Mindfulness-Based Stress Reduction Programs
Two of our OHIP-covered programs include the Mindfulness-Based Stress Reduction – extended version (MBSR-X) and the Mindfulness-Based Cognitive Therapy (MBCT) programs. They provide a rigorous and systematic training in mindfulness within a safe, therapeutic environment, allowing participants to address physical and psychological symptoms and conditions by teaching them how to take charge of their well-being.
The Mindfulness-Based Stress Reduction – extended version, and Mindfulness-Based Cognitive Therapy Programs provide an introduction into the world of mindfulness and are designed to familiarize us with mindfulness in a practical and highly participatory fashion. If you have no mindfulness meditation experience, these are the programs you would be starting with. They are clinical group therapy programs that focus upon the progressive acquisition of mindful awareness or mindfulness, which can be defined as moment-to-moment, non-judgmental awareness. While Mindfulness Based Stress Reduction (MBSR-X) has its roots in spiritual teachings, the program itself is secular. Originally devised by Jon Kabat-Zinn on scientific principles of behavioral medicine, these programs use the psychological concept of mindfulness to help people cope better and be more at ease in their life. Mindfulness practice is thought to have potential for helping people cope with stress and chronic illness, and research has shown it having a useful effect on the cultivation of health.
Since the original creation of MBSR, science has progressed immensely as the most modern brain imaging techniques allow us now to have more direct access to what happens in the brain when mindfulness is practiced. A new field of knowledge has emerged, called Interpersonal Neurobiology (IPNB), which has been systematized by Daniel Siegel. Fueled by the need for more efficient approaches to psychological trauma, a parallel development in psychotherapy has lead to the newest theories about the brain to emerge in the form of Sensorimotor Psychotherapy (Pat Ogden). These discoveries have given us more insight into how the brain and the extended nervous system function, allowing us to modify our approaches accordingly for better efficacy. Our 12-week expanded version of the MBSR program (MBSRP-X) incorporates these new scientific insights from IPNB. Although there are indeed many different ways of practicing mindfulness, and the interior adventure and potential value of mindfulness training endures timelessly, our new insights into the way the brain functions do modify our approach to meditation. In the IPNB-inspired version of the MBSR program I have therefore expanded on the work of Jon Kabat-Zinn and the original MBSR in a way that takes these new developments into account. Both programs are rigorous introductions into the principles of mindfulness. However, while the MBSR program focuses only on the direct subjective experiences of meditative mindfulness practice, in the IPNB-inspired MBSR program we include the exploration of how mindfulness practice is connected to (1) the way the brain and the extended nervous system are wired, (2) narrative integration in psychotherapy, and (3) spirituality.
With the exception of the WE am program taught by Dr. Treyvaud, the MBSR programs are taught by Dr. Macdonald.
Another offshoot of MBSR is MBCT, Mindfulness-Based Cognitive Therapy. These programs are similar in that they provide a rigorous introduction into mindfulness meditation, but with a bit more emphasis on cognitive restructuring. At our clinic we also add useful information from Interpersonal Neurobiology to our MBCT programs. They are shorter and last 9 weeks.
The MBCT programs are taught by Dr. Kelford. Dr. Treyvaud comes in for an hour in the last session of each program.
Mindfulness does not have to be acquired. It is already dormant deep within us, buried under years of mindlessness practice, which has left us unaware, forgetful, living mechanically, and alienated from ourselves. All we really need to do is stop practicing mindlessness. This requires great rigor, patience, and commitment. Mindfulness can then flourish and be released as a resource that can be put in the service of learning, growing, and healing.
Pain is unavoidable, but suffering is optional. Pain is an inevitable part of life, but we don’t have to make it worse with a clouded mind that is riddled by reflexes and habitual ways of creating distorted realities we then mistake for facts. Not only do we not have to make pain worse than it already is, but we can make it tolerable; so tolerable in fact, that it ceases to make our lives miserable, and even contributes to our sense of being deeply alive. It is through mindfulness that we achieve that, and stopping mindless patterns requires us to learn and practice certain attentional training techniques that eventually allow us to live more peaceful and satisfying lives. Cultivating a non-judgmental attitude, we focus on developing our ability to concentrate and expand our awareness beyond customary day-to-day consciousness. Eventually, this allows us to extricate ourselves from being on automatic pilot, and develop clear view of all aspects of experience as events in the field of awareness. When we realize that in spite of being real, our experiences are not facts, we gain unprecedented perspective, clarity of vision and freedom of action. Deep relaxation, inner calmness and serenity set in, paving the way for organismic regeneration and a reduction of suffering.
