This book is the most practical clinical guide on Acceptance and Commit ment Therapy (ACT said as one word, not as initials) yet available. It is designed to show how the ACT model and techniques apply to various disorders, settings, and delivery options. The authors of these chapters are experts in applying ACT in these various areas, and it is intriguing how the same core principles of ACT are given a nip here and a tuck there to fit it to so many issues. The purpose of this book, in part, is to emboldened researchers and clinicians to begin to apply ACT wherever it seems to fit. The chapters in the book demonstrate that ACT may be a useful treat ment approach for a very wide range of clinical problems. Already there are controlled data in many of these areas, and soon that database will be much larger. The theory underlying ACT (Relational Frame Theory or "RFT"-and yes, here you say the initials) makes a powerful claim: psy chopathology is, to a significant degree, built into human language. Fur ther, it suggests ways to diminish destructive language-based functions and ways of augmenting helpful ones. To the extent that this model is cor rect, ACT should apply to a very wide variety of behavioral issues because of the centrality of language and cognition in human functioning."

Frightening and destabilizing as they may be, personal crises can also provide meaningful opportunities for learning and growth. For individuals struggling with mental disorders, however, mitigating the former and fostering the latter can be challenging, particularly in the context of what are often time-limited conversations or a limited number of visits. In Crisis Integration With Acceptance and Commitment Therapy: Theory and Practice, health care professionals will find a practical guide, informed by both theory and evidence, to the psychological skills patients need to deal with and grow through crises. Enlivened by detailed and engaging clinical dialogues—all based on real-world clinical practice—this book introduces the acceptance and commitment therapy (ACT) model, demonstrating how it applies to findings from crisis studies and can be integrated into clinical practice. It then delves into the three core processes of ACT: • Mindfulness, as understood in terms of predictive coding as well as non-systematic interoceptive exposure, and its effectiveness in both acute and chronic crises • Self-compassion and how the action of bringing affection and kindness to oneself during intense torment can be crucial to acceptance • Engagement with life and the importance of controlling one's own behavior in the midst of otherwise uncontrollable crisis-provoking events Although crises come in a variety of forms, Crisis Integration With Acceptance and Commitment Therapy: Theory and Practice argues that the core processes that underpin the generation and maintenance of a crisis response are essentially the same and helps to simplify the conceptualization of complex clinical presentations. By accessibly and deftly melding crisis science, evolutionary psychology, neuroscience, behavioral psychology, and the practice of mindfulness, this volume offers readers—be they psychiatrists, psychiatric residents, psychologists, psychotherapists, or other health care professionals—an approach that is easy to learn, simple to remember, and applicable to any crisis situation that their patients may be confronting.

The traditional practice of psychiatry has been focused on reducing or eliminating distressing, unwanted symptoms. But what if the key to health and well-being is not to be symptom free, but rather to function effectively in life even when symptoms are present? What if symptoms serve an adaptive and motivational function, rather than being signals of a latent illness? What if the key to personal health is the ability to accept symptoms for what they are and to do what matters in life at the same time? This is the underlying proposition of Acceptance and Commitment Therapy (ACT), and this book-a collaboration among six clinicians from diverse practice backgrounds-is the first to systematically describe the principles and practices of ACT as they apply to psychiatric assessment, case analysis, and treatment. The guide begins with an in-depth analysis of the ACT model, from its scientific origins in the study of the functions of human language to a fully elaborated model for clinical assessment and intervention and outlines the clinical benefits of ACT in everyday practice. The second section of the book shows the reader how to conduct a streamlined assessment of the patient's life context, how to detect and intervene with the patient's unworkable emotional and behavioral avoidance strategies, and how to blend the use of medication treatment and behavioral interventions in a way that augments the beneficial effects of both approaches. Chapter-length examples in the third section discuss how to deliver ACT in an ambulatory psychiatric setting, in a hospital consultation-liaison service, and in an inpatient psychiatric context. The section also includes a chapter examining the all-important issue of teaching ACT to psychiatric residents as well as affiliated health professionals working in medical or psychiatric treatment team contexts. Learning Acceptance and Commitment Therapy uses a diverse array of case examples and clinical dialogues to offer readers a real-life view of the methodology in practice. Each chapter also includes additional reading resources to pursue should a particular theoretical or applied clinical concept create a desire to learn more. Additionally, readers have unlimited access to an online instructional library that includes video demonstrations of core ACT clinical strategies "in action" as well as a host of written practice support tools and worksheets. This book is a must for clinicians who want to expand their ability to improve clinical outcomes for the wide range of patients seen in clinical practice.

