“…The program retains the main components and structure of the parent program, which combines elicitation of the relaxation response (RR) with cognitive behavioral theory and the evolving field of positive psychology [21][22][23][24][25][26][27][28][29]. The 3RP has three core components: 1) RR-elicitation strategies to help patients decrease the stress response associated with NF symptoms and general life stress (e.g., mindfulness skills, meditations, guided imagery, body scan); 2) stress/medical symptoms appraisal and coping to help patients understand the interrelations among thoughts, behaviors, feelings, and sensations and learn adapting coping skills (e.g., cognitive restructuring, problem solving, activity scheduling); and 3) growth enhancement/positive psychology skills to help patients experience pleasure, gratitude and engage in pro-social and empathic behaviors (e.g., appreciations, use of humor, empathic communication).…”