e‑Buddhism.com

Mindfulness for Kids: Practices, Evidence and Limits

Mindfulness for Kids: four smooth pebbles in a row along a windowsill (ink-wash illustration)
Illustration: AI-generated ink-wash art for e-Buddhism.com · how we use AI

Mindfulness for kids means short practices that train attention: noticing the breath, listening to a bell, holding a pebble. Secular school programmes teach them by age, and the Buddhist Plum Village tradition of Thich Nhat Hanh teaches them to families. Reviews find small effects and no evidence that they last; the UK school trial MYRIAD found no advantage over good social-emotional teaching. Keep sessions short (10 to 20 minutes for ages 3 to 6 in one UK programme), invite rather than require, and offer a skill, not a treatment.

This page covers the practices and the evidence. Explaining the Buddha and his teachings to a child is on Buddhism for kids. Mindful parenting, the adult’s side of this, has its own section on Buddhist parenting. For what mindfulness is and where it comes from, start with what is mindfulness.

Two roots: school programmes and Buddhist practice

Secular school programmes. In the UK, the Mindfulness in Schools Project (MiSP), a charity, trains teachers and publishes curricula by age. It says its curricula “remain strictly secular” and that they “are not therapeutic interventions”. This is mindfulness with the religion set aside; the history and the debate are on secular mindfulness.

Buddhist practice with children. In the Plum Village tradition of Thich Nhat Hanh, a Vietnamese Zen lineage, children practise alongside adults. The community’s book Planting Seeds: Practicing Mindfulness with Children (Parallax Press, 2011) lists its key practices: mindful breathing and walking, inviting the bell, pebble meditation, the Two Promises (ethical guidelines for children), children’s versions of Touching the Earth and Deep Relaxation, eating meditation, and ways of dealing with conflict and strong emotions. Here mindfulness (sati in Pali) belongs to Buddhist practice, although the book is written for educators as well as parents, to use “in school settings, in their local communities or at home”.

The canon. One Pali discourse, MN 61, shows the Buddha teaching his son Rāhula, by then a novice monk. The sutta itself gives no age; the commentary makes him seven, as Ṭhānissaro Bhikkhu’s note records. Rāhula is told to check every act like a face in a mirror, before, during and after. That is a lesson in reflecting on one’s own conduct, not a meditation technique, and it is told in full on how the Buddha taught a child.

How to explain mindfulness to a child

One school programme explains it with images rather than definitions. In MiSP’s Paws b, for ages 7 to 11, a lesson called “Puppy Training” explores how attention can move around, and teaches that it “is also like a puppy, but can be trained with an attitude of kindness, patience and repetition”. Later lessons give a child words for being knocked off balance: “Noticing The Wobble” starts from recognising that “we all ‘wobble’”, and “Finding A Steady Place” is about grounding ourselves “when we wobble”.

In Plum Village the explanation is mostly the practice itself: children stop and breathe at the bell alongside everyone else, as the sections below describe.

Practices by age

These are the programmes’ own descriptions, not evidence that they work.

AgeProgrammeWhat the programme describesLength
3–6MiSP dots (secular)Thirty sessions in three sets of ten, built around Awareness, Connection and EmotionEach session 10 to 20 minutes, and can be repeated across a week; taught in person, not online
7–11MiSP Paws b (pronounced “pause be”; secular)Lessons include “Puppy Training”, “Noticing The Wobble”, “Finding A Steady Place”, “The Storytelling Mind” and “The Yum Factor”, on noticing the good stuffTwelve lessons of 30 to 60 minutes, or six paired sessions
11–18MiSP .b, “stop and be” (secular)Lessons include Playing Attention, Recognising Worry, Befriending the Difficult and Taking in the Good; in its follow-on lessons, “pupils are invited” to follow animated guided practices at homeTen lessons of 40 minutes to an hour
Children and familiesPlum Village (Buddhist)Pebble meditation, inviting the bell, mindful breathing, walking and eating, the Two PromisesNot set; the book page gives no age bands

Paws b was developed with teachers at Pen y Bryn school and with Bangor University’s Centre for Mindfulness Research and Practice, in Wales. One row matters for the evidence: .b is the course the MYRIAD trial tested.

