What Is Acceptance And Commitment Therapy?

Updated February 09, 2021
Medically Reviewed By: Chante’ Gamby, LCSW

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Acceptance and commitment therapy, or ACT (pronounced like the word "act"), is a mindful approach to accepting the hardships in life to improve one's overall quality of living. It's a form of psychotherapy kindred to cognitive-behavioral therapy that helps people focus on the present and move forward from overwhelming, difficult emotions. While treatment time may vary from person to person, it can help diffuse the impact of negative emotions and reshape your thinking to treat depression, anxiety, and other similar mental disorders.

What Is The Ultimate Goal Of ACT?

The goal of this therapy is to diffuse negative thinking and unnecessary emotional dwelling. ACT uses a variety of approaches drawn from the behavioral analysis, mindfulness, cognitive diffusion, acceptance, and commitment methods, just to name a few. With the help of a licensed professional, you'll pick up a collection of coping mechanisms specifically designed for your situation which you can use throughout your life to handle tough experiences. Those who experience traumatic flashbacks and generalized anxiety can benefit from this therapy because of its encouragement of keeping people in the present. It's difficult to move through life without mentally existing in the here and now, so ACT provides the guidance necessary to do so. And with its various methods, it can do wonders for those in need.

How Does ACT Work?

ACT works in three areas: accept the emotion and be mindful, choose a direction, and then act accordingly. The first part involves the acceptance of things that are out of your control. Focusing on things outside of your control may cause more distress the more you focus on it. In the second and third area, you are taking charge and committing to the action that will push you forward instead of remaining stagnant in a muck of emotions.

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You might envision yourself as different than who you are in reality. By shaving away the negative pieces, you can find your true self underneath. You are not the collection of apprehensive thoughts and feelings that frequently pop up during the day. You are so much more than that. When you commit to this type of therapy, you will discover the amazing stillness that can come from it. The more you practice it, the better you will get at handling those curve balls that life likes to throw.

How Can I Accept Painful Emotions?

Often in daily life, we are presented with some heavy emotions that can be quite painful to process. ACT encourages us to accept these emotions as soon as they surface. The sooner you accept the feeling, the sooner you can move on from it. It's important to remember that feelings aren't facts, and they can pass just as quickly as they come along. They only have power over you as long as you let them.

Think of yourself as a filter. When a feeling comes to the surface, allow it to pass through you like a liquid. Don't obsess over the feeling, and don't give it the ability to warp into another aggravating thought. Give it time to wash through you, imagining it like a wave that will eventually break over the shore. Once it passes, you can sit down and process what you felt.

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During the processing stage, it's imperative not to get stuck in a cycle of rumination. Those who live with anxiety and depression are prone to falling down this rabbit hole, which ACT attempts to avoid. You want to diffuse this thinking instead of agitating it. An anxious brain is on constant alert, cycling through different scenarios in which things can go from wrong to even worse. When you allow these emotions to pass, you can find a peaceful well sitting on the other side of your thoughts instead of a warring ocean.

Here are some reminders to consider while you process difficult emotions:

  1. You are in control of your own body even if you are not in control of your surroundings.
  2. It's okay to not be good at everything you try. That's what trying is for!
  3. Your strengths are so much more valuable than your weaknesses.
  4. Do not act on every single thought. Let them flow like a river back to its source.
  5. What happened years ago is not happening right now.

These are just some examples of what a therapist would ask you to say to yourself during these moments. Use whichever ones work best while you're focusing on being mindful.

What Is Mindfulness?

Imagine being able to quiet those intrusive thoughts that plague you during the day and trade them for your surroundings. There's a sense of calmness in this action. You feel lighter, perhaps even a bit more in control of your own body and breathing than you thought. Your shoulders relax, and your head starts to feel clear. You can hear yourself breathe through the silence surrounding you. This is what being mindful feels like.

