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Introduction to Acceptance and Commitment Therapy ...
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This document provides an introduction to Acceptance and Commitment Therapy (ACT) for serious mental illness. ACT is a form of third wave experiential behavioral psychotherapy that emphasizes acceptance and willingness to have painful thoughts and emotions. It focuses on the individual's behavior and context, aiming for treatment success through the working of behavior according to the person's values and desired outcomes.<br /><br />The document highlights the current state of evidence for ACT treatment with psychosis, including approximately 447 randomized controlled trials and its inclusion in over 150 meta-analyses and systematic reviews. It discusses the effectiveness of ACT in various mental health conditions, such as chronic pain, depression, mixed anxiety, obsessive-compulsive disorder, and psychosis.<br /><br />Several randomized controlled trials have evaluated the efficacy of ACT with people experiencing psychosis, showing reduced hospitalization rates and improvements in symptoms and functioning. However, the document also acknowledges the need for larger trials, more ethnically diverse populations, and evidence on sustainable change in individuals' daily lives.<br /><br />The key elements of ACT for psychosis are outlined, including clarifying values and goals, learning to be present, defusing from the noise, acceptance, defining self, and committing to a course of action. The document provides examples of activities and exercises that can be used in ACT sessions, such as mindfulness exercises and acceptance techniques.<br /><br />Lastly, useful resources for ACT and references to relevant studies and protocols are provided.<br /><br />Through ACT, individuals with serious mental illness can learn to accept their pain and distressing experiences while still moving towards a meaningful and valued life.
Keywords
Acceptance and Commitment Therapy
ACT
serious mental illness
experiential behavioral psychotherapy
acceptance
willingness
painful thoughts
emotions
behavior
context
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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