Mindfulness worked as well for anxiety as drug in study
Mindfulness meditation worked as well as a standard drug for treating anxiety in the first head-to-head comparison.
The study tested a widely used mindfulness program that includes 2 1/2 hours of classes weekly and 45 minutes of daily practice at home. Participants were randomly assigned to the program or daily use of a generic drug sold under the brand name Lexapro for depression and anxiety.
After two months, anxiety as measured on a severity scale declined by about 30% in both groups and continued to decrease during the following four months.
Study results, published Wednesday in the journal JAMA Psychiatry, are timely. In September, an influential U.S. health task force recommended routine anxiety screening for adults, and numerous reports suggest global anxiety rates have increased recently, related to worries over the pandemic, political and racial unrest, climate change and financial uncertainties.
Anxiety disorders include social anxiety, generalized anxiety and panic attacks. Affected people are troubled by persistent and intrusive worries that interfere with their lives and relationships. In the U.S., anxiety disorders affect 40% of U.S. women at some point in their lives and more than 1 in 4 men, according to data cited in U.S. Preventive Services Task Force screening recommendations.

Lynne Sladky
FILE - A woman meditates on the beach in Miami Beach, Fla., on Wednesday, April 28, 2010. According to a study published Wednesday, Nov. 9, 2022 in the journal JAMA Psychiatry, mindfulness meditation worked as well as a standard drug for treating anxiety in the first head-to-head comparison. (AP Photo/Lynne Sladky, File)
Mindfulness is a form of meditation that emphasizes focusing only on what’s happening at the moment and dismissing intrusive thoughts. Sessions often start with breathing exercises. Next might be “body scans” — thinking about each body part systematically, head to toe. When worried thoughts intrude, participants learn to briefly acknowledge them but then dismiss them.
Instead of ruminating over the troubling thought, “you say, ‘I’m having this thought, let that go for now,”’ said lead author Elizabeth Hoge, director of Georgetown University’s Anxiety Disorders Research Program. With practice, “It changes the relationship people have with their own thoughts when not meditating.”
Previous studies have shown mindfulness works better than no treatment or at least as well as education or more formal behavior therapy in reducing anxiety, depression and other mental woes. But this is the first study to test it against a psychiatric drug, Hoge said, and the results could make insurers more likely to cover costs, which can run $300 to $500 for an 8-week session.
The results were based on about 200 adults who completed the six-month study at medical centers in Washington, Boston and New York. Researchers used a psychiatric scale of 1 to 7, with the top number reflecting severe anxiety. The average score was about 4.5 for participants before starting treatment. It dropped to about 3 after two months, then dipped slightly in both groups at three months and six months. Hoge said the change was clinically meaningful, resulting in noticeable improvement in symptoms.
Ten patients on the drug dropped out because of troublesome side effects possibly related to treatment, which included insomnia, nausea and fatigue. There were no dropouts for that reason in the mindfulness group, although 13 patients reported increased anxiety.
The study “is reaffirming about how useful mindfulness can be when practiced effectively,” said psychologist Sheehan Fisher, an associate professor at Northwestern University’s Feinberg School of Medicine who was not involved in the study.
Dr. Scott Krakower, a psychiatrist at Zucker Hillside Hospital in New York, said mindfulness treatments often work best for mildly anxious patients. He prescribes them with medication for patients with more severe anxiety.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsSunday Citizen
Self-care can be a key strategy for getting through tough times, such as a global pandemic. Meditation is one practice that has been relied upon by people for centuries and across various cultures.
Sunday Citizen compiled a list of 10 different types of meditation, using information from health and wellness sites, research studies, and more. One thing to remember when beginning to practice meditation is that mastery is not necessary right away. If you don’t meditate, or only do so sporadically, any increase in frequency or duration could have a positive impact. Keep in mind, there is no one way to meditate.
Those who are a bit type A may have trouble slowing down—for them, a meditation practice like kundalini or tai chi that integrates movement may be the ticket. Other types demand quiet and sitting still. All forms of meditation have benefits for mental and physical health. For those who need guidance, there’s likely an app for that. Some are 100% free, while others may be subscription-based. Some apps don’t stop at meditation, but also offer tips and tools for other ways of self-care. You can even connect with a Japanese monk via Zoom for a meditation session.
