Developments in MBCT. Mark Williams University of Oxford Department of Psychiatry Oxford Mindfulness Centre

Size: px
Start display at page:

Download "Developments in MBCT. Mark Williams University of Oxford Department of Psychiatry Oxford Mindfulness Centre"

Transcription

1 Developments in MBCT Mark Williams University of Oxford Department of Psychiatry Oxford Mindfulness Centre Collaborators: Zindel Segal, John Teasdale, Jon Kabat-Zinn Oxford Team: Melanie Fennell, Thorsten Barnhofer, Catherine Crane, Danielle Duggan, Adhip Rawal, Emily Hargus, Wendy Swift, Dhruvi Shah, Kate Brennan, Kate Muse, Adele Krusche, Ann Hackman Outline of Talk Building bridges between Ancient and Modern Update on MBCT for preventing depression outcome evidence New understandings Of mindfulness and its measurement Of the effects of mindfulness on meta-cognitive awareness Of effects of experiential processing on intractable emotional / behavioural problems New directions 1

2 Outline of Talk Building bridges between Ancient and Modern Update on MBCT for preventing depression outcome evidence New understandings Of mindfulness and its measurement Of the effects of mindfulness on meta-cognitive awareness Of effects of experiential processing on intractable emotional / behavioural problems New directions Ancient and Modern 2

3 University of Oxford Famous for its ancient libraries... 3

4 The Oxford Mindfulness Centre (OMC) The Lobby, OMC 4

5 The Meditation Space... Building bridges between ancient and modern 5

6 Lively debate amongst Buddhist Scholars Scientist and clinicians Mindfulness teachers Definitions of mindfulness and its role Risks and benefits of bring mindfulness into secular contexts Volume 11, No 1, May 2011 Mark Williams Jon Kabat-Zinn Bhikku Bodhi Georges Dreyfus Andy Orlendzki John Dunne John Teasdale Michael Chaskelson Melanie Fennell Zindel Segal Willem Kuyken Christina Feldman Martine Batchelor Edel Maex Sharon Salzberg Mirabai Bush Saki Santorelli Paul Grossman Nicholas Van Dam Ruth Baer Rupert Gethin Jon Kabat-Zinn 6

7 Outline of Talk Building bridges between Ancient and Modern Update on MBCT for preventing depression outcome evidence New understandings Of mindfulness and its measurement Of the effects of mindfulness on meta-cognitive awareness Of effects of experiential processing on intractable emotional / behavioural problems New directions Teasdale, Segal, Williams et al., 2000, JCCP Survival Curve (for patients with 3 or more previous episodes - 60 weeks) 1.00 MBCT: 37% 0.5 TAU: 66%

8 Jacob Piet Meta-analysis of the six outcome trials A Total of 593 randomized participants 74% women; mean age = 46; age of first onset = 28 Mean baseline depression score (HAM-D) = % had a history of medical treatment for depression All participants were in remission Quantitative data synthesis Risk of relapse between MBCT and controls for participants with three or more previous episodes (N = 363) MBCT Control Risk Ratio Risk Ratio Study or Subgroup Events Total Events Total Weight M-H, Random, 95% CI M-H, Random, 95% CI MBCT vs TAU Bondolfi % 0.84 [0.40, 1.77] Godfrin % 0.44 [0.26, 0.74] Ma % 0.46 [0.27, 0.79] Teasdale % 0.61 [0.41, 0.89] Subtotal (95% CI) % 0.55 [0.43, 0.70] Total events Heterogeneity: Tau² = 0.00; Chi² = 2.66, df = 3 (P = 0.45); I² = 0% Test for overall effect: Z = 4.71 (P < ) MBCT vs PLA Segal % 0.64 [0.36, 1.13] Subtotal (95% CI) % 0.64 [0.36, 1.13] Total events Heterogeneity: Not applicable Test for overall effect: Z = 1.54 (P = 0.12) Total (95% CI) % 0.56 [0.45, 0.71] Total events Heterogeneity: Tau² = 0.00; Chi² = 2.90, df = 4 (P = 0.57); I² = 0% Test for overall effect: Z = 4.93 (P < ) Favours MBCT Favours control 8

9 MBCT as alternative to Continued Antidepressants Kuyken et al., 2008 JCCP Segal et al., 2010 Arch Gen Psychiat Kuyken et al (2008) MBCT vs m- ADMs 9

10 Recurrence Across 18 Months Intention to Treat - Unstable Remitters 27% 28% 71% Log-rank test = 8.24, df =2, p = Quantitative data synthesis Risk of relapse between MBCT and m-adm (N = 177) Study or Subgroup Kuyken 2008 Segal 2010 MBCT m-adm Risk Ratio Risk Ratio Events Total Events Total Weight M-H, Random, 95% CI M-H, Random, 95% CI % 22.0% 0.80 [0.57, 1.11] 0.83 [0.44, 1.55] Total (95% CI) Total events Heterogeneity: Tau² = 0.00; Chi² = 0.01, df = 1 (P = 0.91); I² = 0% Test for overall effect: Z = 1.45 (P = 0.15) % 0.80 [0.60, 1.08] Favours MBCT Favours m-adm MBCT relapse rate = 45% M-ADM relapse rate = 56% A non-significant risk reduction of 20% in favor of MBCT 10

11 Outline of Talk Building bridges between Ancient and Modern Update on MBCT for preventing depression outcome evidence New understandings Of mindfulness and its measurement Of the effects of mindfulness on meta-cognitive awareness Of effects of experiential processing on intractable emotional / behavioural problems New directions Two Modes of Mind: Thinking and Sensing Thinking Input Sensing 11

12 Conditional goal setting (Crane, C, et al., 2010) refers to the tendency to view the achievement of high order goals for the self (e.g. happiness, self-worth, fulfilment) as conditional upon the achievement of lower order goals. Aim: To explore the relationship between conditional goal setting and dispositional mindfulness 31 depressed patients. 12

