Acceptance and commitment therapy (ACT) is a form of psychotherapy based on relational frame theory and behavioral analysis. It teaches clients to accept unwanted private events like thoughts and feelings rather than trying to control them. The core principles of ACT include cognitive defusion, acceptance, contact with the present moment, observing the self, discovering values, and committed action. A study assessed using ACT over 8 sessions for delusions in addition to treatment as usual. It aimed to build acceptance, willingness, values, and defusion and hypothesized it would decrease distress, delusional conviction, and anxiety levels from baselines.

2. Psychotherapy in Schizophrenia
Dr. Hani Hamed Dessoki, M.D. Psychiatry
Prof. Psychiatry
Chairman of Psychiatry Department
Beni Suef University
Supervisor of Psychiatry Department
El-Fayoum University
APA member

3. ‫لله‬ ‫الحمد‬

4. Psychotherapy

5. Acceptance and commitment Therapy
(typically pronounced as the word "act") is a form
of clinical behavior analysis (CBA) used in
psychotherapy.
It is an empirically-based psychological intervention
that uses acceptance and mindfulness strategies
mixed in different ways with commitment and
behavior-change strategies, to increase
psychological flexibility.

6. Acceptance and commitment Therapy
ACT is based on relational frame theory (RFT), a
comprehensive theory of language and cognition
that is an offshoot of behavior analysis.

7. Acceptance and commitment Therapy
ACT differs from traditional cognitive behavioral
therapy (CBT) in that rather than trying to teach
people to better control their thoughts, feelings,
sensations, memories and other private events,
ACT teaches them to "just notice," accept, and
embrace their private events, especially previously
unwanted ones.

8. Core principles
ACT commonly employs six core principles to help clients develop
psychological flexibility:
 Cognitive defusion: Learning methods to reduce the tendency to
reify thoughts, images, emotions, and memories
 Acceptance: Allowing thoughts to come and go without struggling
with them.
 Contact with the present moment: Awareness of the here and
now, experienced with openness, interest, and receptiveness.
 Observing the self: Accessing a transcendent sense of self.
 Values: Discovering what is most important to one's true self.[7]
 Committed action: Setting goals according to values.

9. Acceptance and Commitment Therapy for
Delusions (ACT)
 The current study assessed the effectiveness of ACT (8 sessions) for delusions.
Participants received treatment as usual throughout the study. The intervention
followed the protocol of ACT described in Hayes, Strosahl and Wilson (1999) in
which treatment will consist of building acceptance, willingness, and
commitment to change, clarifying values, defusion of thoughts and feelings, as
well as defusion of self. These therapeutic aims attempted to be achieved by the
practice of various exercises in and out of session as well as the discussion of
various metaphors within session. It was hypothesized that participants will
exhibit decreased distress due to delusions, decreased delusional conviction and a
reduction of overall anxiety levels from participants' baselines.
Bach P, Hayes SC. The use of acceptance and commitment therapy to
prevent the rehospitalization of psychotic patients: a randomized
controlled trial. J Consult Clin Psychol. 2002 Oct;70(5):1129-39.