Mindfulness as Effective as Medication in Preventing Relapse in Depression – Research

Mindfulness as Effective as Medication for Relapse

Mindfulness – the practice of attending to thoughts and feelings in the present moment – has been the focus of a lot of research attention recently and even under the full glare of science, it just keeps getting better.

In the first ever large scale study of its kind, researchers explored whether teaching people mindfulness would be as effective as maintenance doses of antidepressants in managing relapse in depression.

According to Willem Kuyken, lead author of the study and Professor of Clinical Psychology at the University of Oxford, without ongoing treatment four out of five people who struggle with depression will relapse.

Maintenance doses of antidepressant medication can reduce the risk of relapse by two-thirds, but it’s not without its problems. The side effects can be intolerable for some, and others might (understandably) be averse to an indefinite dependence on medication.


The Study: What They Did

424 adults with diagnosed major depression participated in the two year study. Half were required to stay on their antidepressant medication for the duration of the study. The other half slowly come off their medication and participated in mindfulness practice. People in this group attended eight weekly 2 ¼ hour group sessions consisting of guided mindfulness practices, group discussion and other cognitive behavioural exercises. They were also required to practice daily at home.

What They Found

At the end of two years, mindfulness was shown to be as effective as medication in preventing relapse, with the rates of relapse being 44% for the mindfulness group and 47% for the medication group.


The benefits of mindfulness therapy over medication include its low cost and its appeal to those who are reluctant to depend indefinitely on medication as a way to stave off depression.

The slide into depression can be triggered by negative thoughts and feelings about the self, others and the world. Mindfulness therapy aims to change the way people think and feel, teaching the skills to recognise and respond to thoughts and feelings that could otherwise set in motion a depressive downward spiral.

Through mindfulness, people can learn to appreciate that just because they think something, that doesn’t mean the thought is fact. Rather than hanging on to a thought and letting it gain momentum and strength, mindfulness teaches how to let the thought come and then go.

For more information on mindfulness, see MINDFULNESS: THE WHAT, THE HOW AND THE DIFFERENCE 5 MINUTES A DAY WILL MAKE

[Image Credit: Unsplash]

Leave a Reply

Your email address will not be published. Required fields are marked *

Join our newsletter

We would love you to follow us on Social Media to stay up to date with the latest Hey Sigmund news and upcoming events.

Follow Hey Sigmund on Instagram

I love being a parent. I love it with every part of my being and more than I ever thought I could love anything. Honestly though, nothing has brought out my insecurities or vulnerabilities as much. This is so normal. Confusing, and normal. 

However many children we have, and whatever age they are, each child and each new stage will bring something new for us to learn. It will always be this way.

Our children will each do life differently, and along the way we will need to adapt and bend ourselves around their path to light their way as best we can. But we won’t do this perfectly, because we can’t always know what mountains they’ll need to climb, or what dragons they’ll need to slay. We won’t always know what they’ll need, and we won’t always be able to give it. We don’t need to. But we’ll want to. Sometimes we’ll ache because of this and we’ll blame ourselves for not being ‘enough’. Sometimes we won’t. This is the vulnerability that comes with parenting. 

We love them so much, and that never changes, but the way we feel about parenting might change a thousand times before breakfast. Parenting is tough. It’s worth every second - every second - but it’s tough.

Great parents can feel everything, and sometimes it can turn from moment to moment - loving, furious, resentful, compassionate, gentle, tough, joyful, selfish, confused and wise - all of it. Great parents can feel all of it.

Because parenting is pure joy, but not always. We are strong, nurturing, selfless, loving, but not always. Parents aren’t perfect. Love isn’t perfect. And it was meant to be. We’re raising humans - real ones, with feelings, who don’t need to be perfect, and wont  need others to be perfect. Humans who can be kind to others, and to themselves first. But they will learn this from us.

Parenting is the role which needs us to be our most human, beautifully imperfect, flawed, vulnerable selves. Let’s not judge ourselves for our shortcomings and the imperfections, and the necessary human-ness of us.❤️
Brains and bodies crave balance. 

When our bodies are too hot, too cold, fighting an infection, we’ll will shiver or fever or sweat in an attempt to regulate.

These aren’t deliberate or deficient, but part of the magnificent pool of resources our bodies turn to to stay strong for us.

Our nervous systems have the same intense and unavoidable need for balance.

When the brain FEELS unsafe (doesn’t mean it is unsafe) it will attempt to recruit support. How? Through feelings. When we’re in big feels, someone is going to notice. Our boundaries are clear. Were seen, heard, noticed. Maybe not the way we want to be, but when the brain is in ‘distress’ mode, it only cares about the next 15 seconds. This is why we all say or do things we wouldn’t normally do when we’re feeling big sad, angry, anxious, jealous, lonely, frustrated, unseen, unheard, unvalidated.

In that moment, our job isn’t to stop their big feelings. We can’t. In that moment they don’t have the resources or the skills to regulate so they need our help.

When they’re in an emotional storm, our job is to be the anchor - calm, attached, grounded.

Breathe and be with. Hold the boundaries you need to hold to keep everyone (including them) relationally and physically safe, and add warmth. This might sound like nothing at all - just a calm, steady, loving presence, or it might sound like:

‘I know this feels big. I’m here. I want to hear you. (Relationship)

AND
No I won’t hear you while you’re yelling. (Boundary) Get it out of you though. Take your time. I’m right here. (Relationship. The message is, bring your storm to me. I can look after you.)

OR
No I won’t let you hurt my body / sibling’s body. (Boundary. Step away or move sibling out of the way.) I’m right here. You’re not in trouble. I’m right here. (Relationship)

OR if they’re asking for space:
Ok I can see you need space. It’s a good idea that you take the time you need. I’m right here and I’ll check on you in a few minutes. Take your time. There’s no hurry. (Relationship - I can look after you and give you what you need, even when it’s space from me.)’♥️
I think this is one of the hardest things as parents - deciding when to protect them and when to move forward. The line isn’t always clear, but it’s an important one. 

Whenever our kiddos feels the distress of big anxiety, we will be driven to protect them from that distress. It’s what makes us loving, amazing, attentive parents. It’s how we keep them safe. 

The key is knowing when that anxiety is because of true danger, and when it’s because they are about to do something growthful, important, or brave. 

We of course want to hold them back from danger, but not from the things that will grow them. 

So when their distress is triggering ours, as it is meant to, and we’re driven to support their avoidance, ask,

‘Do they feel like this because they’re jn danger or because they’re about to do something brave, important, growthful.’

‘Is this a time for me to hold them back (from danger), or is it a time for me to support them forward (towards something important/ brave/ growthful)?’

And remember, the move towards brave can be a teeny shuffle - one tiny brave step at a time. It doesn’t have to be a leap.❤️

Pin It on Pinterest

Share This