13 Participants Met full DSM-IV criteria for current major depression, or sub-threshold criteria for depression following a full episode Had a history of 3+ episodes of depression or chronic depression. Had a history of current or past suicidal ideation or behaviour. Mean age = 42 years Mean age at onset = 23 years Mean BDI = 31.2 Measures - mindfulness FFMQ (Baer et al) five subscales assessing different facets of mindfulness: describing (e.g. I am good at finding the words to describe my feelings ), non-reactivity (e.g. I perceive my feelings without having to react to them ), acting with awareness (e.g. I find it difficult to stay focused on what s happening in the present, reverse scored), non-judgement (e.g. I make judgements about whether my thoughts are good or bad ) observing (e.g. I notice how my emotions express themselves through my body ). 13

14 Conditional Goal Setting Two steps Step One: elicit goals things that you would like to happen or things that you would like to be true of your life in the future. Next 12 months? Step Two: conditionality assessment Conditional Goal Setting - Step Two For each goal, select which of two statements best describes yourfeelings about the goal I can only feel happy if I achieve this goal or even if I do not achieve this goal I can still feel happy rated how much do you agree with the statement, either very strongly, strongly, moderately or slightly. The ratings scored on a one to eight scale Identical ratings then made of self-worth and fulfilment conditionality Scores summed to produce an overall conditional goal setting score. Note: no overlap in items with Baer s mindfulness scale 14

15 Associations between total Conditional Goal Setting (CGS) score and each facet of the Five Factor Mindfulness Questionnaire (FFMQ) Describing Observing Non- Non- Acting with FFMQ judgement reactivity Awareness Total Total CGS Score -.44* -.60** -.45* -.63** -.57** -.76** Note (r bdi = -.64, p <.001), 15

16 Outline of Talk Building bridges between Ancient and Modern Update on MBCT for preventing depression outcome evidence New understandings Of mindfulness and its measurement Of the effects of mindfulness on meta-cognitive awareness Of effects of experiential processing on intractable emotional / behavioural problems New directions 16

17 Study 1: Meta-awareness of thoughts The ability of participants to recognise that their thoughts of DSH were simply thoughts, symptoms of depressed mood and transient events of the mind that were likely to pass with time. the knowledge that it was the illness talking. thoughts about tough times lead to these passive death wishes. The thoughts usually subside with rest, meditation and time... at some point, realizing that the "cortisol hours" from 4 AM to about 8 AM pass, that I always feel better sooner or later, and having a little bit of a rational mind saying that it wasn't real, that this was acting on feelings that weren't right. just thoughts, not worth holding onto. Study 2: Relapse signatures (Emily Hargus s data) Individual patterns of prodromal features that warn of onset of episode Very important for self-management (schizophrenia, bipolar disorder, suicidal behaviour) Not just whether noticed, but how we relate to them enmeshed I m not ever going to be able to sleep again with meta-awareness ( decentered ) I felt life was getting difficult, but it was my own inability to cope at that time 17

18 Meta-awareness of relapse signature MBCT TAU Pre Post Outline of Talk Building bridges between Ancient and Modern Update on MBCT for preventing depression outcome evidence New understandings Of mindfulness and its measurement Of the effects of mindfulness on meta-cognitive awareness Of effects of experiential processing on intractable emotional / behavioural problems New directions 18

19 Attention directed towards thinking Thinking Input Sensing Attention directed towards sensing Thinking Input Sensing 19

20 MODE OF SELF-FOCUS (Rawal, Williams & Park, under review) Choose a condition where self-focus most problematic Students with high eating concerns Anorexic in-patients Sample item: Step 1: Induction of processing modes (Watkins & Teasdale, 2004) the physical sensations in your body the way you feel inside how awake or tired you are Mode induction Conceptual: Think about the causes, meanings and consequences of Experiential: Focus your attention on the experience of 8 minutes 20

21 Step 2: Stress test for Eating Concerns Imaginary meal procedure (Shafran et al.,1999) Participants asked to imagine eating a fattening food for a period of 2 minutes. Step 3: Assess Outcome Estimate of actual weight How much do you think you weigh right now? 21

22 Analogue study: Pre and post stressor difference in weight estimate (in kg) for high ED group 0.3 Condition, p <.05 Mean Weight change Conceptual Experiential Anorexic patients? 22

23 Patient study: Pre vs post stressor difference in weight estimate (in kg) Conceptual Experiential Filler task Anorexic Controls Outline of Talk Building bridges between Ancient and Modern Update on MBCT for preventing depression outcome evidence New understandings Of mindfulness and its measurement Of the effects of mindfulness on meta-cognitive awareness Of effects of experiential processing on intractable emotional / behavioural problems New directions 23

24 Anxiety Chronic depression & Bipolar Disorders 24

25 Accessibility Of a framework that will motivate curiosity decisive action for self-caring persistence Of practices 25

26 John Teasdale and Michael Chaskelson (2011) the patterns of mind that keep people trapped in emotional suffering are, fundamentally, the same patterns of mind that stand between all of us and the flowering of our potential for a more deeply satisfying way of being. 26

27 Thank you

Mindfulness, depression and modes of mind: when East meets West

Mindfulness, depression and modes of mind: when East meets West RANZCP Adelaide May 2009 Mindfulness, depression and modes of mind: when East meets West Mark Williams University of Oxford Department of Psychiatry Collaborators: Zindel Segal, John Teasdale, Jon Kabat-Zinn

More information

An Introduction to Mindfulness. Dr Ruth Collins University Counselling Service Tuesday 28 March 2017

An Introduction to Mindfulness. Dr Ruth Collins University Counselling Service Tuesday 28 March 2017 An Introduction to Mindfulness Dr Ruth Collins University Counselling Service Tuesday 28 March 2017 What is mindfulness? Mindfulness involves paying attention on purpose in the present moment with curiosity

