Acceptance and Commitment Therapy (ACT): Acting on Values Even When Stress Is Present

ACT supports continuing with value-driven behaviour when difficult thoughts and feelings are present. In a care home this might mean feeling anxious, self-critical or overwhelmed while still acting with dignity, safety, compassion, honesty, teamwork and person-centred care.

What this technique is especially good at

• Cognitive defusion: stepping back from thoughts so they have less control over behaviour.
• Values-based action: choosing actions that reflect your values even when you still feel stressed.
• Psychological flexibility: staying effective under pressure without waiting to feel calm first.
• Reducing avoidance: helping you approach necessary conversations or tasks that stress is encouraging you to avoid.

Who it may suit best

• People whose stress is driven by loud self-talk, dread or internal pressure.
• Staff who must act in line with care values under pressure.
• Learners who find arguing with thoughts rarely helps.
• Anyone who needs to keep functioning when discomfort cannot be removed immediately.

When it may be especially useful

• Before a difficult but necessary conversation.
• When the mind produces harsh warnings but the task still needs to be done safely.
• After a stressful event that pulls you towards shame, avoidance or withdrawal.
• When you want to reconnect with purpose rather than focus only on reducing feelings.

Compared with ABS, ACT places less emphasis on accepting an uncontrollable situation and more on how you relate to thoughts and feelings while choosing values-led action.

Continue with the full course: Acceptance and Commitment Therapy for Care Staff