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Table 1 Content of MBCT programme for ADHD per session

From: Mindfulness based cognitive therapy versus treatment as usual in adults with attention deficit hyperactivity disorder (ADHD)

Theme of the session

Mindfulness exercises

(Psycho-)education

Homework

1. Automatic pilot

- 3-min breathing space

- Rationale of mindfulness for ADHD

- 3-min breathing space

- Raisin exercise

- Introduction in methods to integrate mindfulness in daily life: Support, Structure and Strategy (3 S’s)

- Attention for a routine activity

- Bodyscan

- Mindful eating

- Optional: bodyscan

2. Dealing with barriers

- Bodyscan

- Imagery exercise to demonstrate relationship between thoughts and feelings

- 3-min breathing space

- Attention for a routine activity

- Bodyscan

- Sitting meditation with focus on breath

- Exploration of application of the 3 S’s

- Awareness of pleasant events

- 3-min breathing space

3. Mindfulness of the breath

- Sitting meditation with focus on breath, body

- Seeing exercise a) to demonstrate the difference between observation and interpretation, b) to discuss dealing with sensory input

- 3-min breathing space

- Floor yoga or sitting meditation

- 3-min breathing space

- Exploration of pleasant events

- Awareness of unpleasant events

- Floor yoga practices

- Walking meditation

4. Staying present

- Sitting meditation with focus on breath, body, sounds

- Exploration of unpleasant events with attention for the interrelatedness of feelings, thoughts and bodily sensations

- 3-min breathing space

- Sitting meditation

- 3-min breathing space

- Exercise focused on recognition and dealing with ADHD core symptoms

- Awareness of top 3 ADHD symptoms

- Walking meditation

5. Allowing and letting be

- Sitting meditation with focus on breath, body, sounds, thoughts and feelings

- Reflection on intention of participating

- 3-min breathing space

- Psycho-education about reacting versus responding in stressful situations and when ADHD symptoms are severe

- Sitting meditation or standing yoga

- 3-min breathing space ‘coping’

 

- Awareness of communication difficulties

- Standing yoga practices

6. Mindful communication

- Standing yoga practices

- Exercise in mindful listening and speaking

- 3-min breathing space

- 3-min breathing space

- Non-verbal communication exercise

- Sitting meditation or standing yoga

- Mindful listening and speaking

Silent day

- Varying meditation exercises

  

- Silent lunch and tea break

7. Taking care of yourself

- Sitting meditation with focus on breath, body, sounds, thoughts, emotions an choiceless awareness

- Exercise on taking care of yourself by examining how to improve balance in life

- 3-min breathing space

- Practice without CDs

- Reflect on training

- 3-min breathing space

- Making an action plan

8. The rest of your life

- Bodyscan

- Reflection on the training

 

- 3-min breathing space

- Maintaining practice