More information

Mindfulness-based Cognitive Therapy (MBCT): Its role in self-empowerment and relapse prevention in Secondary Care

Mindfulness-based Cognitive Therapy (MBCT): Its role in self-empowerment and relapse prevention in Secondary Care Mindfulness-based Cognitive Therapy (MBCT): Its role in self-empowerment and relapse prevention in Secondary Care Dr. Vivienne Hopkins Dr. Elizabeth Guinan Clinical Psychologists, North & South Community

More information

Mindfulness-based Cognitive Therapy (MBCT) Alison Evans. March Outline

Mindfulness-based Cognitive Therapy (MBCT)   Alison Evans. March Outline Mindfulness-based Cognitive Therapy (MBCT) www.exeter-mindfulness-network.org Alison Evans March 2013 Outline What is mindfulness? What people learn in mindfulnessbased cognitive therapy Brief scan of

More information

11/18/2016. Mindfulness and its Role in Health and Stress Reduction. What is Mindfulness? What is Mindfulness?

11/18/2016. Mindfulness and its Role in Health and Stress Reduction. What is Mindfulness? What is Mindfulness? Mindfulness and its Role in Health and Stress Reduction PRESENTED BY: COLLEEN CAMENISCH, MBA What is Mindfulness? What are some of the ideas you have about what mindfulness is? What is Mindfulness? Mindfulness

More information

EL1A Mindfulness Meditation

EL1A Mindfulness Meditation EL1A Mindfulness Meditation Lecture 3.2: Mindfulness-based cognitive therapy & stress reduction Quick check: How much can you recall so far? Which of the following is NOT a concern Buddhists have about

More information

10/11/2018. Mindfulness Based Cognitive Therapy. Intentions for Training

10/11/2018. Mindfulness Based Cognitive Therapy. Intentions for Training Mindfulness Based Cognitive Therapy TIM BAUTCH, MA,LPC, CSAC, ICS JOE DARCY, AAS, SAC IT, RECOVERY COACH CONNECTIONS COUNSELING, LLC MADISON, WI Tim Bautch, Therapist Tim is an Licensed Professional Counselor

More information

Mindfulness Navigating the Science and the Hype Tim Duerden Senior Lecturer University of Salford School of Health & Society

Mindfulness Navigating the Science and the Hype Tim Duerden Senior Lecturer University of Salford School of Health & Society Mindfulness Navigating the Science and the Hype Tim Duerden Senior Lecturer University of Salford School of Health & Society Lead trainer Integrated Mindfulness Ltd. & Mindful Resilience Enhancement This

More information

The Relationship between Mindfulness and Uncontrollability of Ruminative Thinking

The Relationship between Mindfulness and Uncontrollability of Ruminative Thinking DOI 10.1007/s12671-010-0021-6 ORIGINAL PAPER The Relationship between Mindfulness and Uncontrollability of Ruminative Thinking Filip Raes & J. Mark G. Williams # Springer Science+Business Media, LLC 2010

More information

Mindfulness as a Mediator of Psychological Wellbeing in a Stress Reduction Intervention for Cancer Patients - a randomized study

Mindfulness as a Mediator of Psychological Wellbeing in a Stress Reduction Intervention for Cancer Patients - a randomized study Mindfulness as a Mediator of Psychological Wellbeing in a Stress Reduction Intervention for Cancer Patients - a randomized study Richard Bränström Department of oncology-pathology Karolinska Institute

More information

Outline 21/08/2014. Rationale for MBCT The Challenge. Mindfulness-based Cognitive Therapy

Outline 21/08/2014. Rationale for MBCT The Challenge. Mindfulness-based Cognitive Therapy Mindfulness-based Cognitive Therapy Promising Approach to Preventing Depressive Relapse Willem Kuyken Welsh Psychiatric Society Friday 16 th May 2014 Outline Rationale for MBCT Does MBCT work? How does

More information

UNC School of Social Work s Clinical Lecture Series

UNC School of Social Work s Clinical Lecture Series UNC School of Social Work s Clinical Lecture Series University of North Carolina at Chapel Hill School of Social Work October 26, 2015 Noga Zerubavel, Ph.D. Psychiatry & Behavioral Sciences Duke University

More information

EL29 Mindfulness Meditation

EL29 Mindfulness Meditation EL29 Mindfulness Meditation Lecture 3.2: Mindfulness-based cognitive therapy & stress reduction Quick check: How much can you recall so far? Which of the following is NOT a concern Buddhists have about

More information

3) Contemporary mindfulness practices are based on teachings. a. Buddhist b. Egyptian c. Hindu d. Chinese

3) Contemporary mindfulness practices are based on teachings. a. Buddhist b. Egyptian c. Hindu d. Chinese Chapter 1 1) Mindfulness is often translated as a. Emptying the cup b. Filling the mind c. Focusing on the infinite d. Seeing with discernment 2) Bodhi (2011) states that the first core assumption of mindfulness

More information

Mindfulness and Resilience

Mindfulness and Resilience Mindfulness and Resilience Helen Cotter ww Helen Cotter What is mindfulness? Mindfulness means paying attention in a particular way: on purpose, in the present moment, and non-judgementally. ~ Jon Kabat-Zinn

More information

Copyright 2015 The Guilford Press

Copyright 2015 The Guilford Press This is a chapter excerpt from Guilford Publications. Mindfulness-Based Cognitive Therapy with People at Risk of Suicide. J. Mark G. Williams, Melanie Fennell, Thorsten Barnhofer, Rebecca Crane, and Sarah

More information

Mindfulness an introduction

Mindfulness an introduction Mindfulness an introduction Disclosure statement In this seminar I will refer to a chapter I have written in a book I have co-edited called Stammering Therapy from the Inside: new perspectives on working

More information

School of Psychology, Faculty of Health and Social Sciences, University of Bedfordshire,

