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Project No.: 2021-1-FR01-KA220-HED-000027504

Starting Module : Mindfulness Roots and Approaches

Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

Start

Welcome to Lesson 3 !

In this lesson, you will explore how mindfulness can be integrated in psychotherapeutic approaches, designed specifically for beginners. Discover the fundamental role of mindfulness in mental health and learn how it can be seamlessly incorporated into therapeutic settings. Gain practical insights into Mindfulness-Based Cognitive Therapy (MBCT) and Acceptance and Commitment Therapy (ACT), along with mindfulness techniques to manage anxiety, stress, and emotional regulation. Get ready to enhance your well-being and effectively navigate daily challenges with greater mindfulness and resilience.

Project No.: 2021-1-FR01-KA220-HED-000027504

Index

A) Introduction

Welcome to Lesson 3

Lesson 3 Overview

C) Acceptance and Commitment Therapy (ACT)

D) Mindfulness in Daily Life

B) Mindfulness-Based Cognitive Therapy (MBCT)

Conclusion

Resources and References

Project No.: 2021-1-FR01-KA220-HED-000027504

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

Lesson 3 Overview

In this lesson, you will delve into the integration of mindfulness in psychotherapeutic approaches, exploring its role in mental health and learning practical techniques to enhance emotional well-being and resilience.

Throughout lesson 3, you will develop the following skills and knowledge: in integrating mindfulness into psychotherapeutic approaches, including enhancing emotional well-being, coping with challenges, and fostering greater resilience in your daily life.

Let's embark on this transformative exploration of mindfulness in psychotherapy!

A) Introduction

Understanding Mindfulness in Psychotherapy

Benefits of Mindfulness in Therapeutic Setting

Project No.: 2021-1-FR01-KA220-HED-000027504

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

A) Introduction

Understanding Mindfulness in Psychotherapy

Understanding mindfulness in psychotherapy involves recognizing how mindfulness practices are integrated into therapeutic approaches to support emotional well-being, self-awareness, and personal growth. Mindfulness-based interventions have gained prominence in the field of psychotherapy due to their effectiveness in addressing various mental health challenges.

The Role of Mindfulness in Mental Health Mindfulness plays a pivotal role in mental health by offering individuals practical tools to navigate their emotional landscape, manage symptoms of various mental health conditions, and promote emotional regulation and resilience. The integration of mindfulness into therapeutic settings has led to transformative outcomes for individuals seeking to enhance their mental well-being and lead more fulfilling lives.

Integrating Mindfulness and Psychotherapy Integrating mindfulness and psychotherapy involves blending mindfulness practices with traditional therapeutic approaches to enhance emotional well-being, self-awareness and personal growth. This combination harnesses the transformative potential of mindfulness to deepen the therapeutic process and address a wide range of psychological challenges.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

A) Introduction

Benefits of Mindfulness in Therapeutic Setting

The benefits of mindfulness in a therapeutic setting extend across various psychological challenges and can lead to long-lasting positive changes in clients' lives. However, it's essential to work with a qualified therapist experienced in mindfulness interventions to ensure proper guidance and support throughout the process. Mace (2008) outlines three therapeutic actions that can result from mindfulness practice, potentially contributing to positive patient outcome. Mindfulness encourages openness to various perspectives and flexible thinking, enabling patients to approach challenges with adaptability. Mindfulness helps individuals manage anxiety by training them to stay grounded in the present moment, reducing worries about the future. Mindfulness-based interventions have been shown to prevent depressive relapse and reduce symptoms of depression (Hofmann and Asmundson, 2008; Hofmann et al., 2010).

Therapeutic actions resulting from mindfulness practice

B) Mindfulness-Based Cognitive Therapy (MBCT)

Applying Mindfulness in Cognitive-Behavioral Therapy

Mindfulness Techniques for Managing Negative Thoughts

Practicing Mindfulness Techniques for Managing Negative Thoughts

Project No.: 2021-1-FR01-KA220-HED-000027504

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

B) Mindfulness-Based Cognitive Therapy (MBCT)

Mindfulness-Based Cognitive Therapy (MBCT) integrates mindfulness practices with elements of cognitive therapy. It was initially developed as a relapse prevention approach for individuals with depression, but it has since been applied to other mental health conditions (Segal et al., 2002; 2010). MBCT has been effective in preventing depressive relapse (Kuyken et al., 2016).

