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Acceptance Commitment Therapy ACT Josue Guadarrama Washington State University [email protected] u

Acceptance & Commitment Therapy

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Page 1: Acceptance & Commitment Therapy

Acceptance Commitment Therapy ACT

Josue GuadarramaWashington State University [email protected]

Page 2: Acceptance & Commitment Therapy

Reflection

– Think about the last time something incredibly painful, hurtful, or stressful happened in your life.

– What kind of responses did you get that made you feel truly cared for, supported, accepted, and understood?

Page 3: Acceptance & Commitment Therapy

Typical Type of Responses

– Quoting proverbs at you: “Plenty more fish in the sea,” “Time heals all wounds,” “Every cloud has a silver lining”

– Telling you to “think positively”

– Asking about your situation but then quickly changing the subject

– Giving advice: “What you should do is this,” “Have you thought about doing such and such?”

– Trumping your pain: “Oh yes, I’ve been through this many a time myself. Here’s what worked for me.”

– Telling you to get over it: “Build a bridge,” “Move on,” “Let it go,” “Isn’t it time you got over this?”

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Typical Type of Responses

– Discounting your feelings: “No use crying over spilt milk,” “It’s not that bad,” “Cheer up!” “Stiff upper lip”

– Telling you your thoughts are irrational or that you do too much negative thinking

– Trivializing or diminishing your pain: “Put it into perspective—there are kids starving in Africa.”

– Trying to distract you from your pain: “Let’s get drunk!” “Let’s go out and have some fun,” “Let’s eat some chocolate,” or “Let’s watch a movie.”

Page 5: Acceptance & Commitment Therapy

Typical Type of Responses

– Not coming to visit or spend time with you or even actively avoiding you.

– Playing “Mr. Fix-it”: Coming up with all sorts of helpful solutions for your problem.

– Saying they want to help but not following up

– Listening impatiently .

– Putting up with or tolerating your distress but not truly accepting it.

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Typical Type of Responses

– Reassuring you: “It’ll be all right, you’ll see,” “It’s not as bad as you think,” “You’ll get through this.”

(Note: Many people see reassurance as a compassionate act—and it can be at times—but the problem is that it easily puts the reassurer in a one-up position, like a parent reassuring a young child.)

– How is it to get these responses?

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Our Reactions

– Feel hurt Irritated Rejected

– Invalidated Unappreciated Misunderstood

– Offended ???????

– Timing

– Preceded by Caring & Empathy

– When we are hurting, all us want to feel understood, accepted, and cared for before we are ready to start looking for solutions or strategies

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Understood, Accepted, & Cared– Giving you a hug, embrace, or a cuddle

– Holding your hand

– Placing an arm around you

– Validating your pain: “This must be so hard for you” or “I can’t begin to imagine what you’re going through” or “I can see you’re in terrible pain.”

– Saying nothing, just sitting with you and allowing you to be

– Holding you while you cry or even crying with you

– Offering support: “Is there anything I can do to help?”

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Understood, Accepted, & Cared– Asking how you feel

– Sharing their own reactions: “I’m so sorry,” “I’m so angry,” “I feel so helpless; I wish there was something I could do,” or even “I don’t know what to say”

– Creating space for your pain: “Do you want to talk about it?” “It’s okay to cry,” or “We don’t have to talk; I’m happy just to sit here with you”

– Giving support unconditionally, such as making dinner for you, or taking care of your kids, or helping you out with your daily tasks

– Making the effort to visit and spend some time with you in person

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Understood, Accepted, & Cared– Genuinely listening as you tell them about what you’re going

through

– Saying something like “I’m here for you” and meaning it

– These sorts of responses all send the same message: I’m here for you, I care about you, I accept you, I understand you, I see you’re in pain, and I want to help.

Page 11: Acceptance & Commitment Therapy

Who is the Person in Your Life:

– Who can always be there for you, in any moment, no matter what happens?

