Mindfulness for your clients’ mental health

Give your clients the gift of mindfulness

Taught in a mental health context

Mindfulness-Based Cognitive Therapy (MBCT) is an evidence-based 8-week workshop giving clients the training to focus on the present, gain perspective on their negative thinking, and think through positive in-the-moment actions.

We begin the next group Tuesday, January 16, 2018, in Manhattan.

Please send us your referrals now.

Web Information for your clients

Clients who can benefit may have

  • Long histories of depression
  • Long struggles with generalized anxiety
  • Remaining depressive symptoms after treatment (treatment resistant depression)
  • A history of childhood trauma
  • A wish for non-medication solutions
  • An interest in mindfulness

Many more people benefit than originally perceived

A meta-analysis of all the randomized trials of MBCT was published in JAMA Psychiatry in June, 2016. The focus is on MBCT for prevention of depression relapse, but the large sample of this meta-analysis gave researchers a much finer lens through which to look at efficacy. From this study we get evidence that those with remaining depressive symptoms do especially well with MBCT, and that alone has important implications. The same study indicates that those with childhood trauma do well with MBCT.

In addition this meta-analysis showed that MBCT is effective across a wide range of demographics.

Implications for MBCT in the United States

Some 30% of people treated for depression have remaining symptoms, can be defined as treatment-resistant. Now MBCT can be rationally offered to those people. While we would wish to know how much remaining symptoms are appropriate, the research does not show that. Some experts in the field feel the defining element is “energy”, having enough recovery to be able to focus the mind and do the MBCT exercises that are critical for experiential learning.

More information for professionals

The 2016 JAMA article – Containing all the research details.

The related editorial by Dr. Richard Davidson, commenting and outlining ideas for future research.

The blog entry at the Oxford Mindfulness Centre, in which Dr. Zindel Segal and Dr. Catherine Crane clarify many of the implications of the research.

MBCT information site for North America, MBCT.com

Training Centers for teaching MBCT, and gaining general expertise

Centers for training in teaching MBCT, and in preparing to do related research

Note: Donald Fleck is a Mentor for those of you who’d like to begin teaching MBCT.

What to do now

Please review your client list, see who could benefit most from MBCT. Refer them to the workshop. We’ll do the intake to review suitability for each referral. After they complete the workshop, you can see for yourself the sorts of changes the workshop can encourage. Then consider beginning your own training to become an MBCT teacher.

When Sitting With Difficulty is Not Enough: Adding the Action Step

When sitting with difficulty is not enough,  we need to accept the situation, realizing we have done all we can to re-gain perspective.  Then we consider wise action.Without action we miss the power of mindfulness in psychotherapy. The process is explained in Working The Present.


by Donald Fleck, Diplomate in Clinical Social Work  –  Endorsed by Zindel Segal, Ph.D.

Available on Amazon:

Click here to preview the book on Amazon

The eBook price is  $6.99.     The print price is  $21.

Book Cover

 Zindel V. Segal, Ph.D., author of

Mindfulness-Based Cognitive Therapy for Depression,

has endorsed this book:

In Working the Present, Mindfully Based, Donald Fleck succeeds in staying true to the intentions of MBCT while adapting it for use in individual therapy.  The book can be used with clients who have serious mindfulness meditation practices as well as those just getting started, as Fleck has taken many of the core elements of MBCT — the 3-Minute Breathing Space, Kindness and Self-Compassion, Working with Difficulty, Allowing/Letting Be, Thoughts are not Facts, Kindness in Action — and found ways to use them effectively within the basic dyadic encounter.

Packed with clinical vignettes and a user friendly narrative structure, Working the Present, Mindfully Based, provides a clear path towards offering this novel delivery format for MBCT’s key concepts and practices.
Zindel V. Segal, Ph.D., Author of Mindfulness Based Cognitive Therapy for Depression 

Read the beginning of this book, or order it, on Amazon.

Pressed for time? Here’s the executive summary…

  1. Aware – We increase our awareness of the present. When we are present, we perceive more, we perceive differently. When our clients are aware, they have stepped out of automatic pilot.
  1. Allow – When we practice allowing our experience to continue, without chasing after it, or running away from it, we find we have more strength to work with it. Same thing for our clients.
  1. Accept – When we accept our experience as it is, just for now, or go a step further and accept ourselves, our energy can move from resistance to relief and finding solutions. Same for our clients.
  1. Act – When ready, we act. Our actions propel us forward in life. Getting the next action right is really important. This is how change starts. This is how change continues. With awareness, allowing, and acceptance we are grounded and better able to choose helpful actions. Clients, too.

© Donald Fleck

Why this book?

Mindfulness-Based therapies are getting a lot of attention these days, to say the least, and they are very effective in a group format. But clients meeting one-on-one expect sessions geared to their unique needs.

So, over the years I have sought out new ways to use the powerful elements of Mindfulness-Based Cognitive Therapy within the individual session. They are explained in this book.

Read the beginning of this book, or order it, on Amazon.