Everything we do is about mental health. These articles explore specific issues, approaches and research that can be useful to understand from a mental health perspective when implementing ACT.
Guest blog from Jennifer Kemp Rejection sensitive dysphoria (RSD) is a physiological reaction to painful rejection that can happen in close relationships, friendships, families, communities, healthcare, and workplaces. Autistic people and ADHDers experience frequent rejection and criticism throughout our lives, which can make us more sensitive to rejection. Our nervous systems learn to expect rejection, […]
A focused review of Capel & Twohig’s case study Why this paper matters While outcome studies have established that acceptance and commitment therapy (ACT) performs comparably to traditional CBT and ERP for obsessive–compulsive disorder (OCD), fewer papers show how ACT-informed exposure is actually implemented in clinical work. This case study by Capel and Twohig provides a detailed, session-by-session […]
ACT isn’t just for the therapy room; its principles and guidance are scattered through our everyday lives and cultures. Relatable examples and metaphors can be so helpful in communicating the essence of what we mean in therapy when we talk about acceptance, defusion, and values-based living. As self-certified ACT nerds we are always excited when […]
Menopause is not simply a collection of symptoms. It is a biopsychosocial transition involving fluctuating hormones, disrupted sleep, shifts in cognition, changing identity, and powerful cultural narratives about ageing and worth. For many, this period interacts with longstanding patterns of self-criticism, anxiety, or striving. Acceptance and commitment therapy (ACT) does not aim to eliminate menopausal […]
We recently ran a poll on Instagram: “Your client says, ‘I feel anxious for no reason.’ As an ACT therapist you say…” And the response that came out on top, by a long way, was: “Let’s notice what’s showing up right now.” Nearly 60% of 267 responses chose it. I love that, because it captures […]
In psychological practice, especially within an ACT framework, “end of life” refers to the period leading up to death, often involving terminal illness or limited life expectancy. People in this phase may experience fear, sadness, regret, isolation, or a search for meaning, and often seek therapy to process these emotions, strengthen relationships, and come to […]
Practical suggestions from ACT to help with grief The festive season is often portrayed as a time of joy, connection, and celebration. However, for those experiencing grief, the lead-up to Christmas can feel particularly heavy. Grief doesn’t take a holiday, and the contrast between the external festivities and internal pain can feel overwhelming. Christmas can […]
For practitioners working with autistic clients, particularly those who are autistic, it’s vital to understand the profound impact of autistic burnout and how acceptance and commitment therapy (ACT) principles can be applied effectively to support recovery. What is autistic burnout? Autistic burnout is not simply an extension of depression or anxiety, although these may be […]
written by Joe Oliver I have a soft spot for self-help. Like many psychologists, I sometimes joke about the industry: the endless promises of transformation, the catchy titles that sound like life hacks, and the fact that it is a multi-billion pound business projected to double again by 2030. If self-help really worked, you might […]
From a client perspective, the terms “therapist” and “counsellor” are often used interchangeably, which can sometimes lead to confusion. While both roles involve supporting individuals in improving their mental health and emotional wellbeing, there are distinctions in their focus, training, and scope of practice. Understanding and explaining these differences can help ensure that our clients […]
As ACT therapists, we understand that insomnia is not just about the physical inability to sleep; it’s deeply intertwined with a client’s thoughts, emotions, and responses to their experience of sleeplessness. When clients struggle with insomnia, they often become entangled in self-critical or fear-driven thoughts, which only amplifies the problem and makes their daily struggles […]
It’s a moment many therapists will recognise. A client takes a breath, their voice shakes, and they say: “I’m sorry for getting emotional. I’m overreacting.” For ACT practitioners, this is more than a passing comment; it’s a doorway into important therapeutic work. This article looks at the reasons why clients might apologise for their emotions, […]
Cognitive behavioural therapy for insomnia (CBT-I) remains the first-line treatment for chronic insomnia, but it is not a panacea. Non-response and attrition rates remain high, and certain populations struggle to adhere to its counterintuitive behavioural strategies, such as sleep restriction and stimulus control. Acceptance and commitment therapy (ACT), with its emphasis on experiential acceptance and […]
Worry, rumination,, and obsessive thinking are common experiences that can consume us without us even realising it. We get caught up in our thoughts so quickly and automatically that we don’t notice what’s happening until we’ve spent hours lost in thought, trying to solve problems, deal with emotions, predict the future, and make ourselves feel […]
With Eric Morris Psychosis can be a profoundly isolating experience. For those grappling with it, the world often feels like a place inhabited by their own minds, separated from the perspectives of others. ACT can offer a powerful approach to help us address this isolation, nurturing our connection with clients and helping them to navigate […]
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