did on my work day because I put all of my other things on my day off because I feel like I need to do them, versus to be able to start to understand similar to like an athlete, right of like, rest isn't just about doing nothing, but it's about like, Okay, how do I give myself peace for a minute. How do I reset my nervous system to be able to fire on all cylinders tomorrow and to make it feel important for me and to make it feel important for that practitioner or that athlete that wow, okay, I took that thirty minutes, and maybe I was a little bit more anxious the rest of the day because I felt like I could have done something else then, But dang I slept better, or like my stomach hurt a little bit less, or I wasn't as grabby to my husband. Like being able to also help somebody build the awareness of what the effect of that rest is is actually probably going to help us be able to schedule it a little bit more often or a little bit more so. To answer your question, yes, but there's some other caveats in. There, I would add absolutely, And I understand too that as a healthcare provider and as someone that is a healer, I'm sure this is also very true to healthcare providers like yourself that are in the mental health field. You are in a position to where you're coming alongside these patients in their healing journey, and you're carrying a little bit of a load, right, whether that means that you're using your hands on them to treat their physical body, whether that means you're sitting down and you're having deep conversations with them and kind of unpacking some things from a mental or emotional standpoint. How important has having some type of ritual for you as a provider, maybe in between patient visits, maybe at the end of the day, to kind of reset for yourself, because I know, especially people who are very empathetic, you feel a lot and sometimes you feel the emotions of other people, or you feel the energy coming from other people. And many times when you are seeing people in pain, they may be at some experienced some of the worst times of their life. How important have you found having some type of ritual or practice that you do on a regular basis to kind of I don't mean to use the cheesy word like cleanse yourself, but like, how do you get it off of you? How do you get that negative energy or that those emotions that this other person is experiencing that sometimes may even churn up things within yourself. What do you recommend to make sure that these providers are kind of able to reset themselves and their own nervous system after those interactions. That's a good question, and I'm smiling because a big part of my work is to feel the motions in the room, especially when somebody can't, and so being able to hold that and work with it and access it is massive. And I didn't realize how important it was to I guess, like take care of myself until I don't know, like five years ago. Where part of the answer to your question is being able and open to changing, Like what I need to do what I've noticed for myself when I have a really hard day or a day that just feels like wow, like it was really good one but really active and there was a lot at play and there was so much kind of work going on, I actually need to drive home in silence. I need to give myself the silence to not call and make appointments or to call somebody that I need to talk to that I've wanted to talk to for a while, but to just give myself the forty minute drive to see what comes up for me because I haven't had actually the silence to do so that I found important. I find movement really helpful. So we work on a fifty minute window and so zero to fifteen, and so then I have that ten minutes to grab a snack, pee, do whatever. But what I found for myself that's really important, which is also super like it's shown in the research of changing position. So I might be sitting in my desk chair like on a video call, and then I'll literally lay down on my floor just for a minute and just to be able to change like my body position, to be able to be like, oh, I'm in a different place and be able to reset for the next person. Or I go sit out, or I go sit outside just for literally thirty seconds to get some vitamin D, but to just change my position in my environment, because our body needs some kind of reminder, hey I'm okay, Hey I need a little reset as well as my own self talk of like being able to create safety and predictability for myself that yeah, I'm feeling a lot right now, but I will have some time to decompress it and relax when I drive home, being able to remind myself of that time that I have kind of set aside for myself to give permission to feel whatever I need to feel. And then that might change at different times, at different times in my life and at different times in my career. I actually I needed to go do something physically like hard to feel like I can work through some of those emotions. So for example, like I would I'd always joke if I wasn't a psychologist, I would be a soul cycle instructor because I love to like just like swing to the beat of the music in a dark room where nobody can see me and I can just feel whatever I need to feel. And that is something that I learned about myself. But that's because I got super curious of like what actually helps me, what makes me feel like me rejuvenated, And so I practiced and tried a lot of different things, even if they didn't apply to me, Like some of my friends do some like meditation, and I struggle with that, so that wasn't what I did, or like they really love to listen to audiobooks, It's like, that's not my thing either. But to give yourself permission to try different things, even if they're a little bit more unconventional, I. Think that's huge. Is about figuring out what works for you. I'm very much like you, like I like to work things out physically. I have a peloton because we don't have a soul cycle here. And I really wish we did because it was. Yeah, I mean it honestly, like that saved me going through COVID and like time when there were big feelings and you didn't really know what to do with them, and it's interesting that you said that about meditation, because I know that there's much great research about the benefits of meditation and mindfulness and breath work. If you are a person who doesn't do the sit in silence thing, well, what do you recommend to still have that mindfulness practice, like is there is it good to have like mantra or guided meditation, is it good to have breath work? And what would you recommend as kind of like at a minimum, if you could do this much when it comes to meditation or mindfulness every day, it can