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Meditation

Transcendental Meditation

Transcendental Meditation is a specific meditation practice studied mainly in relation to mental wellbeing and sleep, with additional research on cardiovascular health. The overall picture is not equally settled across these areas: support varies by outcome, and evidence for some clinical uses remains less certain.

Transcendental Meditation is a meditation practice studied in relation to anxiety, depressive symptoms, and sleep quality.

Part of Meditation

Overview

Transcendental Meditation is a specific meditation practice studied mainly in relation to mental wellbeing and sleep, with additional research on cardiovascular health. The overall picture is not equally settled across these areas: support varies by outcome, and evidence for some clinical uses remains less certain. Although the research includes findings of differing evidence grades, many are not at the strongest levels, so the broad evidence rating should not be read as showing that every proposed benefit or application is established.

Well researched: 26 studies. Last checked Oct 6, 2026.

15
human evidence
4
eligible
12
unclassified
1
animal / null result

Best-evidenced uses

4 variations documented

EvidenceStrong
26
Studies

Evidence checked Oct 6, 2026 · newest study 2025

Study designs:Meta-analysis1RCT13Quasi Experimental5Cohort study1Cross Sectional2Pilot study2Qualitative1Narrative review1
Study grades:
A
1
B
2
C
20
D
3

295 community reports across 4 platforms

Coverage

Effects
26
Helps with
6
Side effects
8
Interactions
7
How to read the evidence

Evidence tier — overall strength of the evidence for the whole compound

  • StrongWell established — backed by strong, consistent human research.
  • ModerateSome genuine support, but mostly from small or lower-quality studies. Promising, not proven.
  • PreliminaryEarly-stage evidence — a promising hypothesis, not an established effect yet.
  • LimitedVery limited evidence — treat this as a hypothesis, not proof.
  • InsufficientNot enough good evidence to draw conclusions yet.

Certainty — how sure we can be that the effect is real

  • Very highVery sure — strong, consistent evidence
  • HighFairly sure — consistent evidence from good studies
  • MediumModerately sure — new studies could change this
  • LowNot sure — little or mixed evidence
  • Very lowVery unsure — almost no usable evidence

Source — where the data comes from

  • Meta-analysisPooled analysis of many trials — the strongest evidence
  • RCTRandomized controlled trial — a strong human study design
  • ClinicalA human clinical study
  • Reference knowledgeFrom general health-science or pharmacology references, not a study of this exact claim
  • Animal researchStudied in animals, not humans
  • Community reportsAggregated user reports — anecdotal signal, not evidence
  • TheoreticalMechanism-based reasoning, not yet tested

Study grade — quality of each underlying study (A best, D weakest)

  • AHigh-quality — strong, consistent human trials
  • BGood — solid evidence with some limitations
  • CModerate — limited, small, or mixed-quality studies
  • DWeak — preliminary, indirect, or animal-only

Confidence — how strongly the sources back a finding

A 0–100 score from study quality and agreement

Most supplement evidence is graded C–D. Read it as preliminary signal, not proof.

These are research findings, not promises. A practice does not replace medical treatment.

What does research say?

What studies found for each claimed effect, best evidence first.

26 claims:2 some evidence1 mixed13 not enough evidence9 not tested in people1 personal stories only

  • Sleep Quality ImprovementMeditation in general: Medium · 19 trialsSome evidence it helpsSize of effect: Not known

    Some human studies found a benefit. More research could change this.

    5 of 6 studies found a benefit; 1 found none. Strongest study: a pooled analysis of several trials. Trials that found it ran as little as 12 weeks, typically 13.

    An RCT involving 80 participants found Insomnia Severity Index scores fell by −4.1 points with Transcendental Meditation versus −1.9 points in the control group, a between-group difference of −2.2 points.

    Open the Sleep Quality Improvement pageCompare with Meditation in general →
  • Trauma Symptom ReductionMeditation in general: Medium · 5 trialsSome evidence it helpsSize of effect: Large

    Some human studies found a benefit. More research could change this.

    All 2 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials. Trials that found it typically ran 12 weeks.

    A pooled analysis of randomized and non-randomized human studies found an effect of g = −1.01 among 1,248 people in its trauma-symptom analysis. In an RCT of 203 people, clinically significant improvement on the CAPS (≥10 point reduction) occurred in 61% of the Transcendental Meditation group, 42% of the PE group, and 32% of the HE group.

    Open the Trauma Symptom Reduction pageCompare with Meditation in general →
  • Anxiety ReductionMeditation in general: Medium · 71 trialsMixed resultsSize of effect: Not known

    Studies disagree: some found a benefit, others found none. Do not count on it.

    7 of 11 studies found a benefit; 4 found none. Strongest study: a pooled analysis of several trials.

    In participants with migraine, an RCT involving 80 people found GAD-7 scores fell by −3.1 points with Transcendental Meditation versus −0.9 points in the control group, a between-group difference of −2.2 points.

    Open the Anxiety Reduction pageCompare with Meditation in general →
  • Blood Pressure SupportMeditation in general: Medium · 5 trialsNot enough evidence

    Too few or too small studies to know if it works.

    3 of 4 studies found a benefit; 1 found none. Strongest study: a randomized controlled trial.

    In an RCT involving 304 participants with high-normal blood pressure, systolic blood pressure was lower after Transcendental Meditation by −3.33 mm Hg. A quasi-experimental study found reductions in both groups, with no statistically significant difference between groups.

    Open the Blood Pressure Support pageCompare with Meditation in general →
  • Cardiovascular Health SupportMeditation in general: 2 trialsNot enough evidence

    Too few or too small studies to know if it works.

    All 3 studies with a clear result found a benefit. Strongest study: a randomized controlled trial.

    In an RCT of 197 people, Transcendental Meditation was associated with a 65% relative risk reduction in MACE after 5 (maximum) years of follow-up. A separate RCT found a greater decrease in LVMI at 4-month followup than in the control group.

    Open the Cardiovascular Health Support pageCompare with Meditation in general →
  • Stress Resilience ImprovementMeditation in general: Medium · 35 trialsNot enough evidence

    Too few or too small studies to know if it works.

    4 of 6 studies found a benefit; 2 found none. Strongest study: a randomized controlled trial.

    An RCT involving 80 participants found burnout scores decreased by 5.4 points compared with usual treatment. However, an RCT of 168 found that Transcendental Meditation did not reduce anxiety or contribute to resilience, so the findings do not consistently support these outcomes.

    Open the Stress Resilience Improvement pageCompare with Meditation in general →
  • Mood ImprovementMeditation in general: Medium · 53 trialsNot enough evidence

    Too few or too small studies to know if it works.

    6 of 11 studies found a benefit; 5 found none. Strongest study: a randomized controlled trial.

    An RCT of 17 participants found a difference between groups in happiness at week 12, and a quasi-experimental study of 130 reported an 18% improvement in well-being at 3-months. In contrast, an RCT of 80 found a larger but nonsignificant increase in personal accomplishment scores with Transcendental Meditation than with the control group.

    Open the Mood Improvement pageCompare with Meditation in general →
  • Antidepressant EffectMeditation in general: Medium · 66 trialsNot enough evidence

    Too few or too small studies to know if it works.

    4 of 7 studies found a benefit; 3 found none. Strongest study: a randomized controlled trial.

    A randomized trial of 10 participants reported less depression, while a quasi-experimental study of 130 reported a 50% improvement in depression symptoms at 3-months. In contrast, an RCT of 80 found a larger but nonsignificant decrease in PHQ-9 scores with Transcendental Meditation than with the control group.

    Open the Antidepressant Effect pageCompare with Meditation in general →

Only reported by users, not studied: Self-Awareness Increase, Rumination Reduction, Interoception Improvement, Physical Energy Increase, Biorhythm Regulation, and Sleep Onset Improvement.

What to expect

The reported benefits were measured at the end of programmes, not after a single session: stress-resilience outcomes were measured after 4 weeks at the earliest and 9 weeks typically, while anxiety and sleep outcomes were measured after 12 weeks at the earliest and 13 weeks typically. Trauma-symptom outcomes were measured after 12 weeks. Some harms were reported during 12-week programmes, while lipid-profile worsening was reported over 52 weeks.

Also studied in people with 6 health conditions

How strong the evidence is in each group. This is research, not a treatment recommendation.

  • InsomniaMeditation in general: 2 trialsSome evidence it helpsSize of effect: Not known

    Some human studies found a benefit. More research could change this.

    All 2 studies with a clear result found a benefit.

    An RCT in 80 people found a reduction in ISI scores compared with control, while a 2023 quasi-experimental study in 130 people found improved Insomnia Severity Index scores at 3 months.

    Open the Insomnia pageCompare with Meditation in general →
  • Heart Disease (General)Not enough evidence

    Too few or too small studies to know if it works.

    The one study found a benefit.

    Open the Heart Disease (General) page
  • DepressionMeditation in general: Medium · 30 trialsNot enough evidence

    Too few or too small studies to know if it works.

    The one study found a benefit.

    A 2023 quasi-experimental study in 130 participants found reduced depression-subscale scores at 3 months; the participants were described as healthy, so this does not establish an effect in people diagnosed with depression.

    Open the Depression pageCompare with Meditation in general →
  • PTSD (Post-Traumatic Stress Disorder)Meditation in general: 2 trialsNot enough evidence

    Too few or too small studies to know if it works.

    The one study found a benefit.

    A 2025 RCT in 203 people found Transcendental Meditation non-inferior to PE and superior to HE for improving PTSD symptoms.

    Open the PTSD (Post-Traumatic Stress Disorder) pageCompare with Meditation in general →
  • Alcohol AddictionNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Transcendental Meditation has been described as reducing alcohol use and relapse rates among recovering alcoholics compared with standard treatment, possibly by reducing stress and craving.

