Mindfulness-based Cognitive Therapy for Posttraumatic Stress Disorder

• MBCT has been growing in popularity, and has solid research support, but this is the first text to apply it to trauma survivors
• This pioneering text is based on the authors’ experience in using MBCT for PTSD in the first randomized controlled clinical trial
• Containing numerous case examples, it expands the range of potential treatment options and lends new hope for trauma survivors to lead more fulfilling lives

• The authors combined have a unique set of expert skills; Dr Chard is a well-known expert on PTSD, and Dr Sears is an expert on mindfulness and MBCT

Richard W. Sears is a clinical psychologist with a private psychology and consulting practice in Cincinnati, Ohio. He is clinical/research faculty at UC Integrative Medicine and a contract psychologist at the Cincinnati VA. His publications include Mindfulness in Clinical Practice (with R. B. Denton and D. Tirch, 2011), Perspectives on Spirituality and Religion in Psychotherapy (edited with A. Niblick) and Mindfulness: Living through Challenges and Enriching your Life in this Moment (Wiley-Blackwell, 2014). His website is www.psych-insights.com.

Notes on Authors ix

Foreword xi

Acknowledgments xiii

Notes on Audio Resources xv

1 Introduction 1

2 Trauma, PTSD, and Current Treatments 7

Diagnostic Criteria for PTSD 7

Biology of PTSD 10

Who develops PTSD? 12

Current Evidence�]Based Treatments for PTSD 13

3 Mindfulness 22

Mindfulness Defined 22

Mechanisms of Action 34

How Mindfulness is Different 51

Treatments Utilizing Mindfulness 53

4 Overview of MBCT for PTSD 58

Outline of MBCT Sessions 59

Basic CBT Principles Used in MBCT 66

MBCT Mindfulness Exercises 75

Mindful Inquiry 92

5 Delivery of MBCT for PTSD 98

Which Delivery Format is Best to Use and When? 98

MBCT for PTSD Delivered in an Individual Format 99

MBCT for PTSD Delivered in a Group Format 124

Practicalities for Conducting MBCT Sessions for PTSD 131

Future Directions 135

6 Developing Personal and Professional Competence 140

The Importance of the Therapist’s Own Practice 140

Mindfulness and Therapist Self�]Care 142

Developing Competence in MBCT for PTSD 143

Resources 148

References 156

Index 182

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