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ACT vs CBT (And Why I Actually Prefer Acceptance And Commitment Therapy As An Anxiety Therapist)
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- čas přidán 20. 05. 2023
- This video dives into the differences between ACT vs CBT in therapy. Acceptance and Commitment Therapy, also known at ACT, is the much gentler approach to creating meaningful, value-driven life change. Cognitive Behavioral Therapy, or CBT, takes the perspective of "Good thoughts" and "Bad thoughts" and guides us through changing the thoughts we wish we didn't think. As an anxiety therapist, I use both CBT and ACT everyday in my practice, but I have noticed a few patterns over the years which have led me to pull much more from ACT than I do from CBT.
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The information, including but not limited to, text, graphics, images, and other material in this video are for educational and entertainment purposes only. No material in this video is intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding medical conditions, mental health conditions or treatment.
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VIDEO DETAILS
TubeBuddy: www/tubebuddy.com/KatieMcLaughlinLPCC
Katie, I am so grateful for this video! I am a baby counselor trying to figure out what theories I resonate with, and I could not agree more with your wise words on how CBT can cause mistrust of the self and even shame (Good v. Bad thoughts). When you said ACT is more of a "gentle and compassionate" approach, this very much spoke to my soul! I'm excited to explore the ACT resources you provided. Thank you!!!
Thank you so much for sharing and I am so glad this video was helpful to you! Enjoy diving into ACT and seeing amazing results for your clients 🙏
@@briroger3576 Thank you! CBT can be problematic sometimes when you are in bad surroundings and it's not distortion, like ongoing bullying or living in a home with addiction and violence and you can't move out. I found somatic exercises and looking into a bottom up approach also work well as an addition with f.e. trauma. I wish you all the best!
Cool video. I am quite interested in things like ACT along with Hypnotherapy as subjects currently. Thanks for sharing!
Cheers.
Great video. I can only see myself usiing both. I recognize that thoughts will happen no matter what, I view them as separate from myself (as cloud bubbles or as passengers I can drop off from my "mindbus") and then add some restructured/reframed/replacement thoughts that are more helpful or accurate. I move toward valued behaviors, etc... Sometimes I'll just do one of those things depending on context and how much time I have.
thank you for sharing! I love the "mindbus" analogy and I am glad these strategies have proven to be beneficial for you🙏
I know this is an older video but was excited to stumble upon it as a Cincinnati counseling grad school (at an online program but have friends doing Xavier's program and almost went there too!). After an incredibly invalidating experience with CBT, I ended up discovering ACT and it was a huge turning point in my own therapy. I'll be seeing clients soon and my supervisor and I decided ACT would be a great framework for me to focus on. =)
Thank you for sharing! It is always great coming across other Cincinnati therapists :) Best of luck to you as you begin seeing clients!
Great I found your video.
Interesting and valuable video - thanks Katie!
I am so glad you have found this helpful! 🙏
Good Stuff Katie!!
Good topic, you spoke well. Personally I like both CBT and ACT, it’s good to have both available to show clients. I don’t preempt what I’ll use as it’s not one size fits all. I gauge what they want to achieve and work together to put what they want that helps in their toolkit.
For clients who struggle with what’s true/self doubt when practicing CBT, it’s likely their body is so use to high levels of anxiety and uncomfortable to let go of that. Takes time (but not a long time) for this to improve. Getting to a low-moderate level anxiety is good thing (as high impacts functioning), need to help people recognise not to have “all or nothing thinking” about reducing anxiety completely.
I find ACT is great to help with this.
Hope that’s of help. Your video helped my reflect on things. Thanks. Keep up your great work.
Thank you for sharing such great points! Both certainly have their place and benefits in working towards cultivating peace and freedom from high levels of anxiety.
Thank you for sharing.This was super helpful for me❤
I am so glad this has been beneficial to you! 🙏
Thanks - very helpful!
Thank you for sharing! I am glad this was helpful to you 🙏
Are you open to being interviewed/giving advice to a fresh MSW graduate?
