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Mindfulness Based Stress Reduction (MBSR)

Updated:

Jun 1, 2023

Reviewed by:

Ben Pearson, LCSW

"Mindfulness practice means that we commit fully in each moment to be present; inviting ourselves to interface with this moment in full awareness" - Jon Kabat-Zinn

Overview

What is Mindfulness Based Stress Reduction

What is MBSR? MBSR, short for Mindfulness-Based Stress Reduction, is a structured program that combines mindfulness meditation, gentle yoga, and mind-body awareness to cultivate mindfulness skills. Developed by Dr. Jon Kabat-Zinn in the late 1970s, MBSR was initially designed to help patients with chronic pain. However, over the years, it has been adapted and widely used to address various mental health concerns, including stress, anxiety, depression, and trauma.


History of Mindfulness Based Stress Reduction

Mindfulness Based Stress Reduction (MBSR) program is a technique developed by Dr. Jon Kabat-Zinn in 1979[4]. Although initially developed for stress management, it has evolved to encompass the treatment of a variety of health related disorders. These include anxiety, depression, skin diseases, pain, immune disorders, hypertension and diabetes. It employs mindfulness meditation to alleviate suffering associated with physical, psychosomatic and psychiatric disorders.


Purpose of Mindfulness Based Stress Reduction

One of the key components of MBSR is mindfulness, which involves paying attention to the present moment without judgment. This non-judgmental awareness allows individuals to observe their thoughts, emotions, and sensations without getting caught up in them or reacting to them. By developing mindfulness skills, individuals can learn to respond to stress and other challenging situations with greater awareness, acceptance, and resilience.


MBSR incorporates mindfulness into different aspects of daily life, including work, relationships, and self-care. Participants are encouraged to practice mindfulness in their everyday activities, such as eating, walking, and communicating, to bring greater awareness to their experiences and reduce stress. MBSR also emphasizes self-care, as participants learn to prioritize their physical, emotional, and mental well-being through regular mindfulness practices.

Process

How Does MBSR Work?

MBSR is typically an 8-week program that involves group sessions led by a trained facilitator. Participants learn and practice mindfulness techniques, such as body scan meditation, sitting meditation, and mindful movement, to cultivate moment-to-moment non-judgmental awareness of their thoughts, emotions, and sensations.


Through regular practice, individuals learn to develop a different relationship with their thoughts and emotions, cultivating greater awareness, acceptance, and resilience.


What Happens in an MBSR Session

During MBSR sessions, individuals strive to cultivate a greater awareness of the present moment. By increasing their mindfulness, participants aim to reduce their overall arousal and emotional reactivity and gain a deeper sense of calm.


MBSR is intended to be done in a group setting with a certified instructor. However, practicing mindfulness techniques on your own is also part of the program. During your sessions, you will learn;


  • Breathing Techniques: You may learn diaphragmatic breathing, also known as belly breathing. This and other types of conscious breathing may slow your heartbeat and lower your blood pressure, helping you feel more relaxed.

  • Gratitude journaling: An instructor may encourage you to keep a gratitude journal where you write down things in your life you are thankful for. This practice helps to reframe your perspective into a more positive and optimistic one.

  • Group dialogue: Members of the group share their experiences as they integrate MBSR techniques into their daily lives.

  • Meditation: You'll be taught mindfulness meditations. For example, a body scan meditation, helps you focus your attention on different areas of your body. The goal is to notice any tension and visualize the discomfort leaving your body.

  • Yoga: Your instructor will guide you in gentle yoga movements, which may help relax your body and your mind.

process

Benefits

Reduced Stress

Stress is a common experience for many people and can have negative effects on mental and physical health. MBSR has been shown to be effective in reducing perceived stress levels, as well as physiological markers of stress, such as cortisol levels. MBSR helps individuals to develop a more mindful and accepting attitude towards their thoughts and emotions, which can lead to a reduction in stress levels over time.

