Acceptance and Commitment Therapy (ACT) for OCD (2022)

Acceptance and Commitment Therapy (ACT) for OCD (1)

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“Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.”

Viktor E. Frankl

What is Acceptance and Commitment Therapy (ACT)?

ACT is a type of behavioral therapy that is becoming increasingly popular in the treatment of OCD, and there is a good reason for it. It is so easy to get entangled in endless obsessions and compulsions and to lose sight of what really matters to you. With ACT, you don’t have to delay living the life you want to live until your OCD gets better. ACT provides the compass that allows you to start taking steps toward being the person you want to be right away.

Life isn’t easy. It is full of emotional and physical pain, disappointments, rejections, failures, and losses. And as if these painful experiences were not enough, our minds tend to constantly ruminate about the past, worry about the future, beat us up for our mistakes, warn us about all kinds of real and imaginary dangers, and discourage us from taking healthy risks.

Our minds throw all kinds of unwanted, intrusive thoughts at us and at times, these thoughts become very sticky. They pull us away from the present moment and into our heads.

(Video) ACT for OCD: Key Initial Concepts

According to ACT, our difficult thoughts and feelings are not inherently problematic. But when we let our mind’s constant warnings and admonishments hook us, we often neglect doing what’s important and instead, go for quick fixes to get rid of discomfort and pain. This may help in the short-term but leads to moving away from what truly matters to us in the long run.

When we take what our minds tell us too seriously, we tend to take one of the following destructive approaches:

1. We become consumed by our thoughts or emotions and engage with them by ruminating, arguing with them, or wasting time trying to figure out why we are having these thoughts or feelings and what they mean.

2. We try to get rid of our thoughts or emotions by implementing all kinds of thought-stopping techniques, using mind-numbing substances or food, distracting ourselves, or avoiding triggering situations or people.

If the above strategies are our main ways of reacting to difficult thoughts, then we live most of our lives vacillating between autopilot and avoidance modes and miss out on what matters most – the present.

Unfortunately, all this accomplishes is signaling to our minds that these thoughts and emotions are “important” and “significant,” and our minds then “helpfully” generate more of them.

This is especially true if you have OCD. The more you try to get rid of unwanted inner experiences (thoughts, images, emotions, physical sensations, urges, or memories), the more they persist. You then increase your efforts to control the unwanted thoughts and feelings. But control is the problem, not the solution, and the more you engage in the struggle, the more you get sucked into the quicksand of your internal experiences.

To help you get out of this endless struggle, ACT promotes developing psychological flexibility, whose core processes can be summarized as:

1. Being present in the moment.

2. Opening up to whichever thoughts and feelings come up without trying to fight them.

3. Doing what matters to you and taking steps toward being the kind of person you would like to be.

“The more you try to get rid of unwanted inner experiences..., the more they persist. You then increase your efforts to control [them]. But control is the problem, not the solution, and the more you engage in the struggle, the more you get sucked into the quicksand of your internal experiences. ”

With psychological flexibility, you lean into your discomfort with self-compassion and curiosity. You stop running away. This opens up a road toward the freedom to choose what kind of person you want to be in the moment.

When OCD has a grip on you, you react in a psychologically rigid way, which means that you have a very narrow range of responses to your obsessions – that is, you respond with either compulsions or avoidance. Responding flexibly, on the other hand, involves doing whatever you choose to do while making room for the obsession without engaging with it. When you respond to your thoughts and feelings flexibly, you notice them, allow them to be there, and continue taking steps towards whatever matters to you without resorting to compulsions.

ACT emphasizes that we don’t have control over our internal experiences, including obsessions (which are basically just garden-variety thoughts even though you have learned to perceive them as scary or disturbing). We do, however, have control over our actions. Therefore, the most workable approach is to let the obsessions come and go at their own time instead of wasting time and energy doing compulsions.

(Video) Using acceptance and commitment therapy (ACT)

ACT teaches us a very different way of being in the world. Instead of white-knuckling through life, it helps us move toward what is meaningful to us. It is a very empowering approach that allows us to do what matters without being consumed by whichever feelings and thoughts may show up.

Instead of spending our days in between avoidance and autopilot modes and trying to mindlessly chase endless tasks and goals (many of them meaningless to us), ACT helps us move strategically toward what is really important with intention and purpose.

To summarize, ACT will help you:

- Learn to make room for your emotions and thoughts.

