The MiCBT International Summit 2023 was held on December 2, 2023. It brought together MiCBT trainers, researchers and practitioners from around the world to explore the application of MiCBT in various disciplines.
If you missed the Summit, don’t worry – you can watch the recording and download the handouts below!
Please find the complete program schedule for the Summit, along with detailed information about the presenters, as well as the MiCBT chapter and its directors below:
Dr Cayoun will describe the beginnings of MiCBT, the progression of training, including trainers who joined the Institute over time and their amazing contributions, and the recent offering of the researcher scholarships. He will share his vision for the future of MiCBT and its expansion of training worldwide.Bruno Cayoun, DPsych, Founder and Director MiCBT Institute, Hobart, AU
A brief review of all the published and pre-published literature pertaining to MiCBT. This presentation will include a summary of the aims, methods and results. Additionally, some direction for future studies will be included.Richard Hulme, DPsych, Telehealth Clinical Psychologist, AU10:35
When your Worse Case Scenario is almost a Certainty: Treating Emetophobia in Children. A Brief Case Study of an 11-year old Boy
A case study of an 11-year-old boy from a family background of Holocaust survivors who immigrated to Melbourne after the Second World War. The child was diagnosed with Generalised Anxiety Disorder, ADHD and emetophobia. The case demonstrates the importance of utilising a transdiagnostic approach that includes both child and parent. In addition, it highlights the importance of the understanding of experiential ownership during bipolar exposure.Boyd Cowley, Psychologist, Melbourne, AU11:00
In this short talk, I discuss the benefits of developing deep self-awareness through mindfulness meditation, specifically Vipassana meditation. I highlight how mindfulness can help us explore our levels of subconsciousness and gain insight into our cravings and aversions, ultimately breaking the cycle of suffering.
I will share my personal journey of discovering and addressing anxiety through mindfulness meditation, emphasizing that even a trained psychologist can suffer from anxiety due to a hidden lack of self-awareness. Through meditation and observing body sensations with equanimity, I learned to identify and understand the triggers of anxiety. This deep self-awareness has led to increased wisdom and compassion and enhanced my ability to help clients reduce their suffering.Lucy Cabezon-Prieto, Clinical Psychologist, Gold Coast, AU
A clinical and organizational psychologist with more than 30 years of experience, who is new to MiCBT, is transitioning back to private practice with the goal of offering MiCBT to Francophones as a retirement project. Keep an eye on his journey!Daniel Huard, M.A., RP, Clinical Psychologist, Quebec, CA. satimeditation.ca.
It has been suggested that equanimity is a central mechanism of action and change in mindfulness practice and that both mindfulness and equanimity are interdependent. In response to growing interest in measures to assess equanimity, the Equanimity Scale 16 (ES-16) was developed by first identifying a pool of 517 theoretically appropriate items from 26 existing self-report measures of mindfulness and relevant constructs.
Two studies found and confirmed a 16-item scale with two underlying dimensions of equanimity (Experiential Acceptance and Non-Reactivity) and found support for the reliability of the overall ES-16. These showed evidence of concurrent validity through positive correlations with measures of related constructs, such as nonattachment, and negative correlations with measures of psychological distress. In a subsequent randomised control trial using MiCBT, the ES-16 was sensitive to improvements from pre- to post-intervention in the clinical group and discriminated clearly between participants with one or more mental health conditions from those in the general population, both at pre- and posttreatment, showing good predictive validity. Response-shifts were detected on all measures in the clinical group, suggesting that pre/post assessment may underestimate the effectiveness of MiCBT, and possibly other MBIs.
Results support both the use of the ES-16 in clinical contexts and the utility of retrospective scores to detect and quantify response-shift as a measure of increased experiential awareness following an MBI.Alice Shires, PhD, Senior Lecturer, University of Technology, Sydney AU11:25
Mindfulness-based interventions (MBIs) have been shown to be efficacious in the management of chronic pain, but they are associated with small to moderate effects and some forms of MBIs are very intensive. The Mindfulness interoceptive exposure task (MIET) is a brief strategy which can be utilized to help manage pain. The theoretical or conceptual basis of the MIET will be described, and a series of empirical studies testing the efficacy of the MIET will be presented.