School of Psychology, Faculty of Health and Social Sciences, University of Bedfordshire, Mindfulness: Cognitive and emotional change Hossein Kaviani School of Psychology, Faculty of Health and Social Sciences, University of Bedfordshire, Luton,, LU1 3JU, UK Beck [1] developed cognitive therapy

More information

Therapeutic Presence and the Naturopathic Doctor: Bringing one's whole self into the encounter with the patient

Therapeutic Presence and the Naturopathic Doctor: Bringing one's whole self into the encounter with the patient 1 Therapeutic Presence and the Naturopathic Doctor: Bringing one's whole self into the encounter with the patient When we are mindful, Deeply in touch with the present moment, Our understanding of what

More information

Mindful Meditation Practice and Scientific Theory Part 1. Sharon M. Theroux, PhD

Mindful Meditation Practice and Scientific Theory Part 1. Sharon M. Theroux, PhD Mindful Meditation Practice and Scientific Theory Part 1 Sharon M. Theroux, PhD Disclosures Sharon M. Theroux, PhD Licensed Psychologist Board Certified Clinical Neuropsychologist Certified MBSR instructor

More information

MBCT For Pain Pilot. Open Mind Partnership

MBCT For Pain Pilot. Open Mind Partnership MBCT For Pain Pilot Open Mind Partnership Context It is estimated that medically unexplained physical symptoms are the main reason for between 15% and 19% of GP consultations in the UK*. Furthermore up

More information

Mindfulness: High Performance. Life Balance. Sustainable Change 2017 CENTER FOR HUMAN PERFORMANCE

Mindfulness: High Performance. Life Balance. Sustainable Change 2017 CENTER FOR HUMAN PERFORMANCE Mindfulness: High Performance. Life Balance. Sustainable Change BARBARA WALKER, PH.D. PERFORMANCE PSYCHOLOGIST CENTER FOR HUMAN PERFORMANCE Desired Destination A state in which our mind, body, and energy

More information

Mindfulness and its Role in Health and Stress Reduction P R E S E N T E D B Y : C O L L E E N C A M E N I S C H, M B A

Mindfulness and its Role in Health and Stress Reduction P R E S E N T E D B Y : C O L L E E N C A M E N I S C H, M B A Mindfulness and its Role in Health and Stress Reduction P R E S E N T E D B Y : C O L L E E N C A M E N I S C H, M B A What is Mindfulness? What are some of the ideas you have about what mindfulness is?

More information

THE EFFECT SIZE OF MINDFULNESS-BASED COGNITIVE THERAPY AS AN INTERVENTION OPTION FOR DEPRESSION

THE EFFECT SIZE OF MINDFULNESS-BASED COGNITIVE THERAPY AS AN INTERVENTION OPTION FOR DEPRESSION THE EFFECT SIZE OF MINDFULNESS-BASED COGNITIVE THERAPY AS AN INTERVENTION OPTION FOR DEPRESSION Erlyn Erawan Fakultas Psikologi Universitas Katolik Widya Mandala Surabaya Abstract Depression as a form

More information

Tapering of antidepressant medication trials and tribulations

Tapering of antidepressant medication trials and tribulations Tapering of antidepressant medication trials and tribulations Day: Thursday 12th July 2018 Time: 3:30 4:45 pm Track: Clinical Applications The first presenter is Anders Sørensen. He will discuss a Cochrane

More information

P A N A N X I E T Y C

P A N A N X I E T Y C P A N A N X I E T Y C The terms panic attack and anxiety attack are used interchangeably, but they are not the same. Key characteristics distinguish one from the other, though they have several symptoms

More information

Wellness at UHA: Mindfulness Project. Special thanks to Lars Osterberg, MD, who shared source material

Wellness at UHA: Mindfulness Project. Special thanks to Lars Osterberg, MD, who shared source material Wellness at UHA: Mindfulness Project Special thanks to Lars Osterberg, MD, who shared source material Wellness Initiative } The wellness initiatives at UHA are not compulsory and will not affect any job

More information

By The American Institute of Health Care Professionals, Inc.

By The American Institute of Health Care Professionals, Inc. By The American Institute of Health Care Professionals, Inc. Table Of Content 2 The Impact Of Stress 4 What is 5 Conditions Treated By MBSR 6 Principles of MBSR 7 The Basis Of Mindfulness 8 The Core Of

More information

How Christian Faith Compares and Conflicts with Mindfulness

How Christian Faith Compares and Conflicts with Mindfulness JBC 33:1 (2019): 25 45 25 How Christian Faith Compares and Conflicts with Mindfulness by JOANNA JACKSON Mindfulness has become a buzzword in our modern Western world. It appears on the cover of magazines,

More information

Dispositional Mindfulness, Meditation, and Conditional Goal Setting

Dispositional Mindfulness, Meditation, and Conditional Goal Setting DOI 10.1007/s12671-010-0029-y ORIGINAL ARTICLE Dispositional Mindfulness, Meditation, and Conditional Goal Setting Catherine Crane & Danka Jandric & Thorsten Barnhofer & J. Mark G. Williams Published online:

More information

Awareness of Borderline Personality Disorder

Awareness of Borderline Personality Disorder Borderline Personality Disorder 1 Awareness of Borderline Personality Disorder Virginia Ann Smith Written Communication Sarah Noreen, Instructor November 13, 2013 Borderline Personality Disorder 2 Awareness

More information

Depression Major Depressive Disorder Defined. by Yvonne Sinclair M.A.

Depression Major Depressive Disorder Defined. by Yvonne Sinclair M.A. Depression Major Depressive Disorder Defined. by Yvonne Sinclair M.A. Have you been feeling sad a lot lately, can t seem to shake the blues. Do you know someone who has changed, no energy, lack of concentration,

More information

Clinical Psychology Review

Clinical Psychology Review Clinical Psychology Review 31 (2011) 32 40 Contents lists available at ScienceDirect Clinical Psychology Review The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent

More information

ACCPH Mindfulness Therapy

ACCPH Mindfulness Therapy ACCPH Mindfulness Therapy Mindfulness Mindfulness originated from Buddhist meditation that helps people focus on the present to gain greater awareness of their emotions and improve general well-being.

