ACT Helps Clients Define Core Values for Goals or Mentality Conditions

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The article discusses the importance of core values and principles in Acceptance and Commitment Therapy (ACT) and Mindfulness-Based Stress Reduction (MBSR). ACT is based on six core principles, including acceptance, mindfulness, and committed action, which helps individuals identify their values and translate them into specific behavioral goals. MBSR, introduced by Jon Kabat-Zinn, focuses on mindfulness and meditation to reduce stress and anxiety. The article highlights the effectiveness of both approaches in treating various psychological health problems, such as depression, anxiety, and post-traumatic stress disorder (PTSD). It also emphasizes the importance of self-awareness, present-moment focus, and values-based action in achieving personal growth and well-being.

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CBT 1
Introduction:
Mindfulness-based cognitive therapy is very helpful for an individual to better organize and
understand their feelings and emotions. The therapy is combined with the cognitive
behavioural techniques and some strategies which help the individual to attain relief from
distress. Cognitive behavioural therapy is very effective in order to manage troubles and
changing the prospective towards your thoughts. Cognitive Behavioural Therapy (CBT) and
Mindfulness are two most advanced methods for facts based psychotherapy. The both techniques
together are very effective in controlling anxiety.
Criteria for diagnosis disparity, evaluation process, and the incidence and pervasiveness of
anxiety disorder are being examined in this manuscript. This paper also shows that how effective
is combining the cognitive behavioural therapy with mindfulness in achieving stability in
thoughts and behaviour. This discussion lays emphasis on the counselling processes, how and
what different it can make in the individual. It has also been very effectively used to execute
control on the feeling of depression and anxiety among the individuals.
Mindfulness based cognitive therapy (MBCT)
The Mindfulness Based Cognitive Therapy was firstly introduced by the Segal Williams and
Teasdale in year 2002 for the patients to recover themselves from depression. Their treatment is
based on the efficiency of MBSR in mental and substantial problems and this therapy
combination of the different parts of Beck’s cognitive therapy for depression with some element
of Kabat-Zinn’s program for the MBSR. Kabat-Zinn was first to report about the MBSR

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CBT 2
program’s relevance to anxiety disorder. Anxiety is a fear that is unwarned, it is fear that is very
excessive which affect the individual’s overall performance. There are six different types of
anxiety disorders which have common features like emotional understanding and cognitive and
working on information.
The most common psychiatric problem is Anxiety disorders which are affecting both adults and
children. It increases the depressive thoughts among different individuals so that they start to feel
very stressed and unable to perform, useless fear is second most important factor behind the
anxiety disorder where a person starts to fear and stop doing work.
About 40 million of the adults from America are suffering from anxiety disorders which seem to
have treatment. (GAD) Generalized Anxiety Disorder affects the 6.8 million populations of
adults is U.S. or it can be said that 3.1% population of the United States in each year (Myerson,
2017). Women are affected twice, which is double than the affected population of male adults.
Though only one-third population, which is suffering from this disorder gets treatment. Anxiety
Disorder can arise any time steadily and it can stay until the life cycle, childhood and middle age
population have the highest risk of being affected by the AD. The correct reason of GAD is not
known, biological factors, family backdrop, and life experiences, mainly those who are under
stress, seem to be the evidence of the cause of AD.
Anxiety disorders happen more commonly in patients who are suffering from chronic medical
disorders. Hypertension, chronic disruptive pulmonary disease, irritable bowel syndrome, and
diabetes are some examples. The individuals suffering from anxiety disorders are more likely
build up sickness and can have higher mortality rates from with all these causes. Moreover,
ongoing epigenetic can be caused by chronic stress. The gene linked to depression and bipolar
disorder is caused by the stress hormones which are produced GAD. Long contact to stress
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hormone changes DNA of an individual, which can be seen in mood disorders. A mouse was
given a stress hormone by researchers and observed it results in an anxiety and change in gene
appearance that led to mood disorders. It was observed that there was a change in the hormonal
behaviour and increased in AD.
Cognitive Behavioural Therapy
Our feelings and behaviour are due to our interpretation of different situations in our day to day
life. Pre consciousness or automatic judgment, conscious thoughts, and metacognitive are the 3
levels of thinking in an individual. The survival instincts are the base for the automatic thinking
process or level, which is just out of our knowledge. This is also due to offensive character and is
hard to modify. As a result of such beliefs they are embedded very deeply in our personality,
should learn intermediate thoughts in early life. This is usually regular, for an instance, if a
people believe that they are dumb if they do not obtain grades. Normal thinking is awake level,
and meta cognition is thoughts and beliefs about our thinking process. Automatic thoughts are
very rapid, thoughts of evaluation are our consciousness and this fast response results in much
difficult to be familiar with them. We are more aware of the emotion they cause rather than the
thought that which makes those thoughts. Self-worth and tend are something which is used to
learn how to accomplish it in ones early life to repeat this same in adulthood . The anxiety is just
the result of an attempt which is to attain worth but fear of failing to achieve it.
The aim of CBT is to recognize and alter ill beliefs to more productive thoughts. Generally, this
therapy aims toward changing automatic thinking, if time is still left, the core beliefs are
monitored. Clients can learn to manage their thoughts by instructing them how to met cognition.
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CBT 4
Questioning them, downward arrow, recording their thoughts and behavioural experiments are
the most commonly used technique. Using Socratic questioning, the therapist realizes the clients
illogic, which is the root of their faulty belief. Considering an example, a most favourite question
is asked that where the proof for this thinking is downward arrow is used to attach shallow
thoughts that are closely linked to interior thinking. Clients are asked that what that surface
thought, which means about the client, it will generally lead to the core belief thought the
recording is a assignments which is exercised by the clients to record their automatic thoughts
and affecting response. This helps to see what patterns are to be changed for this process.
Recording thoughts generally increase the self awareness about negative thinking of the clients.
CBT is very effective and most accepted treatment for different typed of mental disorders and is
measured by a very proficient tool for alleviating pessimistic emotions. So, it is very useful to
treat clients in case anxiety disorders. CBT is considered to be very effective for GAD and may
other nervousness disorders. Researchers have found descriptive benefits for CBT than placebo
and particularly for strict and serious anxiety symptoms.
CBT helps the patients in detaching and recognising from the meditative, pessimistic thoughts
with moving from the spotlight on content to the procedure. This is the focus is quite a variant
form the fundamental cognitive therapy's centre of attention and is to change the content thought
in spite of experiencing the methods of processing. Change in the negative thoughts and to watch
them as the momentary moments of mind, individuals realise that such events are not the
important facts.
Mindfulness is when shared with cognitive techniques; patients increase their consciousness of
encountering probable changes in the mood. As an exemplar, in the attentive acceptance state, a
negative thought can be anticipated and helps in reminding the truth. Instead of previous