In the first study, the MIET was administered to 15 consecutive patients with chronic pain. Results showed large within subject’s changes in outcomes, indicating that the MIET has potential as a brief strategy to improve outcomes in people with chronic pain. In a further empirical study, the MIET was compared to distraction and a no-instruction control for health participants who then completed a cold pressor test.
For acute rather than chronic pain, the MIET was not associated with differences in pain, although it was associated with large benefits for pain threshold and tolerance. In a further randomized controlled trial for people with chronic pain, the MIET resulted in reductions in pain both within the session and at 2 and 12 weeks later. However, the broader benefits of the MIET found in the first study were not demonstrated in a comparison with the control group. Finally, results of a recent randomised controlled study using the MIET for chronic pain in a telehealth version will also be presented.Alice Shires, Senior Lecturer, University of Technology, Sydney, AU
Contemplative Studies Centre, University of Melbourne, AU: Benchmarking Change in Meditation Practice: A Delphi Study
Canterbury University, UK and Auckland University of Technology, NZ: MPQM Study
Torrens University, Adelaide, AU: Smoking Cessation StudyBruno Cayoun, DPsych, Founder and Director MiCBT Institute, Hobart, AU11:50
Harvard University: Development and Validation of the Insight Development Interview
New Harbinger Publications: The Mindfulness and Meditation Workbook for Anxiety and Depression: Balance Emotions, Overcome Intrusive Thoughts, and Find Peace Using Mindfulness-integrated CBT, 2024
Wiley-Blackwell Publications: 2nd Edition of MiCBT for Well-being and Personal Growth: Four Steps to Enhance Inner Calm, Self-Confidence and Relationships, co-authored by Bruno Cayoun and Andrea Grabovac
UCSD Mindfulness-Based Program Training Institute: 1-day MiCBT WorkshopsAndrea Grabovac, MD, Clinical Psychiatrist, Vancouver, CA
Given the increasing interest in MiCBT research in Iran, more researchers will be tempted to investigate its effectiveness in improving mental and general health in both the community and patient populations in Iran.
Dr Farzinrad plans to offer MiCBT training and supervision to about clinicians in Tehran, and provide supervision for about 100 hours while they implement MiCBT with mental health outpatients and inpatients. This will be a great way of expanding MiCBT to the Iranian mental health practitioners’ community.Banafsheh Farzinrad, PhD, Clinical Psychologist, Tehran, IR
Introduction: Northeast India has long been identified as the highest user of Substance Addiction, where it is estimated that 850,000 individuals inject drugs, causing physical and mental health impairments. Accordingly, the rationale for this multiple-case study was to do a preliminary assessment of the effectiveness of MiCBT with substance use dependence (SUD) in a rehabilitation centre of Guwahati, in Assam, India.
Method: This pilot study involved pre-post and follow-up design with three participants who participated in a 16-week MiCBT intervention for a period of 16 weeks, delivered in a group format. The Mindfulness-based Self-Efficacy Scale-Revised (MSES-R), Depression Anxiety Stress Scale (DASS-21) Brief Psychiatric Rating Scale (BPRS), and a semi-structured interview of treatment outcomes were utilized.
Results: Participants’ quantitative changes in self-efficacy and mental health status will be discussed, along with qualitative changes over the course of therapy. Further, the follow-up of the participants' progress over 12 months and way ahead of MiCBT in the rehabilitation centre to assist the clients of addiction will be discussed.
