Quick Answer:

CBT therapy is more effective for active depression (60-80% improvement rates). Meditation is better for prevention — MBCT reduces depression relapse by 43%. For the best outcomes, combine both: CBT to treat the current episode, meditation to maintain recovery long-term.

Comparison for Depression

FactorMeditationCBT Therapy
Active depressionHelpful but limited alone🏆 60-80% improvement
Relapse prevention🏆 43% reduction (MBCT)31% relapse rate
Severity rangeMild symptoms🏆 Mild to severe
AnhedoniaLimited help🏆 Behavioural activation
Negative thinkingObserves patterns🏆 Actively changes patterns
Cost🏆 Free-$70/yr$48-100/week

Decision Framework

Meditation alone may work if: Symptoms are mild, you still enjoy activities, and low mood is situational. See meditation for depression.

Add therapy if: Low mood has lasted 2+ weeks, you've lost interest in things you enjoy, sleep or appetite are disrupted, or meditation hasn't helped after 4-6 weeks. See signs you need therapy.

Combine Both for Best Results

Online-Therapy.com integrates meditation and yoga into their structured CBT programme — the ideal combination for depression. Plans from $48/week.

Try Online-Therapy.com — 20% Off →

Read more: High-Functioning Depression · Daily Habits for Depression

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