ACT Treatment Formulation for Depression: Goals and Focus

miranda_morris

True North Therapy and Training

Key Points

  1. Setting treatment goals involves creating immediate and long-term targets.
  2. Hannah’s immediate goals included journaling, exercising, socializing, and finding part-time work, and her long-term goals were to get a meaningful job, move out of the parental home, and try living abroad.
  3. The overall focus of ACT treatment is on understanding the costs and benefits of thoughts and behaviors, so as to increase workability and move toward values and engagement.
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Treatment Goals

Immediate Goals

The immediate goals agreed collaboratively with Hannah were small and manageable. ACT is born of behaviorism, so we think in terms of necessary behaviors, but are also attuned to the fact that behavior change is difficult. Most of the time, people need to make small moves to succeed. Hannah’s goals were of course consistent with her values:

  • Some writing in the form of journaling
  • More physical activity, such as walking and/or athletic exercise
  • Socializing, reaching out to local friends who had also returned from college
  • Looking for a part-time internship or job to create some structure and momentum in daily life

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