    Open the Alcohol Addiction page
  • ADHDMeditation in general: Medium · 3 trialsNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Expert knowledge suggests Transcendental Meditation may help students with ADHD with attention, impulse control, and executive function, as an adjunctive intervention; this is not a clinical-trial finding.

    Open the ADHD pageCompare with Meditation in general →

Studied only as meditation in general, not tested in transcendental meditation yet

These results come from studies of meditation as a whole. No study of transcendental meditation has looked at them yet.

Social Function Improvement (Medium · 9 trials) · Self-Compassion Improvement (Medium · 7 trials) · Breast Cancer (High · 7 trials) · Cancer (General) (Medium · 6 trials) · Chronic Pain (Medium · 4 trials) · Self-Awareness Increase (Medium · 4 trials) · and 8 more

All outcomes on the Meditation page →

Before you try it

What studies and reports say about side effects and who it may not suit.

Side effects

Possible: Headache.

7 more with weak evidence.

May not suit you if you have
Psychosis, Bipolar Mania, and Schizophrenia
Reported by users
Anxiety Increase (13 posts), Insomnia (6 posts), Confusion, Depersonalization, and 8 more
Also listed for meditation in general (written by our reviewers)
Traumatic Brain InjuryPrecautions from the Meditation page. They are for meditation as a whole and may not all fit transcendental meditation.

General wellness information, not medical advice. Ask a doctor before you start, especially if you take medicines or have a health condition.

How people do it

A gentle start, then what the studies used.

Start with
10 minutes (Short Refresher TM)A gentle start based on the easiest variation, not on a study.
Build up to
20 minutes, 14 times a week, low intensity (what the studies used)
What the studies ran
280 minutes a week for 13 weeks
Longest session studied
20 minutes (Group TM Practice)Not a target and not a safe limit: past it there is no evidence either way.

The expert view shows every study, dose protocol and source.

Effects

26 listed

Start here

Most likely to help, from the evidence we have

  1. Anxiety ReductionCertaintyMediumSourceRCTlong-term10 cited studies · 2 other sources

    In participants with migraine, an RCT involving 80 people found GAD-7 scores fell by −3.1 points with Transcendental Meditation versus −0.9 points in the control group, a between-group difference of −2.2 points (95% CI, −3.8 to −0.5 points; P = .01).

    What the sources found

    8 positive · 4 neutral · 0 negativeconfidence 55/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people and patients
    • Migraine

    Where the evidence comes from

    • Article10
    • Expert opinion1
    • Community reports1

    Protocol behind this outcome

    6 protocolsEstimated

    What the studies reporting this result did.

    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    What worked in trials2 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session20 min
    How often14×/week
    Per week280 min

    Trials that found no benefit ran4 trials and meta-analyses

    SmallestTypical
    Session10 min15 min
    How often14×/week
    Per week140 min210 min
    Course4 weeks12 weeks
    Derived from (2)

    3612165540282950

    Timing

    Trials that found it ran as little as 12 weeks, typically 13

    Show studies (12)
    Meta-analysisApositiven=124875% confidence2025

    Systematic Review and Meta-Analysis of Transcendental Meditation for Post-Traumatic Stress Disorder.

    Adjusted mean changes on self-report measures of depression, anxiety, and sleep difficulties indicated significant reductions in the TM group compared to TAU, d's = −0.80 and −1.16

    SMD -1.16Large effectWeak journalOpen-label
    RCTCneutraln=16850% confidence2021

    Meditation Effects on Anxiety and Resilience of Preadolescents and Adolescents: A Randomized Controlled Study.

    Both groups were less anxious and presented more strengths after the intervention period. There were no differences between groups, after the intervention, through the analysis of the comparison of means.

    Weak journalStudies disagreeMain outcomeOpen-labelInactive controlCompleters only
    RCTCneutraln=13160% confidence2019

    Hypnotherapy or transcendental meditation versus progressive muscle relaxation exercises in the treatment of children with primary headaches: a multi-centre, pragmatic, randomised clinical study.

    Depression scores were reduced at 9 months (p=0.04), with no difference between the intervention groups. Anxiety scores showed no significant change.

    MD -2.1Top journalStudies disagreeOpen-label27% dropped outBorderline p-value
    RCTCpositiven=8070% confidence2022

    Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers: A Randomized Clinical Trial.

    Participants in the TM group vs the control group had significantly larger decreases in ... GAD-7 scores (−3.1 points vs −0.9 points; between-group difference, −2.2 points; 95% CI, −3.8 to −0.5 points; P = .01).

    MD -2.2 [-3.8, -0.5]Small effectTop journalOpen-labelInactive controlBorderline p-value
    RCTCneutraln=1740% confidence2015

    Transcendental Meditation for the improvement of health and wellbeing in community-dwelling dementia caregivers [TRANSCENDENT]: a randomised wait-list controlled trial.

    there was no statistically significant difference within groups (F (2,30) = 1.314, p = 0.284, η² = 0.081) or between groups (F (1,15) = <0.001, p = 0.998, η² = <0.001) in WebNeuro anxiety scores over time

    Low-quality journalOpen-labelInactive control
    RCTCneutraln=1040% confidence2025

    Evaluating the effectiveness of transcendental meditation on mental health and resilience of paramedicine students - a randomised controlled pilot study.

    decreased DASS-21 Anxiety scores... did not reach statistical significance

    Weak journalMain outcomeBlinded assessorInactive control
    +6 more in Sources
    Open Anxiety Reduction
    →

    Meditation in general: Medium · 71 trials →

  2. Sleep Quality ImprovementCertaintyMediumSourceRCTlong-term6 cited studies · 1 other source

    An RCT involving 80 participants found Insomnia Severity Index scores fell by −4.1 points with Transcendental Meditation versus −1.9 points in the control group, a between-group difference of −2.2 points (95% CI, −4.4 to 0 points; P = .05).

    What the sources found

    6 positive · 1 neutral · 0 negativeconfidence 56/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from High to Medium after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people and patients

    Where the evidence comes from

    • Article6
    • Community reports1

    Protocol behind this outcome

    5 protocolsEstimated

    What the studies reporting this result did.

    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    What worked in trials2 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session20 min
    How often14×/week
    Per week280 min
    Derived from (2)

    3612165540282950

    Timing

    Trials that found it ran as little as 12 weeks, typically 13

    Show studies (7)
    Meta-analysisApositiven=124875% confidence2025

    Systematic Review and Meta-Analysis of Transcendental Meditation for Post-Traumatic Stress Disorder.

    Adjusted mean changes on self-report measures of depression, anxiety, and sleep difficulties indicated significant reductions in the TM group compared to TAU, d's = −0.80 and −1.16

    SMD -1.16Large effectWeak journalOpen-label
    RCTCpositiven=8065% confidence2022

    Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers: A Randomized Clinical Trial.

    Participants in the TM group vs the control group had significantly larger decreases in ... ISI scores (−4.1 points vs −1.9 points; between-group difference, −2.2 points; 95% CI, −4.4 to 0 points; P = .05).

    MD -2.2 [-4.4, 0]Top journalOpen-labelInactive controlBorderline p-value
    RCTCneutraln=1040% confidence2025

    Evaluating the effectiveness of transcendental meditation on mental health and resilience of paramedicine students - a randomised controlled pilot study.

    decreased... insomnia... did not reach statistical significance

    Weak journalMain outcomeBlinded assessorInactive control
    Quasi ExperimentalCpositiven=13060% confidence2023

    Improving the mental health and well-being of healthcare providers using the transcendental meditation technique during the COVID-19 pandemic: A parallel population study.

    At 3-months, in the TM group, the improvement in symptoms showed a mean reduction of ... insomnia, 44% ... (for all p<0.004).

    -44%Large effectWeak journalMain outcomeOpen-labelInactive controlCompleters only
    Pilot studyCpositiven=3960% confidence2025

    A pilot intervention to reduce burnout and enhance resilience through transcendental meditation among Georgetown University medical students.

    insomnia (p = 0.002, d = -0.53)

    MD -3.02 [-4.89, -1.17]Top journalOpen-labelNo control groupCompleters only
    Pilot studyDpositiven=3240% confidence2021

    Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic.

    sleep (Cohen's d = 0.70) at 3 months posttest

    MD 3.72 [1.8, 5.64]Top journalOpen-labelNo control groupCompleters only
    +1 more in Sources
    Open Sleep Quality Improvement
    →

    Meditation in general: Medium · 19 trials →

  3. Trauma Symptom ReductionCertaintyMediumSourceRCTLarge effect2 cited studies · 1 other source

    A pooled analysis of randomized and non-randomized human studies found an effect of g = −1.01 (95% CI = −1.29 to −0.74, p < 0.000000001) among 1,248 people in its trauma-symptom analysis. In an RCT of 203 people, clinically significant improvement on the CAPS (≥10 point reduction) occurred in 61% of the Transcendental Meditation group, 42% of the PE group, and 32% of the HE group.

    What the sources found

    3 positive · 0 neutral · 0 negativeconfidence 67/100

    How big is the effect

    Large effectA big difference on average. Check how strong the evidence is.

    Who was studied

    • People with a condition
    • PTSD (Post-Traumatic Stress Disorder)

    Where the evidence comes from

    • Article2
    • Community reports1

    What worked in trials2 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session20 min40 min
    Derived from (2)

    3991339640282950

    Timing

    Trials that found it typically ran 12 weeks

    Show studies (3)
    Meta-analysisApositiven=124890% confidence2025

    Systematic Review and Meta-Analysis of Transcendental Meditation for Post-Traumatic Stress Disorder.

    the pooled effect across all studies of TM compared to other treatments was g = −1.01, 95% CI = −1.29 to −0.74, p < 0.000000001

    SMD -1.01 [-1.29, -0.74]Large effectWeak journalMain outcomeOpen-label
    RCTCpositiven=20375% confidence2025

    Cost-effectiveness of Transcendental Meditation (TM) for treating Post-Traumatic Stress Disorder (PTSD).

