Mindfulness-Based Cognitive Therapy

Mindfulness-Based Cognitive Therapy ◈

Founders

◈ Developer of Mindfulness-Based Stress Reduction (MBSR)

◈ Founded MBSR Clinic in 1979

◈ Founded the Center for Mindfulness in Medicine, Health Care, & Society in 1995

“Third wave” of behavioral & cognitive therapies

Jon Kabat-Zinn

John Teasdale

◈ Adapted the MBSR program to be used specifically with people who had suffered with repeated bouts of depression

The key difference in MBCT is an explicit focus on turning toward low mood & negative thoughts early in the program so that participants gain experience with recognizing these symptoms & confidence in their ability to respond skillfully

Zindel Segal

Mark Williams

Goals of Counseling

◈ To help understand thoughts & feelings in a holistic way

◈ Live in the present moment

◈ Develop greater awareness of emotions, thoughts, body sensations, & perceptions

◈ Become aware of negative thoughts/moods & downward spirals of thinking & how to disengage & break free from them

◈ Increase curiosity & decrease judgment

◈ Grow compassion for self

Key Concepts and Therapeutic Process:

- MBCT integrates mindfulness practices with Cognitive Behavioral Therapy

- It aims to reduce relapse by helping individuals recognize and disengage from automatic negative thought patterns

- Emphasizes living in the present moment and developing a compassionate and accepting stance toward thoughts and emotions

Therapeutic Techniques and Procedures:

- Mindfulness Meditation: Regular practice to develop awareness and reduce reactivity to negative thoughts or feelings

- Body Scan Exercises: Helps clients connect with and observe physical sensations without judgment

- Thought Observation and Decentering: Encourages clients to view thoughts as passing mental events rather than absolute truths

- Three-Minute Breathing Space: A quick mindfulness exercise to refocus on the present moment during times of distress

Role of the Counselor:

- Models acceptance, non-judgment, and compassion

- Helps clients develop mindfulness skills without imposing specific interpretations of their experiences

Current Applications:

- Primarily used to prevent relapse in depression but also applied to anxiety, chronic pain, stress, and other disorders

- Often delivered in group settings with structured 8-week programs

Application to Multicultural Clients:

- Mindfulness’s emphasis on universal human experiences can transcend cultural differences

- Can incorporate culturally specific mindfulness practices

Limitations:

- Mindfulness practices may conflict with some clients’ cultural or religious beliefs

- Requires significant client commitment to daily mindfulness practice, which may be difficult for some individuals

- Time-intensive and may not be feasible for clients with limited resources or access to trained MBCT practitioners