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Counselling and Therapy: Page 2


More about Acceptance & Commitment Therapy (ACT)

 

Acceptance and Commitment Therapy  (Steven C Hayes, Kelly Wilson, Kirk Strosahl ) is a powerful new psychotherapy based on cutting-edge research into how the human mind works. It has been clinically proven to be successful in a wide range of psychological problems. (The unusual name of this therapy comes from one of its key themes: Learn how to accept those things that are out of your control, and commit to changing those things that can be changed to make your life better.) This is a very active therapy. It’s not one of those therapies where we just talk about your problems. It’s a therapy in which you actively learn new skills to improve your quality of life.

ACT uses a wide range of experiential exercises to undermine the power of destructive cognitive, emotive, and behavioural processes. It helps clients to fundamentally change their relationship with painful thoughts and feelings, to develop the "observer self", to learn to live in the present, and to take action, guided by their deepest values, to create a meaningful life.

 

We have two basic aims in this therapy:

One aim is to help you create a rich, full and meaningful life. To do that, we’ll need to spend sometime talking about what you really want out of life; what’s important and meaningful to you, deep in your heart. We call this ‘clarifying your values’. Values are your heart’s deepest desires for what you want to do and how you want to be. Then, using that information as a guide, we’ll look at how you can set goals and take action to change your life for the better - and in the process, develop a sense of meaning, purpose and vitality.

 

Our other aim is to teach you a set of skills that will allow you to handle painful thoughts and feelings far more effectively, in such a way that they have much less impact and influence over you. We call these skills ‘mindfulness skills’. Mindfulness is a mental state of awareness, openness, and focus. In a state of mindfulness,painful thoughts and feelings have much less impact on us. In a state of mindfulness, we can effectively handle even the most difficult feelings, urges, memories, thoughts and sensations – and as we learn to do so, we can breakself-defeating habits or destructive patterns of behaviour; let go of self-defeating beliefs; rise beyond our fears, and change our attitude in  life-enhancing ways.

A key part of this therapy will involve you learning those mindfulness skills in the session, and then taking them home and practicing them in between sessions. The more you practice, the more benefits you’ll get. What this means is, that in some sessions we will actually need to bring up some of those painful thoughts, feelings, memories, sensations and urges during the session - so you can practice using these new skills to handle them better. Because of this, at times this therapy may be very challenging. However at all times we will be working collaboratively, as equal team-players – so you will never be pushed or coerced into anything you are unwilling to do.

 

It’s always hard to know how many sessions this will take. A good rule of thumb is to commit to between six and twelve sessions, but on session six, we’ll take stock, see how you’re going, and see if you need any more.  Also, we have to be realistic; no therapy works for everyone, so if this approach doesn’t seem right for you, or you’re not happy with the way it’s progressing, it is easy to refer you on to someone who will have a different approach.

 

These mindfulness skills can be practised, strengthened, and developed with ongoing practise.

Mindfulness skills can be practiced in between sessions, and will be beneficial for many other aspects of living, including physical pain, stress, emotional pain, compulsions, addictions and an increased appreciation of life.

 

There have been many exciting discoveries in recent years that confirms the neurological basis for doing Mindfulness. These findings show Mindfulness developes positive changes in both the structure and function of the brain.

 

Acceptance & Commitment Therapy (ACT) rests on an underlying behavioural theory of human language and cognition called Relational Frame Theory (RFT). Underneath RFT sits Applied Behavioural Analysis (ABA). Underlying all of this rests a philosophy called Functional Contextualism (FC). See contextualpsychology.org