
Addiction is one of today’s most urgent public health issues, impacting millions of individuals and families worldwide. Whether it’s substance-related, like drugs and alcohol, or behavioral, like gambling and internet use, addiction is a complex struggle that goes beyond initial treatment. Recovery is rarely a straight path—many find that the hardest part begins after formal treatment ends, as they return to familiar environments filled with old triggers and emotional stressors.
While traditional programs that focus on detox, therapy, and lifestyle change play a critical role in recovery, relapse remains a common part of the journey. Studies show that 40–60% of individuals with substance use disorders relapse at some point. These numbers highlight not a lack of motivation, but the chronic and relapsing nature of addiction. This reality calls for more holistic, long-term approaches that address the deeper mental and emotional habits tied to relapse.
This is where mindfulness has entered the conversation. Increasingly, research points to the value of mindfulness-based strategies in preventing relapse. These approaches help individuals become more aware of their thoughts, feelings, and impulses, allowing them to pause and respond with intention rather than falling into old habits. One such method gaining ground is Mindfulness-Based Relapse Prevention (MBRP), a structured, evidence-supported approach designed to strengthen long-term sobriety. But what is MBRP—and how exactly does it help?
What Is Mindfulness-Based Relapse Prevention?
Mindfulness-Based Relapse Prevention (MBRP) is a therapeutic approach that blends cognitive-behavioral relapse prevention strategies with mindfulness meditation practices. It was developed by researchers at the University of Washington, including Dr. Sarah Bowen, Dr. Neha Chawla, and Dr. G. Alan Marlatt, as a response to the high relapse rates among individuals exiting intensive treatment programs.
Rather than solely focusing on avoiding triggers or suppressing urges, MBRP invites individuals to cultivate an attitude of nonjudgmental awareness toward their internal experiences, such as cravings, emotions, and automatic thoughts. The goal is not to eliminate discomfort but to observe it with curiosity and patience. Through mindfulness training, individuals learn to recognize early warning signs of relapse and develop healthier responses to distress, thereby increasing their capacity for resilience and self-regulation.
MBRP typically takes the form of an eight-week, group-based program that includes guided meditations, discussions, experiential exercises, and home practice assignments. It can be integrated into aftercare planning or used as a standalone approach for those in early recovery. MBRP’s structured yet flexible nature makes it suitable for various settings, including outpatient rehabs, sober living homes, and private addiction therapy programs or practices.
What Are the Benefits of Mindfulness-Based Relapse Prevention?
Numerous studies have highlighted the effectiveness of MBRP in reducing relapse rates, lowering substance use, and improving psychological well-being. Below are several key benefits of this approach:
One of the most significant benefits of MBRP is its ability to reduce the likelihood and severity of relapse. By increasing awareness of cravings and developing the capacity to sit with discomfort, individuals are better equipped to manage high-risk situations without reverting to old habits
Mindfulness practice enhances emotional intelligence by helping individuals become more attuned to their feelings and less reactive to them. This can be especially helpful in navigating the emotional volatility that often accompanies early recovery.
Studies show that participants in MBRP programs report lower levels of anxiety, depression, and perceived stress, common emotional states that often precipitate relapse. This contributes to a more stable emotional foundation for long-term sobriety.
Addiction is frequently accompanied by shame, guilt, and self-criticism. MBRP encourages a gentler, more compassionate relationship with oneself, which can be instrumental in rebuilding self-esteem and fostering a more positive self-image.
Through meditation and mindful movement, individuals learn to recognize bodily sensations associated with craving or distress, allowing them to intervene early before relapse behaviors escalate.
Unlike some short-term coping strategies, life skills gained through MBRP—such as breath awareness, body scans, and urge surfing—can be practiced throughout one’s life, making them invaluable tools for long-term recovery.
Mindfulness practices have been associated with enhanced concentration, memory, and executive function. These cognitive improvements can help individuals stay present, make thoughtful decisions, and reduce impulsivity, factors critical in maintaining sobriety.
By cultivating nonjudgmental awareness and empathetic communication, MBRP can improve how individuals relate to others. This often leads to healthier boundaries, reduced conflict, and more meaningful connections, which are essential for recovery support systems.