- Choose what truly matters to you.

- Take steps toward being the person you want to be and living the life you want to live while being strongly rooted in the present moment.

“And what if my compulsions stand in my way to this?” you may ask. Great question as your OCD will certainly attempt to sabotage your progress. Thankfully, ACT is a very practical, action-oriented therapy approach (that’s why it’s so aptly abbreviated as “act”). It will provide numerous practical skills to help you handle your obsessions and compulsions.

ACT vs ERP

You probably heard that the most effective treatment for OCD is ERP. So how does ACT fit into the treatment and how is it different from ERP?

ERP (Exposure with Response Prevention) is a specialised CBT approach that teaches people with OCD to face scary stimuli (external or internal) while refraining from performing compulsions.

ACT is, by itself, an exposure therapy. As stated above, its main foundation is the ability to experience difficult thoughts and feelings without doing anything to get rid of them or letting them consume us, and instead, to flexibly choose to take value-driven actions toward our goals.

One of the most important components of ACT is the willingness to experience uncomfortable internal experience and moving in the direction of our values.

So, in this way, ACT and ERP have a lot of similarity as both promote exposure.

One of the differences between ACT and ERP is that ACT approaches exposure as a way of taking steps toward the life that is full of purpose. So instead of just “tolerating” the scary thought or object and waiting for the distress to subside, an ACT therapist will encourage you to identify your values, establish value-driven goals, and take steps toward those goals regardless of what thoughts or feelings are showing up.

That is, ACT is an exposure therapy, but provides a much more fulfilling way to do exposure. You are taking steps to being the best version of yourself instead of just learning to endure your anxiety. You discover that you may feel anxious and still do the things that are important to you. Instead of doing the hard stuff for the sake of “getting rid of OCD,” you work toward something bigger, something that is deeply important to you. This makes your therapy work so much more meaningful and increases motivation to work hard toward recovery.

(Video) Steve Hayes ACT for OCD

While many ERP therapists track anxiety levels while doing exposure (they use SUDS – Subjective Units of Distress as a measurement), ACT therapists do not view anxiety levels as important and don’t track them. After all, anxiety, like every other emotion, comes and goes in its own time and we don’t have control over it. If anything, tracking your anxiety just brings more of your attention to it and makes you feel it’s important, sending your mind and body a message to produce more of it. Instead, ACT therapists may track things like willingness to experience whichever feelings show up and doing what is important. They may also track how effectively you were able to unhook from your intrusive thoughts, or how you are progressing toward your value-guided goals. This allows you to drop the struggle, to get out of the tug of war with OCD and to focus on what matters.

In addition to never trying to encourage you to get rid of anxiety, an ACT therapist may actually encourage you to see your anxiety as helpful. We experience strongest emotions about the things we care about. And an ACT therapist will urge you to look which yearnings –-things that matter the most to you -- may be underneath your anxiety. These insights will help you channel your anxiety or other emotions in the right direction.

Exposure exercises in ERP are often driven by a certain topic and by the severity of anxiety (low to high). In ACT, however, the exposures are driven by what stands in your way of being the person you want to be and living the life you want to live. ACT helps people to be more motivated and engaged when practicing exposure.

Can OCD be treated with ACT only - without ERP?

First of all, who is asking this question – you or your OCD?

Usually, behind this question is the desperate attempt to avoid facing your fears in ERP. Also, behind it is the assumption that your fears are different, special, unusual, impossible-to-control, realistic, shameful -- and that for you ERP won’t work. So, you are on a mission to find a treatment that is less scary. You may be secretly hoping for a treatment that will allow you to get away with continuing doing compulsions. You may have already tried all kinds of alternative therapies, anxiety-reduction techniques, self-help books, positive thinking, or trying to find that one charmed compulsion that would get rid of the obsessions once and for all.

This quest to find a magic way to get rid of difficult emotions is the essence of OCD and the only way to get over OCD is to accept that it’s impossible to get rid of your emotions forever, no matter how much you compulse.

There is a lot of overlap between ACT and ERP. ACT without ERP, when done by a therapist with an in-depth understanding of OCD treatment, is very effective in the treatment of OCD.

