Fifteen years after Mindfulness-Based Cognitive Therapy was introduced to the world, this groundbreaking treatment only reaches a small percentage of people suffering from depression. Two innovators want to change that.
According to the National Institutes of Mental Health, in 2014, an estimated nearly 16 million adults aged 18 or older in the United States had at least one major depressive episode in the past year, approaching 7% of all US adults. And close to 10% of adults in the country are affected by mood disorders generally, more than the population of greater Los Angeles. And these are not just people having a rough day. Living with deeply unstable moods takes a toll. The World Health Organization estimates that depression is the leading cause of disability for people in midlife and for women of all ages. The most common approach for those who seek treatment for depression is anti-depressant medications, whose usage in the US doubled between 1998 and 2010 and increased fivefold from 1988. Of women in their forties and fifties, an estimated 23% take antidepressants.
Mindfulness has been demonstrated in many contexts to help people with mental illnesses and post-traumatic stress. The evidence base is small and the scientific study is in its infancy, but having practiced mindfulness meditation most of my life, Iβve come to believe that the habit of taking time to be with oneself and pay simple attention to whatβs going on in your mind and body can be a powerful way to come to understand your emotions better, and to ride and regulate them.
Could mindfulness, in fact, be the future of psychotherapy?
To take on this question I talked with two clinical psychologists and researchers who care deeply about mindfulness and therapy. In fact, Zindel Segal and Sona Dimidjian had recently finished a paper on the prospects for ongoing scientific study of mindfulness-based interventions (published in the October 2015 issue of American Psychologist). They asked what it might take for mindfulness to have a lasting impact on public health within our mental health systems, and in particular what kind of scientific research would be required. Segal is one of the developers and founders of Mindfulness-Based Cognitive Therapy (MBCT) and Dimidjian, who has taught MBCT for many years, including together with Segal, has collaborated with him to create Mindful Mood Balance, a program they are piloting that would allow people to take MBCT at a distance, using their phone, tablet, or computer.
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