Acceptance and Commitment Therapy

Acceptance and Commitment Therapy (ACT) is a unique and transformative approach to mental health and well-being. Unlike traditional therapies that often focus on reducing symptoms, ACT encourages you to accept your thoughts and feelings rather than trying to change them. By fostering acceptance, you can create a life that is rich, full, and meaningful.

At the core of ACT is the concept of psychological flexibility. This involves being open and present with whatever thoughts, feelings, and sensations arise, while also taking committed action toward living a life aligned with your values. ACT helps you develop six key processes:

  1. Cognitive Defusion: Learning techniques to lessen the impact of thoughts, images, emotions, and memories by seeing them as just that – mental events – rather than realities that must dictate your behavior.

  2. Acceptance: Allowing unwanted internal experiences, such as thoughts, feelings, and urges, to come and go without battling against them. This doesn't mean resignation but rather creating space for these experiences without letting them control your actions.

  3. Presentness: Cultivating awareness of the here and now with openness, interest, and receptiveness, often through mindfulness practices. This helps you fully engage with your current experiences rather than being caught up in past or future concerns.

  4. Observing: Accessing a deeper sense of self that is constant and unchanging, beyond the transient thoughts and feelings. This "observing self" provides a stable perspective from which to view your experiences.

  5. Values: Identifying and clarifying what is truly important to you in life. These values act as a compass, guiding your actions and decisions toward a more meaningful and fulfilling existence.

  6. Committed Action: Setting goals based on your values and taking effective, responsible steps to achieve them. This involves making value-driven choices and persisting with actions that lead to a richer, more purposeful life.

Through ACT, you learn to respond to your inner experiences in a more flexible and effective way. Instead of getting caught up in the struggle against unwanted thoughts or feelings, you can focus on what you can control – your actions. This shift can lead to significant improvements in your mental health and overall quality of life.

Research

Acceptance and Commitment Therapy (ACT) has a strong research foundation with over 1,000 randomized controlled trials (RCTs), more than 500 meta-analyses/systematic reviews, and 78 mediational studies as of April 2024.

ACT has been shown to be effective for a wide range of conditions, including anxiety, depression, stress, chronic pain, and substance use. It helps individuals accept their thoughts and feelings and commit to actions aligned with their values.

2009: ACT found to be more effective than placebo and "treatment as usual" for most issues.

2012: ACT outperformed CBT in most areas except for treating depression and anxiety.

2020: Review confirmed ACT’s efficacy across various conditions, demonstrating superiority to inactive controls and many active interventions.

2022: ACT highlighted as highly effective for chronic pain and depressive symptoms.

In our sessions, we will explore these principles and apply them to your unique situation. Together, we can work on building psychological flexibility, enhancing your mindfulness skills, and taking meaningful steps towards the life you want to lead.

Acceptance and Commitment Therapy offers a compassionate and empowering framework for personal growth and healing. It teaches you to embrace life’s challenges with openness and resilience, enabling you to move forward with greater clarity and purpose.

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Dialectical Behavior Therapy