A maturing mindfulness-based cognitive therapy reflects on two critical issues

Mindfulness-Based Cognitive Therapy (MBCT) is a multimodal intervention that integrates training in mindfulness meditation and the cognitive theory of affective disorder. This hybrid nature may provide an advantage in the prevention field that addresses the critical need for enhancing wellness among people with recurrent mood disorders. Despite the robust evidence base for MBCT, its penetration at the population health level and in routine clinical settings has been limited. Addressing the gap between the science of MBCT and public access requires grappling with two questions: what is the role of home practice of mindfulness skills in realizing the benefits of MBCT? And, what role do digital platforms play in the delivery of mindfulness programs? Addressing these two questions is overdue in the field and the answers generated have the potential to optimize future research and practice on the ways, in which contemplative practices can support agentic self-care.