Meditation may have started as early as 5000 B.C., but no matter how long, the practice has become more popular as people look for non-pharmaceutical ways to boost their mental health. Different variations on the practice have been developed throughout the world, including India, China, and Japan. Some are associated with spiritual practices including Hinduism, Taoism, and Buddhism, while others are secular.
Over time, more people were exposed to the practice via the publishing of books including “Siddhartha,” “The Tibetan Book of the Dead,” and “The Dharma Bums.” Researchers started exploring the impact of meditation on the brain in the ’50s. Beginning in the late ’70s, researchers noted that mindfulness meditation was an effective practice to help manage chronic disease. By the time Deepak Chopra opened his Center for Wellbeing in 1996, meditation was becoming mainstream.
Continue reading to find the type of meditation that’s suited to your personality, energy levels, and goals.
Sunday CitizenSelf-care can be a key strategy for getting through tough times, such as a global pandemic. Meditation is one practice that has been relied upon by people for centuries and across various cultures.
Sunday Citizen compiled a list of 10 different types of meditation, using information from health and wellness sites, research studies, and more. One thing to remember when beginning to practice meditation is that mastery is not necessary right away. If you don’t meditate, or only do so sporadically, any increase in frequency or duration could have a positive impact. Keep in mind, there is no one way to meditate.
Those who are a bit type A may have trouble slowing down—for them, a meditation practice like kundalini or tai chi that integrates movement may be the ticket. Other types demand quiet and sitting still. All forms of meditation have benefits for mental and physical health. For those who need guidance, there’s likely an app for that. Some are 100% free, while others may be subscription-based. Some apps don’t stop at meditation, but also offer tips and tools for other ways of self-care. You can even connect with a Japanese monk via Zoom for a meditation session.
Meditation may have started as early as 5000 B.C., but no matter how long, the practice has become more popular as people look for non-pharmaceutical ways to boost their mental health. Different variations on the practice have been developed throughout the world, including India, China, and Japan. Some are associated with spiritual practices including Hinduism, Taoism, and Buddhism, while others are secular.
Over time, more people were exposed to the practice via the publishing of books including “Siddhartha,” “The Tibetan Book of the Dead,” and “The Dharma Bums.” Researchers started exploring the impact of meditation on the brain in the ’50s. Beginning in the late ’70s, researchers noted that mindfulness meditation was an effective practice to help manage chronic disease. By the time Deepak Chopra opened his Center for Wellbeing in 1996, meditation was becoming mainstream.
Continue reading to find the type of meditation that’s suited to your personality, energy levels, and goals.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsfizkes // Shutterstock
Jon Kabat-Zinn created his Mindfulness-Based Stress Reduction program in 1979, making this type of meditation one of the newer options available. Because the tactics of the program were adopted outside of the meditation world by therapists and medical professionals, it is one of the more well-known options. By focusing on the present, instead of spiraling into thoughts about the past or future, people who utilize this technique can manage anxiety and concentration virtually anywhere, anytime.
fizkes // ShutterstockJon Kabat-Zinn created his Mindfulness-Based Stress Reduction program in 1979, making this type of meditation one of the newer options available. Because the tactics of the program were adopted outside of the meditation world by therapists and medical professionals, it is one of the more well-known options. By focusing on the present, instead of spiraling into thoughts about the past or future, people who utilize this technique can manage anxiety and concentration virtually anywhere, anytime.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsMicrogen // Shutterstock
Anyone who’s ever dealt with anger or resentment may benefit from this practice, which focuses on compassion for and acceptance of self, and then people and/or situations outside of ourselves, including (and sometimes especially) those that aggravate or hurt us. The idea is that until we love ourselves, we can’t extend love to others. This type of meditation can also help with anxiety and PTSD.
Microgen // ShutterstockAnyone who’s ever dealt with anger or resentment may benefit from this practice, which focuses on compassion for and acceptance of self, and then people and/or situations outside of ourselves, including (and sometimes especially) those that aggravate or hurt us. The idea is that until we love ourselves, we can’t extend love to others. This type of meditation can also help with anxiety and PTSD.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsLOLA61 // Shutterstock
Even though this practice necessitates a guide, apps and the advent of video calls have made guided meditation available to almost anyone, anytime, via both live sessions and recordings. Anxiety, depression, pain, and insomnia are just a few of the conditions that can be helped via this practice.