Mindfulness fosters a sense of empowerment by helping individuals realize they have choices in how they respond to urges and life stressors. This shift in mindset from helplessness to agency can be transformative for those recovering from addiction.
What Are the Techniques Used in Mindfulness-Based Relapse Prevention?
MBRP integrates mindfulness and cognitive-behavioral techniques, each designed to enhance awareness, self-regulation, and choice in the face of cravings or challenging emotions. Some of the core practices include:
This foundational practice involves bringing attention to the breath, noticing its natural rhythm, and gently returning focus when the mind wanders. It cultivates presence and helps anchor individuals during moments of stress.
In this practice, attention is slowly directed through various body parts to observe physical sensations without judgment. It increases bodily awareness and can be a grounding tool during emotional distress.
First introduced by G. Alan Marlatt, this technique encourages people to think of cravings like ocean waves—they rise, peak, and then pass. Instead of giving in right away, you learn to “surf the urge” with a little mindfulness and patience.
MBRP emphasizes becoming aware of external and internal triggers and the automatic thought patterns that accompany them. With increased awareness, individuals can pause and make conscious choices rather than falling into habitual behavior.
These involve integrating mindfulness into daily activities like eating, walking, or washing dishes. Such practices help individuals stay connected to the present moment outside of formal meditation sessions.
Participants engage in reflective discussions and explore their experiences with mindfulness in a safe, supportive environment. This helps normalize struggles, reduce isolation, and reinforce learning.
How to Incorporate Mindfulness-Based Relapse Prevention
Incorporating MBRP into a recovery plan can be both structured and personalized. Here are several pathways to integration:
Many treatment centers and wellness clinics offer 8-week MBRP courses led by trained facilitators. These programs follow a structured curriculum that introduces participants to the core concepts and techniques of mindfulness-based relapse prevention.
For individuals who prefer one-on-one support, working with a professionally trained MBRP can offer a more tailored experience. Therapists may integrate mindfulness exercises into sessions or assign daily practices to support recovery.
For individuals managing both substance use and co-occurring mental health disorders, mindfulness-based relapse prevention can be effectively integrated with dual diagnosis treatment. This combined approach addresses the complex interplay between addiction and mental health, providing comprehensive support tailored to individual needs.
Even outside a formal program, individuals can begin incorporating simple mindfulness practices into their daily lives. Setting aside 10–20 minutes each day for meditation, breathwork, or body scans can significantly support emotional regulation and stress management.
Numerous apps, books, and online courses are available to guide individuals through mindfulness practices. While these should not replace professional support, they can be excellent supplements to an existing recovery plan.
Some peer-led recovery groups are now incorporating mindfulness as part of their weekly meetings. These gatherings provide a community of accountability and shared practice, reinforcing the benefits of mindfulness in a group setting.
Westwind Recovery® Offers Mindfulness-Based Relapse Prevention in Los Angeles, California
At Westwind Recovery®, we recognize that lasting recovery requires more than just abstinence—it demands a whole-person approach that nurtures emotional resilience, mental clarity, and personal growth. That’s why we proudly offer Mindfulness-Based Relapse Prevention as part of our comprehensive aftercare and outpatient services.
Our MBRP program is designed to support clients as they transition from intensive treatment into everyday life, equipping them with mindfulness tools to navigate stress, triggers, and emotional challenges. Led by experienced clinicians, our sessions blend guided meditation, group discussion, and individualized support in a compassionate and inclusive setting. If you’re ready to approach recovery with clarity, calm, and conscious intention, contact us to learn more about how our MBRP offerings can support your journey.
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Dr. Deena is the Chief Clinical Officer of Westwind Recovery®, an award-winning outpatient treatment center in Los Angeles where she oversees the clinical and administrative program and treatment methods. Dr. Deena is a doctor of psychology and licensed clinical social worker since 1993. LCSW #20628. Originally from the East Coast, Dr. Deena has worked running treatment centers, worked as a therapist in psychiatric hospitals as well as school settings and currently has a thriving private practice in the LA area. Dr. Deena has appeared regularly on the Dr. Phil Show as an expert since 2003. She has also been featured on many other TV shows, podcasts and has contributed to written publications as well as podcasts.