Pebble meditation, step by step

This is Thich Nhat Hanh’s own description, from his book Happiness, as excerpted by Deer Park Monastery, a Plum Village practice centre. It is written for a family sitting together.

  1. Gather four pebbles from outside and put them in a little bag.
  2. Sit in a circle. In his words, “one child or person in the family plays the role of bell master”. Invite the bell three times and enjoy breathing in and out.
  3. Pour the pebbles out on your left. Pick one up with your right hand and look at it. The first pebble is a flower. Rest it on your left palm, with your left hand on your right.
  4. Breathe with it. The verse is: “Breathing in, I see myself as a flower / Breathing out, I feel fresh.” Do flower/fresh three times, smiling, which he says “is very helpful”, then put the pebble down on your right.
  5. Repeat with the other three. The second pebble is a mountain (mountain/solid), the third is still water (water/reflecting, seeing things “as they truly are”), and the fourth is space (space/free). Each gets three breaths.

Near the end he asks that it be offered gently: “Without imposing your ideas or ways on the other person, you can offer them the gift of this pebble meditation.”

Inviting the bell

In Plum Village, Thich Nhat Hanh teaches, “we don’t say ‘hit’ it”: whoever sounds it should “invite the bell to sound”, and when it sounds everyone stops and breathes at least three times. The practice, its verses and its place among Buddhist bells are on the mindfulness bell. With children, Planting Seeds lists inviting the bell among its practices, and in pebble meditation a child can be the bell master who invites the bell three times to begin.

The Two Promises

Planting Seeds lists the Two Promises as ethical guidelines for children. Plum Village says Thich Nhat Hanh offered them “as a way for children to touch the heart of the mindfulness trainings”. They read:

They are “explored during the children’s programme, and offered in a formal ceremony at the end of each week”, and Plum Village calls song “one of the most beloved ways children embody the Two Promises”. Day to day, it says, children practise them “when they stop and breathe before reacting” and “when they listen with care and protect life”. The article gives no ages.

Simple breath and senses practices

The basic forms are on mindfulness exercises: one conscious breath, the five-senses grounding method, mindful walking and the raisin. Those pages are written for adults, and none of the sources here gives a children’s script for them. Planting Seeds does list mindful breathing, walking and eating meditation, so walking meditation and mindful eating are natural next steps. Keep them short and invited, as the next section explains.

How to offer it: short, invited, and practised by the adult

Keep it short. MiSP’s sessions for three- to six-year-olds run 10 to 20 minutes, and even its secondary lessons run no more than an hour.

Invite, don’t require. In MiSP’s follow-on .b lessons, home practice is something pupils “are invited” to do. Thich Nhat Hanh asks that pebble meditation be offered “without imposing”. The MYRIAD researchers, after their trial, put it most bluntly: low acceptability and engagement “point to MT that requires participation being contraindicated” (MT is mindfulness training), since “we should not ask students to do something they don’t like or engage with, when there are no clear benefits” and when, for some, it might make their mental health difficulties worse. In the companion paper the same team cites evidence that in late adolescence mindfulness training helps “when people choose, rather than are required to, engage with” it.

Practise it yourself. MiSP expects its courses to be taught “only by those who regularly practise mindfulness themselves”. That is a rule for teachers; on our reading, the same applies at home. How mindfulness changes the parent’s side of the relationship is the subject of mindful parenting, and the evidence there is modest.

If a practice seems to upset a child, stop. MiSP itself says that practice “in a meditation-type format may not be suitable for children who are particularly vulnerable to mental health difficulties”. Why turning attention inward can sometimes make things worse is covered in mindfulness for anxiety.

What the evidence says

Results depend on the comparison: beating “doing nothing” is a weak claim, beating another real activity a strong one (benefits of mindfulness explains why, for adults).

