After years of practice in Intensive Care Units, in 1988 I sought post graduate training with a specialization in Stress Management to address the gap between acute medical and psychiatric intervention and generalized public health. Over the course of my decades long tenure of as a psychiatric nurse practitioner, I witnessed that gap steadily increase.  Despite extraordinary advances in diagnosis and treatment across many medical specialties, there remains an increasing likelihood of developing those chronic disease states in the first place. Diabetes. Hypertension. Heart conditions. The list goes on.