LOLA61 // ShutterstockEven though this practice necessitates a guide, apps and the advent of video calls have made guided meditation available to almost anyone, anytime, via both live sessions and recordings. Anxiety, depression, pain, and insomnia are just a few of the conditions that can be helped via this practice.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsinsta_photos // Shutterstock
Perfect for those who struggle to sit still, this type of meditation uses movement—yoga, tai chi, gi gong, kundalini, and others—to calm the mind. The practice doesn’t require being solitary, and it is often experienced in a group setting. With the recent popularity of Zoom classes, people can join others from their own homes or a community space.
insta_photos // ShutterstockPerfect for those who struggle to sit still, this type of meditation uses movement—yoga, tai chi, gi gong, kundalini, and others—to calm the mind. The practice doesn’t require being solitary, and it is often experienced in a group setting. With the recent popularity of Zoom classes, people can join others from their own homes or a community space.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsAlla - Din // Shutterstock
Because there are poses and mantras to learn for this practice, you’ll want training at first, but once you know the basics, you can use kundalini to manage stress and boost body awareness, in addition to getting stronger and minimizing pain.
Alla - Din // ShutterstockBecause there are poses and mantras to learn for this practice, you’ll want training at first, but once you know the basics, you can use kundalini to manage stress and boost body awareness, in addition to getting stronger and minimizing pain.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsKoldunov // Shutterstock
Those who struggle with sleep might want to try this practice, which involves scanning the body for areas of stress or pain. Intentionally tensing those parts, then releasing the stress, is often part of the experience.
Koldunov // ShutterstockThose who struggle with sleep might want to try this practice, which involves scanning the body for areas of stress or pain. Intentionally tensing those parts, then releasing the stress, is often part of the experience.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsLuna Vandoorne // Shutterstock
Because this practice asks that we focus on something external—breath, sounds, mala beads, or something else—rather than trying to empty our minds, this can be an effective option for those experiencing “monkey mind,” a Buddhist term that describes restlessness or confusion. Success begins with short sessions whenever you have time, making this type of meditation perfect for busy lives.
Luna Vandoorne // ShutterstockBecause this practice asks that we focus on something external—breath, sounds, mala beads, or something else—rather than trying to empty our minds, this can be an effective option for those experiencing “monkey mind,” a Buddhist term that describes restlessness or confusion. Success begins with short sessions whenever you have time, making this type of meditation perfect for busy lives.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorslkoimages // Shutterstock
Picturing an intended result—peaceful scenes to create calm or success in a specific situation—is one possible focus of visualization. Beyond visuals, this practice can include integrating all five senses.
lkoimages // ShutterstockPicturing an intended result—peaceful scenes to create calm or success in a specific situation—is one possible focus of visualization. Beyond visuals, this practice can include integrating all five senses.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsAnatoliy Karlyuk // Shutterstock
Who hasn’t heard the word “om,” even if you don’t meditate? This practice, which has Hindu and Buddhist origins, uses words or phrases to focus attention. Because of the auditory component, this is likely a type of meditation you’ll do in privacy (though it is done in classes, too), making it a practice you can commit to daily at no cost.
Anatoliy Karlyuk // ShutterstockWho hasn’t heard the word “om,” even if you don’t meditate? This practice, which has Hindu and Buddhist origins, uses words or phrases to focus attention. Because of the auditory component, this is likely a type of meditation you’ll do in privacy (though it is done in classes, too), making it a practice you can commit to daily at no cost.
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Meditation holds the potential to help treat children suffering from traumas, difficult diagnoses or other stressorsSantiPhotoSS // Shutterstock
Because this type of meditation requires participants to remain silent for 10 days, using body scans to stay focused and ignore pain, it requires a much higher level of commitment than others. The benefits of the practice were explored in the documentary “The Dhamma Brothers.” The film shows how this practice helped incarcerated men at a high-security facility in Alabama face their trauma and past actions. Others have used the practice to help with recovery from substance abuse.
SantiPhotoSS // ShutterstockBecause this type of meditation requires participants to remain silent for 10 days, using body scans to stay focused and ignore pain, it requires a much higher level of commitment than others. The benefits of the practice were explored in the documentary “The Dhamma Brothers.” The film shows how this practice helped incarcerated men at a high-security facility in Alabama face their trauma and past actions. Others have used the practice to help with recovery from substance abuse.
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New Zealand plans to end smoking by banning it for future generationsImage by Daniel Reche from Pixabay
Exercise releases endorphins, and it doesn’t take much to reap the benefits — a study published in the American Journal of Psychiatry linked just an hour of exercise weekly with less depression. Do it any way you enjoy — we recommend dancing around the house.