Applying Mindfulness in Cognitive-Behavioral Therapy A substantial body of literature and clinical trials substantiate the efficacy of CBT in assisting individuals with a wide spectrum of mental health difficulties, including but not limited to depression, anxiety, and emotional distress. CBT operates on the premise that altering cognitions (thought patterns) and behaviors (actions) can lead to a transformation in emotional reactions. Ma and Teasdale (2004) formulated mindfulness-based cognitive behavior therapy (MCBT) to address major depression treatment and relapse prevention (Segal et al., 2002). Their study indicated that among patients with more than three major depression relapses, employing MCBT resulted in a notable decrease in subsequent relapses compared to a control group.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

B) Mindfulness-Based Cognitive Therapy (MBCT)

Mindfulness Techniques for Managing Negative Thoughts Mindfulness techniques offer valuable strategies to effectively manage negative thoughts by cultivating a state of heightened awareness and detachment. Rather than becoming entangled in the web of negative thoughts, mindfulness teaches individuals to observe them without judgment. This approach helps individuals understand that thoughts are transient mental events and not a reflection of their identity. By focusing on the present moment, redirecting attention from past regrets or future worries, and labeling negative thoughts as simply "thinking," individuals create a necessary distance from the content of these thoughts. Mindfulness empowers individuals to reframe negative thoughts by considering alternative perspectives, challenging distorted thinking patterns, and fostering a more balanced view. The practice also encourages self-compassion, enabling individuals to treat themselves kindly when negative thoughts arise and reducing self-criticism.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

B) Mindfulness-Based Cognitive Therapy (MBCT)

Mindfulness Techniques for Managing Negative Thoughts By letting go of negative thoughts and allowing them to pass without attachment, grounding techniques and body scans further contribute to shifting focus away from rumination. Integrating mindfulness techniques into daily life equips individuals with the tools to manage negative thoughts more effectively, resulting in improved emotional regulation and a more resilient approach to challenging circumstances.

Guided Practice https://www.youtube.com/watch?v=IhEpHIVTDA0 Guided Mindfulness Meditation on Controlling Negative Thoughts This video is owned and provided by MindfulPeace

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C) Acceptance and Commitment Therapy (ACT)

ACT and Its Core Principles

Mindfulness to Accept Unwanted Thoughts and Feelings

Project No.: 2021-1-FR01-KA220-HED-000027504

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

C) Acceptance and Commitment Therapy (ACT)

ACT and Its Core Principles

Stephen Hayes (2005) pioneered Acceptance and Commitment Therapy (ACT), a variant of Cognitive Behavior Therapy. ACT employs a mindfulness-centered strategy, urging patients to confront the present reality rather than resist or alter the distressing experiences motivating treatment. However, the desired transformation is achieved by embracing and enduring the challenging circumstances, allowing for a perspective shift, amalgamation, and personal growth arising from the discomfort. ACT combines mindfulness techniques with acceptance and values-based action strategies. It focuses on developing psychological flexibility and helping individuals live in alignment with their values (Hayes et al. 1999; 2002; 2011). The core principles of ACT include:

Source: Palasik and Hannan, 2013.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

C) Acceptance and Commitment Therapy (ACT)

Mindfulness to Accept Unwanted Thoughts and Feelings

Using mindfulness to accept unwanted thoughts and feelings involves cultivating a non-judgmental and compassionate awareness of these experiences. Allow the unwanted thoughts and feelings to be present without judgment. Recognize that these thoughts and feelings are not your identity. Label the thoughts and feelings as "thoughts" or "feelings" without attaching strong meanings to them. Resistance can intensify their impact, while acceptance can reduce their power. Allow them to exist without trying to change them. Focus on your breath to anchor yourself in the present moment. Remember that thoughts and feelings are influenced by various factors, including past experiences, beliefs, and emotions. Allow them to naturally rise and fall, like passing clouds in the sky.

D) Mindfulness in Daily Life

Mindfulness for Anxiety Reduction

Mindfulness for Emotion Awareness and Regulation

Mindfulness Practices for Daily Stress Reduction

Benefits of Mindfulness for Emotion Awareness and Regulation:

Meditation and BodyScan

Mindful Breathing and Mindful Walking

Mindfulness practices for emotion awareness and regulation:

Yoga

Benefits of Mindfulness for Daily Stress Reduction:

Project No.: 2021-1-FR01-KA220-HED-000027504

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Mindfulness for Anxiety Reduction

In today's fast-paced modern life, anxiety has become a prevalent issue affecting millions of people.