More information

Mindfulness-Based Cognitive Therapy

Mindfulness-Based Cognitive Therapy Chapter 10 Mindfulness-Based Cognitive Therapy Sona Dimidjian Blair V. Kleiber Zindel V. Segal Introduction and Historical Background Mindfulness-based cognitive therapy (MBCT) is an innovative brief group

More information

Effects of Mindful Breathing on Depression in Japanese University Students: Focusing on Negative Rumination and Self-Acceptance

Effects of Mindful Breathing on Depression in Japanese University Students: Focusing on Negative Rumination and Self-Acceptance WASEDA RILAS JOURNAL NO. 5 Effects of Mindful Breathing on Depression in Japanese University Students: Focusing on Negative Rumination and Self-Acceptance Manami MAEKAWA This study examined the effects

More information

The Five Facet Mindfulness Questionnaire

The Five Facet Mindfulness Questionnaire The Five Facet Mindfulness Questionnaire Mindfulness Questionnaire 8-10 min. Client The Five Facet Mindfulness Questionnaire (FFMQ; Baer, Smith, Hopkins, Krietemeyer, & Toney, 2006; Baer et al., 2008)

More information

Diabetes distress 7 A s model

Diabetes distress 7 A s model Diabetes and emotional health: A toolkit for health s supporting adults with type 1 or type 2 diabetes Diabetes distress 7 A s model AWARE Be AWARE that people with diabetes may experience diabetes distress

More information

Best Practice Guideline

Best Practice Guideline Psychotherapy for Depression Indications for Psychotherapy: Best Practice Guideline *Patient s presenting symptoms. *Presenting History. *Willingness to participate in the therapeutic process. *Readiness

More information

1) Principle of Proactivity

1) Principle of Proactivity 1) Principle of Proactivity Principle of proactivity teaches us that we can influence our life to a much greater extend than we usually think. It even states that we are the cause of majority of things

More information

Mental Health Problems in Primary Care: Prevent them before they occur

Mental Health Problems in Primary Care: Prevent them before they occur Mental Health Problems in Primary Care: Prevent them before they occur Professor Samuel YS Wong Division of Family Medicine and Primary Healthcare School of Public Health and Primary Care, Chinese University

More information

J. Indian Assoc. Child Adolesc. Ment. Health 2014; 10(1):1-8. Guest Editorial

J. Indian Assoc. Child Adolesc. Ment. Health 2014; 10(1):1-8. Guest Editorial 1 J. Indian Assoc. Child Adolesc. Ment. Health 2014; 10(1):1-8 Guest Editorial Mindfulness based interventions for children Dr. Eesha Sharma Address for Correspondence: Dr. Eesha Sharma, Lecturer, Department

More information

IMPROVING WELLNESS WITH MINDFULNESS

IMPROVING WELLNESS WITH MINDFULNESS IMPROVING WELLNESS WITH MINDFULNESS Be happy in the moment, that's enough...each moment is all we need, not more. ~ Mother Teresa Do You Ever Feel This Way? Mindfulness-Based Cognitive Therapy (MBCT):

More information

Copyright American Psychological Association

Copyright American Psychological Association Introduction Sleep is an essential part of life that most people take for granted. We assume that the mind and the body will naturally turn off when we decide to lie down in bed and rest. After about 8

More information

Science Update: Inform Your Mindfulness Teaching and Practice with Current Research.

Science Update: Inform Your Mindfulness Teaching and Practice with Current Research. Science Update: Inform Your Mindfulness Teaching and Practice with Current Research www.behavioraltech.org Moderator Introduction Randy Wolbert, LMSW, CAADC, CCS www.behavioraltech.org How to Submit Questions

More information

Mindfulness and compassion as the foundations of well-being Saturday 7 October am

Mindfulness and compassion as the foundations of well-being Saturday 7 October am Mindfulness and compassion as the foundations of well-being Saturday 7 October 2017 9am Felicia A. Huppert Emeritus Professor of Psychology and Director of the Well-being Institute, University of Cambridge,

More information

MINDFULNESS-BASED INTERVENTIONS & INFERTILITY CARE

MINDFULNESS-BASED INTERVENTIONS & INFERTILITY CARE Sexual Health in the Context of Infertility Treatment, Saturday, 1 July, 2017 University Hospital of Geneva 14H15-14h50 MINDFULNESS-BASED INTERVENTIONS & INFERTILITY CARE PD Dr Isabelle STREULI, Hélène

More information

Running head: CBT TREATMENT WITH SUICIDAL ADOLESCENTS 1

Running head: CBT TREATMENT WITH SUICIDAL ADOLESCENTS 1 Running head: CBT TREATMENT WITH SUICIDAL ADOLESCENTS 1 Effective Theoretical Approaches Assessing Suicidal Adolescents Dana V. Comer North Carolina State University CBT TREATMENT WITH SUICIDAL ADOLESCENTS

More information

Outline of content of Mindfulness-based Psychoeducation Program

Outline of content of Mindfulness-based Psychoeducation Program Data Supplement for Chien et al. (10.1176/appi.ps.201200209) Appendix Outline of content of Mindfulness-based Psychoeducation Program Introduction The Mindfulness-based Psychoeducation Program (MBPP) consists

More information

Copyright 2014 The Guilford Press

Copyright 2014 The Guilford Press This is a chapter excerpt from Guilford Publications. The Mindful Way Workbook: An 8-Week Program to Free Yourself from Depression and Emotional Distress, by John D. Teasdale, J. Mark G. Williams, and

More information

ready to relax 8 Week MBSR Program GUIDE

ready to relax 8 Week MBSR Program GUIDE ready to relax MINDFULNESS BASED STRESS REDUCTION 8 Week MBSR Program 2017 PROGRAM GUIDE INSIDE / a new way of being about your teacher what is mindfulness program benefits program outline dates & cost