It is important to note, however, that it is crucial that the ACT therapist is indeed an expert in the treatment of OCD and has substantial knowledge about cognitive and behavioral principles in general, as well as the patterns that are specific for OCD. Usually, such therapist will have a very good knowledge of and experience with ERP. Such therapist, naturally, will use ACT as a way to practice exposures. When a therapist does not have a solid understanding of OCD’s sneaky ways, he or she may erroneously view rumination (a compulsion) as an involuntary thinking process, thus, confusing an compulsion with an obsession and creating wrong interventions. Or, such a therapist may miss numerous subtle mental compulsions that are so typical for most OCD types.

Acceptance and Commitment Therapy (ACT) for OCD (5)

When ACT is combined with ERP, the treatment is the most effective as it incorporates building a strong ACT-driven foundation and motivation for the treatment with focused ERP techniques. After learning ACT principals, people usually have a better understanding of how ERP works and what its purpose is (and no, its purpose is NOT to get rid of anxiety or obsessions. Its purpose is to learn to make space for your anxiety and instead of letting it push you around, do what matters to you without relying on compulsions to alleviate your distress. It’s not about learning to “tolerate” anxiety either. It’s about radically changing your relationship with anxiety, distress, fear, disgust, and other emotions and thoughts, as well as about willingness to do what’s important to you regardless of your emotions).

(Video) Why ACT for OCD

In fact, if a therapist has a great understanding of OCD, then whether he or she provides an ERP treatment or ACT treatment, these treatments will be equally effective and will actually look very similar. In both approaches, the goal is to create and strengthen new learning pathways that compete with the previously learned pathways of fear.

So the answer is: Yes, you can treat OCD with ACT if your therapist is an OCD specialist (as opposed to being a “generalist”).

And the second part of the answer is: You will still need to face your fears, anxiety, uncertainty, “not right” feeling, discomfort, disgust, or whichever painful emotions currently compel you to do you compulsions. You will need to face the uncertainty of whether the thing you fear the most may happen. And incorporating specific ERP exercises into the treatment will make the treatment faster and more successful.

ACT vs CBT

CBT (Cognitive Behavioural Therapy) consists of the cognitive and behaviour parts of the treatment. While the behavioural part of CBT is very similar to both ERP and ACT, there are significant differences in the cognitive part.

Both ACT and CBT address changing your thinking.

CBT does it through strategies such as challenging negative automatic thoughts, addressing cognitive distortions, and changing “unhelpful” thoughts to more “rational” ones.

ACT therapists, on the other hand, would rarely encourage you to dispute your thoughts in any way. They will work on changing your relationship with your thoughts by learning to observe them, effectively unhook from them, and increase your flexibility of responses to the thoughts. In ACT, the content of a thought is not that important. What is important is how helpful would it be for you if you would allow that thought to guide your actions.

This distinction is especially crucial in the treatment of OCD. In OCD, the content of the thoughts is never the real problem. It’s the engagement with the thoughts, taking them seriously, being afraid of the thoughts – in other words, the process of being hooked by the thoughts is the driving force behind OCD. So, disputing the thoughts is just another compulsion.

ACT, therefore, is the therapy that allows you to step out of your struggle and break free from being a prisoner of your thoughts, rather than engaging in endless debates with them.

Have you tried Acceptance and Commitment Therapy for OCD? Are you considering trying it? Please share your thoughts and experience in the comments below.

Acceptance and Commitment Therapy (ACT) for OCD (6)

Anna Prudovskiis a Psychologist and the Clinical Director of Turning Point Psychological Services. She has a special interest in treating anxiety disorders and OCD, as well as working with parents.

Anna lives with her husband and children in Vaughan, Ontario. When she is not treating patients, supervising clinicians, teaching CBT, and attending professional workshops, Anna enjoys practicing yoga, going on hikes with her family, traveling, studying Ayurveda, and spending time with friends. Her favorite pastime is reading.

FAQs

How effective is ACT for OCD? ›

ACT was more effective than PMR in the treatment of OCD, with clinically significant change in OCD severity occurring more in the ACT condition than PMR, using multiple criteria and including all participants, even those who dropped out (clinical response rates ACT post=46-56% and ACT follow-up 46-66% vs PMR post=13%- ...

Can OCD be treated without ERP? ›

There is a lot of overlap between ACT and ERP. ACT without ERP, when done by a therapist with an in-depth understanding of OCD treatment, is very effective in the treatment of OCD.

