
What is Acceptance and Commitment Therapy (ACT)?
Acceptance and Commitment Therapy (ACT) was a form of behavioural therapy developed in the 1980s.
ACT is often thought of as being an offshoot of Cognitive Behavioural therapy (CBT). This is often referred to as a 3rd wave CBT-based approach.
The ACT therapeutic model helps us recognise and accept the challenge and discomfort we are experiencing. In this way, we can better bring clarity to our situation and develop value-driven strategies to best manage them.
When we run from our problems, we create distance from their solutions.
This approach aims to develop psychological flexibility when confronted with uncomfortable thoughts, feelings and memories.
How does Acceptance and Commitment Therapy (ACT) work?
Whereas every client experiences distress differently and will have their own unique value-driven direction they want to take, there is a basic framework that ACT seeks to adopt.
Mindfulness
The first is mindfulness or deliberate and conscience awareness. To see with deliberate clarity what our present moment experience is.
Defusion
One of the things that are learnt in ACT is the idea of Defusion or stepping back. Learning to detach from thoughts, images or memories. Not ignoring them or pretending they aren’t there.
We work on learning how to observe our thinking rather than becoming overwhelmed and tangled up in it.
The aim is to see our thoughts as a guide rather than something to be feared and dominated by.
Acceptance
If we are able to detach or defuse from our thoughts, seeing our thoughts simply as thoughts, it makes it easier to look at them and to reach a point of acceptance that this is how it is right now in this moment.
But remember that acceptance isn’t about resignation it will always be this way. ACT is also about a commitment to value-driven change to the extent that it is possible.
Observing Self
Then there is a slightly jargony term called self as context – sometimes called the noticing or observing self.
In ACT we aim to make enough room for those private experiences that may be unwanted or unpleasant: the unpleasant thoughts or feelings, urges and images, the memories from the past.
We aim to learn to notice those things without getting caught up in ruminating about them. So, we see or observe them and our experience of them, rather than getting caught up in engaging or getting caught up in them.
It is through this idea that principles like mindfulness can be developed.
Values
How do we want to live our life? What do we want our life to stand for? How do we want to treat ourselves and others? What would we want to be remembered for?
The question of values is about helping to create a roadmap of how we would like to live our lives.
Committed Action
Making a commitment to make a value-driven change to the extent that these things are possible.
Commitment is an important part of the ACT model. It is through taking responsibility for your own path and finding ways to empower you to follow it that you are able to discover the greatest sense of inner well-being.
What can ACT help with?
ACT can be beneficial for a wide range of individuals.
Presentations that are often looked at when using ACT include.
- Anxiety
- Depression
- Loss
- OCD
- Trauma
If you are struggling with any of the conditions above or would like to speak to one of our team about Compassion Focused Therapy (CFT), book an appointment with one of our team to discuss things further.


The Talk Room: A mental health podcast series dedicated to counselling, therapy, and mental well-being produced by Hope Therapy and Wendy Castelino.
Hope Therapy offers UK wide, Mental Health and Wellbeing Support via Coaching, Counselling, Cognitive Behavioural Therapy (CBT), EMDR, Hypnotherapy, Mindfulness and Psychotherapy.
#mentalhealth #counselling #self-help #anxiety #depression #cbt #eft #emdr
What is Death Anxiety?
Death anxiety is the fear of one's own death or the dying process. It can manifest as a persistent worry about the unknown aspects of death, fear of suffering, or concerns about the impact of one's death on loved ones. While it is natural to have some anxiety about death, for many, this fear can become overwhelming and interfere with daily life. Symptoms may include panic attacks, excessive health checking, and avoidance of situations that remind them of death
In this episode of a podcast focused on mental health, the discussion centers around the concepts of death anxiety and panic attacks.Death Anxiety: The conversation delves into the nature of death anxiety, which is characterized by a persistent fear of death and the existential concerns that accompany it. This anxiety can manifest in various ways, affecting individuals' daily lives and mental well-being. The episode explores the psychological underpinnings of death anxiety, including its role in various mental health disorders. It emphasizes the importance of understanding this fear as a common human experience and discusses therapeutic approaches, such as cognitive-behavioral therapy (CBT) and existential psychotherapy, that can help individuals manage their fears and promote a more meaningful life.
Panic Attacks: The episode also addresses panic attacks, which are sudden episodes of intense fear or discomfort that can trigger severe physical reactions. Listeners learn about the symptoms of panic attacks, such as rapid heartbeat, sweating, and feelings of impending doom. The discussion includes effective strategies for managing panic attacks, such as deep breathing techniques, grounding exercises, and mindfulness practices. The importance of recognizing the signs of a panic attack and understanding that these episodes are temporary is highlighted, along with the need for professional support when experiencing frequent attacks.
https://www.hopefulminds.co.uk/what-is-death-anxiety/

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