be impactful for your mental mental health. So don't completely quote me, but I think it's the research would show that like five minutes a day of some kind of meditation mindfulness and that can look on various levels, actually improves like outcomes I think like ten to twenty percent, whether that's mental health outcome or performance outcomes. There's a lot of research about injury and imagery to be able to if you're doing about five minutes a day, there's about I think ten percent of an increase in healing, especially with ACL recovery. But I have to go look at the numbers again, and I can quote that for myself, but there is a lot of data on that. I think what's important is I'm not a sit in silence kind of human and meditate, but I love mindful walking. There are also ways that you can incorporate mindfulness and meditation into the things that you're doing, whether that's walking or running or cooking. It's about really figuring out and finding what works best for you. There's a couple apps that are really useful. Let me see if I can pull up my phone, but I think it's Healthy Minds. I think it just changed into human is one of the apps that they have various a voices which are different for different people and feel a lot more connecting or not. And they last from like five minutes to thirty minutes. But there's tons of stuff actually on YouTube that you can implement some breathwork and mindfulness into stuff you already do. Right and again, kind of part of it is how how to find something that you're going to commit to and do often that it's a part of your practice and who you are, right, it's not just about sitting in silence and I don't know is dissociating and staring out into the distance, But more so like how do I give myself the space to relax and give myself some peace. And so, honestly, five minutes a day is enough. Some people love more, some people don't, But I think five minutes a day is really great. That's huge, And I think that's a great little tip or takeaway for the healthcare providers that I'll be listening is if you have someone that is recovering from whatever they're dealing with from a physical standpoint, if you can provide them with resources, if you can make recommendations about other ways that they can improve their healing or impact their healing in a positive way. So you mentioned that there are a number of different apps that can help with mindfulness and meditation. Another question that I definitely wanted to cover today is if I'm a healthcare provider and I realized that my patient may need to see someone in the mental health space, what would you recommend in terms of like what should they be looking for as far as finding someone in their area to refer patients to. Are there different websites directories like where do I go and where do I find someone that will be a great resource for my patient? Well, there's I think a lot of different places that you can search right, Good old Chad and Claude can do that for you a little bit too. I think, first of all, it depends on if you're going to be using insurance or not. And my favorite thing to utilize first is like going on psychology today and just kind of putting in yeah, if they're specifications for your area, and then literally reading people's bios and having conversations. So I know that is a little bit tedious, but having conversations with people and seeing if like, wow, is this somebody that I can connect with, Whether that's because I'm sending somebody a patient or this is even for myself right to be able to see like, can I have a conversation with this person? Do we connect? What kind of vibes do I feel? I'm a big vibes girl. I feel like there's a there's a gut kind of inclination and connection, and to be able to listen to that is really important. I tell this to people all the time. I can know a lot of things and I have a lot of information in my brain, but if you can't connect with me, then like that's okay, and I'm not your provider and I will find you somebody else. That is going to be really great. I think that's also my biggest recommendation, just starting somewhere and creating a relationship with a provider who then can also send you other people's names. There is a especially for sport performance people. There is a couple different places to look. The APA Division forty seven is for Sport and Performance Psychology within the American Psychological Association. That is going to have a directory of some people that are in the field as well as asps or people who with the credital CMPC for the Certified Mental Performance Consultants. Those are going to be the places that have a directory of who has the credentials to be able to work with sport and performance as well as some kind of clinical background, and honestly reaching out to them and developing a relationship is going to be the first step as a practitioner, and then they can direct you to somebody that might be a better fit, whether that's because of location, because of our licensing, or just in terms of fit and knowledge of what the person has going on for them. I know that within many of the professionals that we work with or the professions that we serve, I should say we have options for what we call it travel to treat. So you might be licensed in only one state, but if you are working on behalf of a sports team, you have the ability to travel with them and treat in other states. Is there something similar in your feel. Yeah, if you are, Like if I were to be working with a protein, then I can treat obviously if we're traveling in the states, but where you're based is where your primary license should be as a psychologist. There's also a credential called side Pact which is currently right now serving forty three states. So we're able to do telehealth across those states and be in those states when treating individuals, and so that's really really helpful for us and allows us to reach a pretty big population that I'm really grateful for. Yeah, that's incredible. One of the funnel questions that I'll ask because I know this has been an incredible conversation, But you have patients to get back to us. I want to be respectful of. Your time if I have a patient who does need resources, and unfortunately I wish and I think this is just my personal opinion. I feel like if our healthcare system would figure out a way to have more access to mental health services, make them more affordable for more people. That could absolutely change our world. But that's a whole different conversation there. But if I have a patient who's concerned about the cost, maybe they don't have mental health coverage on their