This is a powerful healing modality, usually taught in the group setting, which can be very effective for breaking the cycle of repeated depressions. Mindfulness refers to the cultivation of a way of being which is open, kind, and skillful through the simple practice of paying attention without judgment or criticism (easier said than done in our hyper-critical culture!). Cognitive therapy includes identification and questioning of distorted thoughts which can be the underpinnings for holding in place repetitive symptoms of depression, anxiety, and distress. Tools from MBCT, such as the body scan, mindfulness of thoughts, and mindfulness of the breath, can also be very helpful for individuals to use. Some people also use these techniques to alleviate anxiety.