Acceptance and Commitment Therapy

  • recoverydirect.co.za
  • September 26, 2017

What is ACT?

ACT is an acronym for Acceptance and Commitment Therapy (pronounced as “act”). Basically, ACT teaches people to diminish the impact of dramatic thoughts and to refrain from overreacting.

Other therapeutic methods aim to block or get rid of these thoughts, which means patients must engage in time consuming processes. In contrast, ACT teaches you to accept intrusive thoughts and learn to live with them.


Other therapies assume that people are naturally free of disorders and that painful thoughts are unnatural things that must be removed. The ACT concept states that unpleasant experiences are a natural part of life and that intrusive thoughts are intrinsic elements. As such, it is more natural to allow unpleasant thoughts, then park them out of the way and focus your energy on restructuring your life.

Some people avoid mundane situations or things because of abnormal fears. Others try to avoid distress by turning to tranquilisers, drugs or alcohol. This is a distortion of our ability to anticipate and avoid problems. ACT makes these experiential avoidance tactics redundant by altering our responses to the unwanted thoughts that trigger abnormal behaviours.

Apart from the health application, ACT is also utilised by professionals, workers, students and athletes to gain performance improvements and for self-improvement in general. People who can reduce their responses to bad thoughts are not easily derailed – they are more focused and deliver better results.

ACT does not eliminate disorders. It teaches flexibility that frees you from being intimidated and frustrated by life’s problems. It gives you a calmer perspective going forward. Although ACT is not meant to eliminate disorders or symptoms, effective symptom reduction is, nonetheless, a positive by-product.

ACT is not intended to directly stop painful feelings or intrusive thoughts, but rather to develop a tolerant, realistic, almost dismissive, attitude towards them, so that they cease to be overwhelming streams of misery. Overthinking painful issues interferes with rational thought and also ruins your health. As such, ACT is a valuable defence system.

The therapy can be applied on its own or integrated with others when a specialist designs a treatment plan for an individual. Whilst ACT does not suit every person’s intellect, it has proved useful in most cases of addiction, anxiety, depression and other disorders.

The methodology of ACT

Acceptance and Commitment Therapy diminishes the impact of unpleasant, intrusive thoughts, without actually stopping the thoughts. The value of this outcome is that it will not, for instance, eliminate anxiety (which is needed for survival), but it will reduce any anxiety related to the unpleasant thoughts. It also avoids the consuming process of eliminating the thoughts completely. The following are some of the  processes by means of which this is achieved:

Acceptance: This means allowing all unpleasant thoughts to enter your mind, in other words, you simply accept them without putting up any resistance. Other approaches try to block or remove these thoughts, but it is easier said than done. ACT teaches us to rather accept that turmoil exists in normal life and that these thoughts are part of life. By adopting new ways to moderate the thoughts, without wasting effort on trying to stop or eject them, we can more easily regain our quality of life.

Commitment: This motivates you to overcome failure and frustration and to restructure your life in spite of serious setbacks. You have to choose certain values and commit yourself to achieving goals along the way to fulfilling those values. These paths are called valued directions. Choosing valued directions means weighing up (evaluating) what is most important in your life and then committing yourself to completing a journey in the valued direction that you have chosen. You also commit to measuring your progress on a regular basis.

Valued Directions: One of the revelations ACT forces you to discover about yourself, are your core values. Not only what they are, but how to behave in accordance with them. Values are the things that ultimately matter to you – what you want to be remembered for. By refining these standards, they can guide you for the rest of your life and greatly improve your self image.

Mindfulness: The ability to sense what is actually happening in the present moment and to react in a fully engaging, pragmatic manner, rather than dwelling on negative, non-factual elements that will distract you. Being in contact with the present moment, rather than obsessing about the past or the future, is necessary for defusion, acceptance and living consistently with one’s values.

Cognitive defusion: This involves detaching oneself from an intrusive thought and dismissing it as a less important matter, rather than treating it as the grim conviction it appears to be. Our minds function on two “levels”, one is subjective and the other objective. Though we respond to a thought on one level, we can look at the same thought from another level, enabling us to judge whether our initial response was correct. Looking at it from a neutral point of view gives us more realistic insight and makes it easier to demote exaggerated thoughts and feelings.

Language: Language literally showcases how you see yourself and the world around you. Changes in the way you speak influence the way you think. Saying things in a less negative way, exerts a more positive influence on one’s mind. Language actually shapes your reactions. For example; if a word like “idiot” normally triggers an avalanche of passionate anger or sadness, repeating it several times reduces it to an arbitrary, dispassionate word. Human language includes facial expressions, body gestures, writing, painting, etc., which leave the same footprints as spoken words.

Although the above mentioned are the most common elements of ACT, it is not a rigid protocol and therapists can adjust their recipes to suit specific requirements.

A summary of the core principles of ACT

Acceptance: Allowing intrusive thoughts without fighting against them, but also not allowing them to control your life.

Mindfulness: Acute awareness of reality, here and now, with a clear, receptive mind, rather than speculating about potential harm.

Cognitive defusion: Distancing yourself from riveting thoughts and reducing them to less significant matters that will eventually fade into nothing more than mild topics of the past.

Valued directions: Digging out your most important values and then diligently following the chosen directions to reshape your future and yourself.

Committed action: Responsibly committing yourself to achieving goals, based on the chosen valued directions, and striving to honour those goals.

The benefits of ACT

Immediate benefits:

  • You cannot be consumed by an intrusive thought
  • You can explore intrusive thoughts with a clear mind
  • You can decide whether a thought is true or not
  • You can decide if the thought is worthwhile or not
  • You can decide if the thought is a real threat or not
  • You can react correctly, efficiently if the warning is real
  • You can decide if the thought is a command you must obey
  • You can dismiss the thought and turn to other matters
  • You can safely allow the thought and wait for it to pass

Other benefits:

  • You gain time to calmly restructure your life
  • You will be armed to handle future emotional upsets
  • You can meet people and attend functions without fear
  • You do not need drugs or alcohol to suppress your feelings
  • You discover and maintain meaningful, enriching values
  • You can focus on other things, instead of fixating on feelings
  • You can improve your performance in any sphere of your life.
  • You can more easily discard other emotional problems
  • You learn to be in touch with yourself
  • Your environment changes from a prison to a universe

Who can benefit from ACT?

Acceptance and commitment therapy can benefit an extremely wide range of people.

It is effective for overcoming disorders like anxietydepression, obsessive compulsive disorders, trauma, phobias, substance abuse, OCD, eating disorders, psychoses, chronic pain and terminal illness.

In addition, people in the fringe zones of emotional discomfort, enduring punishments like loneliness, boredom, alienation, meaninglessness, low self-esteem, bullying, sexism, racism, prejudice, rejection, slander, ignorance, domestic violence and divorce, will most definitely benefit from it.

Apart from dire mental health solutions, ACT is also an effective coaching tool for simply improving performance in almost all spheres of life, be it work, team building, leadership, job seeking, studies, athletics, professional demands, entrepreneurship, socialising, home management, hospitality, relationships, emotional intelligence, general self-improvement, etc.

If you suffer from a mental affliction or want to improve your performance, feel free to contact us for professional advice or a confidential appointment with an experienced counsellor.