    The proportion of participants with a clinically significant improvement on the CAPS (≥10 point reduction) were TM = 61%, PE = 42%, and HE = 32%.

    19%Moderate effectWeak journalMain outcomeOpen-label25% dropped out
    Community reportsmoderate effectpositive35% confidence

    This effect was mentioned in 4 of 254 Reddit reports discussing it.

    4 mentions
    Open Trauma Symptom Reduction
    →

    Meditation in general: Medium · 5 trials →

Low probability(23)
  1. Blood Pressure SupportCertaintyLowSourceRCT3 cited studies · 2 other sources

    In an RCT involving 304 participants with high-normal blood pressure, systolic blood pressure was lower after Transcendental Meditation by −3.33 mm Hg (p = 0.045). A quasi-experimental study found reductions in both groups, with no statistically significant difference between groups.

    What the sources found

    4 positive · 1 neutral · 0 negativeconfidence 52/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Coronary Artery Disease
    • Diabetes
    • Heart Disease (General)
    • Hypertension

    Where the evidence comes from

    • Article3
    • Expert opinion1
    • Community reports1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    51 weeks
    Per week
    280 min
    Format
    Group

    A repeated course

    Show studies (5)
    RCTBpositiven=30475% confidence2021

    Randomized controlled trial of stress reduction with meditation and health education in black men and women with high normal and normal blood pressure.

    TM participants in the high-normal BP group showed significantly lower posttest SBP (-3.33 mm Hg, p = 0.045).

    MD -3.2 [-6.4, -0.7]Top journalMain outcomeBlinded assessor23% dropped out
    RCTBneutraln=19750% confidence2025

    A randomized controlled trial of meditation and health education on carotid intima-media thickness and major adverse cardiovascular events in Black men and women.

    There were no significant between-group differences in changes in blood pressure, cholesterol, or exercise.

    Weak journalBlinded assessor28% dropped out
    Quasi ExperimentalCpositiven=4860% confidence2015

    Effects of Lifestyle Modification on Telomerase Gene Expression in Hypertensive Patients: A Pilot Trial of Stress Reduction and Health Education Programs in African Americans.

    Adjusted changes were SR = -5.7 mm Hg, p< 0.01; EHE = -9.0 mm Hg, p < 0.001 with no statistically significant difference between group difference.

    MD -5.7Weak journalMain outcomeBlinded assessorBorderline p-value
    Expert opinionpositive50% confidence

    TM reduces systolic and diastolic blood pressure by clinically meaningful amounts (~4.7/3.2 mmHg).

    Expert knowledge synthesis
    Community reportsmoderate effectpositive25% confidence

    This effect was mentioned in 2 of 254 Reddit reports discussing it.

    2 mentions
    Open Blood Pressure Support
    →

    Meditation in general: Medium · 5 trials →

  2. Cardiovascular Health SupportCertaintyLowSourceRCTLarge effect2 cited studies · 2 other sources

    In an RCT of 197 people, Transcendental Meditation was associated with a 65% relative risk reduction in MACE after 5 (maximum) years of follow-up (HR = 0.346; 95% CI = 0.134–0.893; p = 0.017). A separate RCT found a greater decrease in LVMI at 4-month followup than in the control group (−2.6 versus +0.3 gm/ht^2.7, P < 0.04).

    What the sources found

    4 positive · 0 neutral · 0 negativeconfidence 51/100

    How big is the effect

    Large effectA big difference on average. Check how strong the evidence is.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • People with a condition
    • Coronary Artery Disease
    • Diabetes
    • Heart Disease (General)
    • Hypertension

    Where the evidence comes from

    • Article2
    • Expert opinion1
    • Community reports1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    What worked in trials2 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session15 min18 min
    How often14×/week
    Per week210 min245 min
    Derived from (2)

    2267539240177279

    Timing

    Trials that found it ran as little as 17 weeks, typically 35

    Show studies (4)
    RCTBpositiven=19775% confidence2025

    A randomized controlled trial of meditation and health education on carotid intima-media thickness and major adverse cardiovascular events in Black men and women.

    In the survival analysis of MACE, there was a 65% relative risk reduction in the TM group after 5 (maximum) years of follow-up (HR = 0.346; 95% CI = 0.134–0.893; p = 0.017).

    HR 0.35 [0.13, 0.89]Large effectWeak journalBlinded assessor28% dropped outBorderline p-value
    RCTCpositiven=6260% confidence2012

    Impact of transcendental meditation on left ventricular mass in african american adolescents.

    The TM group exhibited a greater decrease in LVMI at 4-month followup compared to the CTL group (−2.6 versus +0.3 gm/ht^2.7, P < 0.04).

    MD -2.9Low-quality journalMain outcomeBlinded assessorCompleters only60% dropped outBorderline p-value
    Expert opinionpositive50% confidence

    In African Americans with coronary heart disease, TM reduced the composite endpoint of all-cause mortality, myocardial infarction, and stroke by 48% over 5 years.

    Expert knowledge synthesis
    Community reportsmoderate effectpositive20% confidence

    This effect was mentioned in 2 of 33 YouTube videos discussing it.

    2 mentions
    Open Cardiovascular Health Support
    →

    Meditation in general: 2 trials →

  3. Stress Resilience ImprovementCertaintyLowSourceClinicallong-term6 cited studies · 1 other source

    An RCT involving 80 participants found burnout scores decreased by 5.4 points compared with usual treatment. However, an RCT of 168 found that Transcendental Meditation did not reduce anxiety or contribute to resilience, so the findings do not consistently support these outcomes.

    What the sources found

    5 positive · 2 neutral · 0 negativeconfidence 53/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people and patients

    Where the evidence comes from

    • Article6
    • Community reports1

    Protocol behind this outcome

    4 protocolsEstimated

    What the studies reporting this result did.

    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    What worked in trials2 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session20 min
    How often14×/week
    Per week280 min

    Trials that found no benefit ran2 trials and meta-analyses

    SmallestTypical
    Course12 weeks
    Derived from (2)

    3612165540877327

    Timing

    Trials that found it ran as little as 4 weeks, typically 9

    Show studies (7)
    RCTCneutraln=16850% confidence2021

    Meditation Effects on Anxiety and Resilience of Preadolescents and Adolescents: A Randomized Controlled Study.

    TM failed to reduce anxiety and to contribute to resilience in the TM experimental group.

    Weak journalStudies disagreeMain outcomeOpen-labelInactive controlCompleters only
    RCTCpositiven=8070% confidence2022

    Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers: A Randomized Clinical Trial.

    The practice of TM reduced burnout scores (a secondary outcome) by 5.4 points, representing a statistically significant reduction compared with usual treatment.

    MD -5.4 [-9.2, -1.6]Top journalOpen-labelInactive control
    RCTCneutraln=1740% confidence2015

    Transcendental Meditation for the improvement of health and wellbeing in community-dwelling dementia caregivers [TRANSCENDENT]: a randomised wait-list controlled trial.

    Changes in stress scores between groups were not statistically significant (F (1,15) = 1.350, p = 0.263, η² = 0.083); however, there was a non-significant trend toward greater improvement in those who received TM.

    Low-quality journalMain outcomeOpen-labelInactive control
    RCTCpositiven=1060% confidence2025

    Evaluating the effectiveness of transcendental meditation on mental health and resilience of paramedicine students - a randomised controlled pilot study.

    lower stress (t=-3.667, p=0.008)

    Weak journalMain outcomeBlinded assessorInactive control
    Pilot studyCpositiven=3960% confidence2025

    A pilot intervention to reduce burnout and enhance resilience through transcendental meditation among Georgetown University medical students.

    significant changes were found for both primary outcomes, emotional exhaustion (p = 0.001, Cohen's d effect size = -0.61)

    MD -3.56 [-5.46, -1.67]Top journalMain outcomeOpen-labelNo control groupCompleters only
    Pilot studyDpositiven=3240% confidence2021

    Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic.

    perceived stress (Cohen's d = 0.75) ... at 3 months posttest

    MD 2.1 [1.16, 3.03]Top journalOpen-labelNo control groupCompleters only
    +1 more in Sources
    Open Stress Resilience Improvement
    →

    Meditation in general: Medium · 35 trials →

  4. Mood ImprovementCertaintyLowSourceClinicallong-term11 cited studies · 1 other source

    An RCT of 17 participants found a difference between groups in happiness at week 12 (MD = 0.10, SD = 0.10, p = 0.001), and a quasi-experimental study of 130 reported an 18% improvement in well-being at 3-months. In contrast, an RCT of 80 found a larger but nonsignificant increase in personal accomplishment scores with Transcendental Meditation than with the control group (between-group difference, 1.9 points; 95% CI, −0.4 to 4.1 points; P = .11).

    What the sources found

    7 positive · 5 neutral · 0 negativeconfidence 47/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people and patients
    • Hypertension

    Where the evidence comes from

    • Article11
    • Community reports1

    Protocol behind this outcome

    9 protocolsEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    13 weeks
    Per week
    280 min
    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Trials that found no benefit ran4 trials and meta-analyses

    SmallestTypical
    Session15 min20 min
    How often14×/week
    Per week210 min280 min
    Course4 weeks15 weeks
    Show studies (12)
    RCTBneutraln=30450% confidence2021

    Randomized controlled trial of stress reduction with meditation and health education in black men and women with high normal and normal blood pressure.

    Anger in, anger out and anger total change scores were not different between the TM and HE participants (Table 3)

    Top journalBlinded assessor23% dropped out
    RCTCneutraln=8050% confidence2022

    Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers: A Randomized Clinical Trial.

