clinical guidance

This is a collection of evidence-based recommendations and guidance developed by Clinical Psychiatrists who have observed adverse mental-ill health effects in some participants described in the published research.

‘CLANlab, Brown University’ & ‘Cheetah House’

Dr Willoughby Britton and Dr Jared Lindahl at Brown University have developed with colleagues a range of free and paid-for resources using the Window of Tolerance model;

  • First Do No Harm 20 hour program (co-developed with Dr David A.Treleaven)
  • Meditation Safety Toolbox downloadable toolkit from CLANlab Brown University containing documents, protocols and best practice guidelines from the UMASS Center for Mindfulness, Bangor and Oxford Mindfulness Centers, and other mindfulness researchers. Includes; Informed Consent, Screening, Monitoring.
  • see Cheetah House, resources for meditators-in-distress, community support group meetings and individual consultations with Care Team members who have completed 9 month training with Dr Willoughby Britton with a wide range of meditation traditions. Care team members evaluate symptoms, provide frameworks for understanding, and suggest practices for resolving adverse effects.

Dr Willoughby Britton describes in this video, the signs of meditation-induced dissociation and how to tell the difference between dissociation and meditative calm

Trauma Sensitive Mindfulness (TSM)

Dr David A. Treleaven provides free webinar, podcasts and online training and an accessible book published 2018.

foundation & advanced pranayam

Dr Patricia Gerbarg and Dr Richard Brown recommend Ujjayi and Nadi Shodan, alternate nostril pranayam for people experiencing adverse mental health effects of breathwork, meditation and mindfulness. Short guided meditation may or may not be suitable depending on the person. Advanced pranayam, (Kapilibhati, Bhastrika and Sudarshan Kriya) may be part of a trauma relief approach, in collaboration with the the yoga teacher and with their doctor. Dr Vasant Lad also suggests Nadi Shodan, alternate nostril pranayam for balancing Vata to treat trauma symptoms.


Dr Patricia Gerbarg and Dr Richard Brown developed Body-Breath-Mind with no reported adverse effects which uses Ujjayi breath, and ‘Coherent breath’.

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