Acceptance and Commitment Therapy (ACT)

What is acceptance and commitment therapy?

Acceptance and commitment therapy (ACT) is a type of psychotherapy that helps you move beyond negative thoughts and feelings in a meaningful way by:

• Accepting that your thoughts and emotions are an appropriate response to certain situations.
• Committing to making changes in your life that match your values.

It’s normal to have negative thoughts and emotions. Having them doesn’t make you a bad person. Sometimes, your brain is wired to spend more time brooding in negative thoughts than moving on from them. This can affect your mental and physical health, work or school performance, and social life. Mental health professionals can help you rewire your brain so negative thoughts don’t take over.

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Imagine you’re scheduled to give a presentation at work. You might think, “I’m nervous, and I’m going to mess it up.” Feeling nervous before a presentation is a realistic expectation to have. ACT can help you reframe your thoughts to: “I know I feel nervous, and that’s OK. I’m going to practice giving my presentation before the meeting so I feel more confident.”

During acceptance and commitment therapy, you learn to recognize that your emotions are part of the human experience. You’ll practice different ways of thinking to help you meet your individualized goals.

What does acceptance and commitment therapy treat?

Acceptance and commitment therapy may help you manage the following mental health conditions:

• Addiction.
• Alcohol use disorder.
• Anxiety disorders.
• Depression.
• Eating disorders.
• Obsessive-compulsive disorder (OCD).
• Post-traumatic stress disorder (PTSD).
• Social anxiety disorder.
• Stress.
• Substance use disorder.

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You might seek this type of treatment to help you cope if you have a chronic or progressive disease or an underlying condition like cancer that may have a significant impact on your day-to-day life and future.

ACT isn’t the first line of treatment for these conditions, but it may be secondary or supplemental to other types of treatments (like medication) that your healthcare provider recommends.

Who is a good candidate for acceptance and commitment therapy?

Anyone can participate in acceptance and commitment therapy. Studies show that this type of therapy is best for teenagers and adults. You’ll need to use abstract thinking (understanding things or ideas that aren’t physical objects or experiences), which may be challenging for children to comprehend.

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