Prevalence rates for major depression are higher for people with physical illness relative to those without. For example, 29% for people with hypotension, 22% for people with myocardial infarction, 33% for people with cancer and 27% for people with diabetes (World Health Organization, 2003).[zf3] The World Mental Health Survey showed odds ratios across countries for the relationship between heart disease and mental health conditions were; 2:1 for depression; 2:2 for anxiety; and 1.4 for alcohol dependence. The relationship between heart disease and mental health conditions (the two biggest contributors to the global economic burden of chronic disease) appears to be reciprocal. For example, major depression has been shown to increase the risk of the development of cardiovascular disease (Gasse, Laursen, Baune, 2014). For example, strong relationships have been reported between early onset common mental health disorders and heart disease in adulthood (Gasse, Laursen, Baune, 2014). Conversely, having a physical illness is one of the strongest predictors of depression (O’Neil et al. 2015; Wilhelm K, Mitchell P, Slade T, 2003). In their meta-analysis, Roest, Martens, DeJonge, Denollet (2010) revealed anxiety disorders also increase the risk for cardio-vascular disease and cardiac related death. The relationship between mental health conditions and chronic conditions remains strong across a plethora of chronic conditions. For instance, type 2 diabetes mellitus, has been shown to increase the risk for depression (Rotella and Mannucci, 2013), anxiety (Wandell, Ljunggren, Wahlström, Carlsson, 2014) as well as schizophrenia, bipolar disorder and post-traumatic stress disorder. Meta-analyses have also shown a strong relationship between diabetes and cognitive impairment (Vancampfort D, Correll CU, Galling B, et al, 2016). Respiratory diseases and cancer have been linked with depression (Caruso R, GiuliaNanni M, Riba MB, Sabato S, Grassi, 2017). In the World Mental Health Survey, mood, anxiety, and substance dependency were shown to preceded a diagnosis of asthma (Scott, Lim, Al-Hamzawi, 2015).