    Participants in the TM group also had larger but nonsignificant increases in ... MBI personal accomplishment subscores (3.9 points vs 2.1 points; between-group difference, 1.9 points; 95% CI, −0.4 to 4.1 points; P = .11) compared with those in the control group.

    MD 1.9 [-0.4, 4.1]Top journalOpen-labelInactive control
    RCTCneutraln=4540% confidence2003

    Impact of stress reduction on negative school behavior in adolescents.

    No significant main or interaction effects were observed for anger-out and anger control (all ps > .21)

    Top journalOpen-label
    RCTCpositiven=1745% confidence2015

    Transcendental Meditation for the improvement of health and wellbeing in community-dwelling dementia caregivers [TRANSCENDENT]: a randomised wait-list controlled trial.

    There were also statistically significant differences between groups at week 12 for the domains of happiness (MD = 0.10, SD = 0.10, p = 0.001)

    MD 0.1Low-quality journalOpen-labelInactive control
    RCTCneutraln=1040% confidence2025

    Evaluating the effectiveness of transcendental meditation on mental health and resilience of paramedicine students - a randomised controlled pilot study.

    increased personal relationships, general health, ego resilience, general overall well-being, overall happiness... did not reach statistical significance

    Weak journalBlinded assessorInactive control
    Quasi ExperimentalCpositiven=13060% confidence2023

    Improving the mental health and well-being of healthcare providers using the transcendental meditation technique during the COVID-19 pandemic: A parallel population study.

    At 3-months, in the TM group, the improvement in symptoms showed ... improvement of well-being 18% (for all p<0.004).

    18%Moderate effectWeak journalMain outcomeOpen-labelInactive controlCompleters only
    +6 more in Sources
    Open Mood Improvement
    →

    Meditation in general: Medium · 53 trials →

  5. Antidepressant EffectCertaintyLowSourceClinicallong-term7 cited studies · 1 other source

    A randomized trial of 10 participants reported less depression, while a quasi-experimental study of 130 reported a 50% improvement in depression symptoms at 3-months. In contrast, an RCT of 80 found a larger but nonsignificant decrease in PHQ-9 scores with Transcendental Meditation than with the control group (between-group difference, −1.8 points; 95% CI, −3.7 to 0.1 points; P = .06).

    What the sources found

    5 positive · 3 neutral · 0 negativeconfidence 48/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people and patients

    Where the evidence comes from

    • Article7
    • Community reports1

    Protocol behind this outcome

    5 protocolsEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    13 weeks
    Per week
    280 min
    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Trials that found no benefit ran2 trials and meta-analyses

    SmallestTypical
    Course12 weeks13 weeks
    Show studies (8)
    RCTCneutraln=8055% confidence2022

    Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers: A Randomized Clinical Trial.

    Compared with participants in the control group, those in the TM group had larger but nonsignificant decreases in ... PHQ-9 scores (−2.7 points vs −0.9 points; between-group difference, −1.8 points; 95% CI, −3.7 to 0.1 points; P = .06).

    MD -1.8 [-3.7, 0.1]Top journalOpen-labelInactive control
    RCTCneutraln=1740% confidence2015

    Transcendental Meditation for the improvement of health and wellbeing in community-dwelling dementia caregivers [TRANSCENDENT]: a randomised wait-list controlled trial.

    the difference in depression scores within groups (F (2,30) = 0.936, p = 0.403, η² = 0.059) and between groups (F (1,15) = 0.034, p = 0.856, η² = 0.002) did not reach statistical significance

    Low-quality journalOpen-labelInactive control
    RCTCpositiven=1060% confidence2025

    Evaluating the effectiveness of transcendental meditation on mental health and resilience of paramedicine students - a randomised controlled pilot study.

    less depression, (t=-2.617, p=0.035) with large effect sizes

    Weak journalMain outcomeBlinded assessorInactive control
    Quasi ExperimentalCpositiven=13060% confidence2023

    Improving the mental health and well-being of healthcare providers using the transcendental meditation technique during the COVID-19 pandemic: A parallel population study.

    At 3-months, in the TM group, the improvement in symptoms showed a mean reduction of ... depression, 50% ... (for all p<0.004).

    -50%Large effectWeak journalMain outcomeOpen-labelInactive controlCompleters only
    Quasi ExperimentalCneutraln=8040% confidence2008

    Effects of Transcendental Meditation on mental health: a before-after study.

    there was no significant change on depression and social dysfunction scores.

    MD -1Open-labelNo control groupCompleters only
    Pilot studyCpositiven=3955% confidence2025

    A pilot intervention to reduce burnout and enhance resilience through transcendental meditation among Georgetown University medical students.

    depression (p = 0.006, d = -0.47)

    MD -1.98 [-3.35, -0.6]Top journalOpen-labelNo control groupCompleters only
    +2 more in Sources
    Open Antidepressant Effect
    →

    Meditation in general: Medium · 66 trials →

  6. Analgesic EffectCertaintyLowSourceClinicallong-term1 cited study

    In an RCT involving 131 people with migraine, headache frequency fell in all groups from 18.9 days per month to 12.5 and 10.5 at 3 and 9 months, respectively; there were no significant differences between groups.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 70/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Migraine

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    10 min · 14×/week

    Course
    13 weeks
    Per week
    140 min
    Format
    Individual
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    RCTCpositiven=13170% confidence2019

    Hypnotherapy or transcendental meditation versus progressive muscle relaxation exercises in the treatment of children with primary headaches: a multi-centre, pragmatic, randomised clinical study.

    Headache frequency was significantly reduced in all groups from 18.9 days per month to 12.5 and 10.5 at respectively 3 and 9 months (p<0.001), with no significant differences between the groups.

    MD -8.4Top journalMain outcomeOpen-label27% dropped out
    Open Analgesic Effect
    →

    Meditation in general: Medium · 10 trials →

  7. Cognitive Function ImprovementCertaintyLowSourceClinical3 cited studies · 2 other sources

    An RCT involving 17 people found greater improvement over time in WebNeuro response speed scores with Transcendental Meditation than with control. An RCT involving 10 people also reported higher mental-clarity results among participants practising it.

    What the sources found

    5 positive · 0 neutral · 0 negativeconfidence 48/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people and patients

    Where the evidence comes from

    • Article3
    • Expert opinion1
    • Community reports1

    Protocol behind this outcome

    3 protocolsEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Per week
    280 min
    Intensity
    Low
    Format
    Individual

    A repeated course

    Timing

    Trials that found it ran as little as 4 weeks, typically 8

    Show studies (5)
    RCTCpositiven=1755% confidence2015

    Transcendental Meditation for the improvement of health and wellbeing in community-dwelling dementia caregivers [TRANSCENDENT]: a randomised wait-list controlled trial.

    Improvements in WebNeuro response speed scores over time were significantly (p = 0.03) greater in the TM group relative to control.

    Low-quality journalOpen-labelInactive control
    RCTCpositiven=1060% confidence2025

    Evaluating the effectiveness of transcendental meditation on mental health and resilience of paramedicine students - a randomised controlled pilot study.

    TM participants had significantly higher results in mental clarity (t = 3.347, p = 0.010)

    Weak journalBlinded assessorInactive control
    Narrative reviewDpositive25% confidence2006

    Studies of advanced stages of meditation in the tibetan buddhist and vedic traditions. I: a comparison of general changes.

    the slow but steady increases in college students represent an equally unexpected effect.

    Low-quality journalNarrative review
    Expert opinionpositive50% confidence

    TM may improve global cognitive function in older adults and those with cardiovascular disease, with effects on executive function and processing speed.

    Expert knowledge synthesis
    Community reportsmoderate effectpositive50% confidence

    This effect was mentioned in 18 of 287 community reports discussing it (Reddit 14, YouTube 4).

    18 mentions
    Open Cognitive Function Improvement
    →

    Meditation in general: Medium · 18 trials →

  8. Emotional Regulation ImprovementCertaintyLowSourceClinical3 cited studies · 1 other source

    In an RCT involving 17 people, the Transcendental Meditation group had a difference in coping scores at week 12; a qualitative study involving 44 people described improved emotional intelligence. Findings were mixed: an RCT involving 10 people found that higher ego-resilience scores did not reach statistical significance.

    What the sources found

    3 positive · 1 neutral · 0 negativeconfidence 41/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people and patients

    Where the evidence comes from

    • Article3
    • Community reports1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    13 weeks
    Per week
    280 min
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (4)
    RCTCpositiven=1745% confidence2015

    Transcendental Meditation for the improvement of health and wellbeing in community-dwelling dementia caregivers [TRANSCENDENT]: a randomised wait-list controlled trial.

    There were also statistically significant differences between groups at week 12 for the domains of happiness (MD = 0.10, SD = 0.10, p = 0.001) and coping (MD = 0.09, SD = 0.15, p = 0.034)

    MD 0.09Low-quality journalOpen-labelInactive controlBorderline p-value
    RCTCneutraln=1040% confidence2025

    Evaluating the effectiveness of transcendental meditation on mental health and resilience of paramedicine students - a randomised controlled pilot study.

    higher ego resilience scores... did not reach statistical significance

    Weak journalBlinded assessorInactive control
    QualitativeDpositiven=4430% confidence2024

    Transcendental Meditation Enriches Nurses' Authentic Presence Through Caring for Self and Others.

    enhancing emotional intelligence to transform connections

    Top journalOpen-labelNo control group
    Community reportsmoderate effectpositive50% confidence

    This effect was mentioned in 12 of 287 community reports discussing it (Reddit 10, YouTube 2).

