ABSTRACT

The extent to which Acceptance and Commitment Therapy (ACT) is a structured intervention with discernible phases is an issue that different ACT practitioners will take diverse views upon. Part of the issue is that ACT is applied in a wide variety of contexts, and these contexts will call for different modes of delivery. Some application of an ACT model, such as the Hexaflex or the Matrix is helpful, in the service of understanding the current situation from an ACT perspective. This is best done in an open and collaborative manner so that a shared understanding can be reached. This process may be written down and structured, or discussed verbally, dependent on the preferences and needs of client and practitioner. Identify value-driven actions, securing a commitment to pursuing these, and to practising skills that will help flexible responding to the internal hurdles as and when they show up.