Mindfulness-Based Cognitive Therapy (MBCT)

Posted byRatel Health
Evidence-based mental health content, reviewed by psychologists and psychiatrists
Attention-Deficit/Hyperactivity Disorder (ADHD)Autism Spectrum DisorderBipolar I DisorderObsessive-Compulsive DisorderPost-Traumatic Stress Disorder

Mindfulness-Based Cognitive Therapy (MBCT)

Evidence Status: Well-established evidence

Medically reviewed · Dr. Sarah Whitfield, PsyD · Sunday, 16 August 2026

A structured group therapy combining mindfulness meditation practices with cognitive therapy techniques, primarily used to prevent depression relapse.

What Is Mindfulness-Based Cognitive Therapy (MBCT)?

Mindfulness-based cognitive therapy (MBCT) is a structured, typically group-based program that combines mindfulness meditation practices with elements of cognitive therapy, developed primarily to help prevent relapse in people with a history of recurrent depression.

How It Works

MBCT is based on the idea that mindfulness practice can help people recognize early warning signs of depressive relapse and relate to negative thoughts and feelings with greater awareness and less automatic reactivity, rather than becoming caught in ruminative thinking patterns. This description uses original explanatory language.

What Happens During Therapy?

MBCT is typically delivered as an 8-week group program involving guided mindfulness meditation practices, group discussion, and some cognitive therapy exercises, along with daily home practice of mindfulness exercises between sessions.

Evidence and Effectiveness

Research supports MBCT for preventing relapse in people with a history of three or more depressive episodes, with evidence from multiple randomized controlled trials showing reduced relapse rates compared to usual care.

Who May Benefit?

MBCT may be considered for people with a history of recurrent depression who are currently in remission or have residual symptoms, as part of a relapse-prevention plan.

Limitations and Considerations

MBCT is typically studied and delivered as a group program, which may not suit everyone, and requires a willingness to engage in regular meditation practice. It is generally not intended as a treatment for acute, severe depressive episodes.

Finding a Qualified Therapist

MBCT is delivered by psychologists, licensed clinical social workers, and other mental health professionals with specific MBCT facilitator training.

How Long Does Therapy Take?

MBCT is typically delivered as a structured 8-week program with weekly group sessions, though some programs may vary in format and length.

Therapy vs. Medication

For depression relapse prevention, MBCT has been studied as an alternative to maintenance antidepressant medication in some populations; decisions about discontinuing or continuing medication alongside MBCT should be made with a qualified prescribing healthcare professional.

What Conditions Is It Used For?

Major Depressive Disorder

A mood disorder involving persistent sadness or loss of interest that interferes with daily life for at least two weeks.

Persistent Depressive Disorder

A chronic depressive condition involving a depressed mood that occurs for most of the day, for more days than not, for at least two years.

Related Therapy Types

Mindfulness-Based Stress Reduction (MBSR)

A structured 8-week group program that teaches mindfulness meditation practices to reduce stress and improve overall wellbeing.

Acceptance and Commitment Therapy (ACT)

A therapy that combines acceptance and mindfulness strategies with commitment to behavior change guided by a person’s core values.

Mindfulness-Based Relapse Prevention

A structured group program integrating mindfulness practices with relapse prevention skills for people recovering from substance use disorders.

Medical Information Disclaimer

Ratel Health provides general educational information and does not provide medical diagnosis, treatment, or individualized medical advice. Information on this page is not a substitute for evaluation or care from a qualified healthcare professional. Do not use this information to diagnose yourself or another person, or to start, stop, or change treatment or medication without consulting an appropriately qualified healthcare professional.

References

  • American Psychological Association. Clinical Practice Guidelines.
  • American Psychiatric Association. Practice Guidelines.
  • National Institute of Mental Health. Psychotherapies.