Therapy Approach
Acceptance and Commitment Therapy (ACT)
A mindfulness-based approach that helps you stop fighting difficult emotions and start taking action toward a meaningful life.
Written by Krissy Cotten, MA, LPC | Reviewed June 2026
Educational content only — not a substitute for professional advice.
Acceptance and Commitment Therapy (ACT) is a unique, evidence-based approach that changes your relationship with painful thoughts and feelings. Rather than trying to eliminate distress, ACT helps clients in Atascocita develop the psychological flexibility to live a rich, meaningful life even when pain is present.
What Acceptance and Commitment Therapy (ACT) is
ACT is built on the premise that pain is an inevitable part of human life, but suffering occurs when we rigidly try to control, avoid, or suppress that pain. ACT uses six core processes—often referred to as the "Hexaflex"—to build psychological flexibility. These include contacting the present moment, cognitive defusion, acceptance, self-as-context, clarifying values, and committed action. The goal is not symptom reduction, though that often happens as a byproduct; the goal is to increase your ability to engage in behaviors that align with what truly matters to you.
How it works in sessions
ACT sessions are highly experiential. Rather than debating whether a thought is "true" or "false," we look at whether a thought is "workable"—does holding onto this thought move you closer to the life you want?
We use cognitive defusion techniques to help you step back and observe your thoughts without getting tangled in them (e.g., learning to say "I'm noticing I'm having the thought that I will fail" rather than "I am going to fail"). We practice mindfulness and acceptance exercises to make room for uncomfortable physical sensations and emotions without fighting them. Crucially, we spend significant time clarifying your core values and setting up committed action plans—small, concrete steps you can take each week to build a life that reflects those values.
What this approach can help with
Because ACT focuses on changing your relationship to distress rather than eliminating it, it is highly versatile. We utilize ACT for Therapy for Depression and Anxiety, helping clients stop the exhausting battle against their own minds. It is also highly effective for Stress Management and navigating Work and Career Issues, where values-clarification is essential for making difficult life decisions and avoiding burnout.
What to expect
Expect an active, sometimes playful, and deeply reflective therapy experience. ACT relies heavily on metaphors, paradoxes, and experiential exercises rather than traditional talk therapy. You will be asked to practice mindfulness skills between sessions and to take behavioral risks that align with your values, even if those actions trigger anxiety. The pacing is tailored to you, but the focus remains steadily on moving forward rather than getting stuck analyzing the past.
Is this approach right for you
ACT is an excellent fit if you feel exhausted by trying to control your anxiety or depression and are looking for a fundamentally different way to handle your internal experience. It is ideal for individuals who are ready to take action toward their goals but feel paralyzed by fear or self-doubt. If you prefer a therapy that focuses strictly on analyzing the root causes of your problems in childhood, ACT may feel unfamiliar, but we can discuss whether it aligns with your clinical needs during a free consultation.
Want to know if this approach fits your situation? Ask during a free consultation.
Related support areas
Common Questions
How is ACT different from CBT?
While CBT focuses on identifying and changing the content of negative thoughts, ACT focuses on changing your relationship to those thoughts. ACT teaches you to notice thoughts without trying to alter them, focusing instead on changing your behavior to align with your values.
What does 'psychological flexibility' mean?
Psychological flexibility is the ability to stay fully in the present moment, open to your feelings, and able to choose behaviors that align with your core values, rather than reacting automatically to avoid pain.
Will ACT force me to accept abusive or harmful situations?
No. 'Acceptance' in ACT refers strictly to your internal, private experiences (thoughts, feelings, memories). ACT strongly encourages taking committed action to change harmful external circumstances and protect yourself.
What are 'values' in the context of ACT?
Values are your chosen life directions—how you want to behave on an ongoing basis. Unlike goals, which can be achieved and crossed off a list, values (like being a loving parent or a reliable friend) are continuous compass headings for your behavior.
Is ACT effective for severe anxiety?
Yes. ACT is highly effective for anxiety disorders because it targets the 'experiential avoidance'—the desperate attempt to avoid feeling anxious—that actually keeps the cycle of anxiety going.
Ready to Take the Next Step?
Book a free consultation to discuss which approach fits your goals.