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CBT 5
methods, meditative negative thoughts are the ones where individual’s decentralised form the
thoughts that are anxiety provoking. According to certain researchers decentring is accountable
for the effectual changes in the cognitive therapy rather than to be responsible belief
content changes.
While practicing the mindfulness the thoughts were not tried by the patients to change, whereas
the individuals try to change the relationships. Similarly, the customary aim is to strive to change
the depressing thoughts with that with the optimistic ones. Nevertheless, mindfulness helps the
individuals in accepting the negative emotions, and let them to realise soon that they are
transitory.
With the disengage from the elderly patterns of demanding to straight away solving issues and
fearing depressing emotions, consumers can provide themselves authorization to acquire the
time-out. The reception of the feelings are not evidence and depressing feelings are very
common. Such plan of action includes the three phases; pausing with having the deep breath and
decentering as of stressful emotions and depressing thoughts; run through to stay in the moment;
acquire the deed that provides happiness and breaks into certain minute parts. The usage of the
exposure for reducing avoidance and to increase the flow related to improved information and
further reduces the relapse (Teasdale et. al, 2000).
Hence, the remedial interventions, such as self-instructional training and cognitive restructuring
aims to replace certain dysfunctional thoughts through the advanced helpful cognitions, that
results in the alleviation of issues thoughts, behaviour and emotions (Teasdale et. al, 2000).
Training of skills such as the social skills training, stress management, anger management and
parent training are the other significant constituent of CBT.
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CBT 6
Acceptance and Commitment Therapy
Acceptance and obligation therapy is a mental intervention that aims for the growth of
psychological flexibility, it is also the ability to make contact with the current instant and accept
negative thoughts without a decision. ACT was developed by Steven C. Hayes, Kirk D. ACT lay
emphasis on directing the behaviour of the client in such a ways that it becomes equal to client’s
core values. ACT does not aim for the importance of controlling individual thinking, feeling and
psychological health disorder symptoms, so it is different from the cognitive behavioural
therapy. Therapists of ACT push their clients to believe in their feelings, even when they’re
feeling is very pail full initially, rather it has to be accepted by the clients.
ACT therapists using ACT help their clients so that they can define a set of important values for
goals or mentality conditions have big importance for a client. When these core values come into
clients mind, the client starts acting in such a way that strengthens them and these values in spite
of the restrictions and boundaries are imposed on them by their situation. There are six core
principles on which ACT is based these are acceptance, making contact with the present
moment, observing themselves, morals and dedicated action. ACT is proved to be effective for
the treatment of depression, anxiety, distress, eating disorders, addiction schizophrenia,
borderline personality disorder, and myriad other psychological health problems.
The major principle attempts are to be in command of unnecessary slanted experiences such as
anxiety are not only ineffective but are also counterproductive, this result the increase in anguish,
also result in noteworthy psychological costs (Rycroft-Malone, J., et al, 2014). Accordingly,
persons are expectant to get in touch with the experiences completely and devoid of defence
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CBT 7
although moving in the direction of appreciated goals. ACT supports the individuals to indentify
the values and interpret them into precise behavioural goals.
Mindfulness-based stress reduction
MBSR introduced by Jon Kabat-Zinn that focused on Mindfulness yoga and meditation. It is an
eight-week program. It is based on the concept of mindfulness, or being fully busy in the present
moment rather than worrying about what had happened the past or what would happen future,
this is an ancient Buddhist psychology concept. MBSR is focused on giving consideration to
one’s thoughts without a decision. MBSR was originally made for stress reduction; it has been
proved that it is very helpful for patients with nervousness, panic, anxiety depression, mental
pain, and different types of medical conditions. MBSR can also help those people without
psychological health or medical situation improve the way of living of their life and beats
struggles and problem and changes their lives. MBSR was proposed by 200 hospitals, health
check centres and clinics all around the world, including some of the major centres such as
Scripps Centre for Medicine, the Duke Centre for Integrative Medicine, and the Jefferson-Myrna
Brind Centre for Medicine.
Mindfulness based therapies are effective in the treatment of GAD. A was study assigned with
the individual suffering from GAD and received acceptance based treatment or no treatment.
This was on the clients who are under anxiety disorder are to be studied. There was an initial
assessment on which they were judged and afterwards and even follow-up of 9 month
assessment. This treatment consists of education as a basic for assessment, meditation, and
assignments which have to be done by the client itself .