Conclusion: This is the first study undertaken in Northeast India, demonstrating the journey from substance dependence to independence through MiCBT. This multiple case study is sufficiently inspiring to suggest that the intervention needs to be replicated in the larger population through randomized controlled trials.Sandamita Choudhury, Clinical Psychologist, Guwahati, Assam, IN
An embarrassingly funny, but not so funny, publicly displayed unconscious reactive experience during a 5-day MiCBT retreat. A direct perception-action effect.Richard Hulme, DPsych, Telehealth Clinical Psychologist, AU12:30
Interoceptive Conditioning towards Sensations associated with Chronic Fatigue, and Desensitization and Ultimately Elimination through Exposure and Equanimity
I will discuss the theme of arising interoceptive conditioning to sensations associated with chronic fatigue among several clients during exposure while engaging in the part-by-part body scanning assigned in weeks 3 and 4 of the MiCBT program.
Through the combination of exposure and equanimity towards the body, clients reported desensitization of conditioned reactivity towards chronic fatigue, which led to its significant reduction and even elimination of symptoms.
As a result, clients reported an overall increase in energy levels, productivity and motivation outside of their practice.Nicole LeBlanc, MA, MSW, RSW, New Brunswick, CA
Assisting couples in conflict efficiently is often complex and difficult. Sig Taylor is an experienced Canadian Relational Life Therapist who specializes in combining MiCBT with other evidence-based approaches for couples.
In this brief talk, Sig will describe how he mostly used MiCBT with one partner, and how he more recently began to implement MiCBT with the couple. Sig will describe the effectiveness of his current approach, combining couple sessions in weeks 1, 7, 8, 10 of the MiCBT programme with individual MiCBT work in the other weeks.
Depending on the couple, he also adds additional communication and conflict management strategies from other couples therapy models, especially Relational Life Therapy.Sig Taylor, MSW, RMFT, Marriage & Family Therapist, Alberta, CA
Mindfulness-integrated Cognitive Behavioral Therapy (MiCBT) is a transdiagnostic program that is increasingly being studied for its effectiveness across a range of disorders. We conducted two randomised controlled trials examining the efficacy of the entire MiCBT program or its component parts in two clinical groups: clients with a history of suicidal attempts and clients with symptoms of anxiety.
In the first study, 30 participants with a history of suicide attempts were randomly assigned to either a MiCBT group (n = 15) or a control group (n = 15). We assessed the levels of anxiety, stress, and coping strategies at pre-treatment, post-treatment, and two-month follow-ups. The MiCBT group showed significantly greater symptom reduction and functioning than the control group.
The second study is the first to examine the rationale for including interoceptive exposure during Stage 2 of MiCBT, which was done by comparing the efficacy of interoceptive exposure and exteroceptive exposure in anxious participants. Seventy-eight participants with anxiety were randomly assigned to three groups: a Stage 1 MiCBT group, a behavioural exteroceptive exposure group, and progressive muscle relaxation control group. Data from the State and Trait Anxiety Inventory, Beck Anxiety Inventory, and the Anxiety Sensitivity Index were collected at pre-treatment, post-treatment, and 2-month follow-up. Except for trait anxiety, both interoceptive and exteroceptive exposures resulted in more symptom reduction than in the control, and follow-up data showed that interoceptive exposure led to more progressive improvements than exteroceptive exposure. The results support the use of both interoceptive and exteroceptive exposure tasks in MiCBT.Fateh Sohrabi, Clinical Psychologist, Tehran, IR12:45
MiCBT in the Classroom: Five Years of Reflections on Teaching the 4 Stages of MiCBT to Undergraduate University Students
Teaching mindfulness at the university level has been filled with the great rewards that come with working with young minds eager to learn more about themselves and strategies for coping with their busy lives. However, it has also been fraught with challenges: trying to motivate practice, assigning grades to this type of material and changing platforms of delivery over a global pandemic. During this presentation, I will share the joys and challenges of teaching MiCBT at the University level both from the teacher and student perspectives.Alia Offman, PhD, Clinical Psychologist, Ontario, CA13:10
Sarah Francis will describe the monthly meetings, including topics discussed and details of the one-day online peer-led retreats. She will also provide information about membership and the group's history.Sarah Francis, PhD, Psychologist, Melbourne, AU
Enhancing Self-esteem in University Students through Mindfulness-integrated Cognitive Behavioral Therapy (MiCBT): A Study at Shiraz University
Introduction: This study explores the impact of Mindfulness-integrated Cognitive Behavioral Therapy (MiCBT) on self-esteem in students at Shiraz University, Iran. Self-esteem is a critical factor influencing students' psychological health and academic success. MiCBT has shown potential in boosting self-esteem, and this research aims to substantiate this effect.
