ACT for PTSD: Working With Validation and Acceptance

Sonja-Batten

Booz Allen
Department of Veterans Affairs
Yale University
University of Nevada, Reno

Key Points

  1. Acceptance is the primary countermeasure of avoidance in the ACT model.
  2. If a client doesn’t complete homework it is important to respond with curiosity rather than judgment.
  3. Values clarification provides intrinsic motivation for clients to move forward with trauma work.
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Session Three

The third session began with a mindfulness exercise of about one minute’s duration. This time Deborah just felt her body in the chair she was sitting in, and described the sensations to herself without having to change anything.

Homework Review

Deborah had done some sleep hygiene work. On several nights she tried to go to bed at a certain time, and she got out of bed a few times when she woke up and couldn’t go back to sleep. She thought it might have made a slight difference, but because she awoke using an alarm even though she didn’t have to go to work, she actually felt more tired. This was normalized by the therapist as being part of the process, and Deborah was encouraged to keep it up.

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