    12 mentions
    Open Emotional Regulation Improvement
    →

    Meditation in general: Medium · 18 trials →

  9. Body Composition ImprovementCertaintyLowSourceClinical1 cited study

    Among people with hypertension, an RCT of 62 found a lesser increase in BMI after 4-month follow-up with Transcendental Meditation than with the control condition (0.2 ± 1.6 versus 1.1 ± 1.4, P < 0.03).

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 60/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Hypertension

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    15 min · 14×/week

    Course
    17 weeks
    Per week
    210 min
    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    RCTCpositiven=6260% confidence2012

    Impact of transcendental meditation on left ventricular mass in african american adolescents.

    The TM group exhibited a lesser increase in BMI at 4-month follow-up compared to the CTL group (0.2 ± 1.6 versus 1.1 ± 1.4, P < 0.03).

    Low-quality journalBlinded assessorCompleters only60% dropped out
    Open Body Composition Improvement
    →

    Meditation in general: 2 trials →

  10. Fatigue ReductionCertaintyLowSourceClinicallong-term1 cited study · 1 other source

    An RCT involving 10 healthy people found less fatigue in the Transcendental Meditation group than in the control group.

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 43/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1
    • Community reports1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    9 weeks
    Per week
    280 min
    Intensity
    Low
    Format
    Individual
    Supervision
    Self-guided

    A repeated course

    Show studies (2)
    RCTCpositiven=1060% confidence2025

    Evaluating the effectiveness of transcendental meditation on mental health and resilience of paramedicine students - a randomised controlled pilot study.

    less fatigue (Z=-2.060, p=0.039) than the control group

    Weak journalBlinded assessorInactive control
    Community reportssubtle effectpositive25% confidence

    This effect was mentioned in 2 of 254 Reddit reports discussing it.

    2 mentions
    Open Fatigue Reduction
    →

    Meditation in general: Medium · 5 trials →

  11. Spatial Reasoning ImprovementCertaintyLowSourceReviewnot used for recommendations1 cited study

    A review described a 10% increase in test speed over a 3 month extended meditation course; the reported mean rates were 105 and 115% of maximum test speed for the groups tested before and after the course and only after it, respectively.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 25/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1

    Why it isn't used for recommendations

    Narrative review only, low confidence

    Show studies (1)
    Narrative reviewDpositive25% confidence2006

    Studies of advanced stages of meditation in the tibetan buddhist and vedic traditions. I: a comparison of general changes.

    The mean rates for the two groups, one tested before and after a 3 month, extended meditation course, and the second only after, were respectively 105 and 115% of the maximum test speed... The increase found over the 3 month experimental period was significant.

    10%Moderate effectLow-quality journalNarrative review
    Open Spatial Reasoning Improvement
    →
  12. Ear and Hearing Health SupportCertaintyLowSourceReviewnot used for recommendations1 cited study

    A review described people who had practised TM-Sidhi techniques for 8 months during a residential course as having hearing thresholds 11.7 dB more sensitive than the average for healthy young adults.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 25/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1

    Why it isn't used for recommendations

    Narrative review only, low confidence

    Show studies (1)
    Narrative reviewDpositive25% confidence2006

    Studies of advanced stages of meditation in the tibetan buddhist and vedic traditions. I: a comparison of general changes.

    Subjects who had been practising the TM-Sidhi techniques for 8 months on a residential course in the Transcendental Meditation programme showed hearing thresholds 11.7 dB more sensitive than average for healthy young adults.

    MD -11.7Low-quality journalNarrative review
    Open Ear and Hearing Health Support
    →
  13. Longevity and Anti-Aging SupportCertaintyLowSourceReviewnot used for recommendations1 cited study

    A review described lower biological age relative to chronological age, with larger reductions among people who had practised Transcendental Meditation for over 5 years.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 25/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1

    Why it isn't used for recommendations

    Narrative review only, low confidence

    Show studies (1)
    Narrative reviewDpositive25% confidence2006

    Studies of advanced stages of meditation in the tibetan buddhist and vedic traditions. I: a comparison of general changes.

    Reductions in biological age (compared to chronological age) were found, more so for those subjects who had been practising Transcendental Meditation for over 5 years.

    Low-quality journalNarrative review
    Open Longevity and Anti-Aging Support
    →
  14. Chronic Pain ReductionCertaintyLowSourceAnecdotalnot used for recommendations2 other sources

    The proposed explanation is that meditation practices including Transcendental Meditation may alter pain perception and reduce stress. The effect was mentioned in 4 of 254 Reddit reports discussing it.

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 43/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1
    • Community reports1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (2)
    Expert opinionpositive50% confidence

    Meditation practices including TM reduce chronic pain intensity and pain-related disability, likely through altered pain perception and stress reduction.

    Expert knowledge synthesis
    Community reportsmoderate effectpositive35% confidence

    This effect was mentioned in 4 of 254 Reddit reports discussing it.

    4 mentions
    Open Chronic Pain Reduction
    →

    Meditation in general: Medium · 3 trials →

  15. Present Moment AwarenessCertaintyLowSourceTheoretical1 cited study · 1 other source

    In a qualitative study, 44 nurse participants described Transcendental Meditation as creating present moment focus.

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 40/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1
    • Community reports1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    35 min · 14×/week

    Course
    9 weeks
    Per week
    490 min
    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (2)
    QualitativeDpositiven=4430% confidence2024

    Transcendental Meditation Enriches Nurses' Authentic Presence Through Caring for Self and Others.

    The nurse participants shared their experiences with the practice of TM as creating present moment focus

    Top journalMain outcomeOpen-labelNo control group
    Community reportsmoderate effectpositive50% confidence

    This effect was mentioned in 43 of 287 community reports discussing it (Reddit 30, YouTube 13).

    43 mentions
    Open Present Moment Awareness
    →

    Meditation in general: Medium · 22 trials →

  16. Improve Heart Rate Variability (HRV)CertaintyLowSourceTheoreticalnot used for recommendations1 other source

    Transcendental Meditation is described as increasing heart rate variability and parasympathetic tone, reflecting improved autonomic balance and stress resilience.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinionpositive50% confidence

    TM increases heart rate variability and parasympathetic tone, reflecting improved autonomic balance and stress resilience.

    Expert knowledge synthesis
    Open Improve Heart Rate Variability (HRV)
    →

    Meditation in general: Medium · 6 trials →

  17. Insulin Sensitivity ImprovementCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    In patients with coronary heart disease, Transcendental Meditation is described as improving insulin sensitivity and reducing components of metabolic syndrome.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinionpositive50% confidence

    In patients with coronary heart disease, TM improved insulin sensitivity and reduced components of the metabolic syndrome.

    Expert knowledge synthesis
    Open Insulin Sensitivity Improvement
    →

    Meditation in general: Not rated, mixed results (1 trial) →

  18. Memory ImprovementCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    An expert-knowledge claim is that Transcendental Meditation may improve working memory and long-term recall, possibly through reduced stress and enhanced brain integration; this is not a human study finding.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinionpositive50% confidence

    TM improves memory performance, including working memory and long-term recall, likely via reduced stress and enhanced brain integration.

    Expert knowledge synthesis
    Open Memory Improvement
    →

    Meditation in general: Not rated, mixed results (3 trials) →

  19. Resting Heart Rate ImprovementCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    An expert-knowledge account describes regular practice as associated with a small reduction in resting heart rate, consistent with improved autonomic balance.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinionpositive50% confidence

    Regular practice is associated with a small reduction in resting heart rate, consistent with improved autonomic balance.

    Expert knowledge synthesis
    Open Resting Heart Rate Improvement
    →
  20. Vagal Tone ImprovementCertaintyLowSourceTheoreticallong-termnot used for recommendations1 other source

    The proposed explanation is that Transcendental Meditation increases heart rate variability, particularly high-frequency heart rate variability, reflecting greater parasympathetic (vagal) activity.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinionpositive50% confidence

    Transcendental Meditation increases heart rate variability (HRV), particularly high-frequency HRV, indicating enhanced parasympathetic (vagal) activity.

    Expert knowledge synthesis
    Open Vagal Tone Improvement
    →
  21. Inflammation ReductionCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    An expert-knowledge claim is that Transcendental Meditation reduces systemic inflammation markers such as C-reactive protein.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinionpositive50% confidence

    TM practice reduces systemic inflammation markers such as C-reactive protein.

    Expert knowledge synthesis
    Open Inflammation Reduction
    →

    Meditation in general: 1 trial →

  22. Gratitude ImprovementCertaintyLowSourceTheoretical1 cited study

    In a qualitative study involving 44 people, participants described enhanced spiritual connectedness and gratitude.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 30/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    13 weeks
    Per week
    280 min
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    QualitativeDpositiven=4430% confidence2024

    Transcendental Meditation Enriches Nurses' Authentic Presence Through Caring for Self and Others.

    enhanced spiritual connectedness and gratitude

    Top journalOpen-labelNo control group
    Open Gratitude Improvement
    →
  23. Concentration ImprovementCertaintyLowSourceTheoreticalnot used for recommendations1 cited study · 2 other sources

    A concentration benefit remains theoretical, with no human evidence supporting it.

    What the sources found

    2 positive · 1 neutral · 0 negativeconfidence 48/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1
    • Expert opinion1
    • Community reports1

    Why it isn't used for recommendations

    Studied, with no positive result

    Show studies (3)
    Quasi ExperimentalCneutraln=18945% confidence2021

    A Demonstration Study of the <i>Quiet Time</i> Transcendental Meditation Program.

    The Reaction Time in the Stroop game, however, improved only in the Irish setting.

    Weak journalOpen-label
    Expert opinionpositive50% confidence

    TM practice is associated with improved sustained attention and reduced mind-wandering, supported by EEG and performance measures.