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To achieve a state of mindfulness, one must focus on the present situation. What do you hear? What can you smell? Is there something in your vision or have you closed your eyes to focus more on your other senses? Are you cold or warm? How does your food taste? These sensations aren't to prompt more emotions, but to help diffuse the unfavorable ones. Once you can separate yourself from those uncomfortable feelings, you can focus more on going about your day without them.

Though many achieve mindfulness through meditation, you can achieve mindfulness easily by looking at what is around you. This can be accomplished at work, at home, or on the go. If you're finding it difficult to become present, try changing the sensations you're picking up on. Perhaps light a scented candle to help you focus or run cold water over your hand to force you into that moment. These strategies can help you practice and get better at being mindful.

How Do I Determine My Values?

Being mindful more often can help you clarify the important goals in your life that you would like to achieve, however big or small. It could be publishing a book or surrounding yourself with happier people. Maybe you want to go a full day without panicking, or you want to be able to get into your work without mental disruption. What habits would you like to curb that is holding you back? These are some basic goals to start with.

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Through ACT, you can discover your most valued desires. Clearing away negative emotions by being present can pave room for everything else. A whole day could be waiting for you on the other side of those fuzzy thoughts. Just think of how much you could accomplish without the added difficulty of anxiety symptoms. What once was a difficult battle will become a clear path on which you can walk.

It can be scary discovering there's a world outside of that haze of thinking. What else can you finally do that you haven't been able to? Paint that picture? Write that book? Walk to your favorite park without the intrusive thought that you might get run over? Everything is suddenly possible when you make room for your true self to thrive without the weight of frightful emotions.

And shedding that emotional weight can make room for your commitment.

When Do I Commit?

Commitment starts from the very beginning. It's hard work making changes in your life, but ACT can gently guide you in that direction. Once you've become calm enough to identify what is important to you, you can start taking the steps necessary to achieve your goals. And this is something that you must keep working on. Every day will prove to be a challenge, but ACT will give you the tools to cope with it.

As much as ACT can help, it only helps those who are willing to dedicate their time to the practice. Consistent attendance—whether in person or virtually—is the key to reaping the benefits of this psychotherapy. Commitment begins the very first day you begin ACT. From there, it's commitment that keeps you walking into that therapy office each week/month that you attend. And from there, commitment lies in your desire to be healthy.

You deserve to be healthy and happy in your life—always remember that when you are going through psychotherapy like ACT or CBT. Keep pushing forward because you deserve it.

Utilizing Online ACT

There is evidence supporting the use of online acceptance and commitment therapy when dealing with a variety of mental health concerns. In a broad-based review published in the Journal of Medical Internet Research, the effects of online ACT on those experiencing symptoms of anxiety were examined. The report aggregated the results of 20 studies where online ACT was utilized for a variety of anxiety disorders, included generalized anxiety, social anxiety, and illness anxiety. Researchers noted that these treatments significantly reduced symptoms of anxiety, concluding that ACT could be effectively administered through online platforms. The report also states that online ACT can reduce common barriers to treatment, including geographical constraints, high costs, and perceived stigma.

As outlined above, if you are experiencing complicated emotions related to anxiety or other mental health issues, online ACT can help. With BetterHelp, you can participate in therapy from the comfort of your home, without dealing with traffic, sitting in a waiting room, or missing work just to make an appointment. The mental health professionals at BetterHelp can provide you with acceptance and commitment therapy that works for you. Read below for counselor reviews, from those who have sought help in the past. 

Counselor Reviews

“Rhonda is great. She helped me cut through my mental clutter, and use breathing, visualization and sensory mindfulness to mitigate and address some of life's issues.” 

“Theresa was very helpful in understanding what I was going through. She was able to take what I was feeling and struggling and find ways I could cope through various thinking exercises and mindfulness activities. She helped me to overall be mindful of my thoughts. Theresa was a big help in my process of overcoming my anxiety.”


If having a clearer mind and healthier lifestyle sounds appealing to you, it would be beneficial to give ACT a chance. And while the work might eventually be challenging, starting doesn't have to be. To get yourself on track to getting better help, reach out to a professional today.

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