EXPLORING EFFECTIVENESS OF ACCEPTANCE AND COMMITMENT THERPAY: A SINGLE CASE ANALYSIS OF GENERALIZED ANXIETY

Abstract

Background: Acceptance and Commitment Therapy (ACT) is the acceptance based third generation therapy focused on living richer and meaningful life in the world where pain is inevitable (Luoma, Hayes & Walser, 2017; Hashminsaab et al., 2015; Harris, 2013; Eifert et al., 2013).

Objectives: The present study aimed to explore effectiveness of ACT utilizing single case study.

Method: ABA research design was employed and the single case was observed and conceptualized on Acceptance and Commitment Therapy (ACT) framework, based on Hexaflex of Psychological Inflexibility. The client’s symptoms were seen as the result of experiential avoidance and fusion with future apprehensions. Formal assessment includes GAD-7, Acceptance and Action Questionnaire (AAQ-II) and value questionnaire.

Results: Management plan was based on ACT Hexaflex of Psychological Flexibility which is comprised of six core components and a total of twelve individual therapy sessions were taken. Metaphors and experiential techniques were used during the sessions along with homework assignments. Creative hopelessness, defusion and mindfulness techniques along with choice point were introduced in the sessions. These techniques aimed to develop the willingness to experience difficult emotions while moving towards client’s values and life that is worth living.

Conclusion: Hence, the client’s anxiety significantly reduced after sessions which is not even the direct target of ACT as it is not focused on symptom reduction. It is the by-product of mindfulness and living a valued life.