Table 1.

Stages of MBSR for Patients with Breast Cancer

Session	Content	Discussions
1st	Automatic guidance	Communicating with the patient and conceptualizing, providing explanations on cancer and the importance and applicability of mindfulness-based therapy, discussing about automatic guidance system, and giving assignments to the patients.
2nd	Facing the obstacles	Reviewing the assignments and previous session lessons, exercising the body examination, practicing and discussing the body examination exercise, practicing meditation techniques, practicing mindfulness breathing meditation technique with the patients, and giving assignments to the patients.
3rd	Presence of mind by breathing	Reviewing the assignments and previous session lessons, practicing sitting meditations and taking feedback from patients, doing 3-min breathing exercises, and giving assignments to the patients.
4th	Staying at the present moment	Reviewing the assignments and lessons of the previous session, doing 5-min exercises of seeing or hearing, rehearsing mindfulness breathing meditation and body examination by the patients, and giving assignments to the patients.
5th	The permission of presence	Reviewing the assignments and lessons learned in the previous session; doing breathing exercises; presenting sitting meditation on the subject of “mindfulness about breathing, body, sounds, and thoughts”; explanations about stress and its relation to pain; awareness of pleasant and unpleasant events on feelings, thoughts, and physical senses; and giving assignments to the patients.
6th	Thoughts are not realities	Reviewing the assignments and lessons learned from the previous session, performing conscious yoga exercises, discussing different ways of looking at the thoughts or substitute thoughts, sitting for meditation, and giving assignments to the patients.
7th	Self-care	Reviewing the assignments and lessons learned from the previous session; assessing sleep hygiene, QoL, and mental health; preparing a list of enjoyable activities; and giving assignments to the patients
8th	Accepting and change	Reviewing the assignments and lessons learned from the previous session, exercising body examination, summarizing the content of previous sessions, and discussing programs and continuing exercises.