Mindfulness-Based Relapse Prevention

Evidence-based mental health content, reviewed by psychologists and psychiatrists

Mindfulness-Based Relapse Prevention

Evidence Status: Evidence-supported

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

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

What Is Mindfulness-Based Relapse Prevention?

Mindfulness-based relapse prevention is a structured group program that integrates mindfulness meditation practices with cognitive behavioral relapse prevention skills, designed for people in recovery from substance use disorders to help manage cravings and reduce relapse risk.

How It Works

This approach combines mindfulness practices for observing cravings and difficult emotions without automatically acting on them, with traditional relapse prevention strategies such as identifying high-risk situations. This description uses original explanatory language.

What Happens During Therapy?

The program typically involves weekly group sessions combining guided mindfulness practices with discussion of relapse prevention skills, high-risk situations, and application of mindfulness to cravings and urges, along with home practice.

Evidence and Effectiveness

Research supports mindfulness-based relapse prevention for reducing substance use and relapse risk, with evidence from randomized controlled trials showing benefits generally comparable to standard relapse prevention approaches, with some evidence of longer-term advantages.

Who May Benefit?

Mindfulness-based relapse prevention may be considered for people in recovery from substance use disorders who have completed initial treatment and are seeking additional relapse prevention support.

Limitations and Considerations

This approach is generally intended as a step-down or aftercare program following initial substance use treatment, rather than a standalone treatment for active, severe substance use disorders.

Finding a Qualified Therapist

Mindfulness-based relapse prevention is delivered by addiction counselors, psychologists, and other professionals with specific training in this program.

How Long Does Therapy Take?

Mindfulness-based relapse prevention is typically delivered as an 8-week group program, similar in structure to other mindfulness-based programs.

Therapy vs. Medication

Mindfulness-based relapse prevention is a behavioral aftercare approach and may be used alongside medication-assisted treatment, in consultation with a qualified healthcare professional.

What Conditions Is It Used For?

Related Therapy Types

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

  • Substance Abuse and Mental Health Services Administration. Evidence-Based Practices Resource Center.
  • National Institute on Drug Abuse. Principles of Drug Addiction Treatment.
  • American Psychological Association. Clinical Practice Guidelines.