Does ACT therapy help with OCD? ›

In treating OCD, ACT targets particular constructs including: cognitive difusion and decreasing EA. ACT teaches patients to create a new relationship with obsessive thoughts and anxious emotions; for example, helping patients notice that a thought is just a thought and anxiety is an emotion to be felt.

What is ACT therapy not good for? ›

The theory behind ACT is that it is counterproductive to try to control painful emotions or psychological experiences; suppression of these feelings ultimately leads to more distress.

How do I get out of OCD loop? ›

Call a friend to both distract yourself and take the spotlight off of your thoughts. Also, doing something physical (whether active or restorative) can help draw your attention to your physical body and outward reality, breaking the cycle and proving to yourself that you can regain control over your thoughts.

What can cause OCD to get worse? ›

The types of obsessions and compulsions you experience can also change over time. Symptoms generally worsen when you experience greater stress. OCD , usually considered a lifelong disorder, can have mild to moderate symptoms or be so severe and time-consuming that it becomes disabling.

What is the success rate of ERP for OCD? ›

Overall, about 50–60% of patients who complete ERP treatment show clinically significant improvement in OCD symptoms5052 and treatment gains have shown to be maintained long-term.

Can you live with OCD without medication? ›

OCD Treatment can be done without any drugs with treatments like transcranial magnetic stimulation (TMS) and psychotherapy. Obsessive-compulsive disorder (OCD) is a behavioral issue that is associated with compulsions and obsessions.

How long does ERP take to work for OCD? ›

SP: How long does ERP therapy typically take to treat OCD? How does it help patients manage their OCD? EM: On average, we should see people get better in about 12 to 16 weeks. Of course, depending on severity and the type of OCD somebody lives with, that can change.

How do I accept OCD thoughts? ›

25 Tips for Succeeding in Your OCD Treatment
  1. Always expect the unexpected. ...
  2. Be willing to accept risk. ...
  3. Never seek reassurance from yourself or others. ...
  4. Always try hard to agree with all obsessive thoughts — never analyze, question, or argue with them. ...
  5. Don't waste time trying to prevent or not think your thoughts.

Is OCD a disorder or disease? ›

Overview. Obsessive-Compulsive Disorder (OCD) is a common, chronic, and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and/or behaviors (compulsions) that he or she feels the urge to repeat over and over.

How do you deal with an intrusive thought ACT? ›

  1. Label these thoughts as "intrusive thoughts."
  2. Remind yourself that these thoughts are automatic and not up to you.
  3. Accept and allow the thoughts into your mind. ...
  4. Float, and practice allowing time to pass.
  5. Remember that less is more. ...
  6. Expect the thoughts to come back again.
Apr 26, 2018

When is acceptance and commitment therapy not appropriate? ›

It is not appropriate for individuals who are floridly psychotic, intoxicated, require emergency medical treatment or have organic brain injury. In many trials ACT has been used in conjunction with pharmacotherapy to good effect.

What are the limitations of acceptance and commitment therapy? ›

Limitations. The limitations of ACT as a therapy is that it doesn't look at core issues or problems, such as it doesnt address family of origin issues etc . Some people are put off by the focus on mindfulness , as it can be linked to new - age.

Is ACT better than CBT? ›

Whether you choose CBT or ACT, both therapies are likely to show positive results. Overall, CBT is older and better researched, and most therapists are trained to use it.

Can you see OCD on a brain scan? ›

OCD was one of the first psychiatric disorders in brain scans showed evidence of abnormal brain activity in specific regions.

Is OCD caused by a chemical imbalance? ›

Is OCD Caused by a Chemical Imbalance? While studies in the past have shown possible links between chemical imbalances and deficiencies, including serotonin production issues, recent research has largely disproven any connection between an OCD diagnosis and chemical imbalances in the brain.

What part of the brain is overactive in OCD? ›

People with OCD have an overactive neural circuit between the prefrontal cortex—part of the brain involved with cognitive behavior, executive decision making and personality—and the nucleus accumbens, which is part of the reward system.

When does OCD turn into psychosis? ›

Someone who's considered to have OCD with poor or absent insight might not readily acknowledge their thoughts and behaviors as problematic or unreasonable. This can be considered psychosis. OCD with poor or absent insight is when symptoms of psychosis might appear.

What is considered severe OCD? ›

Total severity scores are usually assumed to indicate the following levels of OCD: subclinical (0–7), mild (8–15), moderate (16–23), severe (24–31) and extremely severe (32–40).

