‘Mental health’ is defined by the World Health Organisation as ‘a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community’(1).
Today, we know that this is not the case for millions of people worldwide. In fact, one in four people experience a mental health problem each year. According to mental health charity Mind, the way in which people cope with mental health problems is also getting worse – with the number of people who self-harm or have suicidal thoughts on the increase.
While mindfulness is no magical cure-all elixir, there is emerging evidence to show that it could support a state of mental wellbeing. In instances of mild to moderate depression and anxiety, for example, mindfulness-based interventions hold great promise to ease symptoms.
With regular practice and the support and guidance of a teacher during an eight-week mindfulness course (MBSR or MBCT), studies have shown that the benefits include stress reduction, emotion and attention regulation and reduced rumination. It also has as much power to prevent depressive relapse as antidepressants, shown by to a large-scale study published by the Oxford Mindfulness Centre.
Essentially, mindfulness works because it gives us better access to resources that may help us deal positively with our experience of anxiety and/or depression. Firstly, we are introduced to the skill of awareness – which is the ability to notice our thoughts and feelings as they arise. Awareness creates space and allows us to observe our mental processes more objectively so we identify with them less.
Secondly, we cultivate an open and accepting attitude, which allows us to welcome whatever arises, rather than trying to suppress it, avoid it or become overwhelmed by it. In this way, there is less internal conflict – which can make things a little lighter. Beyond the power of attention training, practicing mindfulness in a community may also play an important role in easing symptoms. Anxiety and depression can heighten feelings of isolation and self-judgement -- which may further feed our suffering.
Learning mindfulness and sharing our experiences in a group setting such as an MBCT, helps us realise there is a common humanity to these conditions and that we are not so alone.
There are instances, however, in which mindfulness should be approached with caution where mental health is concerned. As we turn towards ourselves to face our thoughts and feelings, mindfulness can often heighten our experience and perhaps even intensify symptoms for a short period. In this way, it can be incredibly difficult to maintain motivation. For those with a history of certain mental health conditions, such as psychosis, borderline personality disorder, bipolar or PTSD, mindfulness needs to be approached with care and often a tailored one-on-one approach with the specialist knowledge of a mental health professional is advised.
While mental health awareness has improved dramatically over the past decade, we still have a way to go to change the conversation we have around it – to break social stigmas, encourage education and strengthen our response.
Mindfulness may not be a short-term fix, but with continued practice it could provide a long-term solution for mild to moderate disorders, by giving us the power to respond to unpleasant emotions and distressing situations more reflectively rather than reflexively. We know from emerging neuroscientific research that mindfulness also facilitates plasticity, and herein lies the hope -- that each time we respond differently, we create new, more positive connections and pathways in the brain.
Find out more about our mindfulness courses and workshops.
References (1) WHO: Mental health: a state of well-being