    Expert knowledge synthesis
    Community reportsmoderate effectpositive50% confidence

    This effect was mentioned in 23 of 287 community reports discussing it (Reddit 21, YouTube 2).

    23 mentions
    Open Concentration Improvement
    →

    Meditation in general: Medium · 8 trials →

6 more mentioned only by users

What to expect

The reported benefits were measured at the end of programmes, not after a single session: stress-resilience outcomes were measured after 4 weeks at the earliest and 9 weeks typically, while anxiety and sleep outcomes were measured after 12 weeks at the earliest and 13 weeks typically. Trauma-symptom outcomes were measured after 12 weeks. Some harms were reported during 12-week programmes, while lipid-profile worsening was reported over 52 weeks.

Conditions it's used for

Complaints and diagnoses people take it for6 listed

Most likely to help, from the evidence we have

  1. InsomniaCertaintyMediumSourceClinical2 cited studies

    An RCT in 80 people found a reduction in ISI scores compared with control (p=0.05), while a 2023 quasi-experimental study in 130 people found improved Insomnia Severity Index scores at 3 months.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people and patients

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    13 weeks
    Per week
    280 min
    Intensity
    Low
    Format
    Group

    A repeated course

    Show studies (2)
    RCTCn=8065% confidence2022

    Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers: A Randomized Clinical Trial.

    Significant reduction in ISI scores compared with control (p=0.05)

    Top journalOpen-labelInactive control
    Quasi ExperimentalCn=13060% confidence2023

    Improving the mental health and well-being of healthcare providers using the transcendental meditation technique during the COVID-19 pandemic: A parallel population study.

    Significant improvement in Insomnia Severity Index at 3 months in TM group compared to control.

    Weak journalOpen-labelInactive controlCompleters only
    Open Insomnia
    →

    Meditation in general: 2 trials →

Low probability(5)
  1. Heart Disease (General)CertaintyLowSourceRCT1 cited study

    A 2025 RCT in 197 people reported a reduction in MACE over 5 years (HR=0.346) and prevention of cIMT progression compared with historical controls. Participants had coronary artery disease, diabetes, or heart disease.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Coronary Artery Disease
    • Diabetes
    • Heart Disease (General)

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    52 weeks
    Per week
    280 min
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    RCTBn=19770% confidence2025

    A randomized controlled trial of meditation and health education on carotid intima-media thickness and major adverse cardiovascular events in Black men and women.

    RCT showing significant reduction in MACE at 5 years (HR=0.346) and prevention of cIMT progression compared to historical controls.

    HR 0.35Large effectWeak journalBlinded assessor28% dropped out
    Open Heart Disease (General)
    →
  2. DepressionCertaintyLowSourceClinical1 cited study

    A 2023 quasi-experimental study in 130 participants found reduced depression-subscale scores at 3 months; the participants were described as healthy, so this does not establish an effect in people diagnosed with depression.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    13 weeks
    Per week
    280 min
    Intensity
    Low
    Format
    Individual
    Supervision
    Self-guided

    A repeated course

    Show studies (1)
    Quasi ExperimentalCn=13060% confidence2023

    Improving the mental health and well-being of healthcare providers using the transcendental meditation technique during the COVID-19 pandemic: A parallel population study.

    Significant reduction in BSI-18 Depression subscale at 3 months in TM group compared to control.

    Weak journalOpen-labelInactive controlCompleters only
    Open Depression
    →

    Meditation in general: Medium · 30 trials →

  3. PTSD (Post-Traumatic Stress Disorder)CertaintyLowSourceClinical1 cited study

    A 2025 RCT in 203 people found Transcendental Meditation non-inferior to PE and superior to HE for improving PTSD symptoms.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • PTSD (Post-Traumatic Stress Disorder)

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    60 min

    Course
    12 weeks
    Format
    Individual
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    RCTCn=20375% confidence2025

    Cost-effectiveness of Transcendental Meditation (TM) for treating Post-Traumatic Stress Disorder (PTSD).

    RCT showing TM non-inferior to PE and superior to HE for PTSD symptom improvement; cost-effectiveness analysis showing TM dominant

    Weak journalOpen-label25% dropped out
    Open PTSD (Post-Traumatic Stress Disorder)
    →

    Meditation in general: 2 trials →

  4. Alcohol AddictionCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    Transcendental Meditation has been described as reducing alcohol use and relapse rates among recovering alcoholics compared with standard treatment, possibly by reducing stress and craving.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinion50% confidence

    TM reduced alcohol use and relapse rates in recovering alcoholics compared to standard treatment, likely by reducing stress and craving.

    Open Alcohol Addiction
    →
  5. ADHDCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    Expert knowledge suggests Transcendental Meditation may help students with ADHD with attention, impulse control, and executive function, as an adjunctive intervention; this is not a clinical-trial finding.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinion50% confidence

    TM improved attention, impulse control, and executive function in students with ADHD, suggesting it is a useful adjunctive intervention.

    Open ADHD
    →

    Meditation in general: Medium · 3 trials →

Studied only as meditation in general, not tested in transcendental meditation yet

These results come from studies of meditation as a whole. No study of transcendental meditation has looked at them yet.

Social Function Improvement (Medium · 9 trials) · Self-Compassion Improvement (Medium · 7 trials) · Breast Cancer (High · 7 trials) · Cancer (General) (Medium · 6 trials) · Chronic Pain (Medium · 4 trials) · Self-Awareness Increase (Medium · 4 trials) · and 8 more

All outcomes on the Meditation page →

Side effects

8 listed

Highest probability

  1. HeadacheCertaintyMediumSourceClinical1 cited study

    A randomized trial in 2015 involving 17 people listed headache as an observed effect.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    12 weeks
    Per week
    280 min
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    Open Headache
    →
Low probability(7)
  1. NauseaCertaintyLowSourceClinical1 cited study

    A 2025 pooled analysis of randomized and non-randomized human studies included nausea among the reported effects.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    12 weeks
    Per week
    280 min
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    Meta-analysisAnegativen=124845% confidence2025

    Systematic Review and Meta-Analysis of Transcendental Meditation for Post-Traumatic Stress Disorder.

    nausea, headache, irritability, weight gain

    Weak journalOpen-label
    Open Nausea
    →
  2. Lipid Profile WorseningCertaintyLowSourceClinical1 cited study

    In a randomized trial in 2025 involving 197 people, the HE group had lower triglyceride levels than the Transcendental Meditation group at posttest (p = 0.004); this relative comparison alone does not show that Transcendental Meditation worsened lipid levels.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Coronary Artery Disease
    • Diabetes
    • Heart Disease (General)

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    20 min · 14×/week

    Course
    52 weeks
    Per week
    280 min
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    RCTBnegativen=19745% confidence2025

    A randomized controlled trial of meditation and health education on carotid intima-media thickness and major adverse cardiovascular events in Black men and women.

    However, the HE group had lower triglyceride levels compared to the TM group at posttest (p = 0.004).

    Weak journalBlinded assessor28% dropped out
    Open Lipid Profile Worsening
    →
  3. IrritabilityCertaintyLowSourceClinical1 cited study

    A randomized trial in 2015 involving 17 people listed anger.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    Course
    12 weeks
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    Open Irritability
    →
  4. Muscle Ache (Myalgia)CertaintyLowSourceClinical1 cited study

    A randomized trial in 2015 involving 17 people listed neck and shoulder pain.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    Course
    12 weeks
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    Open Muscle Ache (Myalgia)
    →
  5. Paresthesia (Tingling/Numbness)CertaintyLowSourceClinical1 cited study

    A randomized trial in 2015 involving 17 people listed pins and needles.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    Course
    12 weeks
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    Open Paresthesia (Tingling/Numbness)
    →
  6. Restlessness / JitterinessCertaintyLowSourceClinical1 cited study

    A randomized trial in 2015 involving 17 people listed restless feet.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    Course
    12 weeks
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    Open Restlessness / Jitteriness
    →
  7. Vision ProblemsCertaintyLowSourceClinical1 cited study

    A randomized trial in 2015 involving 17 people listed blurred vision.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    Course
    12 weeks
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    Open Vision Problems
    →

12 more mentioned only by users

Don't do it if

When to skip it or get medical advice first3 listed

Highest probability

  1. PsychosisCertaintyLowSourceReference knowledgeTheoretical

    Active or unstable psychotic disorders, including Schizophrenia and Bipolar Mania, are contraindications because unstructured internal focus may exacerbate symptoms.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 75/100

    Rationale

    Active or unstable psychotic disorders, including schizophrenia and bipolar mania, are contraindicated due to risk of symptom exacerbation from unstructured internal focus.

    Open Psychosis
    →
  2. Bipolar ManiaCertaintyLowSourceReference knowledgeTheoretical

    During manic episodes, meditation practices that alter arousal or emotional regulation may destabilize mood.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 70/100

    Rationale

    Meditation practices that alter arousal or emotional regulation may destabilize mood during manic episodes.

    Open Bipolar Mania
    →
  3. SchizophreniaCertaintyLowSourceReference knowledgeTheoretical

    For people with active psychosis or a history of severe dissociative states, the deep relaxation and altered awareness of Transcendental Meditation may trigger or worsen psychotic symptoms; meditation should be undertaken only with clinical supervision.

    In the trials

    1 trial of this practice also left out people with this condition. That does not show harm.

    PubMed links (1)

    PMID 40877327

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 65/100

    Rationale

    In individuals with active psychosis or a history of severe dissociative states, the deep relaxation and altered awareness of TM may trigger or exacerbate psychotic symptoms. Caution is advised; meditation should only be undertaken with clinical supervision.

    Open Schizophrenia
    →

Who the trials left out

Some trials of this practice did not take people with these conditions, so the studies say less about them. This is not a warning and does not show harm. Ask a clinician first.2 listed
Left out by one trial each (2)

Also listed for meditation in general (written by our reviewers)

Precautions from the Meditation page. They are for meditation as a whole and may not all fit transcendental meditation.

