ACCEPTANCE AND COMMITMENT THERAPY · ACT · TELEHEALTH

Acceptance and Commitment Therapy

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. The goal is a life where you’re the one choosing, not your anxiety, your intrusive thoughts, or your need for certainty.

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.

If any of that sounds familiar, you are not too far gone, too complicated, or too high-functioning to be here.

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.

In session, we practice turning down the volume without pretending the station isn’t there.

WHY CONTROL BACKFIRES

When Control Becomes the Trap

Most people do not come to therapy because they have had one hard feeling. They come because they have spent years trying to get rid of hard feelings, and the effort has begun to cost 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 the Relationship With Thoughts

Acceptance and Commitment Therapy 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

Self as Context

You are not your thoughts—you are the one noticing them.

Skill

Mindfulness

The present moment is the only place where anything actually changes.

Skill

Committed Action

Knowing your values means nothing until your feet start moving.

Skill

Defusion

Intrusive thoughts lose their grip not because they stop, but because they stop mattering as much.

Skill

Acceptance

You stop spending energy on the fight and redirect it toward what you actually want.

Skill

Values-based action

You start doing the things you’ve been waiting to do, feeling ready for them.

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.

ACT Support

Acceptance and Commitment Therapy (ACT) is one of the most studied third-wave behavioral therapies. The Association for Contextual Behavioral Science describes the ACT evidence base as including more than 1,450 randomized controlled trials and more than 600 reviews as of early 2026. APA Division 12 lists ACT as having modest research support for mixed anxiety and OCD. The World Health Organization has also used ACT-based interventions in stress-management resources.

The point here is not that more studies automatically make therapy better. The point is that ACT is not being used casually or because it sounds appealing. It is used when the clinical pattern calls for more flexibility, less struggle with internal experience, and behavior guided by values instead of fear.

ACT alone. ACT can be useful when anxiety, avoidance, shame, self-criticism, or painful thoughts have narrowed life, and the main work is changing the relationship to internal experience.

ACT with ERP. With OCD, ACT often supports ERP by helping clients practice willingness, defusion, and values-based action while they stop organizing life around rituals, reassurance, and certainty-seeking.

ACT with trauma work. With trauma, ACT is not a replacement for trauma processing when processing is needed. It can be integrated thoughtfully when trauma has narrowed behavior, identity, and life direction, especially when avoidance and fusion are keeping life small.

Sources: Association for Contextual Behavioral Science, State of the ACT Evidence; APA Division 12, Acceptance and Commitment Therapy for Mixed Anxiety Disorders and OCD.

ABOUT YOUR THERAPIST

Felix Murad, LPC-S, NCC

Felix has spent years working specifically with the cases other therapists find too complicated, the intrusive thoughts too taboo to say out loud, the OCD that looks like anxiety, the trauma that shows up as physical symptoms.

Credentials

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

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.

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

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

The consultation exists specifically to answer that question; you don’t have to figure it out before you call.

Because suffering isn’t the problem, your relationship with suffering is.

Acceptance and Commitment Therapy (ACT) is recognized as an evidence-based treatment by the American Psychological Association, backed by more than 300 randomized controlled trials that highlight its effectiveness for various issues, including anxiety, depression, OCD, trauma, chronic pain, and substance use. Research consistently reveals that ACT not only alleviates symptoms but also enhances psychological flexibility. This means developing the ability to pursue meaningful goals even in the face of discomfort. This isn’t merely an ancillary benefit of effective therapy; it is fundamentally what therapy aims to achieve.

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.