By Thilo Deckersbach PhD, Britta Hölzel PhD, Lori Eisner PhD, Sara W. Lazar, Andrew A. Nierenberg MD
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Additional info for Mindfulness-Based Cognitive Therapy for Bipolar Disorder
2011). These effects held up when we only looked at participants with bipolar I disorder and participants with concurrent anxiety disorders. They also remained when we only looked at those participants with more than 12 lifetime mood episodes. In fact, numerically, the effects became stronger, as the two participants with fewer episodes of all the participants had the smallest amount of gains. However, we recognize that larger randomized clinical trials are needed to establish the overall efficacy of this program.
Homework This program asks participants to practice meditation exercises in their daily lives in between sessions. In many ways, adopting mindfulness involves learning new skills. This works best with repeated practice. Therefore, we ask participants to practice yoga and meditation exercises at home. To facilitate this process, we provide recordings of the instructions participants receive in class as well as handouts (see Part III). viii for details). At the end of each session, we specify which exercise should be practiced at home, including the name of the track, and give out the handouts pertaining to the homework.
Mindfulness Experience We embarked on developing this program after completing several MBSR classes (T. ) and becoming a licensed MBSR instructor (B. ). Overall, we consider the therapist’s active embodiment of mindfulness one of the 30 AN INTRODUCTION TO MBCT FOR BIPOLAR DISORDER most important ingredients of a successful intervention. There are several aspects to this: 1. With the degree of the therapist’s own mindfulness practice, mindfulness instructions will become richer. Having paid close attention to the sensations of breathing in the abdomen oneself, or having encountered the impermanence of emotions, thoughts, and body sensations in one’s own experience, the therapist will have better access to rich and multifaceted descriptions, pointing the participants to every new aspect of these seemingly boring practices.