Since the original publication of this seminal work, acceptance and commitment therapy (ACT) has come into its own as a widely practiced approach to helping people change. This book provides the definitive statement of ACT--from conceptual and empirical foundations to clinical techniques--written by its originators. ACT is based on the idea that psychological rigidity is a root cause of a wide range of clinical problems. The authors describe effective, innovative ways to cultivate psychological flexibility by detecting and targeting six key processes: defusion, acceptance, attention to the present moment, self-awareness, values, and committed action. Sample therapeutic exercises and patient-therapist dialogues are integrated throughout. New to This Edition *Reflects tremendous advances in ACT clinical applications, theory building, and research. *Psychological flexibility is now the central organizing focus. *Expanded coverage of mindfulness, the therapeutic relationship, relational learning, and case formulation. *Restructured to be more clinician friendly and accessible; focuses on the moment-by-moment process of therapy.

As a mental health professional, you know it's a real challenge to help clients develop the psychological skills they need to live a vital life. This is especially true when you are working with time constraints or in settings where contacts with the client will be brief. "Brief Interventions for Radical Change" is a powerful resource for any clinician working with clients who are struggling with mental health, substance abuse, or life adjustment issues. If you are searching for a more focused therapeutic approach that requires fewer follow-up visits with clients, or if you are simply looking for a way to make the most of each session, this is your guide.

In this book, you'll find a ready-to-use collection of brief assessment and case-formulation tools, as well as many brief intervention strategies based in focused acceptance and commitment therapy (ACT). These tools and strategies can be used to help your clients stop using unworkable behaviors, and instead engage in committed, values-based actions to change their lives for the better.

The book includes a practical approach to understanding how clients get stuck, focusing questions to help clients redefine their problem, and tools to increase motivation for change. In addition, you will learn methods for rapidly constructing effective treatment plans and effective interventions for promoting acceptance, present-moment awareness, and contact with personal values.

With this book, you will easily integrate important mindfulness, acceptance, and values-based therapeutic work in their interactions with clients suffering from depression, anxiety, or any other mental health problem.

This book is the most practical clinical guide on Acceptance and Commit ment Therapy (ACT said as one word, not as initials) yet available. It is designed to show how the ACT model and techniques apply to various disorders, settings, and delivery options. The authors of these chapters are experts in applying ACT in these various areas, and it is intriguing how the same core principles of ACT are given a nip here and a tuck there to fit it to so many issues. The purpose of this book, in part, is to emboldened researchers and clinicians to begin to apply ACT wherever it seems to fit. The chapters in the book demonstrate that ACT may be a useful treat ment approach for a very wide range of clinical problems. Already there are controlled data in many of these areas, and soon that database will be much larger. The theory underlying ACT (Relational Frame Theory or "RFT"-and yes, here you say the initials) makes a powerful claim: psy chopathology is, to a significant degree, built into human language. Fur ther, it suggests ways to diminish destructive language-based functions and ways of augmenting helpful ones. To the extent that this model is cor rect, ACT should apply to a very wide variety of behavioral issues because of the centrality of language and cognition in human functioning."

What if depression could lead to positive change? Written by acceptance and commitment therapy (ACT) cofounder Kirk Strosahl and Patricia Robinson, this revised edition of the best-selling classic, The Mindfulness and Acceptance Workbook for Depression includes updated research on self-compassion, mindfulness, and neuroscience to help you live a more meaningful life. If you suffer from depression, you may feel like you are living under a perpetual raincloud, even when it's sunny outside. If left untreated, clinical depression can damage relationships, cause problems at work, lead to substance abuse, and even make it more difficult to overcome physical illnesses. You may feel too tired and scared to reach out for help, or you may try to avoid your feelings altogether. But you should know that there are little, effective ways you can overcome your depression, one day at a time. This fully revised and updated second edition of The Mindfulness and Acceptance Workbook for Depression will show you how changing daily behaviors and practicing new mindfulness skills can literally reshape your brain. Rather than fruitlessly trying to avoid your depression, you'll learn to focus on living a productive life by accepting your feelings. There are hundreds of books that will try to help you overcome or put an end to depression. But what if you could use your depression to change your life for the better? Your symptoms may be signals that something in your life needs to change. Learning to understand and interpret these signals is much more important than ignoring or avoiding them-approaches that only make the situation worse. This workbook uses techniques from acceptance and commitment therapy (ACT) to offer a new treatment plan for depression that will help accept your feelings instead of fruitlessly trying to avoid them. This new edition will include skills based on new research and contributions from mindfulness, self-compassion, and neuroscience. Using the skills outlined in this book, you'll be able to work through your depression, experience greater peace and well-being, and go on to create a better life.

