These exercises are aimed at breaking negative thought cycles, building awareness, and regulating mood.
- Body scan meditation
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- Purpose: Helps reconnect with the body, anchor in the present, and break out of ruminative thinking.
- What to do: Slowly move attention through different parts of the body (feet, legs, abdomen, chest, arms, head), noticing sensations without judgment.
- Helpful for depression: Trains the mind to notice discomfort without reacting, teaches patience and self-kindness.
- Three-minute breathing space (“3MBS”)
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- Purpose: A quick, structured mindfulness break to step out of negative spirals.
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- What to do:
- Awareness (Notice what’s happening: thoughts, feelings, body sensations.)
- Breathing (Focus fully on the breath.)
- Expanding (Expand awareness back to the whole body.)
- What to do:
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- Helpful for depression: Builds the habit of catching early signs of low mood or rumination.
- Thought and feeling awareness exercise
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- Purpose: Teaches how to observe negative thoughts instead of getting sucked into them.
- What to do: During meditation, notice when a thought arises, mentally label it (“thinking,” “worrying,” “judging”), then gently return to the breath.
- Helpful for depression: Weakens the automatic connection between thought and emotional reaction.
- Pleasant activities diary
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- Purpose: Helps rebuild connection to positive experiences (which depression often numbs).
- What to do: Each day, intentionally notice and record one small, pleasant event, however tiny (a cup of coffee, sunlight on your skin, a kind word).
- Helpful for depression: Trains the brain to spot positives, which is essential in countering depressive biases.
- Unhelpful thinking patterns (cognitive distortions) worksheet
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- Purpose: Brings automatic depressive thinking into conscious awareness.
- What to do: During mindfulness practice or afterward, isolate cognitive distortions like “all-or-nothing thinking,” “catastrophizing,” and “personalization.”
- Helpful for depression: Shines a light on self-critical or hopeless thought loops.
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- Worksheet: Thought distortion checker:
- What was the situation?
- What thought came up?
- Which distortion was it?
- A more balanced thought I could have?
- Worksheet: Thought distortion checker:
- “Seeing depression as a passing weather pattern” visualization
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- Purpose: Helps alter from “I am depressed” to “I am experiencing depression.”
- What to do: Visualize depressive moods like weather: clouds, rain, and storms. They come, stay for a while, and eventually pass.
- Helpful for depression: Reduces over-identification with low moods and builds cognitive defusion.
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- Worksheet:
- Today’s Mood = [weather symbol: sunny, cloudy, rainy, stormy]
- How I responded to the mood.
- Reminder: “This too shall pass.”
- Worksheet:
- Automatic thoughts journaling (“catch it, check it, change it”)
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- Purpose: Helps detect and reframe automatic negative thoughts through mindfulness and cognitive awareness.
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- What to do:
- Catch the thought.
- Check the evidence for and against it.
- Change it to a more balanced view.
- What to do:
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- Helpful for depression: Stops negative spirals before they intensify.
- Mindful walking practice
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- Purpose: Brings mindfulness into movement, breaking physical inactivity and rumination loops.
- What to do: Walk slowly, focusing fully on the sensation of each footstep, the feel of the ground, sounds, smells, and sights around you.
- Helpful for depression: Gentle movement plus mindfulness boosts mood naturally.
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- Worksheet: Mindful walking log:
- Where I walked.
- What senses did I notice?
- Mood before and after (1–10 scale).
- One thing I appreciated during the walk.
- Worksheet: Mindful walking log:
- SOBER breathing space
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- Purpose: A mindfulness acronym specifically designed for handling intense emotional moments.
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- What to do:
- Stop.
- Observe.
- Breathe.
- Expand awareness.
- Respond mindfully (instead of reacting automatically).
- What to do:
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- Helpful for depression: Very good when dealing with sudden waves of hopelessness, sadness, or irritability.
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- Worksheet: SOBER practice sheet:
- What triggered me?
- What I observed.
- How I breathed and grounded myself.
- How I responded vs. how I might have reacted automatically.
- Worksheet: SOBER practice sheet:
- Compassionate letter to self
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- Purpose: Cultivates self-kindness, counters self-criticism.
This is huge because depression thrives on harsh inner voices.
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- What to do:
- Write a letter to yourself from the perspective of a deeply compassionate, wise friend.
- Acknowledge struggles, offer kindness, hope, and encouragement.
- What to do:
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- Helpful for depression: Strengthens the self-soothing system of the brain.
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- Worksheet: Self-compassion letter template:
- “I see that you are struggling with…”
- “It makes sense that you feel…”
- “You are not alone in this because…”
- “I want you to remember that…”
- Worksheet: Self-compassion letter template:
- “Allowing and letting be” practice
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- Purpose: Aids in stopping fighting painful emotions, which paradoxically reduces suffering.
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- What to do:
- During mindfulness practice, when an unpleasant feeling comes up (sadness, heaviness, shame), don’t push it away. Instead of pushing it away or analyzing it, you practice allowing it to exist, making space for it kindly, like you would for a struggling friend.
- What to do:
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- Helpful for depression: Reduces emotional avoidance, a huge maintenance factor in depression.
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- Worksheet: Allowing difficult emotions log:
- What feeling arose?
- How did I allow it to be there?
- How did my body react?
- How did the emotion change over time?
- Worksheet: Allowing difficult emotions log:
- “Sounds and thoughts” meditation
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- Purpose: Develops skill in noticing thoughts just like sounds. They come, go, and there’s no real need to engage.
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- What to do:
- Sit quietly. Notice sounds arising and fading naturally.
- Then notice thoughts the same way, not chasing them, not rejecting them, just observing.
- What to do:
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- Helpful for depression: Weakens the automatic fusion between self and thoughts (“I am my thoughts” vs “I have thoughts”).
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- Worksheet: Sounds and thoughts observation sheet:
- Sounds I noticed.
- Thoughts I noticed.
- How I related to them (chasing/ignoring/letting be).
- What I learned about my mind.
- Worksheet: Sounds and thoughts observation sheet:
- Activity scheduling with mindful awareness
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- Purpose: Combats behavioral withdrawal and brings conscious enjoyment back into activities.
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- What to do:
- Plan one simple, doable activity each day, and perform it mindfully by being fully present instead of rushing through it.
- What to do:
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- Helpful for depression: Increases positive reinforcement, critical for lifting mood.
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- Worksheet: Mindful activity planner:
- Today’s planned activity.
- Why I chose it.
- How I felt before, during, and after.
- What I noticed by staying mindful.
- Worksheet: Mindful activity planner:
- Mood and thought tracking with curiosity (not judgment)
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- Purpose: Assists in observing mood shifts and associated thoughts without harsh self-criticism.
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- What to do:
- At least once a day, check in:
- What’s my mood right now?
- What thoughts are here?
- How am I relating to these thoughts?
- At least once a day, check in:
- What to do:
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- Helpful for depression: Builds emotional literacy without fueling shame or blame.
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- Worksheet: Daily mood-thought curiosity log:
- Mood (1–10 scale).
- Associated thoughts.
- How curious was I about them (1–5 scale)?
- What small kindness did I offer myself?
- Worksheet: Daily mood-thought curiosity log:
Conclusion
MBCT is not only a treatment but a way of life for many people since it promotes a fundamentally new relationship with thoughts and emotions.
That transformative change can greatly reduce the risk of depression and empower people to lead more fulfilling lives.