The ACT Approach: Considerations and Treatment Focus in GAD

Michelle-Woidneck2

Utah State University
Boys Town Center for Behavioral Health

Key Points

  1. The ACT approach is flexible and process-focused, with no specific protocol to follow.
  2. The therapist will target multiple ACT processes in each session through exercises and metaphors, facilitating practices which allow the client to connect experientially.
  3. If a metaphor or exercise does not work, the therapist has to accept and learn from the situation, pivoting to another technique.
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The ACT Approach

ACT is flexible and focuses on process. With some forms of therapy, there are set ideas about what must be done in different stages or sessions of treatment, but there is no specific protocol to follow with ACT.

Taking a flexible approach means meeting clients where they are and with what they bring into the room. You attend to the six core processes of ACT as they manifest in the treatment room and as clients describe what is happening in their lives.

Finding Support

You will find protocols in books and elsewhere, such as on the Contextual Behavioral website, outlining sessions. But those are guidelines, perhaps necessarily used with research so it could be tested and replicated. If you are newer to ACT, this can be a supportive resource, but the goal would still be to move toward away from protocols, being more flexible in the moment. It’s a bit like learning musical scales before playing jazz.

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