insurance, maybe they are not in a financial position to add a lot more onto their regular expenses when it comes to seeing a mental health provider. You mentioned there are some apps that could be helpful for things like meditation, mindfulness. What other resources would you recommend that healthcare providers should just kind of have saved as bookmarks in their browser or kind of have a file with their front office to say, you know what, if we have patients that need help and or need to even just have a little bit more support, but if we want to be able to give them options so that if they're not in a financial position to seek out a provider for one on one care, what would you recommend or what type of resources are out there that can help those that don't necessarily have the financial means to see someone want on one from a counseling standpoint, but maybe still at least need to start having some type of support in some way that's accessible. Yeah, can you ask a really really great question. I think from like a support performance space, there's probably a couple more things that I can share and I can say a couple of those books. From just like a clinical mental health space. I mean, there are some resources on the NAMI website, the National Mental Health Alliance website, they have twenty four to seven support. There's also some support groups there I also know of, like for example, like y'all in Houston. They through a couple of the hospitals. I would always encourage kind of googling with the hospitals. They have some groups depending on what the person might be dealing with, whether that's with chronic pain or postpartum or they have a couple of different ones for some of the major hospitals that are free, which which is helpful as well as virtual. It depends on the human like what their challenges are, they're what they're working with. Also in terms of like eating disorders, like rc SO that Eating Disorder Recovery Center has a couple locations throughout the United States and they have some like virtual resources for people too, are that are free or low cost. I think another just like pinpoint or thing to think about is there are low cost fee services for student clinicians, and so that may not always be an ideal option, or somebody might feel some kind of way about that to see a student clinician. But I always once a student clinician, and people took a chance on me, and that just means you are supervised by either a licensed professional counselor or a licensed psychologist, and those fees are usually reduced, and so your care is still being taken care of by somebody who is well seasoned in the field, but it is to give practice to the student who is learning how to be in the field. And those I mean, there's lots of Facebook groups that are kind of servicing those needs, and so I would look up low cost services in your area for student clinicians, and so that can be an option for some of those who want one on one care at a more cost. In terms of like books or like apps for just clinical mental health, I'm I mean there's a range of those, honestly that I really would struggle to name off the top of my head. But when it comes to like books for sport and performance, I would start with like Peak Performance by Steve Magnus and somebody else. Mindset by Carol dweck Range is a really good book. It's a green mint cover. I forgot what the author's name is. And then also the Mindful Athlete is a really great place to start. And so those would be places that I would begin with regarding kind of receiving some additional support. But I think something that I always encourage. I know people may struggle financially and it's a huge gap in our field, and my always kind of recommendation is to ask, like, Hey, are there any low cost options or services or abilities to do so, because I know I'm willing, like I am in private practice, and there is a fee that I charge, but I am usually almost always willing to make some kind of change for somebody who needs the support or wants the support, as long as it feels right to the both of us. And so I like to have that kind of conversation upfront and be able to say, like, I want to help you, and so what might that look like feasibility wise, And so I would always ask. It may feel really vulnerable. I know that was a hard thing for me when I was growing up, to ask for some kind of lower feed but I would ask because a lot of us in the field. They're more willing to do that than might be expected. Yeah, no, that's huge. Another kind of final question for you, I'm very curious to hear, and I've asked many of the experts that I've spoken with in different fields, how do you feel like the AI revolution that we're in right now is going to impact your field if you were to look ahead the next three to five years, how is it already kind of disrupting some of the work that you do in a positive or negative way? I mean in a positive way, right, Like Chad and Claude can give you some resources and some support or some like books like for certain challenges and quicker than probably you can just google. And so I think that AI can be helpful in that kind of way. Can also find providers quicker than just like a psychology search might do. And so that's kind of nice. But I think the challenge in my hesitation just like I mean, there are resources for clinical mental health, but nothing replaces therapy, Nothing replaces that relational bond and that ability to beat with somebody in the trenches and have this understanding of the whole human And that is probably my biggest qualm with it, because my belief is that therapy is about understanding the person, their attachments, the relational behaviors, their personality, and how they fit within a system, and then that system actually plays out between me and the patient. Whatever that like their patterns and behavior are in the outside world, that happens for me in the room. And so if we can't have that in our relationship and you're just the patient is looking for or that within the computer, it's not going to produce the same results, and it's going to be a little bit it's going to be a lot less effective, and it's going to feel pretty cold. And I think that's the difference between being with people and just being able to look for some of the reassurance and support with AI. I think another really great part of AI is being able to help our field create stuff like power points and whatnot. So maybe simplifies some of those things for us, but I think it's getting in the way of this human connection piece that is invaluable and is actually creating a pretty big barrier for people wanting to come in because