Mindfulness-Based Cognitive Therapy a Primer. Dr. Kerri McGuire Women’s Health Issues April 26, 2007. Outline. The Territory of Depression Why does depression recur? Mindfulness-Based Cognitive Therapy (MBCT) Future Directions. The Territory of Depression.
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Mindfulness-Based Cognitive Therapya Primer
Dr. Kerri McGuire
Women’s Health Issues
April 26, 2007
-Little intentional control of attention
- Avoidant or suppressive
Ruminative and Centered on Self
-Strong identification with thoughts and feelings
-Strongly correlated with the past # of depressions
-Gender differences in rumination correlate with gender distribution in depression
P<.002; Watkins & Moulds (2005)
P<.02; J Pers & Soc Psych (2000)
- “In order to be happy, I must be……”
- “Admitting to your mistakes is a sign of weakness”
- “If others look to me for guidance, it would make me feel important”
- What does feeling this way say about me?
- Why is this (sadness) happening to me?
- How can I change this (sadness)?
An Integration of MBSR and Cognitive Therapy
A Blend of Acceptance and Change models
Customized for Depression
Stress Reduction Clinic,1979
Mindfulness means paying attention,
in a particular way,
in the present moment,
How Does Cognitive Therapy Prevent Depressive Relapse?
Teaches Patients in Depressed Mood to:
-Switch out of a habitual cognitive mode of mind
-Decenter - thoughts are not necessarily me and not necessarily true
-Turn towards the Difficult
-Change Degree of Belief
Teaches Recovered Depressed Patients Regardless of Mood:
-Automatic to Intentional Mode
-Avoidance to Curiosity & Acceptance
-‘Thinking About’ to ‘Directly Experiencing’
-Judging & Fixing to Non-Doing & Being
to awareness & stillness
and facial expression
P<.005; J Consult Clin Psych (2000)
P<.05; J Consult Clin Psych (2004)
Dorsal Lateral Prefrontal Cortex
Left associated with feelings of happiness & well-being and approach behaviours
Right associated with feelings of distress and avoidance behaviours
Increased left sided anterior activation compared to controls
Over 8 weeks participants began to shift in the same direction as Buddhist monks
Dr. Kerri McGuire: email@example.com