Mindfulness emerges as a powerful solution to alleviate this problem. It breaks the cycle of rumination, redirecting focus to the present, calms the nervous system through breath and meditation, fosters self-compassion, and encourages the acceptance of emotions. Integrating mindfulness into daily life helps manage anxiety, promoting inner peace and resilience in the face of challenges, leading to a happier existence.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Mindfulness Practices for Daily Stress Reduction

Mindfulness, rooted in ancient contemplative traditions, has evolved into a well-established field of scientific inquiry. Its applications in daily life for stress reduction have garnered significant attention and research. Mindfulness is a mental state characterized by non-judgmental awareness of the present moment. Scientific Foundations: The scientific substantiation of mindfulness efficacy in stress reduction is underpinned by an extensive body of research: Stress Mitigation: Mindfulness-based interventions, such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), have consistently demonstrated their capacity to reduce stress levels significantly. These programs incorporate mindfulness meditation techniques that equip individuals with effective stress management tools.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Mindfulness Practices for Daily Stress Reduction

Neurological Adaptations: Neuroimaging studies have revealed structural and functional adaptations within the brains of individuals who engage in regular mindfulness practices. Notably, these changes include a reduction in activity within the amygdala (the brain's emotional center) and an augmentation in the prefrontal cortex (associated with attention and emotional control). Cortisol Modulation: A noteworthy physiological effect of mindfulness practices is the reduction in cortisol levels—the body's stress hormone. Lower cortisol levels signify a reduced stress response, highlighting the tangible physiological benefits of mindfulness. Emotion Regulation: Through heightened emotional awareness and the cultivation of adaptive coping mechanisms, mindfulness empowers individuals to respond more skillfully to challenging situations. This, in turn, leads to diminished emotional reactivity and enhanced stress management.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Mindfulness Practices for Daily Stress Reduction

Meditation: Mindfulness meditation involves setting aside a dedicated time to sit quietly and direct your attention to a specific focal point, which could be your breath, bodily sensations, or a chosen object. The aim is to observe your thoughts, emotions, and bodily sensations without judgment or attachment. Find a quiet space, sit comfortably, and focus your attention on your breath. As you breathe in and out, notice the sensation of the breath at the nostrils or the rise and fall of your abdomen. When thoughts or distractions arise (as they inevitably will), acknowledge them without criticism and gently bring your focus back to your breath. This practice enhances mindfulness and, over time, reduces stress. Body Scan: The body scan is a practice that systematically directs your attention to different parts of your body, starting from your toes and moving up to the head. The goal is to become aware of any tension or discomfort and release it through mindful attention. Lie down in a comfortable position, close your eyes, and start by bringing your attention to your toes. Gradually move your awareness through each part of your body, noticing any sensations, tension, or discomfort. If you encounter tension, imagine your breath flowing into that area and releasing the tension with each exhale. This practice promotes relaxation and reduces physical stress.

Starting Module : Mindfulness Roots and Approaches

D) Mindfulness in Daily Life

Mindfulness Practices for Daily Stress Reduction

Mindful Breathing: involves paying close attention to your breath, inhaling and exhaling with intention and full awareness. It can be done in any comfortable sitting or lying position. Find a quiet spot and sit comfortably. Close your eyes and focus your attention entirely on your breath. Feel the sensation of the air entering and leaving your nostrils or the rise and fall of your chest or abdomen. If your mind starts to wander or if you become distracted, gently guide your focus back to your breath. This practice calms the nervous system, reduces stress, and can be performed in just a few minutes. Mindful Walking: is about bringing awareness to each step and the sensations in your body as you move. It's a form of walking meditation that can be practiced indoors or outdoors. While walking, slow down your pace and pay attention to the movement of your legs and feet. Feel the ground beneath you with each step. Notice the sensation of your muscles engaging and relaxing. As you walk, stay fully present in the experience, observing the sights, sounds, and sensations around you. This practice can be particularly grounding and effective for reducing stress.

Starting Module : Mindfulness Roots and Approaches

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Mindfulness Practices for Daily Stress Reduction

Yoga: combines physical postures (asanas) with mindfulness and controlled breathing (pranayama). It's a holistic practice that enhances flexibility, strength, and relaxation while promoting mindfulness and stress reduction. Example: Attend a yoga class or practice at home using instructional videos. As you move through the yoga poses, synchronize your breath with each movement, paying close attention to your body's sensations. Be fully present in the practice, observing your breath, thoughts, and feelings without judgment. Yoga can be a powerful tool for reducing stress by promoting physical and mental relaxation.

