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While Buddhism itself is not a treatment for mental health conditions, its practices can greatly enhance mental well-being by introducing coping skills and ideas that promote overall wellness. Key Buddhist practices, such as mindfulness, have been shown to alleviate symptoms of various mental health conditions, including anxiety, depression, addiction, and trauma. Moreover, Buddhism's focus on self-compassion, non-judgment, and acceptance can benefit individuals with particularly negative or self-critical thought patterns.

Core Buddhist principles are often used in therapy to help clients gain insight into their thoughts and emotions. Concepts such as suffering (dukkha) and impermanence (anicca) are applied to help clients recognize that common forms of suffering, like repetitive negative thought patterns, can be accepted and viewed as impermanent. The Four Noble Truths and the Eightfold Path are additional core concepts utilized frequently in Buddhist therapy sessions. The Four Noble Truths highlight the existence of suffering as an inherent part of the human experience—an insight frequently used to move clients toward greater acceptance. The Eightfold Path, which includes right understanding, right thought, right speech, right action, right livelihood, right effort, right concentration, and right mindfulness, offers practical skills to alleviate suffering.

Therapists informed by Buddhist principles often integrate mindfulness and meditation practices into therapy sessions to help clients cultivate greater acceptance, compassion, and non-judgment toward themselves and others. Typically, Buddhist therapists guide clients through mindfulness exercises, such as breathing exercises or body scans, and encourage them to practice similar exercises outside of sessions. Additionally, many Buddhist therapists utilize elements of Positive Psychology or Compassion-Focused Therapy, which can help reduce symptoms of self-criticism and shame common among clients with various mental health conditions. In general, Buddhist therapists strive to embody the compassion and non-judgmental approach they promote, often incorporating exercises aimed at developing compassion in session, such as loving-kindness meditation (Metta).

While Buddhist therapists frequently integrate mindfulness practices into therapy sessions, the terms mindfulness and Buddhism are not synonymous in the context of therapy. Therapists may use mindfulness techniques, such as Mindfulness-Based Stress Reduction (MBSR) or Mindfulness-Based Cognitive Therapy (MBCT), without identifying as a Buddhist therapist. In contrast, those practicing within a Buddhist belief framework typically encourage mindfulness therapies, in addition to foundational Buddhist beliefs, such as the Four Noble Truths and the Eightfold Path. These therapists may also guide clients toward a deeper understanding of Buddhist philosophy, unlike those who use Buddhist mindfulness principles without the broader spiritual context.