Mindfulness: the eight-week programme
What mindfulness actually does — and what it does not —, the adverse effects rarely mentioned, and a graded eight-week programme to establish a practice without giving up your life to it.
Dr Zayan Al-Falasi, psychiatrist
In short
This programme is for an adult who has heard about mindfulness meditation, has perhaps tried an app for ten days, and would like to know what actually stands up in all of it. It explains the mechanism, sets out the state of the evidence honestly — including where it is weak and where the practice can do harm — then offers eight weeks of graded training, one skill per week.
- Topic
- Mindfulness
- Who it's for
- For everyone
- Languages
- FR · EN · DE · IT · ES · ZH · AR
Français · English · Deutsch · Italiano · Español · 中文 · العربية
The programme
This programme supports care, it does not replace it. Mindfulness meditation has demonstrated effects on some conditions and no demonstrated effect on many others; it also produces real adverse effects in a minority of practitioners. Section 7 sets these out before you begin, and names the situations in which you should not start alone. If you are in a severe depressive episode, in a psychotic state, or having suicidal thoughts, this text is not the right answer: contact your doctor or your local emergency services today. Allow fifty minutes to read, and eight weeks to practise.
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The rest is for members
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What the rest contains
- 3. What mindfulness is not
- 4. What the science has established — and what it has not
- 5. Why the mind wanders
- 6. Decentring: the mechanism
- 7. Adverse effects and contraindications
- 8. What you need to start
- 9. The programme, at a glance
- 10. Week 1 — Returning
- 11. Week 2 — The body scan
- 12. Week 3 — Off the cushion
- 13. Week 4 — Watching thoughts pass
- 14. Week 5 — Staying with discomfort
- 15. Week 6 — The short tool
- 16. Week 7 — Kindness
- 17. Week 8 — Setting the practice up
- 18. Stress and anxiety
- 19. Rumination and low mood
- 20. Chronic pain
- 21. Sleep, eating, screens
- 22. At work and with others
- 23. The eight obstacles, and what to do with them
- 24. What you can expect, and when
- 25. Restarting after a break
- 26. Common questions
- 27. Sources and foundations
Common questions
How long a day, really? The evaluated programmes ask for forty-five minutes a day, which explains a good part of their dropout. In practice, shorter but regular sessions already seem to be useful, and ten minutes maintained is worth more than forty-five abandoned after a fortnight.
Do I need a teacher? Not for this programme. But if you are meditating to prevent depressive relapse, look for a group run by a trained professional: that is the format that was evaluated, and the group does part of the work. A teacher is also recommended if you meet repeated difficult experiences.
And retreats? Adverse effects are markedly more frequent in intensive and prolonged practice. Do not go away for ten days in silence as a first experience. If you go one day, choose a place where someone can be reached in case of difficulty — and be wary of settings that forbid you to stop or to leave.
Can meditation replace my medication? No, and that decision is not yours alone. The trial comparing an eight-week programme with an antidepressant in anxious people shows non-inferiority within a trial setting; it says nothing about stopping current treatment, which is discussed with the prescribing doctor.
Does it work if I don't believe in it? Yes. It is attentional training, not an adherence. Scepticism is even a good stance: note your three figures at the start and judge on the evidence at eight weeks.
I get very unpleasant thoughts during sessions. Common, especially in weeks 4 and 5: you stop distracting yourself, so what was being kept at a distance becomes visible. Use labelling, shorten the session, keep your eyes open. If it remains overwhelming, stop and talk about it — see section 7.
Is this going to make me passive? No. Accepting what is present now is not approving of the situation. You can perfectly well register without struggle that you are angry at an unjust decision, and act afterwards — generally better than if you had replied within the second.
Printable worksheets
The exercises from this programme, as printable PDFs. Members only.
- 01Before you startPrecautions first, then five minutes of preparation.
- 02Week 1 — Coming backThree to five minutes a day. Only one thing to learn.
- 03Week 2 — The body scanTen to fifteen minutes. The session that teaches you to read the body, and the sleepiest.
- 04Week 3 — Off the cushionTen minutes of seated practice, plus three ordinary moments in the day.
- 05Week 4 — Watching thoughts go byTwelve to fifteen minutes. The decisive week, and the one when most people give up.
- 06Week 5 — Staying with discomfortFifteen minutes. The most useful skill, and the most counter-intuitive.
- 07Week 6 — The short toolFifteen minutes in the morning, with the practice of your choice from weeks 1 to 5, plus three three-minute pauses.
- 08Week 7 — KindnessFifteen to twenty minutes. The week people are tempted to skip.
- 09Week 8 — Making the practice lastFifteen to twenty minutes, and four decisions in writing.
Every worksheet in one file, with a table of contents.