In the course of these programs we learn techniques of observation that allow us to gradually awaken to the intricacies of organismic processes. Through gradual development of an expanded kind of awareness we are not accustomed to, we foster fundamental changes in the way we relate to our experiences and act in the world. Using a variety of formal meditation practices, we have to commit ourselves to practicing formal mindfulness meditation for about one hour a day, and let its spirit spill over into our daily lives through a range of informal practices. We visit all our senses one by one, deeply immersing ourselves into the flow of present moments as they inexorably unfold from previous moments, following an unknown destiny of change. Lying, standing, walking, moving, eating, sitting and breathing will be vehicles to enter deeply into the many layers of being as the mind/body organisms that we are. The formal practices thus include stopping, paying attention to the breath, mindful action, the body-scan, flowing movement meditation, sitting and walking meditations, as well as other awareness exercises. At the center of it all will be awareness, that most elusive and yet powerful of human attributes, without which there would be no knowing, no healing, and no love as we know it.
We dive into the present moment, both conceptually and experientially, discovering how the verbal/emotional cascade of reactions and reflexes removes us from direct experience, and prevents us from being there where life happens, from being present during the only time we ever have, the present moment. We explore and train attention, following the scent of pure awareness; just sensing, just seeing, just hearing, just feeling, just knowing, without adornment, without the complication of self-reference, without an observer, without an object, just, just….being….here and now.
On this journey, we come to inquire into themes that are fundamental to understanding why and how habits of mind keep us largely unaware and in an automatic pilot mode. Beginners are predictably vulnerable to the habitual reflex of doubt, which surfaces as the question Why should I practice non-doing, when I have better things to do? or Isn’t this a waste of my time? To know why we practice non-doing and be able to understand the rationale behind it, is an important way of keeping the practice alive when we are assaulted by doubt and old habits.
Therefore, we interweave themes that highlight the background mechanisms that make our organism what it is, as well as cultural and philosophical issues, with the therapeutic practice of mindfulness. More so in the expanded MBSR program version than the original MBSR program, we emphasize the importance of understanding the connections between our subjective experiences, the techniques and practices of mindfulness, and the way the brain and body are constructed and work. In both programs we explore the full spectrum of mindfulness applications: How human consciousness is a double-edged sword that simultaneously follows habitual reflex patterns and yet contains the seed for its own transformation. We delve into the seven fundamental attitudinal foundations of mindfulness and explore such themes as doing versus being; the automatic pilot mode; learning to deal with obstacles; being present; the wandering mind and bare attention; allowing and letting be; thoughts are not facts; and acting in self-care. Since we cannot escape the reality of being story-telling animals, we explore the interface between mindfulness meditation and narratives by contemplating psychological development and the narrative mind in intimacy and conflict resolution.
Through the examination of stress we come to understand the mechanisms, by which mindlessness leads to illness. Learning to appreciate mindfulness within a medical context opens the way to taking charge for ones life and health and developing the notion of a participatory medicine. Because mindfulness touches upon deep existential issues that cannot be ignored, the theme of mindfulness and spirituality is an important part of what rounds up this program.
We put particular emphasis on one of the problems that most frequently arises in the course of practice: The sense of failure to practice. There is no growth without respectful and caring attention to the hindrances we are bound to encounter along the way, without learning to live alongside the damaged aspects of ourselves, without responding to our own fragility in ever more gentle and caring ways, including dealing with the apparent failure of practice.
