Dr Andrea GrabovacDirector NA Chapter | Trainer | Researcher
Dr Andrea Grabovac, MD, FRCPC, is a Clinical Professor of Psychiatry at the University of British Columbia. Her psychiatric practice focuses on acute inpatient psychiatry at Vancouver Hospital. Since 2005, she has been delivering mindfulness-based interventions in oncology, sexual medicine and psychiatric settings. Her academic interests include developing competencies for clinician training in mindfulness, as well as the integration of underpinning Buddhist psychological frameworks into mindfulness-based clinical interventions.
For the last 10 years, she has been co-teaching a monthly mindfulness consultation course focusing on integrating personal practice into clinical delivery of Mindfulness-Based Interventions. She is an MBCT mentor at the UCSD Mindfulness-based Professional Training Institute, and provides both individual mentorship as well as teaching 5-day professional training retreats. She is a teacher trainer at the MiCBT Institute.
Mindfulness-Integrated Cognitive-Behavioural Therapy: A Novel Transdiagnostic Approach
Part of the Annual Conference - CPA/APC
Mindfulness-integrated cognitive-behavioural therapy (MiCBT) is a novel, evidence-based integration of traditional CBT and mindfulness meditation into a four-stage framework that addresses a wide range of acute and chronic psychiatric conditions. It is based on the co-emergent model of reinforcement (CMR), a psychological model that integrates operant conditioning, information processing theory, and Buddhist psychology and highlights the role of attachment and aversion to pleasant and unpleasant sensations in maintaining reactivity.
The four clinical stages of MiCBT will be reviewed, with a focus on the development of interoceptive awareness and equanimity (Stage 1), mindfulness-based exposure using SUDS (Stage 2), improving interpersonal skills through assertiveness with equanimity (Stage 3), and compassion as a relapse prevention strategy (Stage 4). The 10-session structure of MiCBT will be introduced, and strategies for applying mindfulness skills outside of regular daily meditation practise will be emphasized.
Participants will be taught to self-implement the mindfulness-based interoceptive exposure task (MIET), a 30-second applied mindfulness practise that teaches patients to face unpleasant sensations without avoidance or anxiety, resulting in a rapid reduction in distress. It is the foundation for the applied mindfulness interventions in all four stages of MiCBT and a practical tool for applying equanimity and decreasing reactivity in daily life.
At the end of this session, participants will be able to:
- Apply the 30-second mindfulness interoceptive exposure task (MIET) with patients for immediate distress reduction;
- Explain the transdiagnostic efficacy of mindfulness-integrated cognitive-behavioural therapy (MiCBT), using the co-emergent model of reinforcement; and
- Understand how to use mindfulness meditation to neutralize operant conditioning and improve therapeutic eﬃcacy.
- Cayoun BA, Frances SE, Shires AG. The Clinical Handbook of Mindfulness-Integrated Cognitive Behaviour Therapy. Hoboken (NJ): Wiley-Blackwell; 2019.
- Cayoun BA. The Co-Emergence Model of Reinforcement: A Rationale for Mindfulness Integration. Hoboken (NJ): Wiley-Blackwell; 201