More information

Benefits of Mindfulness

Benefits of Mindfulness Benefits of Mindfulness Practices for Improving Emotional and Physical Well-Being It s a busy world. You fold the laundry while keeping one eye on the kids and another on the television. You plan your

More information

Practitioner Guidelines for Enhanced IMR for COD Handout #2: Practical Facts About Mental Illness

Practitioner Guidelines for Enhanced IMR for COD Handout #2: Practical Facts About Mental Illness Chapter II Practitioner Guidelines for Enhanced IMR for COD Handout #2: Practical Facts About Mental Illness There are four handouts to choose from, depending on the client and his or her diagnosis: 2A:

More information

The Mindful Way Through Depression: Freeing Yourself From Chronic Unhappiness (Book & CD) PDF

The Mindful Way Through Depression: Freeing Yourself From Chronic Unhappiness (Book & CD) PDF The Mindful Way Through Depression: Freeing Yourself From Chronic Unhappiness (Book & CD) PDF If youâ ve ever struggled with depression, take heart. Mindfulness, a simple yet powerful way of paying attention

More information

Disclosure. Overview 9/16/2016. The Collaborative Assessment and Management of Suicidality (CAMS)

Disclosure. Overview 9/16/2016. The Collaborative Assessment and Management of Suicidality (CAMS) The Collaborative Assessment and Management of Suicidality (CAMS) Stephen S. O Connor, PhD Assistant Professor Associate Director, University of Louisville Depression Center Department of Psychiatry and

More information

Determining Major Depressive Disorder in Youth.

Determining Major Depressive Disorder in Youth. Co-parenting chapter eight. Watching for Depression in Yourself and Your Child. by Yvonne Sinclair M.A. If you notice your child has been feeling sad most of the day and can t seem to shake that down feeling,

More information

Building resilience in survivors of cancer: considering the needs of staff

Building resilience in survivors of cancer: considering the needs of staff Building resilience in survivors of cancer: considering the needs of staff 16 th September, 2014 Dr Sara Booth, Honorary Associate Lecturer Cambridge University, Honorary Senior Lecturer, Department of

More information

This version is available from Sussex Research Online:

This version is available from Sussex Research Online: Examining the factor structure of the 39-item and 15-item versions of the five facet mindfulness questionnaire before and after mindfulness-based cognitive therapy for people with recurrent depression

More information

Mindfulness online: a preliminary. evaluation of the feasibility of

Mindfulness online: a preliminary. evaluation of the feasibility of Open Access To cite: Krusche A, Cyhlarova E, King S, et al. Mindfulness online: a preliminary evaluation of the feasibility of a web-based mindfulness course and the impact on stress. BMJ Open 2012;2:

More information

MINDFULNESS INCREASES ANALYTICAL THOUGHT AND DECREASES JUST WORLD BELIEFS

MINDFULNESS INCREASES ANALYTICAL THOUGHT AND DECREASES JUST WORLD BELIEFS Submitted: December 15, 2016 Revised: May 11, 2016 Accepted: January 18, 2017 MINDFULNESS INCREASES ANALYTICAL THOUGHT AND DECREASES JUST WORLD BELIEFS Carey J. Fitzgerald University of South Carolina

More information

MINDFULNESS INTERVENTIONS IN THE HSE. Introduction

MINDFULNESS INTERVENTIONS IN THE HSE. Introduction MINDFULNESS INTERVENTIONS IN THE HSE Introduction The HSE is exploring the appropriateness, efficacy and safety issues associated with Mindfulness Based Interventions (MBIs), in an effort to support employees

More information

CRITICALLY APPRAISED PAPER (CAP)

CRITICALLY APPRAISED PAPER (CAP) CRITICALLY APPRAISED PAPER (CAP) Amen, A., Fonareva, I., Haas, M., Lane, J. B., Oken, B. S., Wahbeh, H., & Zajdel, D. (2010). Pilot controlled trial of mindfulness meditation and education for dementia

More information

Stress and coping: The role of mindfulness. Jessica Finocchiaro and Kathleen A. Moore. Charles Darwin University, Darwin, Australia

Stress and coping: The role of mindfulness. Jessica Finocchiaro and Kathleen A. Moore. Charles Darwin University, Darwin, Australia Finocchiaro, J., & Moore, K.A. (2013. Stress and coping: the role of mindfulness. In K.A. Moore, K. Kaniasty, P. Buchwald & A sese (Eds). Stress and Anxiety: Applicatiion to Health and Well-being, Work

More information

Managing Stress Through Mindfulness. Brett Wade, PhD

Managing Stress Through Mindfulness. Brett Wade, PhD Managing Stress Through Mindfulness Brett Wade, PhD Plan 45 min Observe: one of four levels Background Statistics of mental health related to students Why are mental health statistics for students on the

More information

A General Framework for Personality Psychology

A General Framework for Personality Psychology A General Framework for Personality Psychology Life Events and Broad Social Contexts Parents, peers, teachers, School board, SES, Culture (via conditions) Biology Brain Anatomy, Biochemicals, Genes Latent/Enduring

More information

Suicide: Starting the Conversation. Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support

Suicide: Starting the Conversation. Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support Suicide: Starting the Conversation Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support What We Do Know About Suicide Suicidal thoughts are common. Suicidal acts, threats

More information

OVERVIEW OVERVIEW MINDFULNESS APPROACHES IN ADDICTION TREATMENT AND! LONG-TERM RECOVERY MANAGEMENT THERISSA LIBBY! METROPOLITAN STATE UNIVERSITY

OVERVIEW OVERVIEW MINDFULNESS APPROACHES IN ADDICTION TREATMENT AND! LONG-TERM RECOVERY MANAGEMENT THERISSA LIBBY! METROPOLITAN STATE UNIVERSITY MINDFULNESS APPROACHES IN ADDICTION TREATMENT AND! LONG-TERM RECOVERY MANAGEMENT THERISSA LIBBY! METROPOLITAN STATE UNIVERSITY RUTGERS SUMMER SCHOOL OF ADDICTION STUDIES 2015 1 2 OVERVIEW OVERVIEW Tuesday!