When does OCD become severe? ›

The doctor rates obsessions and compulsions on a scale of 0 to 25 according to severity. A total score of 26 to 34 indicates moderate to severe symptoms and 35 and above indicates severe symptoms.

Can ERP make OCD worse? ›

ERP can be stressful to start.

People on the NOCD team that have OCD have often shared that doing ERP will initially make your OCD symptoms feel worse, so it is crucial to have an OCD therapist to help you persevere during the beginning of your treatment journey.

Does OCD get worse with ERP? ›

Many people find their OCD symptoms actually increase after starting ERP.

Why is ERP not working OCD? ›

Artificial triggers. The second problem with standard ERPT is that clients do manufacture exposures, when the fact is, people with OCD are exposed to triggers every single day, all the time. Creating exposures can cause a client to do more compulsions, thereby, making the obsessions seem more legitimate and dangerous.

What does the Bible say about OCD? ›

If you're combatting this disorder, here are some bible verses for OCD that can help you cope with symptoms: 2 Timothy 1:7: For God did not give us a spirit of timidity, but a spirit of power, of love, and of self-control. 1 Peter 5:7: Cast all your anxiety on Him because He cares for you.

What foods help with OCD? ›

Go for:
  • Nuts and seeds, which are packed with healthy nutrients.
  • Protein like eggs, beans, and meat, which fuel you up slowly to keep you in better balance.
  • Complex carbs like fruits, veggies, and whole grains, which help keep your blood sugar levels steady.
Sep 28, 2020

How do you beat OCD naturally? ›

6 Best Strategies to Combat Obsessive-Compulsive Disorder
  1. Practice mindfulness to manage stress. Two key characteristics of OCD are high anxiety and the presence of intrusive thoughts. ...
  2. Get plenty of exercise. ...
  3. Sleep well and enough. ...
  4. Avoid nicotine and alcohol. ...
  5. Reach out to family and friends. ...
  6. Find an ERP therapist.
Jan 7, 2021

Can I do ERP on my own? ›

It sounds difficult, but you don't have to go through it alone. It's best to do ERP with a licensed therapist who specializes in OCD and ERP. That person will have the knowledge and experience to help you understand your experiences, fears, and goals and teach you how to empower yourself.

How does ERP change your brain? ›

Research finds that using ERP increases the connectivity between areas of the brain (particularly the cerebellum) affected with OCD. It improves these connections. Your brain is actually changing!

How many therapy sessions are needed for OCD? ›

Generally speaking, most people with OCD can expect to complete between 12 and 20 therapy sessions before they see a clinically significant decrease in OCD symptoms.

What are the most common OCD thoughts? ›

Common obsessive thoughts in OCD include:

Fear of losing control and harming yourself or others. Intrusive sexually explicit or violent thoughts and images. Excessive focus on religious or moral ideas. Fear of losing or not having things you might need.

What is the best medication for OCD intrusive thoughts? ›

Antidepressants approved by the U.S. Food and Drug Administration (FDA) to treat OCD include: Clomipramine (Anafranil) for adults and children 10 years and older. Fluoxetine (Prozac) for adults and children 7 years and older. Fluvoxamine for adults and children 8 years and older.

Why is OCD so convincing? ›

They feel like they need control because their mind is constantly telling them things aren't all right, and because lacking control leads to overwhelming distress. In some cases, OCD symptoms can become so severe that people consider suicide.

Is OCD caused by trauma? ›

Not a few patients with obsessive-compulsive disorder (OCD) have experienced events that affected the onset. The onset of OCD is not limited to the original meaning of trauma; rather, traumatic experiences such as unexpected exposure to contaminants or various stressful life events often cause the onset of OCD.

Are you born with OCD? ›

There are numerous things that can cause OCD, including genetics, your surroundings and things that can randomly happen in everyday life. If a close relative has OCD, studies have shown there could be a series of genes that you inherit, making OCD partially genetic.

Can CBD help with OCD? ›

Carrie Cuttler, PhD, an assistant professor in the Department of Psychology at Washington State University, on recent findings that show CBD may reduce intrusive thoughts and anxiety for patients with OCD.