I'd be happy to! You can send me an email at Katie@cedarrosecounseling.org
When you practice ACT you react to negative intrusive thoughts just as thoughts, but they don't disappear, you just cope with them more easily. In CBT you reshape your irrational negative beliefs and then negative automatic thoughts which were created by these beliefs disappear. For me ACT is like a first aid kid, but CBT is a real treatment.
Thanks for sharing your experience with these modalities! The wonderful thing about there being different modalities in therapy is that they all can help in their own way and different approaches may work better for different people. I am glad you have found healing through CBT approaches 🙏
@@the.mindful_therapist I Agree with you. For me ACT is easier to implement in life than CBT. Frankly speaking CBT, especially journaling, can be quite boring and seems difficult to do, expecially when a client doesn't have much motivation, but it's very fruitful when you apply all neccesary techniques for a period of time including not only cognitive part, but also behavior experiments and exposure. I find REBT, Metacognitive therapy and CFT also very helpful. Every modality has it's own pros and cons, but they they can complement each other.
Or journalling can bring in spirals and tangential thinking.
CBT can be harmful, because these intrusive thoughts are often a symptom of trauma and it doesn't really address this. It also often doesn't look at the surroundings a person is in. F.e. I did CBT as a teenager and lived in violent surroundings with drug addiction.
What I actually needed was getting to safety, but we never really talked about why I was anxious, just did reframing. It did lots of damage, because my toughts weren't distorted, it was objectively bad and it was no wonder I was anxious. It taught me I'm the problem, I'm wrong, my thoughts are wrong and need to be changed, my feelings aren't appropriate ect. It taught me how to stay in abusive situations andhow to cope with people abusing me by almost gaslighting myself and constantly reframing myself, when situations were objectively wrong.
F.e. after CBT and lots of reframing I was SA. My ex didn't stop when I asked him to and tried to push him away, he continued until he finished. I reframed everything like I was taught that it was my fault, I didn't scream, it wasn't that bad. I'm not injured, which is good. From his perspective I wasn't assertive enough. Make a plan for next time. Next time you scream and kick him ect.
I stayed in that relationship, lets not talk about how I actually felt. All CBT taught me was to "look at it differently". Reframe it into something more positive. But parents with addiction,violence and SA are objectively bad. If you reframe that all you do is creating delusions and invalidating yourself. It's like gaslighting basically. And it undermines your intuition.
It ONLY works if there is actual distortion going on.
Plus the model is incomplete. It's about thoughts, feelings and behaviour. Where is the body? The moment a client has bodily reactions first and no distorted thoughts, you have a problem. Because then you can't reach the body and responses like gag reflex, shaking, panic, because of the smell of the person who sa you properly by trying to go via thoughts. You might f.e. need somatic exercises for this instead.
I can enter my body by playing keyboard. CBT doesn't work.
Also neurodiverse people might need a bottom up approach as well in addition. CBT often just causes the person to mask more.
It's a complicated topic I know and I bashed it quiet a bit. I just think that CBT is quiet limited and people need to learn more than that or they might hurt their clients sooner or later.
@@danika9411 sorry to hear that... Did you say your concerns to your therapist during treatment? It seems that your therapist used just one part of CBT and did it wrong, because in CBT we don't restructure accurate cognitions, only inaccurate, irrational ones which lead to harmful emotions and behavior. Educated CBT therapist will never say thay you're the problem or your feeling are inappropriate. Modern CBT is focused more on problem solving and it uses techiques from othe modalities, including ACT, schema-therapy, gestalt, DBT, CFT and other when it's neccesary. CBT don't say to reframe thougts into more positive. It says to look at things realistically, and SA, abuse or drug addictions surrounding are bad things which are better to avoid. CBT also works with body a lot. It also uses midfulness, works with traumatic events in the past etc. Probably you was not fortunate enough to work with not very good therapist. I believe that person of therapist is the biggest factor, therauputic alliance also work well, and modality is definitely not main factor in therapy.
I'm really fond of CBT, however, always had the doubts you mentioned in the video.
Focus, please!
Savage case load you were given. Nothing manageable or fair about that- the irony
Truly! I so hope a better way is found so other therapists don't get burnt out so quickly as they attempt to manage extreme caseloads (in general and especially right our of school)
Easier would be if u said accept what u cannot change