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Commentary on: Barnhofer T, Dunn BD, Strauss C, et al. Mindfulness-based cognitive therapy vs treatment as usual after non-remission with NHS Talking Therapies high-intensity psychological therapy for depression: a UK-based clinical effectiveness and cost-effectiveness randomised, controlled, superiority trial. Lancet Psychiatry 2025;12:433–46. doi:10.1016 /s2215-0366(25)00105-1