How can I clear my mind instantly? ›

Carving out time — even just a few minutes — to clear your mind is important for your mental health.
...
If you're feeling stuck, try these strategies:
  1. Go for a walk.
  2. Listen to music — it can have surprising benefits.
  3. Read a chapter of your favorite book.
  4. Doodle.
  5. Do a guided meditation or try some mindful breathing.
  6. Take a nap.
Mar 3, 2022

Why does my brain get stuck in a loop? ›

Those with looping thoughts tend to come from perfectionist families, struggle with trauma, have anxiety disorders, or depressive symptoms. A looping thought is a coping mechanism. It is a subconscious tool to help a distressed individual escape from the present moment.

Who is acceptance and commitment therapy good for? ›

ACT for Treating Disorders. Like the practice of mindfulness, ACT can be applied in any individual's life and help with general anxiety disorders, chronic pain, depression, OCD, eating disorders, and social anxiety.

Is acceptance and commitment therapy evidence based? ›

Acceptance and Commitment Therapy (ACT) has accrued a substantial evidence base. Recent systematic and meta-analytic reviews suggest that ACT is effective compared to control conditions.

Is acceptance and commitment therapy effective? ›

In the current study, the effectiveness of Acceptance and Commitment Therapy on Anxiety and Depression was investigated and finding demonstrates that Acceptance and Commitment Therapy could reduce anxiety and depression. These results are consistent with findings of previous studies [16][11]. Nariman et al.

What is the overarching problem in acceptance and commitment therapy? ›

The main problem we treat in ACT is narrow, rigid, inflexible behaviour. Inflexible behaviour is often under “aversive control” (motivated by trying to avoid/escape something you don't want: an “aversive stimulus”) – e.g. drug-taking motivated predominantly by trying to escape feelings of anxiety or traumatic memories.

What is acceptance and commitment therapy in a nutshell? ›

Acceptance and Commitment Therapy (ACT) is a type of psychotherapy that helps you accept the difficulties that come with life. ACT has been around for a long time, but seems to be gaining media attention lately.

What is cognitive Defusion? ›

Cognitive defusion is about: − looking at thoughts rather than from them. − noticing thoughts rather than getting. caught up or buying into the thought. − letting thoughts come and go rather than holding onto the thought.

When do you use ACT instead of CBT? ›

Whereas CBT works by helping you identify and change negative or destructive thoughts, ACT holds that pain and discomfort are a fact of life – something we must get comfortable with if we wish to live a happy, fulfilled life.

What does an act therapy session look like? ›

Your first session or two may focus mostly on building rapport with your therapist and developing a shared understanding of your past and present experiences with mental health. You'll also discuss strategies you've used before that may not have worked well. Focusing on your own self-talk and ideas about your life.

Is ACT better than CBT for anxiety? ›

Therapist adherence and competency were good; treatment credibility was higher in CBT. Conclusions: Overall improvement was similar between ACT and CBT, indicating that ACT is a highly viable treatment for anxiety disorders.

What is ERP treatment for OCD? ›

What Is Exposure and Response Prevention (ERP) Therapy? ERP therapy is a behavioral therapy that gradually exposes people to situations designed to provoke a person's obsessions in a safe environment. A hallmark of ERP is that is doesn't completely remove distressing situations and thoughts.

What is the ACT technique? ›

Acceptance and commitment therapy (ACT therapy) is a type of mindful psychotherapy that helps you stay focused on the present moment and accept thoughts and feelings without judgment. It aims to help you move forward through difficult emotions so you can put your energy into healing instead of dwelling on the negative.

Is DBT good for OCD? ›

Studies have found that DBT can improve quality of life and self-control as well as reduce hopelessness in people with personality disorders such as OCD.

How do you deal with an intrusive thought ACT? ›

  1. Label these thoughts as "intrusive thoughts."
  2. Remind yourself that these thoughts are automatic and not up to you.
  3. Accept and allow the thoughts into your mind. ...
  4. Float, and practice allowing time to pass.
  5. Remember that less is more. ...
  6. Expect the thoughts to come back again.
Apr 26, 2018

Videos

1. Willingness and Acceptance in ACT for OCD
(Psychotherapy Academy)
2. Using acceptance and commitment therapy (ACT) Vol. 2
(International OCD Foundation)
3. Acceptance and Commitment Therapy (ACT): Cognitive Defusion Video
(PsychotherapyNet)
4. The OCD Mind and Uncertainty | ACT
(Mindset Family Therapy)
5. Committed Action in ACT for OCD
(Psychotherapy Academy)
6. How ACT Works for OCD
(Psychotherapy Academy)

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