Traumatic Brain Injury

See them on the Meditation page →

Interactions

Okay to combine with

Highest probability of useful synergy

  1. PracticesMeditationCertaintyMediumSourceReference knowledgeComplementary

    Other meditation practices that emphasize present-moment awareness and emotional regulation may complement Transcendental Meditation, although it is typically practiced independently.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 50/100

    Open Meditation
    →
  2. PracticesYogaCertaintyMediumSourceTheoreticalComplementary

    Gentle Yoga postures before Transcendental Meditation may release physical tension and make sitting more comfortable, potentially allowing for deeper rest during meditation.

    Where the evidence comes from

    • Expert opinion

    Confidence

    confidence 45/100

    Open Yoga
    →
  3. SupplementsL-TheanineCertaintyMediumSourceTheoreticalAdditive

    L-Theanine may complement Transcendental Meditation by promoting alpha brain wave activity and a relaxed but alert state, potentially supporting mental clarity and stress reduction.

    Where the evidence comes from

    • Expert opinion

    Confidence

    confidence 40/100

    Open L-Theanine
    →
  4. PracticesProgressive Muscle RelaxationCertaintyMediumSourceTheoreticalComplementary

    Progressive Muscle Relaxation may help beginners relax as they transition into Transcendental Meditation, but it is not required.

    Where the evidence comes from

    • Expert opinion

    Confidence

    confidence 40/100

    Open Progressive Muscle Relaxation
    →

Weakens or is weakened by

Highest probability

  1. SupplementsCaffeineCertaintyMediumSourceTheoreticalCompetitive

    Caffeine may increase arousal and sympathetic nervous system activity, potentially counteracting the deep rest and parasympathetic activation associated with Transcendental Meditation, especially when consumed shortly before practice.

    Where the evidence comes from

    • Expert opinion

    Confidence

    confidence 50/100

    Open Caffeine
    →
  2. PracticesDopamine FastCertaintyMediumSourceTheoreticalCompetitive

    Intentional dopamine depletion may reduce motivation to engage in Transcendental Meditation, which involves sustained attention and internal reward processing.

    Where the evidence comes from

    • Expert opinion

    Confidence

    confidence 35/100

    Open Dopamine Fast
    →
  3. PracticesHigh-Intensity Interval Training (HIIT)CertaintyMediumSourceTheoreticalCompetitive

    High-Intensity Interval Training (HIIT) immediately before Transcendental Meditation may leave the nervous system in a heightened sympathetic state, making it harder to settle into the practice.

    Where the evidence comes from

    • Expert opinion

    Confidence

    confidence 35/100

    Open High-Intensity Interval Training (HIIT)
    →

How it works

The mechanisms this practice works through25 listed · 0 established
  • AMPK and STAT3 signalingMitochondrial energy metabolismproposed

    Downregulation of SOCS3 in TM practitioners may remove inhibitory effects on AMPK and STAT3, potentially improving mitochondrial energy efficiency. Lower expression of erythropoiesis-related genes (GATA1, GATA2, TAL1) in TM group suggests higher energy efficiency.

    PMID 33804348

  • Balance of mind and bodyMind-body integrationproposed

    Asana practice cultures good posture and greater integration of left and right hemisphere functioning, providing a platform for greater balance.

    PMID 29343933

  • DASS-21 Depression scoremood improvementproposed

    TM reduced depression from severe to normal range.

    PMID 40877327

  • DASS-21 Stress scorestress reductionproposed

    TM reduced stress levels from severe to normal range.

    PMID 40877327

  • Hypothalamic-pituitary-adrenal (HPA) axis and sympathetic nervous systemNeuroendocrine modulationproposed

    Regular TM practice may modulate neuroendocrine activity, affecting catecholamines and cortisol, which in turn influence lymphocyte subset levels.

    PMID 25035626

  • Left ventricular massReduced sympathetic nervous system activityproposed

    TM may reduce sympathetic nervous system tone, leading to decreased BP and reduced cardiac workload, potentially decreasing LVM.

    PMID 22675392

  • NF-κB pathway and interferon signalingConserved Transcriptional Response to Adversity (CTRA)proposed

    Downregulation of pro-inflammatory genes (e.g., SOCS3, ITGB3) and upregulation of antiviral/antibody defense response genes (e.g., CXCL10, OAS1) in TM practitioners, opposite to the CTRA pattern seen in chronic stress.

    PMID 33804348

  • Processing and releasing stresses from body and mindStress releaseproposed

    Maharishi Yoga Asanas help process and release stresses, allowing transcending to occur faster and meditation to be experienced as deeper.

    PMID 29343933

  • Psycho-physiological restful alertnessStress reductionproposed

    TM produces a wakeful but deeply restful state, reducing stress and its behavioral consequences.

    PMID 12740037

  • RS-14 trait resilienceresilience enhancementproposed

    TM increased trait resilience from high to very high levels.

    PMID 40877327

  • Response inhibitionCognitive functionproposed

    Suggestive evidence that QT improved response control in the Irish setting, as measured by reaction time on the Stroop Color-Word Test.

    PMID 35140653

  • Restful alertnessPrefrontal cortex blood flowproposed

    Proposed mechanisms underlying the restful alertness achieved with TM include increased blood flow to the prefrontal cortex on functional magnetic resonance imaging.

    PMID 36121655

  • Restful alertnessEEG alpha coherenceproposed

    Proposed mechanisms underlying the restful alertness achieved with TM include increased α coherence on electroencephalography.

    PMID 36121655

  • Stress responseParasympathetic responseproposed

    Studies of TM practitioners have revealed patterns of increased parasympathetic response leading to attenuation of the stress response.

    PMID 36121655

  • Sympathetic nervous system and HPA axisStress reactivityproposed

    TM is theorized to reduce psychological and physiologic response to stress, evidenced by decreased sympathetic nervous system and HPA axis responsivity and reduced cortisol levels.

    PMID 35005707

  • Sympathetic toneSympathetic nervous systemproposed

    TM practice may reduce sympathetic activation, which is a proposed mechanism for lowering blood pressure in high normal BP.

    PMID 34729544

  • Working memoryCognitive functionproposed

    Suggestive evidence that QT improved working memory in both settings, as measured by fewer mistakes on the Spatial Working Memory task.

    PMID 35140653

  • auditory thresholdsSensory processingproposed

    Improved auditory thresholds and increased cortical areas for sensory processing.

    PMID 17173116

  • biological ageAgingproposed

    Reduced biological age and increased DHEA levels.

    PMID 17173116

  • cortical and midbrain systemsneurophysiological integrationproposed

    TM increases cortical EEG coherence in alpha1 (8-10 Hz), which becomes a trait with regular practice, and improves connectivity between parietal lobe areas involved in emotions.

    PMID 40282950

  • cortical coherenceEEG coherenceproposed

    Increased EEG coherence, particularly alpha, spreading from occipital to frontal cortex, stabilizing outside practice.

    PMID 17173116

  • field independenceCognitive processingproposed

    Increased field independence and cognitive processing speed.

    PMID 17173116

  • hTR and hTERT mRNATelomerase gene expressionproposed

    Both interventions increased telomerase gene expression, which may be a biomarker or mechanism for BP reduction.

    PMID 26571023

  • hypothalamic-pituitary-adrenal axisstress reductionproposed

    TM reduces stress reactivity in electrodermal, cardiovascular, and HPA stress systems, and lowers baseline cortisol and other stress indicators.

    PMID 40282950

  • sympathetic nervous system and hypothalamic-pituitary-adrenal axisstress reductionproposed

    TM may attenuate sympathetic overactivation and HPA dysfunction, reducing inflammation and oxidative stress.

    PMID 40177279

Variations

4 documented

Typical protocol

26 protocolsEstimated

Across every study of this practice, whatever the variation.

20 min · 14×/week

Course
13 weeks
Per week
280 min
Intensity
Low
Format
Group
Supervision
Instructor-led

A repeated course

100% of the corpus contributed

Standard 20-Minute TM

Beginner9/1015–20 min · Twice a day

15–20 min · Twice a day

Editorial
How often
Twice a day
Intensity
Low
Time of day
Split through the day
Where
Indoors
Research depth
Minimal

This version uses a personalized mantra for 20 minutes, followed by 2-3 minutes of quiet sitting. The instructions emphasize letting the mantra come and go without forcing it or concentrating on it.

No equipment needed.

How it's done6 steps · 3 cues · 3 common mistakes

A general description of the practice, not instruction or medical advice.

Steps

  1. Sit comfortably in a chair or on a cushion with your back supported and eyes closed.
  2. Take a few moments to settle in, allowing your body to relax and your breath to flow naturally.
  3. Gently introduce the personalized mantra given by your TM instructor, thinking it effortlessly in the mind.
  4. Allow the mantra to flow at its own pace, without forcing or concentrating on it; if thoughts come, simply return to the mantra.
  5. After about 20 minutes, stop thinking the mantra and sit quietly with your eyes closed for 2-3 minutes.
  6. Slowly open your eyes and take your time before standing up.

Cues

  • · Effortlessness is key; do not try to control the mantra.
  • · Maintain a comfortable, upright posture without being rigid.
  • · Let thoughts come and go without engaging with them.

Common mistakes

  • Concentrating or forcing the mantra.
  • Lying down, which can lead to sleep instead of restful alertness.
  • Jumping up immediately after the session ends.
Studied protocols1 on file
  • 18 min· 7×/week· 4 weeks· n=54· A repeated coursePMID 33305031

Group TM Practice

Beginner8/1020 min · Weekly

20 min · Weekly

Editorial
How often
Weekly
Intensity
Low
Time of day
Any time
Where
Indoors
Research depth
Moderate

Participants practice the standard technique together for 20 minutes, then sit quietly before opening their eyes. The group setting is described as offering a shared, supportive environment, while each person's practice remains individual.