Listen

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Guided Practice https://soundcloud.com/hachetteaudiouk/meditation-2-the-body-scan Body scan meditation This video is owned and provided by Little, Brown Audio

Guided Practice https://d1cy5zxxhbcbkk.cloudfront.net/guided-meditations/01_Breathing_Meditation.mp3 Breathing meditation This video is owned and provided by Kristina Neff

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Benefits of Mindfulness for Daily Stress Reduction:

The advantages of incorporating mindfulness into daily life extend far beyond stress reduction: Stress and Anxiety Diminution: Mindfulness significantly reduces stress and anxiety levels, enabling individuals to navigate daily challenges with greater serenity. Emotional Regulation: Heightened emotional awareness empowers individuals to manage reactions to stressors more adeptly, promoting emotional equilibrium. Augmented Focus and Concentration: Regular mindfulness practice sharpens attention and concentration, bolstering productivity and mental clarity. Improved Sleep Quality: Mindfulness practices induce relaxation, facilitating restful sleep patterns. Enhanced Self-Awareness and Self-Compassion: Mindfulness engenders a profound self-understanding and encourages self-kindness, resulting in improved self-esteem and self-compassion. Overall Well-Being: Ultimately, mindfulness cultivates a profound sense of well-being and life satisfaction, equipping individuals to confront life's challenges with resilience and equilibrium.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Mindfulness for Emotion Awareness and Regulation

Emotions play a pivotal role in our daily lives, influencing our thoughts, behaviors, and overall well-being. The practice of mindfulness has gained prominence in scientific research for its ability to enhance emotion awareness and regulation. This section delves into the scientific insights and explanations behind the use of mindfulness as a tool for improving emotional awareness and regulation. Understanding Emotion Awareness and Regulation: Emotion awareness refers to the capacity to recognize, understand, and accurately label one's own emotions as they arise. Emotion regulation, on the other hand, involves the ability to manage and modulate emotional responses effectively, ensuring that emotions do not overwhelm or hinder one's well-being.

The scientific basis for mindfulness impact on emotion awareness and regulation is grounded in empirical research: Enhanced Emotional Awareness: Mindfulness practices, such as mindfulness meditation, encourage individuals to cultivate a non-judgmental, present-moment awareness of their thoughts and emotions. This heightened awareness allows individuals to recognize and label their emotions more accurately. Neuroimaging studies indicate that mindfulness is associated with increased activity in brain regions related to emotional processing and self-awareness. Emotion Regulation Strategies: Mindfulness equips individuals with a repertoire of emotion regulation strategies. By observing their emotions without judgment, individuals can gain insight into their emotional triggers and responses. Mindfulness also fosters cognitive flexibility, enabling individuals to reframe and re-evaluate emotional situations. These skills enhance one's ability to regulate and manage emotions adaptively.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Benefits of Mindfulness for Emotion Awareness and Regulation:

The advantages of integrating mindfulness for emotion awareness and regulation are substantial: Heightened Emotion Awareness: Mindfulness facilitates a deeper understanding of one's emotions, enabling individuals to recognize and label their feelings accurately. Effective Emotion Regulation: Mindfulness equips individuals with adaptive strategies to regulate and manage emotions, preventing them from becoming overwhelming or disruptive. Reduced Emotional Reactivity: Regular mindfulness practice can lead to decreased emotional reactivity, allowing individuals to respond to emotional situations more calmly and rationally. Improved Mental Well-Being: Enhanced emotion awareness and regulation contribute to improved mental health and well-being, reducing symptoms of anxiety and depression. Enhanced Interpersonal Relationships: By fostering emotional intelligence, mindfulness can lead to better communication and more harmonious relationships.

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Mindfulness practices for emotion awareness and regulation:

Mindfulness Meditation: During mindfulness meditation, as you focus on your breath, you might become aware of an emotion arising, like anxiety. Instead of reacting to it, you simply notice the feeling, acknowledge it without judgment ("I am feeling anxious"), and allow it to be. You observe its physical sensations and how it manifests in your body, without trying to change it. Loving-Kindness Meditation (Metta): In a loving-kindness meditation session, you might silently repeat phrases like "May I be happy, may I be healthy, may I be safe, may I live with ease." After directing these phrases towards yourself, you extend them to others, starting with loved ones and gradually including neutral people and even those you may have conflicts with. This practice fosters emotional regulation by replacing negative with positive emotions.