Each session is structured to contain several parts:
- Introduction to a new mindfulness meditation technique
- Guided meditation practice
- Processing of participants’ practice experience of the week
- Introduction to a new theoretical topic
- General Q&A
- Other group exercise
If you have no or little mindfulness experience, you would start with the introductory mindfulness programs, either the MBSR or the MBCT program (it doesn’t matter which). These programs are held several times per year: Fall (Sept. – Dec.), winter (Jan. – March) and spring (April – June). The MBSR program lasts 3 months (once a week for 12 sessions). Each trimester we run 4-5 MBSR programs simultaneously. All programs include one whole day retreat session on a Friday or Saturday during the second half of the program. With one exception (WE am led by Dr. Treyvaud), MBSR programs are led by Dr. Macdonald. In addition, Dr. Treyvaud teaches 1 session (session 11) in each program. The MBCT program lasts 2 months (once a week for 9 sessions) and is taught by Dr. Kelford. Only participants who have taken the MBSR or MBCT program can then enroll in the MSC program with Dr. Macdonald.
To participate, please request your family physician, psychiatrist or other medical specialist (has to be an MD) to fax a referral to 905 338 2717. We don’t have a standard referral form and physicians can use whatever format they want. We will then call you directly or your physician will advise you when to call our office to book an individual assessment appointment (covered by OHIP). Depending on the nature of the referral, you will either be assessed by Dr. Treyvaud or Dr. Macdonald. At the end of the appointment the doctors will review their recommendations with you. If mindfulness training is recommended, you will be put on the list for the next available program. To be on the list and sign up, you need to have met Dr. Treyvaud or Dr. Macdonald for this individual assessment first. With the exception of an optional $65 fee for course materials, these programs are covered by OHIP. The course material includes a manual and an USB key with 15 guided meditations. They are held at The Mindfulness Centre in suite 407 in downtown Oakville.
We book the programs during the 3 to 6 months preceding them. The wait time for an assessment is usually at least 2-3 months. To ensure a spot, it is therefore advisable to have your assessment appointment with Dr. Treyvaud or Dr. Macdonald roughly 4 – 5 months prior to the beginning of the program you intend to join.
We do have a waiting list, because there are occasionally last minute cancellations due to unforeseen circumstances. However, only people who have been assessed by either Dr. Treyvaud. Dr. Ang, or Dr. Macdonald can be put on the waiting list. There is a possibility that we will add more programs for Fall 2020 so we encourage you to check back!
May 2020: Online Programs
MBSR-X Online Programs:
Tuesdays, 10:00 am – 12:30 pm (Dr. Ang)
May 12 to July 21, 2020,
Day Retreat (at home): Friday, July 10, 2020 – 9:00 am – 2:00 pm
Thursdays, 10:00 am – 12:30 pm (Dr. Ang)
May 14 to July 23, 2020,
Day Retreat (at home): Friday, July 17, 2020 – 9:00 am – 2:00 pm
Fall 2020: At Centre Programs
MBSR-X At Centre Programs:
Tuesdays, 10:00 am – 1:00 pm (Dr. Macdonald)
September 15 to November 24, 2020 (11 weeks),
Retreat: Friday, November 13, 2020 – 9:00 am – 3:00 pm
Tuesdays, 3:00 pm – 6:00 pm (Dr. Macdonald)
September 15 to November 24, 2020 (11 weeks),
Retreat: Saturday, November 24, 2020 – 9:00 am – 3:00 pm
Wednesdays, 5:00 pm – 8:00 pm (Dr. Jackie Ang)
September 16 to November 25, 2020 (11 weeks),
Retreat: Saturday, November 21, 2020 – 9:00 am – 3:00 pm
Thursdays, 10:00 am – 1:00 pm (Dr. Macdonald)
September 17 to November 26, 2020 (11 weeks),
Retreat: Saturday, November 7, 2020 – 9:00 am – 3:00 pm
Thursdays, 10:00 am – 1:00 pm (Dr. Ang)
September 17 to November 26, 2020 (11 weeks),
Retreat: Friday, November 20, 2020 – 9:00 am – 3:00 pm
See dates below photo.
Online, and at
The Mindfulness Centre
Covered by OHIP (except for course materials)
MBSR-X: $65 for
Manual + USB key with 15 guided meditations
MBCT: Handouts $20
Once you have been referred, we will contact you.
Please arrange for timely arrival as we are starting on time.
Take the opportunity to email us in advance questions about mindfulness and meditation you already ponder and wish us to address during the workshop.