MindfulnessFor everyone50 min read

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
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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.

The notice at the start of the resources is hidden.

1. Before you start

You are in the shower and you are already in the 2 p.m. meeting. You drive for twenty minutes and remember nothing of the journey. You have dinner with someone you love while replaying, for the sixth time, a sentence you heard at work yesterday. In the evening, exhausted, you wonder where the day went.

And if you have already tried to meditate, you probably concluded that you could not do it: you sat down, your mind went everywhere, and you inferred that this was not for you.

That is the most widespread mistake, and it gets things completely backwards. The mind wandering off is not the failure of the exercise: it is the exercise. Every time you notice you have gone and you come back, you have done one repetition. Meditation does not consist in staying; it consists in returning.

Three things to know straight away

This is training, not a belief. You have nothing to adopt, no philosophy and no vocabulary. The practice offered here is secular and is judged by its measurable effects.

It is not free in time. Allow from three minutes a day at the start to twenty minutes by the end, over eight weeks. That is little on the scale of a day and a great deal on the scale of a habit: section 8 explains how to make it sustainable.

And it does not work on everything. In section 4 you will read an honest assessment of what the trials show. It is more modest than the apps promise, and more solid than the sceptics say.

2. Mindfulness, in two minutes

Here is the whole idea. The rest of the programme only installs it.

Mindfulness is paying attention to what is happening now, deliberately, without judging it. Three words matter: now, deliberately, without judging.

Now — not in yesterday's replay nor in tomorrow's simulation, where your mind spends a great deal of its time.

Deliberately — this is an action, not a state. You do not "become" mindful; you return to it, dozens of times a session.

Without judging — you are not trying for the experience to be pleasant, calm or interesting. You are trying to see it as it is.

So what it is not

It is not emptying your head, it is not relaxing, it is not reaching a particular state. A session in which you went off forty times and came back forty times is an excellent session. A session in which you were wonderfully calm without ever noticing anything is, technically, a nap.

Marion, 41

Marion is a manager with two children. On Sunday evenings she spends two hours anticipating her week: the difficult conversations, what she will say, what will be said back. She calls this "preparing". In reality she lives every conflict three times — once in imagination, once for real, once in replay.

After six weeks of practice her Sunday evenings have not changed: the same thoughts arrive, at the same hour. What has changed is that she spots them after four minutes instead of two hours, and can then choose whether to go there.

Note what happened: the thoughts did not disappear. The relationship to those thoughts moved. That is exactly what the practice trains, and it is all it trains.

What the programme does, in this order

  1. Learn to put attention somewhere and bring it back — on the breath.
  2. Extend that attention to the whole body, which is the most reliable doorway.
  3. Take it off the cushion: three ordinary moments a day.
  4. Watch thoughts without climbing into them.
  5. Stay in the presence of what is unpleasant, without fleeing or fighting.
  6. Have a short tool, usable in the middle of a day that is going wrong.
  7. Add the dimension of kindness, which is not decorative.
  8. Set the practice up so that it survives the end of the programme.

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.

See the plansThe printable worksheets are included with access.
  1. 01Before you startPrecautions first, then five minutes of preparation.
  2. 02Week 1 — Coming backThree to five minutes a day. Only one thing to learn.
  3. 03Week 2 — The body scanTen to fifteen minutes. The session that teaches you to read the body, and the sleepiest.
  4. 04Week 3 — Off the cushionTen minutes of seated practice, plus three ordinary moments in the day.
  5. 05Week 4 — Watching thoughts go byTwelve to fifteen minutes. The decisive week, and the one when most people give up.
  6. 06Week 5 — Staying with discomfortFifteen minutes. The most useful skill, and the most counter-intuitive.
  7. 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.
  8. 08Week 7 — KindnessFifteen to twenty minutes. The week people are tempted to skip.
  9. 09Week 8 — Making the practice lastFifteen to twenty minutes, and four decisions in writing.

Every worksheet in one file, with a table of contents.

mindfulnessmeditationMBSRMBCTruminationattention

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