ACT for OCD: Cultivating Psychological Flexibility

Michelle-Woidneck2

Utah State University
Boys Town Center for Behavioral Health

Key Points

  1. The ACT approach for Stacy aims to increase psychological flexibility, which is essential for improved functioning and quality of life.
  2. Treatment goals include enhancing Stacy’s skills to manage unwanted thoughts, reduce mental compulsions and avoidance behaviors, and increase meaningful life engagements.
  3. The therapy process is collaborative. It focuses on identifying and pursuing values-congruent goals tailored to Stacy’s personal and relational values.
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ACT Goals

Primary Objective

  • Increase psychological flexibility: Enhance quality of life by building psychological flexibility linked to positive functioning and outcomes.

Specific Goals for Stacy

  1. Enhance response to unwanted thoughts: Develop skills to handle doubts and uncertainties, reducing functional impairment effectively.
  2. Decrease mental compulsions: Focus on defusion skills to reduce the time spent on mental compulsions.
  3. Reduce avoidance behaviors: Encourage engagement in activities previously avoided due to fear of triggering unwanted thoughts.
  4. Increase engagement in meaningful activities:
    • Clarify values: Identify personal and relational values.
    • Set values-congruent goals: Establish and engage in behaviors and goals aligned with these values.

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