More information

Managing Stress and Improving Health in Your Work and Life

Managing Stress and Improving Health in Your Work and Life Managing Stress and Improving Health in Your Work and Life Presenters: Sherry Daniels, Renee Koenig, Monica Lobenstein, Nancy Schultz, & Jeanne Walsh In today s session, we ll discuss How to take better

More information

CME Module 21: Study Guide Mindfulness and Motivational Interviewing

CME Module 21: Study Guide Mindfulness and Motivational Interviewing Introduction The focus of this module is working with patients to change their behaviors or reduce their weight in order to improve nutrition for an overall better quality of health. Mindfulness Mindfulness

More information

Nancy Heath, Ph.D. Department of Educational and Counselling Psychology. Image source:

Nancy Heath, Ph.D. Department of Educational and Counselling Psychology. Image source: Nancy Heath, Ph.D. Department of Educational and Counselling Psychology Image source: www.klara.be/.../cdlargethumb Why am I here? Stress in the workplace Stress and Emotion Reactivity & Regulation Mindfulness

More information

MINDFULNESS. CDR Sarah Arnold, MD/MPH

MINDFULNESS. CDR Sarah Arnold, MD/MPH MINDFULNESS CDR Sarah Arnold, MD/MPH Objectives The participant will be able to answer the following questions and be able to practice Mindfulness and experience its benefits What is Mindfulness? How does

More information

Mindfulness and Hypnosis

Mindfulness and Hypnosis Mindfulness and Hypnosis with and Ron Siegel, Psy.D. December 8, 2018 To encourage a more whole person participation, clinicians have begun to use guided mindfulness meditations (GMMs) 2 These have proved

More information

Description of intervention

Description of intervention Helping to Overcome PTSD through Empowerment (HOPE) Johnson, D., Zlotnick, C. and Perez, S. (2011) Johnson, D. M., Johnson, N. L., Perez, S. K., Palmieri, P. A., & Zlotnick, C. (2016) Description of Helping

More information

This version is available from Sussex Research Online:

This version is available from Sussex Research Online: Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a metaanalysis of randomised controlled trials Article (Published Version) Strauss, Clara,

More information

Mindfulness and Mindfulness-Based Relapse Prevention

Mindfulness and Mindfulness-Based Relapse Prevention Mindfulness and Mindfulness-Based Relapse Prevention Tonight s talk: mindfulness Fun Exercise! Mindfulness-Based protocols Mindfulness-Based Relapse Prevention Relaxing Exercise! What is Mindfulness? Mindfulness

More information

Optimistic Versus Pessimistic Life-Orientation Beliefs among University Teachers

Optimistic Versus Pessimistic Life-Orientation Beliefs among University Teachers Optimistic Versus Pessimistic Life-Orientation Beliefs among University Teachers Marium Din 1, Samra Afzal 2 1,2 National University of Modern Languages, Islamabad, Pakistan dr.mariumdin@gmail.com, afzalsamra@yahoo.com

More information

Module 4: Case Conceptualization and Treatment Planning

Module 4: Case Conceptualization and Treatment Planning Module 4: Case Conceptualization and Treatment Planning Objectives To better understand the role of case conceptualization in cognitive-behavioral therapy. To develop specific case conceptualization skills,

More information

Version The trait emotional intelligence (trait EI) model successfully integrates and extends EIrelated

Version The trait emotional intelligence (trait EI) model successfully integrates and extends EIrelated Version 1.50 The trait emotional intelligence (trait EI) model successfully integrates and extends EIrelated ideas in a general framework that incorporates 15 specific facets. Adaptability Emotion control

More information

Adapted from Segal Williams and Teasdale (2007). Copyright by the Guilford Press.

Adapted from Segal Williams and Teasdale (2007). Copyright by the Guilford Press. Adapted from Segal Williams and Teasdale (2007). Copyright by the Guilford Press. TURNING TOWARD THE DIFFICULT In Session 5 we extended our formal practice to begin deliberately to turn toward and approach

More information

Mindfulness as Self-Care for First Responders

Mindfulness as Self-Care for First Responders Building Capacity: Managing and Mitigating Responder Stress Mindfulness as Self-Care for First Responders Dianne Kane, LCSW, DSW IDMH April 20, 2012 Why Self Care? Stress is an occupational hazard intrinsic

More information

An Introduction to Mindfulness

An Introduction to Mindfulness An Introduction to Mindfulness The intention behind mindfulness - To bring your awareness back to the present moment without judgment whenever we become aware of projecting our thoughts to the future or

More information

Bipolar Disorder in Children and Teens

Bipolar Disorder in Children and Teens Bipolar Disorder in Children and Teens Does your child go through intense mood changes? Does your child have extreme behavior changes? Does your child get much more excited and active than other kids his

More information

Optimal Health Questionnaire

Optimal Health Questionnaire Optimal Health Questionnaire This questionnaire is intended to help you assess how well you are balancing the various elements in your life. The basis of the process is that we have 5 dimensions which

More information

Mindfulness-Based Interventions: What Works Best, For Whom, and Why?