Method: The study involved 31 participants, divided into two groups: 16 in the MiCBT group (10 females, 6 males) and 15 in the waitlist control group (8 females, 7 males). Participants underwent pre- and post-test assessments using a validated self-esteem scale.
Results: Analysis of covariance indicated that, compared to the control group, the MiCBT group reported a significant improvement in the overall self-esteem score at post-intervention. Notably, all self-esteem components—physical, social, general, family, and academic—showed significant differences between the two groups. The MiCBT group scored higher on average in all components at post-intervention, except for the lying component, which remained consistent across both groups.
Conclusion: MiCBT appears to be an effective strategy for enhancing self-esteem among university students by positively affecting overall self-esteem and its specific components. This underscores MiCBT's potential as a tool for promoting student well-being and enriching their academic experience. Further research in the implementation of MiCBT in educational settings with larger samples is recommended to help improve university students' psychological well-being.Associate Professor Masoud Fazilat-Pour, PhD, Cogn. Psych. Faculty of Education and Psychology Shiraz University, Shiraz, Iran13:25
The Impact of Mindfulness-integrated Cognitive-Behavioral Therapy on Coping Strategies, Body Image, and Self-Esteem in Patients with Vitiligo
Introduction: Vitiligo is an autoimmune condition that can significantly impact body image and self-esteem. Mindfulness-integrated cognitive behavioral therapy (MiCBT) may help improve coping and well-being in this population, as it provides training in awareness and acceptance of stressful thoughts and emotions, with an emphasis on equanimity, and implements CBT tasks to integrate mindfulness skills across various life domains to facilitate adaptive coping in daily life. This study examined the efficacy of MiCBT for improving coping strategies, body image, and self-esteem in patients with vitiligo.
Methods: Sixty individuals with vitiligo were recruited and randomly assigned to either a MiCBT group (n=30) or a waitlist control group (n=30). The waitlist control group received no intervention during the initial 10-week period and were offered MiCBT only following completion of the study. In addition to doing homework exercises, the MiCBT group attended 120-minute weekly group sessions for 10 weeks. Coping strategies were assessed using the Coping Strategies Questionnaire. Self-esteem and body image were measured using the Coopersmith Self-Esteem Inventory and Marshall's Physical Self-Definition Inventory, respectively.
Results: Participants in the MiCBT group reported increased use of problem-focused coping strategies versus emotion-focused or avoidance coping post-treatment. MiCBT also significantly improved body image and self-esteem compared with the waitlist group. The waitlist group showed no change during the initial 10-week treatment.
Discussion: These findings show that MiCBT may be an effective intervention for improving coping strategies, body image, and self-esteem in individuals with vitiligo. The results also support the transdiagnostic effectiveness of MiCBT. Future research should explore the long-term effects of MiCBT for individuals with this skin conditionAssociate Professor Masoud Fazilat-Pour, PhD, Cogn. Psych. Faculty of Education and Psychology Shiraz University, Shiraz, Iran
Finally!! After 7 years of complex and dedicated development, the long-awaited MiCBT app is here! The app will be officially launched by Dr Cayoun at the summit. He will briefly introduce the app’s structure and features, and their ability to assist with the implementation of MiCBT in our clinical and community settings, as well as in research projects.Bruno Cayoun, DPsych, Founder and Director MiCBT Institute, Hobart, Australia13:45
MiCBT Institute Chapters and Directors
The International MiCBT Institute Chapters are led by experienced Institute-accredited trainers who specialise in MiCBT training and clinical implementation. The chapters provide MiCBT training programs and resources tailored to specific languages and countries. With translated materials, such as books, practice forms, online courses and more, they teach and connect MiCBT practitioners around the world. For information about each chapter, click on their logo below.