Image by Daniel Reche from PixabayExercise releases endorphins, and it doesn’t take much to reap the benefits — a study published in the American Journal of Psychiatry linked just an hour of exercise weekly with less depression. Do it any way you enjoy — we recommend dancing around the house.
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New Zealand plans to end smoking by banning it for future generations
If you’re in a slump, reach for a glass of orange juice. A study found that more vitamin C can elevate mood — and bolster your immune system. Decent sources include citrus, peppers, strawberries, broccoli, or a daily vitamin C supplement.
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New Zealand plans to end smoking by banning it for future generations
The outdoors may be especially beneficial to your mood if you sit at a computer. Try the Japanese tradition of forest-bathing — simply spending time in the woods is thought to alleviate boredom and hostility.
If you can go out barefoot, practice “grounding.” Health gurus like Deepak Chopra say that connecting to the subtle electrical charge of the Earth can help with stress, mood and pain.
The outdoors may be especially beneficial to your mood if you sit at a computer. Try the Japanese tradition of forest-bathing — simply spending time in the woods is thought to alleviate boredom and hostility.
If you can go out barefoot, practice “grounding.” Health gurus like Deepak Chopra say that connecting to the subtle electrical charge of the Earth can help with stress, mood and pain.
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New Zealand plans to end smoking by banning it for future generationsImage by Jan Steiner from Pixabay
Just 10 minutes spent petting a dog or a cat has been shown to reduce levels of a major stress hormone, according to a study conducted at Washington State University. Even watching animal videos can help, too — see it as self-care rather than procrastination.
Image by Jan Steiner from PixabayJust 10 minutes spent petting a dog or a cat has been shown to reduce levels of a major stress hormone, according to a study conducted at Washington State University. Even watching animal videos can help, too — see it as self-care rather than procrastination.
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New Zealand plans to end smoking by banning it for future generationsImage by Karolina Grabowska from Pixabay
Putting on your favorite playlist can quickly boost your mood, and singing along is even better. Both upbeat and slower songs can help you release negative emotions.
Image by Karolina Grabowska from PixabayPutting on your favorite playlist can quickly boost your mood, and singing along is even better. Both upbeat and slower songs can help you release negative emotions.
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New Zealand plans to end smoking by banning it for future generations
Reflecting on things you enjoyed about your day or what you’re thankful for can help boost your mood over time, as it produces a positive mindset.
Sarah Moe, CEO of Sleep Health Specialists in Minneapolis, suggests clients who have trouble sleeping to say aloud three things they are grateful for before closing their eyes.
Hearing your own voice remind you what you have to be grateful for seems to improve relaxation and reduce stress, Moe says.
Reflecting on things you enjoyed about your day or what you’re thankful for can help boost your mood over time, as it produces a positive mindset.
Sarah Moe, CEO of Sleep Health Specialists in Minneapolis, suggests clients who have trouble sleeping to say aloud three things they are grateful for before closing their eyes.
Hearing your own voice remind you what you have to be grateful for seems to improve relaxation and reduce stress, Moe says.
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New Zealand plans to end smoking by banning it for future generationsImage by David Schwarzenberg from Pixabay
Being thankful or expressing gratitude can help with relationships, stress and depression. Work that into your daily routine with a gratitude journal.
Try writing down three good things about your day every day. A notebook or notes app will do, but there are also dedicated gratitude journals you can buy.
Image by David Schwarzenberg from PixabayBeing thankful or expressing gratitude can help with relationships, stress and depression. Work that into your daily routine with a gratitude journal.
Try writing down three good things about your day every day. A notebook or notes app will do, but there are also dedicated gratitude journals you can buy.
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New Zealand plans to end smoking by banning it for future generationsImage by Ekaterina Ershova from Pixabay
Many more people are working at home these days, which can foster more stress. Taking short breaks for yourself throughout the day can do wonders for your mood. Try to give your brain a rest; sit outside for a bit with a mug of your favorite hot drink and watch the world go by, rather than scroll through news websites or social media.
Image by Ekaterina Ershova from PixabayMany more people are working at home these days, which can foster more stress. Taking short breaks for yourself throughout the day can do wonders for your mood. Try to give your brain a rest; sit outside for a bit with a mug of your favorite hot drink and watch the world go by, rather than scroll through news websites or social media.
