Stop Worrying and Start Living with ACT Therapy

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ACT therapy acknowledges that the intrinsic importance of a task & the rewards a person gets from accomplishing the task aren’t enough to motivate many of those with ADHD to take action. ACT therapy solves the problem by having the patient focus on values.

is an extension of the cognitive-behavioral model, but with some differences. Unlike CBT, ACT doesn’t try to change negative thoughts. It asks you to observe and accept them. ACT does not accept the idea that thoughts are easily malleable. CBT might focus on identifying a negative thought , then reframing it to something more positive .

Miguel always wanted to be a psychologist. But he felt that many things stood in his way, and that it was not meant to be. He was so fearful of writing a dissertation that he avoided pursuing his degree. He saw ADHD as “Intention Deficit Disorder” — knowing what to do but not doing it. Using the ACT model, we discussed the things that got in the way of his being a psychologist.

I had him write these thoughts on a piece of paper and tape it to his forehead. This was a literal representation of his thoughts obstructing his view. I then instructed him to tape those thoughts to the floor, so he could see them while we were talking. He could still read his thoughts, but they were not obstructing his view. He practiced saying, “I am observing that I am having these negative thoughts.” He became separated from the thoughts, and they had less power.

This mindset prevents a bad day from becoming a bad week for Miguel. In addition, when he is in a bad mood, it doesn’t color everything around him. “In the past, when I had a bad day, it affected everything around me. I felt nothing would work for me. No one was good around me, everything was part of that dark cloud.” Miguel learned to maintain his vision of being a therapist, despite days that knocked him down.Values are what matters to you, what informs your behaviors.

 

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