Acceptance and Commitment Therapy (ACT) was created by Steven Hayes in 1986. ACT is a person-center form of therapy that aims to increase a person’s level of psychological flexibility in life. Psychological flexibility pertains to an individual’s level of flexibility to ebb and flow with various forms of stressors in their lives. ACT is underpinned by six pillars. These pillars include: present-moment focus, defusion, self-as-context, committed action, values, and acceptance. These are further discussed below.
Six Pillars of ACT
The six pillars of ACT are dynamic and flexible to meet an individual where they are in life. Present-moment focus works to increase a person’s awareness to ‘here and now’ versus the past or future. Cognitive defusion facilitates space between one’s thoughts, emotions, and body responses, i.e. chronic pain or neurodegenerative disorders such as Multiple Sclerosis. The self-as-context portion of ACT relates to an individual’s self-esteem, self-worth, and how they see themself in their life and the world. Committed action are those things that a person engages in every day that moves them towards their goals and from a larger perspective, their values. Values in ACT are those guiding aspects that keep us behaving or doing things in life. Values are broad and never-ending endeavors such as, love, health, and self-growth for example. Acceptance is the last pillar of ACT and, sometimes, the most difficult. ACT’s form of acceptance is a very active form rather than sitting passively waiting for life happen to you. Acceptance in this form is learning how to hold challenges as they arise and continue onward with your life journey and values. Acceptance in this form is learning how to hold distress and continue pursuing the things that matter in your life.
ACT and Human Suffering
ACT posits that human suffering is inevitable in life, even when pursuing one’s values. ACT supports a person in developing perspective taking, acceptance, and endurance skills for when suffering or stressors arise in one’s life so that they may still lead a fulfilling life. The decision then is to learn how to experience suffering not as something inherently ‘bad’ but something that will shape and mold you into a new form of yourself.
ACT isn’t just about positive thinking. It is an exploration of how we came to see people, things, or events the way they are (the good and the bad) and alter how we relate to these topics. It’s a way unravel the thought processes that get us stuck so that we live our lives to the fullest.
ACT’s treatment success
The research surrounding ACT increases every year. It has been shown to be effective treating chronic pain or other illness, depression, anxiety, self-harm, addiction, and psychosis related disorders.
Frequently Asked Questions About ACT
What is Acceptance and Commitment Therapy (ACT)?
ACT is a modern, evidence-based psychotherapy that helps you accept difficult thoughts and emotions while committing to actions that align with your core values. Instead of fighting your feelings, you learn how to observe them and still move forward in life.
How does ACT therapy work?
What mental health conditions does ACT treat?
ACT is effective for a variety of conditions and emotional challenges, including:
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Anxiety and panic attacks
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Depression
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Post-traumatic stress disorder (PTSD)
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Obsessive-compulsive disorder (OCD)
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Chronic pain and health anxiety
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Addiction recovery
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Relationship difficulties
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Low self-worth or shame
What are some examples of ACT therapy exercises?
Here are a few common ACT techniques you might practice in therapy:
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Mindful breathing to stay present in the moment
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“Leaves on a stream” visualization to let go of intrusive thoughts
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Values clarification exercises to discover what matters most to you
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Behavioral commitments to help you take real-life actions
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Metaphors and imagery (like “Passengers on the Bus”) to understand your relationship with thoughts
These exercises help you observe your internal experiences and move forward intentionally.
How does ACT therapy differ from CBT?
Both ACT and CBT are evidence-based, but they have different approaches:
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CBT focuses on identifying and changing negative thought patterns.
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ACT encourages you to accept your thoughts and shift focus to living a value-driven life while staying rooted in the present-moment.
If you find traditional CBT too focused on “fixing” thoughts, ACT may feel like a more compassionate and empowering alternative.
Is there evidence that ACT works?
Yes. ACT is backed by decades of research and is recognized by the American Psychological Association as an evidence-based treatment. Studies show its effectiveness in treating anxiety, depression, trauma, substance use, and chronic pain across a wide range of populations.
Can ACT therapy improve self-esteem and confidence?
Absolutely. ACT helps you build a healthier relationship with yourself. By teaching you how to detach from harsh self-judgment and take value-based actions, ACT naturally increases your sense of self-worth and helps you feel more confident in your decisions.
How accessible is ACT therapy in Kenosha, WI?
Revitalize Mental Health offers ACT sessions both in-person and via telehealth, making it convenient for you to get support wherever you are. Most major insurance plans are accepted, and private-pay options are available. You can call 720.850.8830 to confirm your coverage or ask about pricing.
Can ACT be customized for specific populations?
Yes. ACT is flexible and can be adapted for:
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Veterans with PTSD
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Individuals living with chronic pain or medical conditions
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LGBTQ+ individuals facing identity-related challenges
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Caregivers or people experiencing burnout
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Those recovering from substance use
Therapists at Revitalize Mental Health tailor each session to fit your needs, background, and life goals.
What should you expect in an ACT session?
You can expect a collaborative, nonjudgmental space where your therapist guides you through reflection, discussion, and practical exercises. Sessions are structured but flexible, focusing on your growth at a pace that feels right for you.
Contact an ACT Therapist in Kenosha, WI, Today
If you or someone you know could benefit from ACT’s therapy approach, please don’t hesitate to contact us today. Daniel Gospodarek at Revitalize Mental Health is prepared to serve patients in Denver, Colorado, and its surrounding areas who are looking to make a life-long change. To get started, click here or call 720.295.6703 to schedule your free 20-minute consultation call to take the first step toward your new life.
