Denis McCarthy & Associates

Stress & Wellness Consulting • Occupational & Clinical Psychology


Mindfulness-based cognitive therapy

Mindfulness-based cognitive therapy (MBCT) is an approach to psychotherapy that was originally created as a relapse-prevention treatment for depression. Research indicates that it may be particularly effective for individuals with major depressive disorder (MDD). The focus on MDD and cognitive processes is what distinguishes MBCT from other mindfulness-based therapies such as mindfulness-based stress reduction (MBSR), which is applicable to a broad range of disorders, and mindfulness-based relapse prevention which is used to treat addiction.


MBCT uses cognitive behavioral therapy (CBT) methods in collaboration with Eastern psychological strategies such as mindfulness and mindfulness meditation. Cognitive methods can include educating the participant about depression. Mindfulness and mindfulness meditation focus on becoming aware of all incoming thoughts and feelings and accepting them, but not attaching or reacting to them. This process is known as "Decentering" and aids in disengaging from self-criticism, rumination, and dysphoric mood that can arise when reacting to negative thinking patterns.


Like CBT, MBCT functions on the etiological theory that when individuals who have historically had depression become distressed, they return to automatic cognitive processes that can trigger a depressive episode. The goal of MBCT is to interrupt these automatic processes and teach the participants to focus less on reacting to incoming stimuli, and instead accepting and observing them without judgment. Like MBSR, this mindfulness practice encourages the participant to notice when automatic processes are occurring and to alter their reaction to be more of a reflection. It is theorized that this aspect of MBCT is responsible for the observed clinical outcomes.


Beyond the use of MBCT to reduce depressive symptoms, research additionally supports the effectiveness of mindfulness meditation in reducing cravings for individuals with substance abuse issues. Addiction is known to involve interference with the prefrontal cortex that ordinarily allows for delaying of immediate gratification for longer term benefits by the limbic and paralimbic brain regions. The nucleus accumbens, together with the ventral tegmental area, constitutes the central link in the reward circuit. The nucleus accumbens is also one of the brain structures that is most closely involved in drug dependency. Mindfulness meditation of smokers over a two-week period totaling five hours of meditation decreased smoking by about 60% and reduced their cravings, even for those smokers in the experiment who had no prior intentions to quit. Neuroimaging of those who practice mindfulness meditation has been shown to increase activity in the prefrontal cortex, a sign of greater self-control.


Source: https://en.wikipedia.org/wiki/Mindfulness-based_cognitive_therapy


Mindfulness-based stress reduction

Mindfulness-based stress reduction (MBSR) is a program that incorporates mindfulness to assist people with pain and a range of conditions and life issues that were initially difficult to treat in a hospital setting. Developed at the University of Massachusetts Medical Center in the 1970s by Professor Jon Kabat- Zinn, MBSR uses a combination of mindfulness meditation, body awareness, and yoga to help people become more mindful. In recent years, meditation has been the subject of controlled clinical research. This suggests it may have beneficial effects, including stress reduction, relaxation, and improvements to quality of life, but that it does not help prevent or cure disease. While MBSR has its roots in spiritual teachings, the program itself is secular.


Source: https://en.wikipedia.org/wiki/Mindfulness-based_stress_reduction