Final Steps in ACT for OCD: Skill Development and Prognosis

Michelle-Woidneck2

Utah State University
Boys Town Center for Behavioral Health

Key Points

  1. In ACT for OCD, each session concludes with skill practice and setting committed actions that align with personal values.
  2. Therapy focuses on interrupting mental compulsions and monitoring for potential obstacles, including rigidity and seeking or providing reassurance.
  3. The expected outcomes include a reduction in compulsions and obsessive thoughts and an improvement in flexibility and effectiveness in responding to OCD symptoms.
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Skill Practice and Committed Action

In acceptance and commitment therapy (ACT) for OCD, an essential aspect of each session is practicing a skill that was the focus of the session. This practice is most effective when collaboratively generated.

Around the sixth session, clients like Stacy are encouraged to clarify a values-congruent goal for the week. The goals can vary, such as socializing with a friend, engaging in a leisure activity, or committing to a period free of mental compulsions.

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