Psychology session: Acceptance and Commitment Therapy (ACT)

Session Overview / Presenting Concerns The client, a 32-year-old female, attended the session to address ongoing anxiety related to her recent job transition. She reported feeling overwhelmed by the new responsibilities and expressed a desire to manage her stress more effectively. Since the last session, she has started a new role as a project manager and is adjusting to the increased workload. ACT Hexaflex Components Acceptance The client acknowledged her anxiety about the new job without attempting to suppress it. We used the metaphor of 'riding the wave' to help her accept the discomfort as a natural part of the transition. Defusion We practiced labeling thoughts by using the phrase, "I’m noticing I’m having the thought that I’m not good enough for this role." This helped her to see these thoughts as separate from her identity. She remarked, "It feels less overwhelming when I can step back and just notice the thought." Contact with the Present Moment We engaged in a mindfulness exercise focusing on her breath to anchor her in the present moment. She noted feeling more grounded and less scattered after the exercise. Self-as-Context The client reflected on her ability to observe her thoughts and feelings without being defined by them. She recognized, "I am more than just my anxiety." Values The client identified her core values as career growth and maintaining a healthy work-life balance. She reaffirmed the importance of these values in guiding her decisions and actions. Committed Action She committed to setting boundaries at work to ensure she has time for self-care. Her homework includes practicing saying "no" to additional tasks that do not align with her priorities. Additional Interventions / Home practice The client agreed to try a daily mindfulness practice using a guided meditation app. We also planned to review her progress with boundary-setting in the next session. Therapist Reflection / Next Steps The client is making progress in recognizing and accepting her anxiety. However, she still faces challenges in maintaining present-moment awareness. The next session will focus on deepening her mindfulness practice and exploring further strategies for defusion.