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What Are Some Mindfulness Interventions Used in Therapy?

Mindfulness has become one of those words that seems to be everywhere — from yoga studios and wellness apps to therapy sessions and coffee mugs. But despite how often it’s mentioned, “mindfulness” can still feel a bit vague. What does it actually mean? And how is it used in therapy, beyond just “being present”?

By Taylor Pagniello, RP, M.A.

Oct 26, 2025

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Mindfulness has become one of those words that seems to be everywhere — from yoga studios and wellness apps to therapy sessions and coffee mugs. But despite how often it’s mentioned, “mindfulness” can still feel a bit vague. What does it actually mean? And how is it used in therapy, beyond just “being present”?

At its core, mindfulness means paying attention, on purpose, to the present moment — without judgment. In therapy, mindfulness is not just a feel-good idea; it’s a practical skill set that helps clients tune into their thoughts, emotions, and body sensations with curiosity instead of criticism. This awareness can reduce reactivity, calm the nervous system, and increase emotional regulation — especially when integrated with evidence-based approaches like CBT, DBT, or ACT.

Why Mindfulness Is Used in Therapy

Mindfulness helps create space between stimulus and response — the tiny pause where choice lives. For clients who struggle with anxiety, stress, or emotional overwhelm, mindfulness supports self-regulation by slowing down automatic reactions. It can also increase insight and compassion, making it easier to challenge unhelpful thoughts or break patterns of avoidance.

Therapists often introduce mindfulness as a foundation for developing coping skills, grounding, and distress tolerance. It’s especially useful for clients who spend a lot of time “in their heads” — overanalyzing, replaying the past, or worrying about the future — and need help reconnecting to the now.

Common Mindfulness Interventions in Therapy

1. Mindful Breathing

This simple yet powerful exercise anchors attention to the breath. Clients learn to notice the natural rhythm of inhaling and exhaling, using it as a grounding tool during moments of stress or emotional intensity.

2. Body Scan

A guided body scan helps clients reconnect with physical sensations — tension, tightness, or relaxation — and develop a non-judgmental awareness of how emotions show up in the body. It’s particularly useful for trauma-informed or somatic approaches.

3. Grounding Techniques

Grounding exercises use the senses (what you can see, touch, smell, hear, taste) to bring awareness back to the present. This helps manage dissociation, anxiety, or racing thoughts.

4. Mindful Observation

Clients may practice observing a thought, feeling, or object with curiosity — noticing its details, changes, and sensations. The goal is to practice witnessing experiences rather than becoming entangled in them.

5. Loving-Kindness or Compassion Meditation

This practice cultivates self-compassion and empathy for others. For those who struggle with shame, perfectionism, or harsh self-talk, compassion-based mindfulness can soften internal criticism and promote emotional healing.

6. Urge Surfing

Used often in addiction or emotion regulation work, urge surfing involves noticing an impulse (to drink, yell, or avoid) and observing it like a wave — rising, peaking, and passing — without acting on it.

7. Mindful Journaling

Writing exercises that focus on the present moment or self-reflection can help externalize and process thoughts with mindfulness. For example, journaling about emotions with curiosity instead of self-judgment.

Bringing Mindfulness Into Daily Life

The beauty of mindfulness is that it doesn’t require special equipment or hours of meditation. It can be integrated into everyday routines — mindful eating, mindful walking, or simply taking three deep breaths before responding to a stressful email. The more consistently it’s practiced, the more it becomes a natural way of relating to life’s challenges with calm and presence.

Mindfulness in therapy isn’t about emptying your mind or forcing positivity. It’s about being with what’s here — gently, curiously, and compassionately — so that healing can unfold in a grounded, sustainable way.

  • Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. Delacorte.
  • Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143.
  • Bishop, S. R., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.
  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2018). Mindfulness-Based Cognitive Therapy for Depression. Guilford Press.
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