Guided Practice https://d1cy5zxxhbcbkk.cloudfront.net/guided-meditations/05_Loving_Kindness_Meditation.mp3 Loving-Kindness Meditation This video is owned and provided by Kristina Neff

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Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

D) Mindfulness in Daily Life

Mindfulness practices for emotion awareness and regulation:

Emotion-Focused Mindfulness: Emotion-focused mindfulness involves intentionally turning your mindfulness attention towards specific emotions. Instead of observing your breath or bodily sensations, you focus on the emotion itself, exploring its qualities, triggers and patterns. Mindful Self-Compassion: Mindful self-compassion combines traditional mindfulness with practices that encourage a kind and gentle attitude towards one's emotional experiences. It involves treating oneself with the same warmth and understanding that you would offer to a friend in times of distress. By doing so, you reduce self-criticism and promote emotional regulation through self-compassion.

Guided Practice https://self-compassion.org/wp-content/uploads/2020/08/GivingandReceivingCompassion_Neff_01.-cleanedbydanmp3.mp3 Compassion meditation This video is owned and provided by Kristina Neff

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Conclusion

Resources and References

Project No.: 2021-1-FR01-KA220-HED-000027504

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

Conclusion

Key points of the lesson

By incorporating mindfulness techniques into your daily routine, you can develop the skills to manage negative thoughts more effectively, leading to increased emotional regulation and a more balanced perspective on challenging situations. Mindfulness-Based Stress Reduction (MBSR) has shown positive results in reducing symptoms of anxiety and depression (Hofmann et al., 2010), while Mindfulness-Based Cognitive Therapy (MBCT) has been effective in preventing depressive relapse (Kuyken et al., 2016). ACT has been applied successfully in treating various psychological conditions, including anxiety disorders, depression, chronic pain, and stress-related issues (A-Tjak et al., 2015; Hayes et al., 2012). Its principles and techniques promote psychological flexibility, enabling individuals to adapt to life's challenges, cultivate resilience, and pursue meaningful actions consistent with their values. Neuroimaging studies have highlighted how mindfulness practices can impact brain structures associated with emotional processing and self-regulation (Hölzel et al., 2011).

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

Resources and References

List of Recommended Resources for Further Study

Starting Module : Mindfulness Roots and Approaches Lesson 3 – Mindfulness and Its Integration in Psychotherapeutic Approaches

Resources and References

References

A-Tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A., & Emmelkamp, P. M. (2015). "A meta-analysis of the efficacy of Acceptance and Commitment Therapy for clinically relevant mental and physical health problems." Psychotherapy and Psychosomatics, 84(1), 30-36. Hayes S.C. (2002). Acceptance, mindfulness, and science. Clinical Psychology : Science and Practice, 9 (1) : 101-106. Hayes S.C. Get Out of Your Mind and into Your Life: The New Acceptance and Commitment Therapy. Oakland, CA, New Harbinger Publications, 2005. Hayes S.C., Strosahl K.D., Wilson K.G. (1999). Acceptance and commitment therapy : An experimental approach to behavior change. New York, Guilford Press. Hayes S.C., Strosahl K.D., Wilson K.G. (2011). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. Guilford Press: New York.Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). "The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review." Journal of Consulting and Clinical Psychology, 78(2), 169-183. Hofmann, SG, Asmundson, GJG (2008) Acceptance and mindfulness-based therapy: new wave or old hat? Clinical Psychology Review 28: 1–16. Hölzel, B. K., Carmody, J., Vangel, M., Congleton, C., Yerramsetti, S. M., Gard, T., & Lazar, S. W. (2011). "Mindfulness practice leads to increases in regional brain gray matter density." Psychiatry Research: Neuroimaging, 191(1), 36-43.

Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., ... & Dalgleish, T. (2016). "Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse: An Individual Patient Data Meta-analysis from Randomized Trials." JAMA Psychiatry, 73(6), 565-574. Ma SH, Teasdale JD: Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Consult Clin Psychol 2004. Mace, C (2008) Mindfulness and Mental Health: Therapy, Theory and Science. Routledge. Palasik, S. and Hannan, J. (2013). The Clinical applications of Acceptance and Commitment Therapy with clients who stutter. Perspectives on Fluency and Fluency Disorders, 23 (2), 54-69. Segal Z.V., Bieling P., Young T., MacQueen G., Cooke R., Martin L., Bloch R., Levitan R.D. (2010) : Antidepressant monotherapy vs sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67 (12) : 1256-1264. Segal Z.V., Williams J.M.G., Teasdale J.D. (2002) : Mindfulness-based cognitive therapy for depression : A new approach to preventing relapse. New York, Guilford Press.

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Project No.: 2021-1-FR01-KA220-HED-000027504