The reviews

In 2019 Dunning and colleagues pooled 33 randomised trials with 3,666 children and adolescents. Across all of them, mindfulness brought small benefits (effect sizes of .16 to .30) for mindfulness, attention, executive functions, depression, anxiety and stress, and negative behaviour. Against active comparison groups, only three held: mindfulness (.42), depression (.47) and anxiety/stress (.18). The authors concluded that their meta-analysis “reinforces the efficacy of using MBIs”, while warning of publication bias and noting that over 40% of the programmes “were developed and implemented by the researchers themselves”.

The same team updated the review in 2022, with 66 trials and 20,138 participants under 19. Against passive controls, small gains remained for anxiety and stress, attention, executive functioning and behaviour. Against active controls, only anxiety/stress (0.11) and mindfulness (0.24) improved. Depression improved only slightly across all trials (0.09) and not against either kind of control on its own; the clearer benefit for depression was in programmes for children already at risk or showing symptoms. There was no benefit for well-being, and in studies with a follow-up, no benefit lasted. The authors’ verdict: “While MBPs show promising results for some outcomes, in general, the evidence is of low quality and inconclusive”, and “the enthusiasm for MBPs in youth has arguably run ahead of the evidence”. They could not assess harms, because trials did not report enough on drop-outs or adverse events.

On age, neither review gives a simple rule. In 2019 older age went with larger gains in executive functions, while younger children showed larger falls in negative behaviour in active-control trials. In 2022 the pattern was again split across outcomes. Claims that mindfulness “works best” at a particular age go beyond these data.

The MYRIAD trial

MYRIAD (Kuyken and colleagues, 2022) randomised 85 UK secondary schools and analysed 84, with 8,376 students aged 11 to 14 (average 12.2), in England, Scotland, Wales and Northern Ireland. About half the schools taught .b: ten structured lessons, typically 30 to 50 minutes in the trial (MiSP’s own page says 40 minutes to an hour), adapted from MBCT and taught by the pupils’ own teachers over one term. The other half carried on with their usual social-emotional learning, and only schools with adequate social-emotional provision were eligible.

The result, after a year: “no evidence that SBMT was superior” (SBMT is school-based mindfulness training) on risk of depression, social-emotional-behavioural functioning or well-being. The authors conclude: “Findings do not support the superiority of SBMT over TAU in promoting mental health in adolescence” (TAU is teaching as usual).

The course was delivered as planned. Pupils received 9 of 10 lessons on average, and teachers “were rated as delivering the intervention competently”, following 83% of the curriculum (the companion paper puts the quality of teaching at “advanced beginner”). But pupils were split: they rated it 4.7 out of 10 on average, with many answers at both extremes. Home practice was low, averaging 1.16 out of 5 after the course and 0.83 a year later.

On harm, the findings cut both ways. On 5 of 28 secondary outcomes the mindfulness group did worse, “although marginally”. In the companion paper (Montero-Marin and colleagues), pupils already at risk of mental health problems scored worse on depression risk and well-being after mindfulness, “but differences were small and not clinically relevant”. The authors say the course “may be contraindicated” for pupils with existing or emerging symptoms, while warning that they ran so many tests that they “obtained no more statistically significant findings than we would expect if there were truly no associations”. No adverse events were linked to the course. For 11- to 14-year-olds taking this course, the data support neither “mindfulness harms them” nor “it is risk-free”.

The authors name their own limits. Comparing mindfulness with no social-emotional teaching at all might have shown an effect, and COVID-19 cut a planned two-year follow-up. Teachers’ burnout fell in the short term (a separate MYRIAD paper; abstract read). The paper discloses that the lead author was then director of the Oxford Mindfulness Centre and received royalties from books on mindfulness.