No equipment needed.

As studied

11 protocolsEstimated

The protocol the studies of this variation actually used.

20 min

Course
13 weeks
Intensity
Low
Format
Group
Supervision
Instructor-led

A repeated course

Derived from2155921326571023347295443500570736121655+6 more in Sources

How it's done5 steps · 3 cues · 3 common mistakes

A general description of the practice, not instruction or medical advice.

Steps

  1. Gather with a group in a quiet, comfortable room and sit in chairs or on cushions.
  2. A group leader may give brief introductory instructions before starting.
  3. Close your eyes and practice your TM technique as you normally would for 20 minutes.
  4. Meditate in silence alongside the group, allowing the collective quiet to support your practice.
  5. After 20 minutes, the leader will signal the end; sit quietly for a few minutes before opening your eyes.

Cues

  • · The group energy can make it easier to settle into deep meditation.
  • · Don't compare your experience to others; everyone's practice is personal.
  • · Arrive a few minutes early to settle in and avoid rushing.

Common mistakes

  • Being self-conscious about making noise or moving.
  • Leaving immediately after the session instead of enjoying the shared silence.
  • Using the group setting to socialize instead of meditate.
Studied protocols8 on file
  • 20 min· 14×/week· 4 weeks· n=30· A repeated coursePMID 39797312
  • 20 min· 14×/week· 13 weeks· n=295· A repeated coursePMID 21559213
  • 20 min· 14×/week· 16 weeks· n=48· A repeated coursePMID 26571023
  • 20 min· 14×/week· 87 weeks· n=304· A repeated coursePMID 34729544
  • 20 min· 14×/week· 13 weeks· n=80· A repeated coursePMID 36121655
  • 20 min· 14×/week· 52 weeks· n=197· A repeated coursePMID 40177279

Showing 6 of 8 — the rest are in Sources

Extended Rest TM

Intermediate7/1025–30 min · Twice a day

25–30 min · Twice a day

Editorial
How often
Twice a day
Intensity
Low
Time of day
Split through the day
Where
Indoors
Research depth
Minimal

This variation extends the session to 30 minutes and is described for people under high stress or with an established practice. It ends with 3-4 minutes of quiet rest, rather than the shorter post-session period used in the standard version.

No equipment needed.

How it's done7 steps · 3 cues · 3 common mistakes

A general description of the practice, not instruction or medical advice.

Steps

  1. Find a quiet, comfortable place to sit upright with your eyes closed.
  2. Allow your body to settle for a minute, noticing the natural rhythm of your breathing.
  3. Effortlessly think your personalized mantra, letting it become fainter and more subtle.
  4. If you notice you have drifted into thoughts, gently return to the mantra without judgment.
  5. Continue this process for 30 minutes, allowing the mind to settle into deeper levels of stillness.
  6. When the time is up, let go of the mantra and rest with eyes closed for 3-4 minutes.
  7. Open your eyes slowly and transition gently back to activity.

Cues

  • · The mantra should be a faint, gentle idea, not a clear pronunciation.
  • · Favor the simplicity of the mantra over the complexity of thoughts.
  • · Deep rest is the goal, not concentration or analysis.

Common mistakes

  • Trying to make the mantra disappear or forcing a blank mind.
  • Becoming frustrated by a busy mind; this is a normal part of stress release.
  • Shortening the rest period at the end.
Studied protocols1 on file
  • 30 min· 14×/week· 12 weeks· n=80· A repeated coursePMID 18976496

Short Refresher TM

Beginner6/1010–15 min · As needed

10–15 min · As needed

Editorial
How often
As needed
Intensity
Low
Time of day
Any time
Where
Indoors
Research depth
Minimal

This 10-15 minute version is intended as a brief session when a full 20 minutes is not possible. Its description cautions that it should not be expected to provide the same depth of rest as a full session.

No equipment needed.

How it's done5 steps · 3 cues · 3 common mistakes

A general description of the practice, not instruction or medical advice.

Steps

  1. Sit comfortably in a quiet spot, close your eyes, and take a deep, relaxing breath.
  2. Begin to think your mantra effortlessly, allowing it to flow naturally.
  3. If interrupted by noise or thoughts, simply favor the mantra again.
  4. Continue for 10-15 minutes, allowing the mind to settle briefly.
  5. Take a minute to sit quietly before opening your eyes and resuming your day.

Cues

  • · This is a 'mini-break' for the nervous system; don't expect the same depth as a full session.
  • · Use this whenever you feel overwhelmed or fatigued.
  • · A short session is better than skipping practice entirely.

Common mistakes

  • Expecting the same profound rest as a 20-minute session.
  • Rushing the process or checking the clock frequently.
  • Skipping the quiet sitting period at the end.
Studied protocols1 on file
  • 10 min· 14×/week· 13 weeks· n=131· A repeated coursePMID 30357468

How to start

Community experience

Based on 295 public posts from Reddit, YouTube, Bluesky, and Hacker News.

Signal found66 signals4 platforms
Reddit 254YouTube 33Bluesky 4Hacker News 4

What people report it did

28 outcomes mentioned across 295 public reports. A report often mentions several, so these counts do not add up to the total.

Reported benefits16

Reported side effects12

What people report doing

Counted from public posts and videos, not from a survey. Each figure counts the posts that mentioned it — most reports say nothing about schedule.

Session lengthas written

“20 minutes”

How long they've practisedas written

“many years ago”“in college (duration unspecified)”

References

28 screened · 26 analysed · 27 listed below

Studies and sources cited on this page. Evidence quality varies — check the grade on each.

  1. Systematic Review and Meta-Analysis of Transcendental Meditation for Post-Traumatic Stress Disorder.Medicina (Kaunas)2025Meta-analysisAn=1248
  2. A randomized controlled trial of meditation and health education on carotid intima-media thickness and major adverse cardiovascular events in Black men and women.Front Med (Lausanne)2025RCTBn=197
  3. Randomized controlled trial of stress reduction with meditation and health education in black men and women with high normal and normal blood pressure.Am J Prev Cardiol2021RCTBn=304
  4. Randomized Trial: A Pilot Study Investigating the Effects of Transcendental Meditation and Yoga Through Retinal Microcirculation in Cardiac Rehabilitation.J Clin Med2025RCTCn=30
  5. Evaluating the effectiveness of transcendental meditation on mental health and resilience of paramedicine students - a randomised controlled pilot study.Sci Rep2025RCTCn=10
  6. A pilot intervention to reduce burnout and enhance resilience through transcendental meditation among Georgetown University medical students.BMC Med Educ2025Pilot studyCn=39
  7. Cost-effectiveness of Transcendental Meditation (TM) for treating Post-Traumatic Stress Disorder (PTSD).PLoS One2025RCTCn=203
  8. Improving the mental health and well-being of healthcare providers using the transcendental meditation technique during the COVID-19 pandemic: A parallel population study.PLoS One2023Quasi ExperimentalCn=130
  9. Empirical Evaluation of the Possible Contribution of Group Practice of the Transcendental Meditation and TM-Sidhi Program to Reduction in Drug-Related Mortality.Medicina (Kaunas)2023Observational CohortC
  10. Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers: A Randomized Clinical Trial.JAMA Netw Open2022RCTCn=80
Show all 27 references
  1. Meditation Effects on Anxiety and Resilience of Preadolescents and Adolescents: A Randomized Controlled Study.2021RCTCn=168
  2. A Demonstration Study of the Quiet Time Transcendental Meditation Program.2021Quasi ExperimentalCn=189
  3. Transcriptomics of Long-Term Meditation Practice: Evidence for Prevention or Reversal of Stress Effects Harmful to Health.2021Observational Cross SectionalCn=45
  4. Investigating the effect of transcendental meditation on spiritual wellbeing of Type-2 diabetic amputees: A clinical trial study.2020RCTCn=54
  5. Hypnotherapy or transcendental meditation versus progressive muscle relaxation exercises in the treatment of children with primary headaches: a multi-centre, pragmatic, randomised clinical study.2019RCTCn=131
  6. Effects of Maharishi Yoga Asanas on Mood States, Happiness, and Experiences during Meditation.2018Quasi ExperimentalCn=26
  7. Effects of Lifestyle Modification on Telomerase Gene Expression in Hypertensive Patients: A Pilot Trial of Stress Reduction and Health Education Programs in African Americans.2015Quasi ExperimentalCn=48
  8. Transcendental Meditation for the improvement of health and wellbeing in community-dwelling dementia caregivers [TRANSCENDENT]: a randomised wait-list controlled trial.2015RCTCn=17
  9. Levels of immune cells in transcendental meditation practitioners.2014Observational Cross SectionalCn=35
  10. Impact of transcendental meditation on left ventricular mass in african american adolescents.2012RCTCn=62
  11. Effects of the Transcendental Meditation Program on Substance Use among University Students.2011RCTCn=295
  12. Effects of Transcendental Meditation on mental health: a before-after study.2008Quasi ExperimentalCn=80
  13. Impact of stress reduction on negative school behavior in adolescents.2003RCTCn=45
  14. Transcendental Meditation Enriches Nurses' Authentic Presence Through Caring for Self and Others.2024QualitativeDn=44
  15. Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic.2021Pilot studyDn=32
  16. Studies of advanced stages of meditation in the tibetan buddhist and vedic traditions. I: a comparison of general changes.2006Narrative reviewD
  17. Expert knowledge synthesis

Diatelos provides general wellness information based on published research. It is not medical advice. Talk to a clinician before starting any new supplement or practice, especially if you have a health condition, are pregnant, or take medication.