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What is The Seven Challenges?
The Seven Challenges® is a comprehensive counseling program that incorporates work on alcohol and other drug problems. It is designed to motivate clients, whether they are in the adult or adolescent version, to evaluate their lives, consider changes they may wish to make, and then succeed in implementing the desired changes. It supports them in taking power over their own lives.
In The Seven Challenges program, people address their drug problems, their co-occurring life skill deficits, and their situational and psychological problems. Although counselors in the program provide a structure for groups and a framework for individual sessions, the content of each session is exceptionally flexible, in response to the immediate needs of the client. It is not pre-scripted.
The Seven Challenges uses an approach called “Mastery CounselingTM,” which helps people look at what is happening in their lives. They learn to recognize what is going well and what is problematic. Whatever is not going well, or as well as they would like it to be going, is identified as an “issue.” In Seven Challenges sessions, counselors teach people to work on their issues. As they do their work, the “challenge process” is used to help them make thoughtful decisions, including about drugs.
We do not fit clients, whether young people or adults, into our program; rather, we wrap the program around the concerns of the people we serve.
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Click Here for Leap of Power Excerpt
Leap of Power is based on evidence that people are strong and capable, and can take charge of their own lives, including their use of alcohol and other drugs. It supports readers in respectfully evaluating the impact of drugs on their lives, without judgment and put-downs of any sort, and without an agenda of telling them how to behave.
Readers who have a drug problem and want to make changes will find help in evaluating their options and detailed guidance on how to succeed with either setting new limits or quitting. Readers who are uncertain whether or not they have a drug problem will find help in making their own determination about the matter.
This book is used by organizations that are trained to facilitate The Seven Challenges sessions for adults. Even counselors who have not been trained in The Seven Challenges will find Leap of Power to be helpful by adding another empowering and helpful voice to the counseling room.

Covered by Medicare and Many Health Insurance Companies Across a Growing National Network
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Scientifically Proven To Reverse the Progression of Heart Disease
Dr. Ornish and his colleagues were able to prove—for the first time—that comprehensive lifestyle changes can actually reverse the progression of even severe coronary heart disease.
Dr. Ornish’s Program for Reversing Heart Disease® remains the only program scientifically proven to reverse heart disease in randomized controlled trials published in the leading peer-reviewed journals. They used the latest high-tech state-of-the-art scientific technology to prove the power of simple lifestyle changes: eat well, stress less, move more, love more.
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The Ornish Reversal Program (ICR) Experience
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The Ornish Reversal Program (ICR) is offered by a team of dedicated, caring, compassionate, and highly competent health care professionals who work directly with participants to provide not only the information but also the support needed to make and maintain lasting changes in lifestyle. These include a physician, nurse, exercise physiologist, registered dietitian, stress management specialist and group support facilitator.
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Almost 90% of the people who enroll in this 9-week program are still following it one year later. In contrast, only 30-50% of people prescribed cholesterol-lowering drugs are still taking them after only six months.
Why? Because most people feel so much better, so quickly, it reframes the reason for making these changes from fear of dying to joy of living.
A Growing National Network
To meet the extraordinary demand, Dr. Ornish and his colleagues partnered with Sharecare to train and certify hospitals, health systems, and physician groups nationwide.
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The Ornish Reversal Program – Intensive Cardiac Rehabilitation (ICR) location network is growing rapidly, including national partnerships with Medicare and many health insurance companies, including Anthem Blue Cross/Blue Shield in 14 states (including New York and California), Aetna, HMSA, Blue Shield of California, Highmark West Virginia and others. Some of these private insurers are also reimbursing for patients who have risk factors for coronary heart disease.
Training and Certification
Sharecare certifies sites and trains multidisciplinary teams to deliver Dr. Ornish’s Program for Reversing Heart Disease®.
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The core training process consists of the following:
- Clinical training from a team of senior faculty trainers
- Access to a private training portal with a library of learning modules, program materials, and resources
- Ongoing support and quality assurance via regular monthly teleconference meetings
- Routine on-site assessment and support
- Account Management and engagement support
- Education and engagement materials

(Please note: Sharecare does not provide training & certification for individual providers at this time)
Sites are evaluated for re-certification on their annual anniversary date, based on their fidelity to the evidence based program delivery protocols and clinical outcomes.
Health Benefits of the Ornish Reversal Program (ICR)
Angina (chest pain) was reduced by over 90% and blood flow to the heart improved significantly in just three weeks.
After one year, coronary arteries became significantly less clogged, and there was even more improvement after five years.
As a participant in the Ornish Reversal Program (ICR), you are likely to:
- Reduce your risk of a heart-related event
- Decrease your chest pain (angina)
- Lower your chances of needing future surgery
- Lessen your dependence on medications
- Lower your cholesterol, blood pressure, blood sugar and lose weight
- Increase the amount of exercise you can do and make it more enjoyable
- Manage stress more effectively
- Become a part of an emotionally supportive and encouraging community
- Improve your quality of life
Other Improved Health Conditions
In addition to heart disease, the Ornish Reversal Program has been proven to reverse type 2 diabetes and may slow, stop, or even reverse the progression of early-stage prostate cancer.
Most people who were told that they would need to take drugs for the rest of their lives to lower their cholesterol levels, blood pressure, or blood sugar have been able to reduce or even discontinue these under their doctor’s supervision.
Changing your lifestyle also changes your genes—turning on (up-regulating) protective genes that help keep us healthy, and turning off (down-regulating) genes that cause oxidative stress, chronic inflammation, and the genes that promote prostate cancer, breast cancer, and colon cancer—over 500 genes in only three months. Our genes are a predisposition, but our genes are not our fate.
In collaboration with Dr. Elizabeth Blackburn, who received the Nobel Prize in Medicine for her pioneering work with telomeres and telomerase, Dr. Ornish and his colleagues found that these lifestyle changes lengthened telomeres, the ends of our chromosomes that regulate longevity—in a real sense, beginning to reverse aging at a cellular level.
Participant Testimonials
Participants share compelling stories of how their lives have been empowered and transformed by the Ornish Reversal Program (ICR).
Provider Testimonials
Ornish-certified providers share how their experience is professionally gratifying, emotionally satisfying, and economically rewarding.