A space for the
heart and mind.
An introduction to the RhythmiaBreath Method; how I work, who I work with, and the integrative approach that brings cardiology and psychiatry into a single, coherent practice.
Sherezade Ruano
Stress Reduction Expert in Cardiology and Mental Health.
Integrative Therapist in Nervous System Regulation
Founder of RhythmiaBreath Method
C-Suite Executive Therapist.
Functional & Integrative Psychiatry Fellow (PRCFMP)
A note before we begin
Most of the people I see are not unwell in one place. They arrive carrying something the body has been holding for a long time — a heart that startles, a chest that braces, a mind that cannot find the off-switch.
My work begins from a simple premise: the heart and the mind are not separate clinical problems. They share a nervous system, a breath, and a story. Treating one without the other rarely reaches the source. This document is a short guide to how I work, what I bring to the room, and the recent expansion of my practice into Functional & Integrative Psychiatry alongside cardiology and mental health.
A short introduction
Thank you for visiting my page. I appreciate your interest in learning about my work.
As a Therapist, Founder and Entrepreneur, I am deeply passionate about what I do. This profound appreciation for my profession and mission is what I refer to as my Ikigai.
Through years of dedicated service in the National Health Service (NHS) as an Arrhythmia Specialist Clinical RN, and enriched by international experience in the private sector, I've cultivated invaluable personal and professional skills. This journey has led me to collaborate with highly esteemed medical professionals, and I am keen to share these insights with all of my patients.
Currently, I proudly manage my private practice with a flagship clinic in central London, by invitation in Zurich for executive and private engagements, and an international virtual clinic. In these spaces I collaborate with some of the world's most acclaimed Consultant Cardiologists, Psychiatrists, General Practitioners, Psychotherapists, and Behavioural Medicine Specialists — and most recently as a Fellow in Functional & Integrative Psychiatry (PRCFMP).
A clinician shaped by the cardiology ward — and what happens after the patient goes home.
I trained inside the UK’s National Health Service as an Arrhythmia Specialist Clinical RN, sitting with people through cardiac arrest, ablation, heart attack, ICD and CRT-D implants, and heart transplant. Years on the ward made one pattern impossible to ignore: the cardiac event is rarely the whole story. The harder, quieter chapter usually begins in the weeks after discharge, when the body remembers what the mind has not yet processed.
That observation moved my practice outward — into the private sector, then into my own clinic in central London and Zurich with a parallel virtual practice serving patients internationally. Today I sit alongside Consultant Cardiologists, Psychiatrists, General Practitioners, Psychotherapists, and Behavioural Medicine Specialists, building care that does not stop at the chest wall.
The RhythmiaBreath Method is the framework I built to do that work. It is one of the first integrative approaches in the UK to demonstrate measurable outcomes across preventive cardiology, cardiac rehabilitation, and mental health, using the breath and the nervous system as the through-line that connects them.
Discover RhythmiaBreath Method;
Cardiology
Mental Health
Nervous System Regulation
C-Suite Leadership Coaching
Integrative Therapy
Functional Psychiatry
Discover RhythmiaBreath Method
Three disciplines, one nervous system.
Cardiology, mental health, and functional & integrative psychiatry — held together by breath and nervous system regulation.
Pillar I
Mental Health
The stabilising layer — calming a system that has forgotten how to stand down.
- Stress & anxiety management
- Nervous system regulation
- Breathwork & breathing pattern disorder assessment
- Polyvagal-informed practice
- Somatic therapy for anxiety & trauma
- Burnout & emotional exhaustion
Pillar II
Cardiology
The body's wiring — supporting the heart before, during, and after the medical event.
- Neurocardiology
- Preventive cardiology
- Cardiac rehabilitation (exercise therapy on prescription)
- Counselling pre- and post-surgery
- ICD, CRT-D, pacemaker & post-ablation support
- Heart attack & heart transplant recovery
Pillar III
Integrative Therapy
The relational layer — counselling, leadership, and the inner work senior people rarely make time for.
- Counselling & psychotherapy-informed practice
- Functional & integrative psychiatric review (PRCFMP fellow)
- C-suite executive & leadership coaching
- Emotional intelligence & behaviour evaluation
- Burnout in high-performing environments
- Counselling for life-threatening conditions
My practice sits in the overlap. Anything I do for the heart, I am also doing it for the mind, and increasingly, for the biology underneath both .
Blog Post
In this space, you will find educational reflections on a range of topics explored within my clinical work, alongside subjects that genuinely interest and inspire me.
Each post is carefully considered and often grounded in real-life clinical experiences and case material, shared thoughtfully and with discretion. One of my intentions in writing is to offer meaningful, exclusive content for patients and readers alike — providing insight into my practice, professional observations, and the wider themes that sit at the intersection of health, behaviour, and lived experience.
This gallery and blog will explore themes including therapy, lifestyle and medicine, mental health, coaching, behavioural finance, and the nuanced relationship between the heart and the mind. It is intended as a reflective and informative space — one that invites curiosity, encourages understanding, and supports a more integrated view of our health and wellbeing.
