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Acceptance and commitment therapy (ACT)

Acceptance and commitment therapy (ACT) is a type of therapy that teaches you to accept your thoughts and feelings rather than try to control them. In this article, we detail how it works, who it can help, and where to find further resources.
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Helps with Anxiety Depression Addiction
Illustration – Acceptance – No background

What is ACT?

ACT is a type of therapy based on the idea that our thoughts and feelings are temporary and ever-changing.

Just like the waves of the ocean rise and fall, ACT teaches us that we can ride out difficult inner experiences without being swept away by them.

When we’re not so attached to our thoughts and feelings, we can make better choices that enrich our lives.

ACT can give you strategies to deal with negative thoughts and accept the difficulties that come with life. For example, if you’ve been avoiding social events because of thoughts like 'no one likes me, I won't have anyone to talk to’, ACT can help you to build behaviours that will make it easier to go to social events. Or if your boss or coworker is a constant source of stress, ACT can give you strategies to be better able to cope.

How does ACT work?

ACT can help you win the war against negative thoughts and feelings by helping you tolerate them rather than control them.

When you accept and gain distance from your thoughts and emotions, they lose some of their power over you.

This helps you respond to them in healthier, more adaptive ways.

ACT may also help you to:

  • Accept your thoughts and feelings, even if they are unpleasant
  • See your thoughts as thoughts rather than facts
  • Pay attention to what is happening right now without judgement
  • Identify what is important to you in life
  • Take action towards your values, even when it is difficult
  • Be open to new experiences and willing to embrace and make changes when necessary.

'We're so quick to label feelings as good or bad, and I had to unlearn that. For me, feelings are signposts, giving me an indication of what's going on beneath.'

Tanya


ACT strategies

ACT consists of six strategies. These are designed to improve your coping skills and help you live authentically.

Below you'll find information about these strategies and how they work.
 


What does ACT treat?

ACT can be used to treat a range of mental health problems, including the following:


What ACT doesn’t treat


What might happen in an ACT session?

As in any typical therapy session, an ACT session usually begins with a check-in, where the psychologist and yourself will discuss how you are feeling and what you would like to work on in the session.

What might happen in your session will depend on your personal needs and goals for therapy.

Your sessions may include any of the following:

  • Learning more about your thoughts, feelings, and behaviour and how these are connected
  • Exploring your values and coming up with ways to act in alignment with them
  • Learning to accept, experience, and move on from painful emotions and experiences
  • Learning how to distance yourself from unhelpful thoughts and beliefs
  • Putting plans in place to help you reach your goals and overcome obstacles
  • Learning mindfulness skills. For example, your psychologist might get you to do activities that help you practise paying attention to the present moment.
  • A discussion of homework activities to practise the things you learn in session in the real world.

The benefits of ACT

When it comes to the different types of therapies, there’s no one-size-fits-all approach. The benefits listed below are specific to ACT and can help you decide if you’d like to try it:

  • It helps you focus on what you can control, like acting in ways that align with your values. This means that it can help you improve your life, not by making all of your problems disappear, but by making your life more meaningful.
  • It helps you think in a more flexible way. This can help you adapt to challenging situations better. Instead of becoming overwhelmed or stuck, you’re able to see different perspectives and come up with creative solutions.
  • It normalises the experience of negative emotions and reminds you that you are not alone in experiencing them. This can reduce the suffering caused by avoiding your feelings or bottling them up.

It can help in the treatment of a wide range of issues, including depression, anxiety, addiction, chronic pain, and stress.

If you’re still unsure if ACT is right for you, that’s okay. A psychologist can talk to you about other types of therapies and make suggestions about which option might be best for you based on your needs and goals. If you don’t have a psychologist, speaking to a GP is a great place to start.


Links to helpful ACT resources

There are many resources out there that can help you understand more about ACT, including how it works and how to try it yourself.

You can read books, take courses, complete worksheets or workbooks, and even use mobile apps. Here are some examples to get you started: