Core ACT Processes
Present Moment Awareness
Hannah’s present moment awareness was really low, which was highly problematic. She was living in the past, replaying the breach in a friendship and other hurts. When she imagined the future, it looked hopeless. She was not present in and building her life.
Acceptance or Willingness
Hannah’s acceptance, or willingness, was also low. She refused to do anything she thought would make sadness or worry worse. She went further in believing that worry or depressive feelings were evidence that she was broken. She was afraid of her internal experiences and employed sleep, isolation, and self-harm in an impossible effort to avoid painful feelings, which is common with depression.