– Who can understand, validate, and empathize with your pain better than anyone else on the planet?

– Who can truly know just how much you are suffering?

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YOU ARE

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TWO ELEMENTS

– 1. BUILDING SELF-COMPASSION!!

Building a good relationship with ourselves is essential for inner fulfillment, especially when we run into a challenging problem or situation.

– 2. BEING PRESENT

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Acceptance Commitment Therapy (ACT)– 1. Connecting with the Present Moment (Be Here Now) – 2. Cognitive Defusion (Watch Your Thinking)– 3. Acceptance (Open Up) – 4. Self-as-Context (Pure Awareness or the Thinking-Self) – 5. Values (Know What Matters) – 6. Committed Action (Do What It Takes)

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1. Connecting w/the Present Moment (Be Here Now)

– Present means: consciously connecting with and engaging in whatever is happening in this moment. Here-and-now experience.

– Humans find it very hard to stay present, absorbed in the past or the future*

– It is easy to get caught up in our thoughts and lose touch with the world around us.

– Most of the time we tend to operate on automatic pilot, merely “going through the motions.”

– Awareness to either the physical world around us or the psychological world within us, or to both simultaneously.

Page 16: Acceptance & Commitment Therapy

Why be Present? (Be Here Now) 3 Main Reasons

– To truly appreciate the richness and fullness of life, you have to be here while it’s happening!*

– The power to act exists only in this moment

– To act effectively

Happening, Reacting, & how we wish to respond

Page 17: Acceptance & Commitment Therapy

Being Present Involves Connecting

– Paying full attention, with openness & curiosity– Connection is essential for effective action. – The more we get entangled in our thoughts, the

less attention we pay.

Page 18: Acceptance & Commitment Therapy

Getting Disconnected from the Present– The more we focus on unpleasant thoughts and feelings, the more

we disconnect from the present moment.

– The Not Good Enough Story (NGE)

– The Past

– Replay old hurts and disappointments,

– We relive old losses and grievances,

– We reignite old resentments and ancient grudges, and

– We stew over painful events that can never be undone.

Page 19: Acceptance & Commitment Therapy

The Not Good Enough Story (NGE) – The Future

– We see all sorts of scary scenarios, things that might and could go horribly wrong.

– We get bogged down in fears, worries, and anxieties:

– Fear of failure, fear of rejection,

– Fear of getting old or sick, fear of screwing up the kids,

– Fear of loneliness or poverty or injury, or

– Fear of the uncertain and the unknown.

Page 20: Acceptance & Commitment Therapy

ACT Exercise1. Connecting w/the Present Moment (Be Here Now)

Page 21: Acceptance & Commitment Therapy

2. Cognitive Defusion (Watch Your Thinking) – Defusion means learning to “step back” and separate or detach

from our thoughts, images, and memories.

– We watch our thinking instead of getting tangled up in it.

– We see our thoughts for what they are—nothing more or less than words or pictures.

– What is Fusion?

– A thought & the thing it refers to—the story and the event—become stuck together, as one.

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What is Fusion?

– We become fused with our thoughts. – Thoughts may seem to be the absolute truth, or

– Commands we must obey, or

– Threats we must eliminate, or

– Something we have to give all our attention to

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What is Fusion?

– When we defuse from our thoughts, they lose all their power over us.

– Negative stories are not seen as a problem or the enemy in their own right.*

– The aim is to increase our self-awareness & acting.

– Whether a thought is true is not that important.

– Suppose you are making some serious mistakes in your work

Page 24: Acceptance & Commitment Therapy

Thought Discernment

– Does it help me to be the person I want to be?

– Does it help me to build the sort of relationships I’d like?

– Does it help me to connect with what I truly value?

– Does it help me, in the long term, to create a rich, full, and meaningful life?

