Acceptance involves acknowledging the full range of emotions of thoughts and feelings rather than avoiding, denying, or altering them.
Cognitive diffusion assists in changing the way one reacts to distressing thoughts and feelings, helping to reduce their harmful effects. Examples include observing thoughts without judgment, singing the thought, adding humor, and labeling the automatic response.
Being present involves being mindful of the present moment while observing thoughts and feelings. The goal is to not judge thoughts or feelings and not work to change them.
Self as a context is an idea that focuses on the self and identity, helping people understand they are more than their thoughts, feeling, and experiences.
Values work encompasses choosing personal values and striving to live by identified values. Despite one’s distress levels, choosing to live in alignment with personal values is the goal.
Committed action involves taking direct steps to incorporate meaningful change that aligns with personal values and leads to healthy change. Examples include goal setting, exposure to challenging things, and skill development.
The modalities complement each other well, and patients learn so much by implementing both methods. OCD operates in such a rigid way, and ACT principles allow for psychological flexibility in daily living. Values work in OCD treatment is especially helpful, as the person learns they can experience a variety of discomfort and still choose to live a life based on their personal values.