Mindfulness-Based Interventions: What Works Best, For Whom, and Why? Mindfulness-Based Interventions: What Works Best, For Whom, and Why? Day: Wednesday 11th July 2018 Time: 10.45 12.00 Track: Working Mechanisms This symposium on mediators, moderators, and biomarkers aims

More information

Psychology. Introductory Class Activity

Psychology. Introductory Class Activity Psychology Introductory Class Activity Psychology - Psychology is the scientific study of the human mind and it s functions. - Looking at our inner feelings and behaviours. - In psychology it can consist

More information

Exploring Mindfulness Handout

Exploring Mindfulness Handout What is Mindfulness? Mindfulness is a way of being in the world. Being mindful means responding, not reacting, to the ever present flow of events and experiences in your life with patience, openness, and

More information

Preliminary study of applicability of mindfulness based cognitive therapy protocol for depressed patients with suicidal thought: A case study

Preliminary study of applicability of mindfulness based cognitive therapy protocol for depressed patients with suicidal thought: A case study Journal of Clinical Psychology Vol. 1, No.1, 2009 Pages: 35-45 - (MBCT) : Preliminary study of applicability of mindfulness based cognitive therapy protocol for depressed patients with suicidal thought:

More information

THE EFFECT OF ANGER RUMINATION IN THE RELATIONSHIP BETWEEN BORDERLINE PERSONALITY DISORDER SYMPTOMS AND PRECURSORS

THE EFFECT OF ANGER RUMINATION IN THE RELATIONSHIP BETWEEN BORDERLINE PERSONALITY DISORDER SYMPTOMS AND PRECURSORS Journal of Personality Disorders, 27(4), pp. 465 472, 2013 2013 The Guilford Press THE EFFECT OF ANGER RUMINATION IN THE RELATIONSHIP BETWEEN BORDERLINE PERSONALITY DISORDER SYMPTOMS AND PRECURSORS Shannon

More information

Mindfulness-Based Stress Reduction

Mindfulness-Based Stress Reduction Mindfulness-Based Stress Reduction Welcome to Our MBSR Orientation Angela Parrish Florida Community of Mindfulness floridamindfulness.org 1 Intentions for Our Orientation! Share a brief history of the

More information

Mental Health America of Eastern Missouri

Mental Health America of Eastern Missouri Be Where You Are everyday mindfulness for mental wellness Mental Health America of Eastern Missouri Our Mission To promote mental health and to improve the care and treatment of persons with mental illness

More information

PSY100 Lecture June 9, 2011 ABNORMAL PSYCHOLOGY

PSY100 Lecture June 9, 2011 ABNORMAL PSYCHOLOGY PSY100 Lecture June 9, 2011 ABNORMAL PSYCHOLOGY Brand New Ancient Wisdom: you have more control than you think The brain structurally becomes thicker in order to accommodate learning in respective areas

More information

Mindfulness The unexpected path to success and wellbeing at work

Mindfulness The unexpected path to success and wellbeing at work Mindfulness The unexpected path to success and wellbeing at work Torsten Simon SAP Global Mindfulness Practice 2017 SAP SE or SAP affiliate company. All rights reserved. ǀ 13-Jan-2018 1 Arrive In Pairs:

More information

Zone of Positive Stress

Zone of Positive Stress Stress What is Stress? A stressor is any demand on mind and body. It is our response to anxiety provoking events. Stress is arousal of mind and body in response to demands made upon the individual. Positive

More information

Clinical Practice Guideline: Management of Major Depression in Primary Care

Clinical Practice Guideline: Management of Major Depression in Primary Care Clinical Practice Guideline: Management of Major Depression in Primary Care Approved, CHP Quality Improvement Committee 3/27/01, 10/22/02, 10/28/03, 11/2/04, 11/1/05, 9/8/09, 5/10/11, 5/14/13, 5/12/15,

More information

Introduction to Mindfulness: History and Theoretical Understanding

Introduction to Mindfulness: History and Theoretical Understanding section i Introduction to Mindfulness: History and Theoretical Understanding chapter 1 Mindfulness Scholarship and Interventions: A Review Itai Ivtzan, Rona Hart In the past three decades, an exponential

More information

COACH WORKPLACE REPORT. Jane Doe. Sample Report July 18, Copyright 2011 Multi-Health Systems Inc. All rights reserved.

COACH WORKPLACE REPORT. Jane Doe. Sample Report July 18, Copyright 2011 Multi-Health Systems Inc. All rights reserved. COACH WORKPLACE REPORT Jane Doe Sample Report July 8, 0 Copyright 0 Multi-Health Systems Inc. All rights reserved. Response Style Explained Indicates the need for further examination possible validity

More information

Mental Health: Subjective evaluation of overall quality of life (QOL) Happiness, life satisfaction, morale, trait effect, etc. Quality of Life (QOL)

Mental Health: Subjective evaluation of overall quality of life (QOL) Happiness, life satisfaction, morale, trait effect, etc. Quality of Life (QOL) Mental Health: Subjective evaluation of overall quality of life (QOL) Happiness, life satisfaction, morale, trait effect, etc. Quality of Life (QOL) Multidimensional concept Includes: Physical health Cognitive

More information

EMOTIONAL HEALTH AND WELL-BEING POLICY

EMOTIONAL HEALTH AND WELL-BEING POLICY EMOTIONAL HEALTH AND WELL-BEING POLICY 2017-2020 Policy Approved: November 2017 Policy Renewal: November 2020 Reviewed by the LGB Governors The Governors of Greenbank High School are committed to safeguarding

More information

Mindfulness-Based Interventions for Weight Loss

Mindfulness-Based Interventions for Weight Loss Mindfulness-Based Interventions for Weight Loss Carl Fulwiler, MD, PhD Director, Systems and Psychosocial Advances Research Center Department of Psychiatry University of Massachusetts Medical School Thirteenth

More information

Introduction ORIGINAL PAPER. Maya J. Schroevers 1 & K. Annika Tovote 1 & Evelien Snippe 1,2 & Joke Fleer 1

Introduction ORIGINAL PAPER. Maya J. Schroevers 1 & K. Annika Tovote 1 & Evelien Snippe 1,2 & Joke Fleer 1 Mindfulness (2016) 7:1339 1346 DOI 10.1007/s12671-016-0575-z ORIGINAL PAPER Group and Individual Mindfulness-Based Cognitive Therapy (MBCT) Are Both Effective: a Pilot Randomized Controlled Trial in Depressed

More information