ACCEPTANCE AND COMMITMENT THERAPY · ACT · TELEHEALTH

Acceptance and Commitment Therapy (ACT)

ACT is for people who are tired of being pushed around by anxiety, shame, intrusive thoughts, trauma reminders, urges, or the constant need to feel certain before living.

The goal is not to talk yourself into feeling fine. The goal is to build enough flexibility that your thoughts and feelings can be present without running your life.

WHEN ACT HELPS

When life starts getting organized around avoiding discomfort

Avoidance can look reasonable from the outside. You cancel plans, overprepare, replay conversations, ask for reassurance, stay busy, shut down, check your body, or wait until you feel ready.

The problem is not that you want relief. The problem is that short-term relief can quietly start choosing your schedule, relationships, work, faith, health, and sense of self.

A simple way to see it

Your mind can be loud without being in charge.

Thoughts are like radio stations. You may not control what plays, but ACT helps you decide whether that station gets to drive the car.

WHY CONTROL BACKFIRES

Trying to control every thought and feeling can make the fight bigger

Most people do not come to therapy because they had one hard feeling. They come because they have spent years trying to get rid of hard feelings, and the effort has started costing too much.

ACT does not ask you to approve of painful thoughts, like them, or pretend they are harmless. It helps you stop treating every internal alarm as an emergency that must be solved before you act.

Emotions are weather, not orders.

You do not need clear skies to leave the house. ACT helps you learn how to move in the direction you choose, even when the weather inside is rough.

HOW ACT WORKS

ACT changes your relationship to thoughts, feelings, and urges

ACT comes from behavioral science. In plain English, that means we look at what shows up inside you, what you do next, and whether that response helps your life grow or shrink.

Skill

Defusion

You learn to notice thoughts as thoughts, not as facts, threats, or commands you must obey.

Skill

Acceptance

You practice making room for discomfort when fighting it keeps you stuck.

Skill

Values-based action

You take doable steps toward what matters, even when your mind is loud.

IN SESSION

What ACT looks like in session

ACT is not a lecture and not a checklist. We work with the exact places where your mind hooks you, your body alarms you, or avoidance starts making decisions for you.

01

Track the pattern

Trigger, thought, feeling, urge, action, relief, cost. We name the loop clearly.

02

Notice language traps

The mind says I cannot, I must, what if, not until. We practice hearing the rule without automatically obeying it.

03

Make room

You learn to carry anxiety, shame, grief, or doubt without making your life smaller around it.

04

Clarify values

Values are a compass, not a mood. They point the direction when feelings are hard to read.

05

Practice flexible action

You choose one next step that fits your values. Progress is practice, not a perfect feeling.

HOW ACT IS USED HERE

ACT is matched to the problem, not used as a generic four-step script

In this practice, ACT is used differently depending on what is keeping the client stuck. The common thread is psychological flexibility: making room for discomfort, stepping back from unhelpful thoughts, and choosing behavior that fits the life the client wants to build.

OCD + ERP

Making room for uncertainty

ACT supports ERP by helping clients notice intrusive thoughts without treating them as commands, make room for distress, and move through exposures without rituals or reassurance.

Anxiety + panic

Acting while anxiety is present

ACT helps clients stop waiting for perfect calm before doing life. The work targets avoidance, safety behaviors, and the belief that anxiety must disappear first.

Trauma + shame

Rebuilding a life after threat

ACT can support trauma work by helping clients move toward values without forcing disclosure or pretending the body should already feel safe.

BFRBs + urges

Making space for urges without obeying them

ACT can support HRT by helping clients notice urges, shame, and discomfort while practicing competing responses and values-based choices.

ABOUT YOUR THERAPIST

Felix Murad, M.Ed., LPC-S, LMHC, CMHC, NCC

Felix specializes in OCD, taboo intrusive thoughts, anxiety, trauma, and body-focused repetitive behaviors. Treatment may integrate ACT, ERP, CBT, EMDR-informed trauma work, Habit Reversal Training, and inhibitory-learning-informed exposure work when clinically appropriate.

Credentials

Licensed care

Licensed in Texas, Washington, and New Hampshire. Registered to provide telehealth in Florida.

Ethics

Careful claims

Clear method, clear scope, and no promises of a guaranteed outcome.

COMMON QUESTIONS

ACT Therapy FAQ

Question

Is ACT just mindfulness?

No. Mindfulness can be part of ACT, but the work is broader. The goal is to notice what is happening inside you clearly enough to choose your next action.

Question

Is ACT positive thinking?

No. ACT does not ask you to replace painful thoughts with cheerful ones. It helps those thoughts have less control over behavior.

Question

Can ACT help OCD?

ACT can support OCD treatment when it strengthens ERP, uncertainty tolerance, and response prevention. It should not become reassurance or avoidance of ERP when ERP is indicated.

Question

How do I know if ACT is the right fit?

The consultation call is used to discuss your concerns, prior therapy, diagnosis fit, and whether ACT, ERP, CBT, EMDR-informed work, HRT, or another approach is the best match.

NEXT STEP

You do not have to win every argument with your mind before living your life.

If anxiety, intrusive thoughts, trauma reminders, shame, or avoidance have been setting the terms, ACT can provide a structured path back toward values-based movement.