What is Acceptance and Commitment Therapy?
Acceptance and Commitment Therapy, or , developed in the 1980s by psychologist Steven Hayes, is an action-oriented psychotherapy rooted in traditional behavior and cognitive-behavioral therapy. It’s used by mental health professionals with ACT training, like licensed and experienced therapists, psychiatrists, psychologists, social workers, and counselors. These professionals utilize their ACT training to address various mental and physical conditions, such as OCD, depression, anxiety, psychosis, eating disorders, chronic pain, stress, and substance abuse.
In the context of ACT, mental health professionals treat these clients by teaching them to accept instead of deny, avoid, or struggle with their feelings. Individuals are also taught that feelings are appropriate and normal responses to any experience, thought, and situation. More specifically, ACT sessions aim to help the clients develop the following core processes:
- Acceptance: Accepting any negative thought or feeling and allowing them to happen without denying or wanting to change them.
- Cognitive Defusion: Changing how they react to their thoughts or feelings from negative and harmful to those that are more positive and beneficial to their well-being.
- Being Present or Mindfulness: Being more present in or observing events/thoughts without judgment or wanting to change them.
- Self as Context: Accepting that the client is not a sum of their thoughts, experiences, and emotions and is not defined by what happens to them.
- Values: Determining the values they strive to live for.
- Committed Action: Taking the steps needed to improve their lives amidst difficult situations, thoughts, and experiences with the help of the information and tools provided by the referring physician.
ACT is used to improve relationships by teaching the involved parties how to accept one’s and their partner’s flaws and encourage them to take action towards strengthening their relationship, even if it’s uncomfortable or challenging.










