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7 ACT Therapy Techniques You Can Start Using Today

Writer: Farnaz Farrokhi-Holmes, RCC, CCC
Farnaz Farrokhi-Holmes, RCC, CCC
Sep 2
6 min read

Updated: Sep 4


Most people dealing with anxiety or painful memories try the same thing: push the feeling away hard enough until it stops showing up. The research on this strategy is not encouraging. ACT therapy techniques are built on a different premise entirely: that struggling against your inner experience costs more energy than it saves, and that a life organised around avoidance quietly shrinks over time.

Acceptance and Commitment Therapy was developed by psychologist Steven C. Hayes in the late 1980s, partly from his own experience with panic disorder. A 2025 publication in Psychiatric Clinics of North America confirmed acceptance and commitment therapy techniques as evidence-based across anxiety, depression, PTSD, OCD, chronic pain, and addiction. These 7 ACT interventions are a practical place to start.


What Makes ACT Different


Most cognitive therapies focus on changing the content of thoughts. ACT is not interested in whether a thought is true or false. It is interested in whether holding onto that thought tightly is helping you move toward the life you want.


Rather than eliminating difficult emotions, acceptance and commitment therapy teaches you to change your relationship with them. That shift from control to acceptance is not passive. It is a deliberate redirection of where your energy goes.


Technique 1: Leaves on a Stream


One of the most widely used ACT therapy techniques for working with intrusive thoughts. You close your eyes, picture a slow-moving stream, and place each thought that arises onto a leaf as it floats past.


How to practise it:


  • Sit comfortably and close your eyes

  • Imagine a gentle stream moving in front of you

  • As each thought arises, place it on a leaf and watch it float away

  • Return attention to the stream whenever you get pulled into a thought

  • Continue for five to ten minutes without judgment


The goal is not relaxation. It is practising noticing a thought without becoming it. People working through trauma counselling often find this particularly useful early in treatment when building the capacity to observe difficult material without being overwhelmed by it.


Technique 2: Values Clarification


ACT draws a firm line between goals and values. A goal is achieved and finished. A value is a direction you move in continuously, like a compass bearing rather than a destination.


How to practise it:


  • Write down three to five areas of life that matter most to you

  • For each area, ask: what kind of person do I want to be here?

  • Separate what you genuinely value from what you feel you should value

  • Use your answers as a guide for daily decisions, not a performance standard


This exercise often reveals a gap between how a person is spending their time and what actually matters to them. That gap is where the work begins.


Technique 3: Cognitive Defusion


Cognitive defusion changes your relationship with a thought rather than the thought itself. When "I am not capable" shows up, defusion asks you to notice it as a mental event rather than accept it as fact.


Simple defusion techniques to try:


  • Prefix the thought with "I am having the thought that..."

  • Repeat the thought aloud slowly until the words lose their emotional charge

  • Imagine the thought spoken in a cartoon character's voice

  • Visualise the thought printed on a billboard you are driving past


These acceptance and commitment therapy techniques create distance between the person and the content of the thought. That distance is what allows someone to act against a thought rather than being directed by it.


Technique 4: The Observer Self


Most people are fused with their internal experience. When anxiety is present, they are anxious. The observer self technique introduces a different vantage point: the part of you that notices all these experiences but is not defined by any of them.


This ACT intervention is especially useful for people working through deeply ingrained personality patterns that activate automatically in certain situations. From the observer position, a familiar emotional pattern can be watched rather than simply lived through, which creates space for a different response.


How to access it:


  • Close your eyes and notice what you are feeling right now

  • Then ask: who is noticing this feeling?

  • Shift attention to the part of you doing the observing

  • Notice that this observer has been present across every experience you have ever had


Technique 5: Urge Surfing


Urge surfing treats a compelling internal pull toward a behaviour as a wave: it rises, peaks, and falls on its own when observed without acting on it or pushing it away.


This technique is well-supported in EMDR combined ACT treatment programmes, where emotional intensity around specific memories follows the same arc. Observing rather than reacting to the urge breaks the automatic link between the feeling and the behaviour.


How to practise it:


  • Notice the urge as a physical sensation, not a command

  • Locate where it sits in the body and observe its qualities

  • Breathe steadily and watch the sensation without engaging with it

  • Most urges peak within two to five minutes and then naturally reduce


Technique 6: Committed Action Planning


Values without action stay theoretical. Committed action is taking concrete steps in the direction of your values even when internal barriers are present at the same time.


For people working through betrayal trauma, this is often the technique that reopens the possibility of meaningful connection after a necessary period of withdrawal. The plan does not require the pain to be gone first. It only requires a chosen direction and a willingness to move toward it.


Building a committed action plan:


  • Name the value this action is serving

  • Choose one specific, small action you can take this week

  • Identify the barriers most likely to appear

  • Decide in advance how you will continue when those barriers show up


Technique 7: The Expansion Technique


The expansion technique is ACT's direct approach to difficult emotions. Rather than reducing a painful feeling, it asks you to make deliberate room for it.


How to practise it:


  • Notice where the emotion sits in the body

  • Observe its shape, temperature, and movement without judgment

  • Breathe into the space around the feeling rather than contracting against it

  • Allow it to be present without requiring it to change


Clients consistently report that the emotion does not intensify as expected. It becomes more tolerable precisely because it is no longer being resisted.


How ACT Techniques Work Together


No single technique carries the full weight of what acceptance and commitment therapy is designed to do. Each works on a different part of the same system.


Technique

What It Targets

Leaves on a Stream

Repetitive or intrusive thoughts

Values Clarification

Direction and meaning

Cognitive Defusion

Unhelpful thought fusion

The Observer Self

Identity rigidity and reactivity

Urge Surfing

Behavioural impulses

Committed Action Planning

Avoidance and inaction

The Expansion Technique

Emotional avoidance


Used consistently over time, these ACT interventions build psychological flexibility, which is ACT's central outcome measure and the quality most associated with long-term wellbeing.


Conclusion


ACT therapy techniques do not promise that life will stop being hard. They offer something more useful: a different relationship with the hardness, one where difficult thoughts and emotions are no longer barriers to the life you want to be living. The seven acceptance and commitment therapy techniques here are a genuine starting point. For many people, the depth of this work develops through consistent practice alongside a trained therapist who can guide the process when material becomes more complex. At Soma House Counselling and Psychotherapy, our clinicians bring these ACT interventions into a warm, evidence-informed environment tailored to each individual.


Reach out to our team to learn more about how we can support you.


FAQs


Q1. What are ACT therapy techniques used for?

ACT therapy techniques address anxiety, depression, PTSD, chronic pain, OCD, and addiction by building psychological flexibility rather than targeting symptoms in isolation.

Yes. Many acceptance and commitment therapy techniques like defusion and urge surfing can be used independently, though a trained therapist deepens the process considerably when underlying material is complex.

CBT changes the content of thoughts. ACT interventions change your relationship with thoughts without requiring you to alter their content, which suits people who have found cognitive restructuring alone insufficient.

Yes. Acceptance and commitment therapy is used effectively across trauma presentations and frequently integrated with other trauma-focused approaches to build the distress tolerance skills that deeper processing require.


 
 

© 2026 by Farnaz Farrokhi-Holmes, RCC, CCC of Soma House Counselling & Psychotherapy. Powered and secured by Wix

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