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Since mindfulness is something you can practice at home for free, it often sounds like the perfect tonic for stress and mental health issues.

Mindfulness is a type of Buddhist-based meditation in which you focus on being aware of what you’re sensing, thinking, and feeling in the present moment.

The first recorded evidence for this, found in India, is over 1,500 years old. The Dharmatrāta Meditation Scripture, written by a community of Buddhists, describes various practices and includes reports of symptoms of depression and anxiety that can occur after meditation.

It also details cognitive anomalies associated with episodes of psychosis, dissociation, and depersonalization (when people feel the world is “unreal”).

In the past eight years, there has been a surge of scientific research in this area. These studies show that adverse effects are not rare.

A 2022 study, using a sample of 953 people in the US who meditated regularly, showed that over 10 percent of participants experienced adverse effects which had a significant negative impact on their everyday life and lasted for at least one month.

According to a review of over 40 years of research that was published in 2020, the most common adverse effects are anxiety and depression. These are followed by psychotic or delusional symptoms, dissociation or depersonalization, and fear or terror.

Research also found that adverse effects can happen to people without previous mental health problems, to those who have only had a moderate exposure to meditation and they can lead to long-lasting symptoms.

The western world has also had evidence about these adverse effects for a long time.

In 1976, Arnold Lazarus, a key figure in the cognitive-behavioural science movement, said that meditation, when used indiscriminately, could induce “serious psychiatric problems such as depression, agitation, and even schizophrenic decompensation”.

There is evidence that mindfulness can benefit people’s wellbeing. The problem is that mindfulness coaches, videos, apps, and books rarely warn people about the potential adverse effects.

Professor of management and ordained Buddhist teacher Ronald Purser wrote in his 2023 book McMindfulness that mindfulness has become a kind of “capitalist spirituality”.

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