Acceptance Commitment Therapy (ACT)

You may have noticed that trying harder to stop a thought rarely makes it go away. That fighting anxiety often makes it louder. That avoiding the things that scare you makes the fear grow rather than shrink.

This is not a personal failure. It reflects something real about how the mind works — and it points toward a different approach.

Acceptance and Commitment Therapy (ACT) is built on the insight that suffering often comes not from difficult thoughts and feelings themselves, but from our struggle against them. ACT does not ask you to think positively or eliminate discomfort. Instead, it helps you change your relationship to difficult inner experiences — learning to observe them without being controlled by them — so that you can move toward the life you want even when things are hard.

Acceptance and Commitment Therapy (ACT) is a modern, evidence-based form of psychotherapy that helps people develop a healthier relationship with their thoughts, emotions, and experiences. Rather than trying to eliminate difficult feelings, ACT focuses on building psychological flexibility, the ability to stay present, respond intentionally, and take action guided by your values.

In ACT, we work together to:

  • Notice and understand unhelpful thought patterns without becoming overwhelmed by them

  • Develop skills to accept difficult emotions when fighting them is no longer helpful

  • Clarify what truly matters to you, your values, and use them as a guide for decision-making

  • Take meaningful steps toward change, even in the presence of discomfort

ACT is especially helpful for anxiety, depression, trauma, chronic stress, and life transitions. It can also be an important part of a medication-supportive or deprescribing-informed approach, helping patients build internal coping tools while thoughtfully evaluating the role of medication over time.

ACT is supported by strong evidence for anxiety, depression, OCD, chronic pain, somatic symptoms, and illness anxiety. It is also particularly valuable for people who feel stuck — who know what they want but can't seem to act on it — because it places your values, not your symptoms, at the center of treatment.