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CBT 8
The individuals who are undergoing this treatment had very lower symptoms of GAD as
compared with those clients who undergo no treatment. Only 24% of those clients who had
received treatment AD symptoms can stilled are observed in them, but those who haven’t
received any treatment about 84% of them still had symptoms of AD. So mindfulness
meditation helps in responding thoughtfully and consciously instead of to their responding in
their environment repeatedly. It is very helpful because by focusing on the current moment and
detaching from ill thinking, a person can choose an effective way to response to the situation.
Habits of responding to different surroundings and are changed by self-awareness in the current
moment. When mindfulness is related with the cognitive behavioural therapy, individuals
become much conscious through this processes.
Conclusion:
Deep breathing exercises are very helpful because low breathing rose up stress levels.
Mindfulness suggests different relaxation techniques necessary for GAD. Since worrying is the
essential problem of GAD, it makes importance that mindfulness based techniques are most
effective in dropping anxiety to a low level. Decentring is a new mindfulness method which
shows an important instrument for distressing. When compare effects of breathing then the
progressive muscle relaxation and loving-kindness meditation, which helps in better
management for the stress. This was so that it can be examined that examine whether decentring
is a only technique to mindfulness meditation which is common to other stress management
techniques. 190 females were new to meditation and they were randomly chosen to participate in
one of three stress management exercises which are of 15 minutes each. Immediately after the
decentring therapy, the incidence of ill thoughts, and pessimistic action to thoughts were
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measured by making a report. The relationship between the occurrence of depressing thought and
pessimistic emotions decreased more in MB as compared with any other technique. These two
elements are correlated. The self-determination showed that the Mindful Breathing help
decreases nature to depressing thoughts. Decentring shows that mindfulness to be an important
instrument which is to be used in this therapy.
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References
Abott, R., Whear, R., & Rodgers, L. (2014). Effectiveness of mindfulness-based stress reduction
and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-
analysis of randomised controlled trials. Journal Of Psychosomatic Research., 76(5), 341-351.
Dimidjian, s., & Metcalf, c. (2017). Extensions and mechanisms of mindfulness-based cognitive
therapy: A review of the evidence. Australian Psychologist, 49(5), 271-279.
Mark, J., et al (2014) Mindfulness-Based Cognitive Therapy for Preventing Relapse in Recurrent
Depression: A Randomized Dismantling Trial, Journal of Consulting and Clinical Psychology,
75(4), 54-55.
Myerson, J. (2017). Julie Myerson: how mindfulness based cognitive therapy changed my
life. the Guardian. Retrieved 17 September 2017, from
https://www.theguardian.com/lifeandstyle/2014/jan/11/julie-myerson-mindfulness-based-
cognitive-therapy
Parra-Delgado, M., & Latorre-Postigo, J. (2017). Effectiveness of mindfulness-based cognitive
therapy in the treatment of fibromyalgia: A randomised trial. Cognitive Therapy And
Research, 37(5), 1015-1026.
Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for
prevention of relapse in recurrent major depressive disorder: A systematic review and meta-
analysis. Clinical Psychology Review, 31(6), 1032-1040.

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CBT 11
Rycroft-Malone, J., et al (2014) Accessibility and Implementation in UK Services of and
Effective Depression Relapse Intervention Programme – Mindfulness-Based Cognitive Therapy
(MBCT): ASPIRE Study Protocol, Implementation Science, 102(5), 109-120.
Sipe, w., & Eisendrath, S. (2012). Mindfulness-based cognitive therapy: Theory and
practice. Canadian Journal Of Psychiatry, 57(2), 63-69.
Teasdale et al (2000) Prevention of Relapse/Recurrence in Major Depression by Mindfulness-
Based Cognitive Therapy, Journal of Consulting and Clinical Psychology, 72(4), 220-230.
Williams, M., Kuyken, W (2012) Mindfulness-Based Cognitive Therapy: A Promising New
Approach to Preventing Depressive Relapse, The British Journal of Psychiatry, 24(3), 5-10.
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