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Acceptance and Commitment Therapy (ACT)

A values-driven therapy that teaches acceptance, mindfulness, and committed action for lasting recovery.

Acceptance and Commitment Therapy (ACT) helps individuals embrace their thoughts and feelings rather than fighting or feeling guilty about them. Instead of trying to eliminate difficult emotions, ACT encourages people to accept them as a natural part of life while focusing on taking actions that align with their values.

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Quick Overview

Best for

Anxiety, depression, trauma, substance use, chronic pain, stress, relapse prevention

Duration

Often 8–16 weeks, though some individuals continue longer for sustained growth and practice.

Session format

Individual or Group. In person or Virtual

Typical cadence

Weekly. Session length: 45–60 minutes

Often combined with

CBT, DBT, mindfulness, holistic therapies, medication management

Evidence base

Supported by extensive research; widely used in addiction and mental health care worldwide

What Is ACT?

Acceptance and Commitment Therapy (ACT) is an evidence-based approach that blends cognitive-behavioral strategies with mindfulness and values-based living. Instead of trying to eliminate painful thoughts or feelings, ACT teaches individuals how to accept them, make space for them, and commit to actions that align with their personal values.

In recovery, ACT helps clients stop fighting their inner experiences and instead focus on building meaningful lives guided by what truly matters to them. This makes ACT especially powerful for people who feel stuck in cycles of avoidance, shame, or relapse.

Types of ACT

ACT is a comprehensive, unified therapy model designed to increase psychological flexibility, but over time it has been adapted in various ways to address diverse mental health needs.

Standard ACT

Standard ACT

The original model, focused on acceptance, defusion, mindfulness, values, and committed action.

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ACT for OCD

ACT for OCD

Sometimes paired with Exposure and Response Prevention (ERP) to manage obsessions and compulsions.

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ACT by Age Group

ACT by Age Group

Versions adapted for children, adolescents (ACT-A), and older adults, often involving family or age-appropriate exercises.

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ACT for Substance Use (ACT-SUD)

ACT for Substance Use (ACT-SUD)

 Targets cravings, relapse prevention, and building a sober, values-driven life.

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ACT for Chronic Pain / Health

ACT for Chronic Pain / Health

 Helps people live meaningful lives even with ongoing pain or medical conditions.

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ACT for Anxiety & Depression

ACT for Anxiety & Depression

Breaks cycles of worry, rumination, and avoidance with mindfulness and values.

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ACT in Different Formats

ACT in Different Formats

Delivered as individual therapy, group programs or digital/online platforms.

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ACT for Trauma & PTSD

ACT for Trauma & PTSD

Uses ACT principles to reduce avoidance and safely process trauma.

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How ACT Helps in Recovery

Promoting Psychological Flexibility and Meaningful Change

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Reduces avoidance

Encourages acceptance of difficult emotions without letting them control behavior

Builds resilience

Uses mindfulness and grounding skills to handle cravings, stress, or anxiety

Clarifies values

Helps clients identify what matters most (family, health, purpose) and use it as motivation for change

Encourages committed action

Turns values into practical steps that support long-term recovery and stability

Who Benefits from ACT?

Individuals Struggling with Stress, Anxiety, and Behavioral Challenges

Addiction Recovery Support

Addiction Recovery Support

Individuals in addiction recovery struggling with cravings, shame, or relapse cycles

Mental Health Management

Mental Health Management

People managing anxiety, depression, or trauma symptoms

Chronic Pain & Health Challenges

Chronic Pain & Health Challenges

Those with chronic pain or medical challenges that affect mental health

Family Support & Guidance

Family Support & Guidance

Families seeking a values-driven, compassionate approach to support recovery

Personal Growth & Purpose

Personal Growth & Purpose

Anyone wanting to build a meaningful, purpose-filled life alongside challenges

Performance Enhancement

Performance Enhancement

Individuals seeking to improve focus, resilience, and well-being in professional settings.

What to Expect in Sessions

ACT sessions are experiential and collaborative. A typical session may include:

  • Mindfulness exercises: Breathing, body awareness, or visualization
  • Defusion techniques: Learning to separate yourself from negative thoughts (e.g., saying, “I’m noticing the thought that…” instead of “I am…”)
  • Values exploration: Identifying personal priorities and what matters most in life
  • Action planning: Setting small, realistic steps aligned with those values

Clients leave with practical tools they can use daily to handle stress, cravings, or painful emotions without derailing recovery.

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Why TruPaths Highlights ACT

Integrating Acceptance and Values to Support Lasting Recovery

TruPaths highlights ACT because it is both practical and compassionate, offering tools that can be used immediately while also guiding long-term growth. ACT is widely used in addiction and mental health treatment programs, often integrated with CBT, DBT, and holistic approaches for a full spectrum of care.

FAQs about ACT

Yes. ACT is supported by decades of research and is considered a “third-wave” CBT therapy with proven effectiveness.
No, ACT teaches acceptance of feelings while encouraging you to take meaningful action toward change.
CBT focuses on changing negative thoughts, while ACT helps you accept thoughts and commit to your values.
ACT usually takes 6 to 12 sessions, but it varies depending on individual needs.
ACT itself is one approach, but it can be adapted to treat different problems and populations.
Insurance coverage varies; check with your provider to see if ACT is included.

Find Recovery Options Offering ACT

Recovery with purpose. If ACT sounds right for you, explore programs that use this approach to build meaningful, values-driven lives.

About TruPath's Recommendations

Recommendations are based on your location and recovery needs, including the programs you've explored, the services you've saved, and the filters you've used. We use this information to highlight similar treatment options so you never miss a trusted path forward.