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New Zealand plans to end smoking by banning it for future generationsPhoto by Katerina Jerabkova on Unsplash
Meditation can help quell anxiety and depression. It isn’t an instant fix but some people find it as effective as medication or therapy over time.
For a simpler approach, take 10 to 20 breaths, and focus on nothing but your breath entering and leaving your body.
Photo by Katerina Jerabkova on UnsplashMeditation can help quell anxiety and depression. It isn’t an instant fix but some people find it as effective as medication or therapy over time.
For a simpler approach, take 10 to 20 breaths, and focus on nothing but your breath entering and leaving your body.
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New Zealand plans to end smoking by banning it for future generations
It doesn’t have to be a grand gesture. Just showing kindness to a stranger, giving someone a compliment or letting a loved one know you appreciate them can instantly boost your mood.
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New Zealand plans to end smoking by banning it for future generations
Talking to a friend can help lift your mood, whatever the medium of communication. Whether you need to vent about your day or just want to catch up or joke around, you’ll likely feel better after reaching out.
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New Zealand plans to end smoking by banning it for future generationsPhoto by Charles Wright on Unsplash
Multiple studies have shown that chewing gum reduces anxiety. For example, researchers in Japan found that test subjects who chewed mint gum twice a day for two weeks reported lower levels of anxiety and mental fatigue compared with a control group that got just a mint.
In the words of the American Institute of Stress: “One has only to look at a tightly contested baseball game on TV to see how many players, coaches and managers are vigorously chewing bubble gum or something else to relieve their pent-up tension.”
Photo by Charles Wright on UnsplashMultiple studies have shown that chewing gum reduces anxiety. For example, researchers in Japan found that test subjects who chewed mint gum twice a day for two weeks reported lower levels of anxiety and mental fatigue compared with a control group that got just a mint.
In the words of the American Institute of Stress: “One has only to look at a tightly contested baseball game on TV to see how many players, coaches and managers are vigorously chewing bubble gum or something else to relieve their pent-up tension.”
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New Zealand plans to end smoking by banning it for future generationsImage by congerdesign from Pixabay
Shane Sharp, a Northern Illinois University sociologist, says many people are able to manage negative emotions through prayer, that it’s basically communicating with an “other” who can make the situation less threatening. And you won’t be alone; Sharp says about 70% of Americans pray at least once a week.
Image by congerdesign from PixabayShane Sharp, a Northern Illinois University sociologist, says many people are able to manage negative emotions through prayer, that it’s basically communicating with an “other” who can make the situation less threatening. And you won’t be alone; Sharp says about 70% of Americans pray at least once a week.
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New Zealand plans to end smoking by banning it for future generations
According to the Mayo Clinic, laughter can stimulate circulation, relax muscles, enhance oxygen intake, increase endorphins and even boost your immune system.
Try to find the humor in the situation. “Even if it feels forced at first, practice laughing. It does your body good,” according to the Mayo Clinic.
According to the Mayo Clinic, laughter can stimulate circulation, relax muscles, enhance oxygen intake, increase endorphins and even boost your immune system.
Try to find the humor in the situation. “Even if it feels forced at first, practice laughing. It does your body good,” according to the Mayo Clinic.
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New Zealand plans to end smoking by banning it for future generationsImage by Foundry Co from Pixabay
The meditative, repetitive rhythms of some handicrafts, like knitting, have been shown to reduce blood pressure, lower depression and anxiety and increase a sense of well-being. Manipulating soft yarn has been compared to yoga in its ability to create a relaxed state.
Image by Foundry Co from PixabayThe meditative, repetitive rhythms of some handicrafts, like knitting, have been shown to reduce blood pressure, lower depression and anxiety and increase a sense of well-being. Manipulating soft yarn has been compared to yoga in its ability to create a relaxed state.
He noted that many people feel they don’t have time for mindfulness meditation, especially in-person sessions like those studied. Whether similar results would be found with online training or phone apps is unknown, said Krakower, who also had no role in the study.
Olga Cannistraro, a freelance writer in Keene, New Hampshire, participated in an earlier mindfulness study led by Hoge and says it taught her “to intervene in my own state of mind.”
During a session, just acknowledging that she was feeling tension anywhere in her body helped calm her, she said.
Cannistraro, 52, has generalized anxiety disorder and has never taken medication for it. She was a single mom working in sales during that earlier study — circumstances that made life particularly stressful, she said. She has since married, switched jobs, and feels less anxious though still uses mindfulness techniques.
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