of the vulnerability of sitting with somebody, despite it being the thing that actually probably changes their experience. The most absolutely well, thank you so much. This has been incredibly educational and informative. As kind of a final question and one key thing to lead with our audience today, based upon all of your education, your experience so far in your field, if you could wave a magic wand and in part like one key takeaway to healthcare providers that are either someone who's been in practice for decades or somebody that's just getting started, Like, what is one key takeaway or one thought that you'd like to leave the audience with that they can take into practice tomorrow and really start implementing. I know we've talked a lot about things that they need to look for, different things that they may need to incorporate into their practice in terms of their typical patient experience. But is there anything else that you feel like could be just something that they really need to either seek out to learn a little bit more about or maybe just have a better awareness of going into their next patient visit. I mean, number one, I think creating a relationship with a practitioner in your area I would be really important to be able to just get more information about whether that's mental health related topics or any kind of performance skills. I think being able to just create a relationship is super important, so that it's also not on you to find those resources when your person needs them. Yes, because there's already so much, right, Like you're already in charge of so much, and maybe that's something you can put to us. And then that's kind of one. And then secondly, to get curious about you as well as your patients, Like somebody might say, hey, my neck hurts, but being able to just be like, what do you like? What do you mean by that? Like share a little bit more about that, because I think sometimes we assume what something might mean. Or someone says like, oh I feel sad, right, and I can say, oh, yeah, I know what sad feels like, but I know it's sad like feels like for me, but not what it feels like for you, And that actually might YouTube number one, relieve some of the tension for yourself as a practitioner, feel like you need fix it right away in that moment, but more so, like to help them help you understand will also empowering them to understand, like pain is what their struggle is, what's happening for them. That's what I would start with of like if you can just get curious and almost not leave behind everything you know, because that's so freaking important. But more so to just continue to ask questions about what you think you might already understand will help make huge differences really really quickly. I know it has for myself. Just getting curious and like, yeah, like, what does it feel like, what does it look like, what does it sound like? What is that pain like? Paint me a picture can really help us get even deeper to what's really going on underneath the surface. That's huge. I think what you said there about if someone says they're sad, like, I know what's sad is for me, I know how that feels in my body, I know how that feels in my experience, But for that person it could be something very different. So I think that's really important, Like ask them to paint you a picture of what their experience is, and then start fresh and come into each interact and understanding that this is a completely different human than the one that you saw ten fifteen minutes ago, and a completely different human than yourself, which is incredible. So well, thank you so much again for taking the time. I really appreciate it. And again we got some really great information and takeaways for our healthcare providers today. Again, thank you so much. Thank you. That wraps up our three part conversation with doctor Carolina Shander. Across this series, doctor Shander helped us think more deeply about the connection between mental health, physical recovery, performance, identity, burnout, and the provider patient relationship, and in his final episode, she gave us a practical reminder that supporting the whole patient does not mean that every healthcare provider needs to become a mental health professional. It means we need to stay curious, ask better questions, listen more carefully, and know when to bring another trusted provider into the care team. One of the strongest takeaways from this conversation is that relationships matter. Whether we're talking about therapy, rehab, performance, or recovery. Healing is not just about protocols and plans. It's also about trust, connection, communication, and understanding what pain, injury, or performance pressure actually means to the person experiencing it. Doctor Shander also reminded us that while AI and digital tools may help patients and providers find resources more quickly, they cannot replace the human relationship that sits at the heart of meaningful mental health care. So as you head back into practice, consider this year reminder to get curious. When a patient tells you something hurts, ask what that pain means to them. When they seem stuck, ask what feels hard when they're struggling to follow through with your treatment plan, or maybe they're at home exercises, ask what's getting in the way. Those questions may open the door to a deeper understanding of the person behind the symptoms. A big thank you to doctor Carolina Shander for sharing her expertise, her perspective, and such practical guidance for clinicians that work with athletes, performers, and high achieving individuals. As always, thank you for listening to. The Factor podcast. If the series is helpful, a share it with a colleague, coach, or provider who works with athletes or patients navigating pain, performance recovery, or identity shifts. We so appreciate you and any of those likes, follows, and sharing of episodes helps to grow our network and helps our content reach more healthcare providers like you. Until next time, keep learning, refining your systems, and keep raising the standard of care. We'll see then. Hey, guys, if you like what you heard today, I encourage you to visit our website at Factor hyphenstore dot com that's spelled fa k tr hyphenstore dot com to find out more information about all that we have to offer. We have a variety of. Online offerings as well as our hands on Factor Rehab System course scheduled in cities around the globe. Be sure to also check out our event calendar and bookmark any of these upcoming live webinar dates coming up in the near. Future so you can join us live. 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