ACT Treatment Interventions for Depression: Use of Metaphors

miranda_morris

True North Therapy and Training

Key Points

  1. The co-creation of a metaphor between therapist and client can lead to a more resonant and therefore effective tool than using a standard ACT metaphor.
  2. The Wall metaphor was co-created by Hannah and her therapist, and represents a common experience for clients struggling with depression.
  3. Using metaphors in therapy is effective because they are symbolic and playful, allowing clients to think about and approach problems differently.
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The Wall Metaphor

Metaphor plays an important role in ACT. Because it’s figurative and playful, people can operate differently within metaphor than in regular conversation. You’ll discover many tested and effective metaphors in ACT books and workshops or online. However, metaphors co-created by client and therapist can be extremely powerful.

Hannah co-created a metaphor with her therapist, which they came to refer to as The Wall. Hannah said she felt like there was a wall keeping her from doing anything, a common experience with depression. The therapist caught that and suggested exploring it further.

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