Your toolkit for managing and overcoming the worst symptoms of depression--quickly and effectively. In an increasingly stressful world--filled with fear and uncertainty--the prospect of effectively managing your depression can seem overwhelming. Add to that the all-consuming grind of day-to-day life, and things can get overwhelming in a hurry. Everyday tasks can seem like insurmountable challenges, your symptoms pile up, and relief slips further out of reach. Your mood becomes darker, your sense of isolation more extreme, and your motivation falls through the floor. What you need is relief--and STAT! Written by a veritable dream team of mental health experts, this short, easy-to-use guide offers evidence-based skills grounded in mindfulness, acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), and behavioral activation to help you effectively manage negative thoughts, get motivated, rediscover hope, and develop healthy habits. Designed to get right to the point, this book wastes no time in giving you the tools you need to quickly improve your mood, get unstuck from difficult feelings, and stay on top of symptoms before they build up and get the best of you. The sooner your symptoms are under control, the sooner you can get back on track--happier, more motivated, and looking forward with hope. If you're the type who likes to cut through the clutter and get to the heart of the matter, pick up this book, and pick up the tools inside--relief is only pages away.

Since the first edition of Clinical Manual for Assessment and Treatment of Suicidal Patients was published in 2005, advances have been made that increase our understanding of suicidal and self-destructive behavior. Although clinicians cannot unerringly predict which patients will die by suicide, they can focus more successfully on early identification of suicidal behavior and effective intervention, and this new edition of the clinical manual thoroughly explores not only assessment of suicidality but what comes after an at-risk patient has been identified. The authors argue that treating specific psychiatric disorders is not enough to prevent suicide, and they offer clinicians the necessary information and strategies to bridge that gap. The authors' main premise is that suicide is a dangerous and short-term problem-solving behavior designed to regulate or eliminate intense emotional pain-a quick fix where a long-term effective solution is needed-and this understanding is the underpinning of the assessment and treatment strategies the authors recommend. The content of this new edition has been thoroughly reviewed and revised, and substantive changes have been made to specific chapters to ensure that the book represents the most current thinking and research, while retaining the strengths of the previous edition. * The chapter on assessment has been revised to put the fundamental components of effective treatment in a clinical, case-oriented context and includes an easy-to-use assessment protocol that allows clinicians to determine where individual patients stand on seven dimensions (cognitive rigidity, problem-solving deficits, heightened mental pain, emotionally avoidant coping style, interpersonal deficits, self-control deficits, and environmental stress and social support deficits).* The many issues involved in the use of psychotropic medications in suicidal patients are addressed in a new chapter, which includes information on the relevant classes of drugs (such as antidepressants and antianxiety agents) and the issues that may arise with their use, including side effects, degree of lethality, and tendency to aggravate suicidality on introduction and withdrawal of the medication. * The chapter on special populations has been expanded to include adolescents, elders, and patients with co-occurring substance abuse or psychosis. Because of additional vulnerabilities, treating these groups may call for the use of added or special techniques to ensure the best therapeutic outcomes.* Primary care physicians are the first point of contact for many patients, and they may require additional preparation in order to assess and respond to those experiencing suicidal thoughts. The chapter "Suicidal Patients in Primary Care" explores strategies for screening, recognizing, and assessing risk; treating the initial crisis; and developing a crisis management plan.* "Tips for Success" appear at intervals, and "The Essentials" are included at the end of each chapter, highlighting the most important concepts. In addition, there are scores of helpful charts and exercises. Practical, accessible, and reader-friendly, the Clinical Manual for Assessment and Treatment of Suicidal Patients is not an academic book but rather is one designed to become an indispensable part of clinicians' working libraries.

In therapy, it is essential for both clinicians and their clients to pay attention to each moment in-session as an opportunity to create change. In addition, clients must be willing to experience pain in the present moment in order to make lasting change and begin to live according to their values. But staying in the moment is harder than it sounds. Inside This Moment offers a powerful skill set for learning to live in the now-even when it hurts. To help you and your client make the most of your time in treatment sessions, this book includes clinical examples of working with clients via self-related processes, and offers tips for what to do when faced with certain non-verbal and verbal client behaviors, such as: *looking away or down *body positioning *respiration rate *giving general answers to specific questions *changing the topic *forgetting what was asked *repeating oneself over and over *changes in rate of speech *voice volume You'll learn that you don't need to go looking for radical change opportunities-but rather that the opportunities are transpiring right in front of you. This book will allow you to relax and trust in the power of the "now" in your therapy sessions.

The definitive, complete guide to using ACT in clinical practice. With a therapist friendly, accessible structure, the originators of this increasingly popular therapy demonstrate how to intervene with clients to strengthen six key processes that promote psychological flexibility and well-being. Since the original publication of this seminal work, acceptance and commitment therapy (ACT) has come into its own as a widely practiced approach to helping people change. This book provides the definitive statement of ACT--from conceptual and empirical foundations to clinical techniques--written by its originators. ACT is based on the idea that psychological rigidity is a root cause of a wide range of clinical problems. The authors describe effective, innovative ways to cultivate psychological flexibility by detecting and targeting six key processes: defusion, acceptance, attention to the present moment, self-awareness, values, and committed action. Sample therapeutic exercises and patient-therapist dialogues are integrated throughout.