Brief summary
This paper examines the current status, challenges, and future directions for acceptance and commitment therapy for psychosis (ACTp). ACTp is a mindfulness-informed intervention that focuses on psychological flexibility, helping individuals relate differently to their symptoms and prioritise values-based living and recovery. The study reviews evidence supporting ACTp’s effectiveness, compares it to other therapies, and highlights areas for refinement and implementation to enhance its accessibility and impact.
Access full text paperKey findings
ACTp has demonstrated significant benefits, including reductions in depression, distress, and rehospitalisation rates, as well as improvements in psychological flexibility, mindfulness, and quality of life. It differs from CBT for psychosis (CBTp) by focusing on how individuals relate to symptoms rather than altering their content, making it a complementary approach to psychosis treatment. Adjustments such as simplified metaphors, briefer mindfulness exercises, and structured sessions have enhanced its suitability for individuals with psychosis. Research into technology-assisted and low-intensity formats, like mobile applications and telehealth, shows promise in reducing barriers to access. However, lingering questions remain about the mechanisms of change in ACTp and its integration with other therapeutic approaches. Implementation challenges include limited clinician training and its overlap with CBTp, as well as its limited inclusion in clinical guidelines.
Practice recommendations
Clinicians should consider ACTp as a complementary therapy alongside other evidence-based interventions for psychosis, particularly for its focus on personal recovery and values-based living. Training and supervision programmes are needed to develop clinician competency in delivering ACTp effectively. Efforts should be made to further integrate ACTp into clinical guidelines and mental health services. Lower-intensity and technology-assisted delivery formats, such as mobile applications and telehealth, should be explored to improve accessibility and engagement. Future research should focus on refining ACTp’s theoretical framework and understanding its mechanisms of change to optimise its effectiveness.
Reference
Morris, E. M. J., Johns, L. C., & Gaudiano, B. A. (2023). Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12479
