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ACT for Generalized Anxiety Disorder—Part 1:

ACT for Generalized Anxiety Disorder—Part 1 Tricia Brouwer , Michelle Little, Jessica Summerville, and Katie Whelan

ACT Overview:

ACT Overview Mindfulness-based behavioral therapy Purpose to create a meaningful life Does not have symptom reduction as a primary goal

Theories and Models of Practice:

Theories and Models of Practice Mindfulness—4 subtypes: Cognitive Difusion Acceptance Contact with the Present M oment Observing Self

Theories and Models Continued:

Theories and Models Continued Private Experiences not Symptoms Suffering in Human Language Individualized Treatment and Techniques Experiential Avoidance Clean vs. Dirty Discomfort Therapist and Client Equal

Principles of ACT:

Principles of ACT Uses metaphors, paradox, and mindfulness skills Acceptance Commitment and Action

6 Core Principles of Emotional Flexibility:

6 Core Principles of Emotional Flexibility Diffusion Acceptance Contact with Present Moment Observing Self Values Committed Action


Populations Individuals, couples, or groups Brief or long-term GAD, OCD, PTSD, workplace stress, chronic pain, health-related stress, substance abuse, Anorexia , and Schizophrenia

Client Risk and Protective Factors:

Client Risk and Protective Factors Risk External locus of control Stressful life events Substance abuse Low self- esteem Protective: Family support Secure attachment style Adaptive coping strategies Prosocial skills

Research Results:

Research Results Increased emotional regulation, tolerance of uncertainty, and sense of control over anxiety Decreased fear of emotional responses, avoidance, anxious and depressive symptoms Changed responses to anxiety


References Kashdan , T., & Rottenberg , J. (2010). Psychological flexibility as a fundamental aspect of health . Clinical Psychology Review , 30 (7), 865-878. Oliver , J. (2011, January 31). The unwelcome party guest - an acceptance & commitment therapy (ACT) metaphor [Video file]. Retrieved from: com/watch?v=Vyht- guymF4 Treanor , M., Erisman , S. M., Salters- Pedneault , K., Roemer, L., & Orsillo , S. M. (2011). Acceptance-based behavioral therapy for GAD: Effects on outcomes from three theoretical models. Depression and Anxiety, 28 , 127-136. Trent Codd , R., Twohig , M. P., Crosby, J. M., & Enno , A. (2011). Treatment of three anxiety disorder cases with acceptance and commitment therapy in a private practice. Journal of Cognitive Psychotherapy: An International Quarterly, 25 (3), 203-217.

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