Improved Emotional Regulation

Emotional regulation refers to the ability to manage and regulate one's emotions effectively. MBSR can help individuals to develop greater emotional regulation skills, by providing opportunities to practice non-judgmental awareness of one's thoughts and emotions. This can lead to greater emotional resilience, improved mood, and a greater ability to cope with challenging situations.

Improved Physical Health

MBSR has been found to have physical health benefits, such as reduced blood pressure, improved sleep quality, and boosted immune function. By reducing stress levels and promoting a more mindful approach to physical health, MBSR can help to improve overall physical well-being.

Increased Mindfulness

Mindfulness is the ability to be present in the moment and to observe one's thoughts and emotions with curiosity and without judgment. MBSR can help individuals to develop greater mindfulness skills, which can be applied in various aspects of their life. By developing greater mindfulness, individuals can learn to respond to stress and other challenges with greater awareness, acceptance, and resilience.

Applications

Incorporating MBSR into Your Mental Health Journey

MBSR Research has shown that MBSR is effective in reducing stress and improving mental health. Numerous studies have demonstrated that MBSR can lead to significant reductions in perceived stress, anxiety, and symptoms of depression. MBSR has also been found to improve emotional regulation, cognitive function, and overall well-being. Additionally, MBSR has been associated with physical health benefits, such as reduced blood pressure, improved sleep quality, and boosted immune function.


One of the reasons why MBSR is effective is because it promotes a different relationship with thoughts and emotions. Instead of trying to avoid or suppress them, MBSR encourages individuals to observe and acknowledge their thoughts and emotions with kindness and without judgment. This non-judgmental awareness allows individuals to develop a more compassionate and accepting attitude towards themselves and their experiences, which can lead to improved mental well-being.


MBSR is suitable for a wide range of individuals, including those dealing with stress, anxiety, depression, chronic pain, and other health conditions. It is used in various settings, including hospitals, mental health clinics, workplaces, schools, and community organizations. MBSR can be particularly beneficial for individuals who are seeking alternative or complementary approaches to managing stress

and improving their mental health.


Using MBSR

There are many different forms of programs and therapies that are either based on or integrate mindfulness. Ultimately, using MBSR in treatment helps individuals respond less to stress and develop resilience to life changes and challenges.


People often create unnecessary stress when they become attached to certain desired outcomes instead of learning to accept and let life play out the way that is done naturally. Stress can be dramatically reduced when they acknowledge that the nature of life is constant change and that nothing is permanent.


Chronic Disease

MBSR has been found to be effective for patients with chronic diseases, such as cancer, heart disease, chronic pain, and diabetes. Chronic diseases can be challenging to manage and can have a significant impact on quality of life. MBSR can help patients to develop coping skills and improve their ability to manage symptoms associated with chronic diseases. Here are some ways MBSR can be helpful for patients with chronic diseases:


  • Pain Management: MBSR has been found to be effective in reducing pain severity and improving pain-related disability.

  • Stress Reduction: MBSR can help patients to develop skills to manage stress and anxiety related to chronic diseases.

  • Improved Quality of Life: MBSR can help patients to improve their quality of life by promoting greater acceptance and self-compassion.

  • Disease Management: MBSR teaches patients to become more mindful of their thoughts and behaviors which can help them to develop more effective coping skills and improve their adherence to treatment plans.


Depression and Anxiety

MBSR has been found to be effective in reducing symptoms of depression and anxiety. Depression and anxiety are common mental health conditions that can have a significant impact on quality of life. MBSR can help individuals with depression or anxiety to develop coping skills and improve their ability to manage their symptoms. Here are some ways MBSR can be helpful for patients with depression or anxiety:


  • Improved Emotional Regulation: MBSR can help individuals to develop greater emotional regulation skills which leads to greater emotional resilience, improved mood, and a greater ability to cope with challenging situations.

  • Reduced Rumination: MBSR can help individuals to reduce rumination by developing a more mindful and accepting attitude towards their thoughts and emotions. This can lead to a reduction in negative thinking patterns.

