Mindfulness based cognitive therapy as maintenance treatment for unipolar major depression
- Zindel Segal, PhD, C.Psych
Zindel Segal, PhD, C.Psych
- Professor of Psychiatry
- University of Toronto
Mindfulness based cognitive therapy is a group program that is generally used to delay or prevent recurrence of major depression , but may also reduce depressive symptoms . The treatment combines the clinical application of mindfulness meditation with elements of cognitive-behavioral therapy, and was first developed in 2000 [3-5].
This topic reviews the use of mindfulness based cognitive therapy for the maintenance treatment of patients with recurrent unipolar major depression, as well as patients with acute episodes of unipolar major depression or with residual depressive symptoms. Choosing initial treatment for patients with unipolar depression and choosing treatment for resistant depression are discussed separately. (See "Unipolar major depression in adults: Choosing initial treatment" and "Unipolar depression in adults: Treatment of resistant depression".)
Mindfulness based cognitive therapy is indicated for:
●Maintenance treatment of euthymic patients who have suffered multiple episodes of unipolar major depression – The evidence suggests that the therapy is effective for patients with a history of at least three episodes; the therapy can be used alone or in conjunction with pharmacotherapy. Treatment guidelines from both the United Kingdom National Institute for Health and Clinical Excellence and the Canadian Network for Mood and Anxiety Treatments recommend mindfulness-based cognitive therapy for maintenance treatment of major depressive disorder. In addition, practice guidelines from the American Psychiatric Association suggest that mindfulness-based cognitive therapy can reduce recurrences of depression. (See 'Preventing recurrences' below.)
●Acute unipolar major depression. (See 'Acute major depression' below.)To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- THEORETICAL FOUNDATION
- Neurobiology and neuropsychology
- DELIVERING MINDFULNESS BASED COGNITIVE THERAPY
- Clinician training
- Combined with pharmacotherapy
- Therapeutic interventions
- Managing clinical deterioration
- CONTINUING CARE
- EVIDENCE OF EFFICACY
- Preventing recurrences
- - Mindfulness based cognitive therapy alone compared with pharmacotherapy alone
- - Mindfulness based cognitive therapy plus treatment as usual compared with treatment as usual alone
- Mindfulness based cognitive therapy plus pharmacotherapy
- Acute major depression
- Resolving residual symptoms
- INFORMATION FOR PATIENTS