Kuwonjezera pa kusintha kwa moyo wa odwala, ofufuza anapeza kuti anthu amene amasamalira achibale awo amachepetsa matenda a mtima, komanso amachepetsa kwambiri ndalama zimene madokotala amagwiritsa ntchito. Kwa zaka pafupifupi 20, madokotala a ku United States, Canada, Europe ndi Australia akhala akufufuza anthu amene ali ndi matenda a khansa kuti adziwe ngati ali ndi zizindikiro za khansa komanso kuti awapatse chithandizo.