What the programme says back

MiSP’s response is its own reading, not the trial’s. It accepts that “scaling up mindfulness programmes in this way has proved not to be feasible”. It attributes the result partly to teachers who were new to mindfulness and who, on average, reached only “advanced beginner”, 3 out of 6 on a competence scale. That rating is the trial’s own: the companion paper reports “an ‘advanced beginner’ quality of delivery” on a scale from 1 (“incompetent”) to 6 (“advanced”). MiSP reads that level as too low; in the same passage the companion paper’s authors add that “students’ engagement with the mindfulness practice during/after the intervention was strikingly low”. MiSP now asks schools to “deselect any particularly vulnerable pupils from mindfulness classes, or provide an appropriate alternative in parallel”.

When a child needs more than practice

The practices on this page are not treatment for a child’s anxiety, low mood or distress; MiSP says its own curricula “are not therapeutic interventions”. Worry is normal: the NHS notes that children feel anxious “from time to time”, such as when starting school. It lists signs to watch for, including trouble concentrating, poor sleep or bad dreams, eating more or less than usual, constant worry, tummy aches and, in young children, clinginess.

The NHS advises seeking professional help if a child is constantly anxious and:

A GP is a good place to start, and treatments include counselling and cognitive behavioural therapy (CBT). The NHS page also lists the YoungMinds Parents Helpline. A young person under 19 in the UK can call Childline free on 0800 1111, and in an emergency, 999. In the US, the National Institute of Mental Health advises contacting a health professional if signs “last weeks or months” and interfere with a child’s life at home, at school or with friends; for immediate help there, call or text the 988 Suicide & Crisis Lifeline at 988. Anywhere, if a child is in danger, call your local emergency number.

Reflection on these themes, for adults, is on Buddhism and anxiety and Buddhism and depression.

Share
Pinterest X Facebook WhatsApp Email

Frequently asked questions

What age can a child start mindfulness?

None of the research reviews here sets an evidence-based starting age. The UK's Mindfulness in Schools Project begins at three, with sessions of 10 to 20 minutes for ages 3 to 6. The research reviews find no consistent age pattern: some outcomes favoured older children, others younger. For a young child, short sessions led by an adult fit what the programmes describe.

Does mindfulness actually work for kids?

Modestly at best, and no benefit has yet been shown to last. A 2022 review of 66 trials found small gains, but against comparison activities only anxiety or stress and mindfulness itself improved, nothing lasted to follow-up, and its authors called the evidence low in quality and inconclusive. A large UK school trial, MYRIAD, found no advantage over good social-emotional teaching.

What did the MYRIAD trial find?

No advantage. MYRIAD taught a ten-lesson mindfulness course to 11- to 14-year-olds in UK secondary schools and compared it with schools' usual social-emotional teaching. After a year, across 84 schools and 8,376 students, mindfulness was no better on risk of depression, behaviour or well-being. Pupils rated it 4.7 out of 10 on average, and few practised at home.

Is mindfulness in schools religious?

Not in the Mindfulness in Schools Project, a UK charity, which says its curricula remain strictly secular and are not therapeutic interventions. Mindfulness itself comes from Buddhist practice, and the Plum Village tradition of Thich Nhat Hanh teaches openly Buddhist practices to children, such as pebble meditation and inviting the bell, and its book Planting Seeds offers them to parents and teachers for home and school.

Can mindfulness help an anxious child?

It may help a child notice and settle a worry, but the practices here are not a treatment for an anxiety disorder. The NHS advises seeking professional help if a child is constantly anxious and it is getting worse, self-help is not working, or it is affecting school, family life or friendships. A GP is a good place to start; treatments include counselling and CBT.

Does mindfulness help children with ADHD?

Possibly, but the evidence is limited. A 2022 meta-analysis pooled 11 randomised trials in children and teenagers diagnosed with ADHD and found fewer symptoms after mindfulness, meditation or yoga programmes. But five of the 12 trials reviewed compared them only with a waiting list, study quality was moderate, publication bias was possible, and the two trials with a follow-up showed no significant lasting effect. It does not replace an ADHD assessment.

Sources