A 48-year-old woman with a history of three major depressive episodes, currently in full remission for eight months on sertraline, asks her PMHNP about evidence-based strategies to prevent another relapse. The PMHNP recommends an eight-session group-based program that combines systematic meditation practices with elements of cognitive therapy. The program teaches her to notice early depressive thinking patterns (such as rumination and self-critical thoughts) and to relate to them as transient mental events rather than facts requiring immediate response, a skill the developers term 'decentering.' The approach specifically targets the reactivation of depressive cognitive patterns during periods of mild dysphoria.