  • Reduced Anxiety: By promoting greater awareness of one's thoughts and emotions, individuals can learn to respond to anxiety-provoking situations with greater acceptance and resilience.

  • Improved Mood: MBSR can also help to improve mood by promoting greater emotional regulation, reducing rumination, and reducing symptoms of anxiety.


Addiction Treatment

MBSR has been found to be effective in helping individuals with addiction recovery. Addiction is a chronic disease that affects the brain and can have a significant impact on an individual's physical and emotional well-being. MBSR can help individuals to develop coping skills and manage triggers and cravings associated with addiction. Here are some ways MBSR can be helpful for individuals in addiction recovery:


  1. Improved Emotional Regulation: MBSR can help individuals to develop greater emotional regulation skills, by providing opportunities to practice non-judgmental awareness of one's thoughts and emotions leading to greater emotional resilience, improved mood, and a greater ability to cope with challenging situations.

  2. Reduced Cravings: MBSR can help individuals to manage cravings by developing greater awareness of their thoughts and emotions related to cravings. This can lead to a reduction in the intensity and duration of cravings, and an increased ability to manage triggers associated with addiction.

  3. Reduced Stress: Stress is a common trigger for addiction, and can also be a barrier to recovery. MBSR can help individuals to manage stress and reduce the negative impact of stress on their physical and emotional well-being. By promoting greater awareness of one's thoughts and emotions, individuals can learn to respond to stress with greater acceptance and resilience.

  4. Improved Self-Awareness: MBSR can help individuals to develop greater self-awareness, which is an important component of addiction recovery. By developing greater awareness of their thoughts and emotions, individuals can learn to identify triggers and develop effective coping skills.

FAQs

What is the difference between MBSR and CBT?

Both MBCT and CBT work to help patients better control their thoughts, emotions, and responses to these factors. But MBCT differs from CBT by incorporating elements of mindfulness to additionally control the body's automatic responses to the stresses associated with many negative thoughts or feelings.


What is the difference between MBCT and ACT?

Both modalities promote acceptance of uncomfortable experiences, encouraging individuals to move forward with discomfort by creating a different relationship with difficult experiences that is based on acceptance and equanimity (MBCT), or by maintaining a perspective on life's bigger meaning and purpose (ACT)


Can I participate in MBSR online?

Yes, many MBSR programs are now offered online. Online programs typically follow the same format as in-person programs, with weekly sessions and daily practice requirements. Online programs can be a convenient option for individuals who cannot attend in-person sessions or prefer to practice in the comfort of their own home.


Is MBSR a form of therapy?

MBSR is not a form of therapy, but it can be used as a complementary treatment for individuals with mental health concerns. MBSR is designed to help individuals develop greater awareness and resilience, and to better manage stress and other challenges in their lives.

Resources

Minfuldness Books


Yale School of Medicine

Helpful Guided Mindfulness Practice Recordings


MBSR Body Scan




Guided Body Scan Meditation



Virtual MBSR Courses (8 weeks)


References

  • Center for Mindfulness in Medicine, Health Care, and Society (n.d.). Retrieved from https://www.umassmed.edu/cfm

  • Kabat-Zinn, J (2013). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York, NY: Bantam Dell.

  • Center for Mindfulness in Medicine, Health Care, and Society (2017). Mindfulness-based programs. Retrieved from http://www.umassmed.edu/cfm/mindfulness-based-programs/

  • Mindfulness-based stress reduction. Yale Stress Center. Yale School of Medicine. Available at: https://medicine.yale.edu/stresscenter/reduction/mbsr/Kabat-Zinn J. Full Catastrophe Living: Using the Wisdom of your Body and Mind to Face Stress, Pain, and Illness. New York, NY: Bantam; 2013.

  • Kabat-Zinn J. Full Catastrophe Living: Using the Wisdom of your Body and Mind to Face Stress, Pain, and Illness. New York, NY: Bantam; 2013.


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