Mindfulness-Based Cognitive Therapy (MBCT)

MBCT blends traditional “talk therapy” with mind-body theories and practices. At Drishti, we adapt group-based MBCT as an individual approach to therapy. It is ideal for people navigating anxiety, depression, and stress. Julie and Aamani are trained in MBCT and often bring these approaches into their work with clients receiving medication management at Drishti Holistic Wellness. 

What is mindfulness-based cognitive therapy?

Mindfulness-based cognitive therapy (MBCT) combines the principles of cognitive behavioral therapy (CBT) with mindfulness practice. In CBT, we look at how thoughts and emotions influence behavior, and how behavior influences thoughts and emotions in return. MBCT expands on that focus and adds an emphasis on the body — bringing somatic awareness into the picture. In MBCT, we learn how to better notice the way our minds work. If a worried or critical thought shows up, what happens next? Do our thoughts tend to spiral? Do we try to fix it, or ignore it? When an uncomfortable or unpleasant emotion or body sensation shows up, what happens? Is there judgment or aversion? MBCT invites you to turn toward these experiences and get curious, both to interrupt habitual patterns of reacting and to create more choice and spaciousness around how you respond.

Who is MBCT for?

MBCT is a well-researched form of therapy. It was originally developed for people with depression, but it's since been used successfully with a wide range of populations — people managing anxiety or stress, people focused on general wellness or building resilience, community groups, people living with psychiatric illness, and even people in prison settings.

Check out these articles to learn more about the research evidence behind mindfulness and specifically MBCT:

How is MBCT structured at Drishti?

Traditionally, MBCT is delivered in a group format over eight sessions of two and a half hours each. At Drishti Holistic Wellness, we adapt this into individual therapy: usually sixteen 45 to 60 minute sessions, working through the MBCT manual together one-on-one. There are practices to work on at home after each session. While these home practices are not strictly required, research shows that the more people build mindfulness into their daily lives, the more they benefit. 

What happens during an MBCT session?

Sessions combine hands-on practice with discussion. We do body scans, seated meditation, and exercises that build awareness of thoughts, emotions, and body sensations as they arise. We practice sitting with experiences that are uncomfortable or unpleasant, and we also notice how we respond. We incorporate mindful movement and mindful walking, along with a practice called the three-minute breathing space. After each practice, we have a conversation about what's coming up for you. While some therapies dive into the past, MBCT encourages participants to notice what’s happening in the present moment. Sessions will focus on real-time responses and insights. 

What happens toward the end of the program?

As the 16-week program winds down, we start building a plan for moving forward — writing things down, taking a closer look at your particular habits and patterns, and talking through what practices or perspectives you'd like to continue to use versus what you might want to shift moving forward.

Do I have to do the full 16-week program to benefit from MBCT?

Not necessarily. Many of our psychiatric prescribers are trained in MBCT, so even when clients aren't doing the full manualized program, we often bring in mindfulness-based practices and principles when we think it could be helpful during medication management appointments.

Do you accept insurance? What does it cost?

We accept Blue Cross Blue Shield (BCBS) and Aetna. If you have a different insurance plan, we would bill upfront you for the cost of treatment. Each session is $225. You're welcome to use an HSA to cover these costs. If you have a PPO plan, you may also be able to submit a receipt from your visit to your insurance provider for partial reimbursement.


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