Coaching practices for Mbct Relapse Prevention Practice

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Does this sound like the set of challenges you might be facing?

  • I can feel myself starting to slide
  • My weeks have quietly filled up with things that leave me hollow and emptied of the few that actually refill me
  • I slipped after weeks of doing well and the shame hit so hard I just threw the whole thing out and went back to square one
  • There’s always a small early signal
  • I live entirely in my head

Practices that may help

  1. Mindfulness-Based Cognitive Therapy (MBCT), Made Practical
    MBCT is an 8-week group program developed by Segal, Williams, and Teasdale that combines mindfulness meditation with cognitive therapy techniques to prevent depressive relapse. Multiple independent meta-analyses find it significantly reduces relapse risk in people with three or more prior depressive episodes — the evidence base is among the strongest for any mindfulness-based intervention.
  2. Action plans for low mood: if-then plans for the early warning signs
    Build a specific "if mood dips to X, I will do Y" plan before mood declines so it is ready when needed.
    Mindfulness-Based Cognitive Therapy (MBCT), Made Practical
  3. Nourishing vs. depleting activities audit
    Map your weekly activities into those that restore energy and those that drain it, then intentionally shift the balance.
    Mindfulness-Based Cognitive Therapy (MBCT), Made Practical
  4. Treat relapse as a predictable part of the process, not a failure
    Most people cycle through the stages several times before achieving lasting change — plan for it.
    The Transtheoretical Model of Change, Made Practical
  5. Metacognitive Therapy, Made Practical
    Metacognitive therapy (MCT), developed by Adrian Wells, targets not the content of negative thoughts but the beliefs people hold about thinking itself — particularly the beliefs that worry and rumination are useful or uncontrollable. By changing these meta-level beliefs, MCT aims to stop the prolonged self-focused thinking styles that maintain anxiety and depression. A growing body of randomized controlled trials supports MCT as effective for GAD, PTSD, depression, and social anxiety, with some studies showing superiority to CBT.
  6. Behavioral Activation: Acting Your Way Out of Low Mood
    Behavioral activation is a structured approach to depression that targets the avoidance and withdrawal that maintain low mood: instead of waiting to feel motivated, you schedule valued activities and let mood follow behavior. Multiple rigorous trials — including some that compared it to full CBT — find it as effective as antidepressants and CBT for mild to moderate depression, and it may be one of the most underused evidence-based tools available. Clinical depression should be treated with professional support; these principles amplify, not replace, that care.
  7. Deploy it at the first sign of mood dip
    Catch the early edge of a low mood or stress spike — not the peak.
    The Three-Minute Breathing Space
  8. Rumination-Focused CBT, Made Practical
    Rumination-Focused CBT (RFCBT), developed by Edward Watkins, targets the extended, abstract, self-critical thinking style that maintains depression — not just negative thoughts. It trains people to shift from abstract "why" rumination to concrete "how" thinking and compassionate, specific engagement with experience. Randomised trials show it reduces depressive rumination and relapse rates.
  9. Cognitive Processing Therapy (CPT): Unsticking the Meanings That Maintain PTSD
    Cognitive Processing Therapy (CPT), developed by Patricia Resick, treats PTSD primarily by identifying and challenging "stuck points" — distorted or overgeneralized beliefs about safety, trust, control, intimacy, and self-worth that the trauma produced. Multiple large randomized trials show CPT is among the most effective available treatments for PTSD, comparable to Prolonged Exposure. The core concepts and some worksheets are publicly available; the full protocol benefits significantly from a CPT-trained therapist.
  10. The body scan
    Systematically move attention through the body, noticing sensations without trying to change them.
    Mindfulness-Based Cognitive Therapy (MBCT), Made Practical

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