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Cognitive Defusion

– Control Strategy Vs. Acceptance Strategy

– Acceptance: uncomfortable thoughts and feelings*

– Stop the struggle & refocus on something useful

– Defusion means we separate from our thoughts

– Thoughts may or may not be true

– Step back from our thoughts & disentangle ourselves from them*

– If our thoughts are helpful then we make good use of them

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Cognitive Defusion Paradox

– The aim of defusion is not to get rid of unpleasant thoughts, but rather to see them for what they are—just words—and to let go of struggling with them

– Helpful We Use; Unhelpful We Defuse

Page 27: Acceptance & Commitment Therapy

ACT Exercise2. Cognitive Defusion (Watch Your Thinking)

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Cognitive DefusionName & Label Your Thoughts

– For example, we could silently say to ourselves, “Thinking”

– Naming the process of thinking helps us to separate a little from all those words—to step back and get a little distance

– The & Story

– Create a distance by producing a title that begins with the word “The” and ends with the word “Story,” for example,

– “The ‘My Life Is Over’ Story” or

– “The ‘Old and Lonely’ Story.”

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2. Cognitive Defusion (Watch Your Thinking)More Practice

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3. Acceptance (Open Up)

– Acceptance means opening up and making room for painful feelings, sensations, urges, and emotions.

– We drop the struggle with them, give them some breathing space, and allow them to be as they are.

– This doesn’t mean liking, wanting, or holding them

– Fighting or avoiding our feelings does not create room for them; expansion does.

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3. Acceptance (Open Up)

Observing-Self– In practicing expansion connect with

our emotions through the observing self.

– This enables us to experience our emotions directly, to see them as they actually are, rather than as the thinking-self claims they are.

– View negative emotions for what they are: relatively small and harmless (even if they’re ugly)

Thinking-Self– Views negative emotions as giants,

and dangerous demons that must avoided

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3. Acceptance (Open Up)When We Take a Look We Learn that:

– it is not as big as it seems—that we can make room for it.

– it cannot harm us, even though it feels unpleasant.

– it cannot control our arms and legs, even though it may make us shiver and shake.

– there is no need to run and hide from it, nor to fight and struggle with it.

Page 33: Acceptance & Commitment Therapy

ACT Exercise3. Acceptance (Open Up)

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The story LineDefusion

– A bunch of words & pictures inside our head:

– beliefs, ideas,

– assumptions, reasons,

– judgments, impressions,

– images, memories,

– & interpretations,

What Our Body SensesExpansion

– All the different feelings and sensations inside our body.

– We observe the negative feelings and sensations and make room for them.

5. Self-as-Context Two major components

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5. Self-as-Context Qualities of the Observing-Self

– Can’t be judged as good or bad, right or wrong, because all it does is observe.

– Sees things as they are, without judging, criticizing, or doing any of the other thinking processes that set us up for a struggle with reality.

– Therefore, it gives acceptance in its truest, purest form.

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ACT Exercise4. Self-as-Context

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5. Values (Know What Matters)

– Deep in your heart, what do you want your life to be about?

– What do you want to stand for as you use your time on this planet?

– What do you want to do with your brief time on this planet?

– What truly matters to you in the big picture?

– What sort of personal qualities do you want to cultivate?

– How do you want to behave toward yourself, others, and the world around you?

– What personal qualities do you want to cultivate?

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5. Values (Know What Matters)

– Purpose gives our life direction, and presence allows us to make the most of our journey.

– Values are about how you want to behave

– Values describe how we want to behave on an ongoing basis.

– Are your “chosen life directions.”

– Values are like a compass because they give us direction and guide our ongoing journey.

– Help us find vitality through meaningful action despite all the pain.

Page 39: Acceptance & Commitment Therapy

6. Committed Action (Do What It Takes)

– Taking effective action, guided by our values.

– Committed action means “doing what it takes” to live by our values even if that brings up pain and discomfort.

Page 40: Acceptance & Commitment Therapy

ACT ExerciseSelf-Compassion

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Thank You

Josue Guadarrama

Go Cougs