Acceptance and Commitment Therapy

Acceptance and Commitment Therapy (ACT) in Utah

You do not have to get rid of every difficult thought before you start living differently.

ACT teaches you how to notice what your mind is doing, make room for uncomfortable internal experiences, and choose actions based on what matters instead of waiting to feel perfectly confident, calm, or certain.

What is Acceptance and Commitment Therapy (ACT)?

ACT is a behavioral therapy that builds psychological flexibility: the ability to notice difficult thoughts and emotions without letting them automatically control what you do. ACT uses skills such as defusion, acceptance, present-moment awareness, values clarification, and committed action.

What problems can ACT be used for?

ACT can be used with concerns such as anxiety, depression, trauma-related avoidance, shame, compulsive patterns, and difficulty taking action when uncomfortable thoughts or feelings show up.

Can I do ACT online if I live in Utah?

Yes. ACT is a primary part of Alex Rawle's approach to online therapy with adults throughout Utah.

These experiences may sound familiar.

  • You spend significant energy trying not to feel anxious, ashamed, sad, or uncertain.
  • Your mind gives you convincing reasons to avoid what matters.
  • You are waiting to feel confident, motivated, or “fixed” before moving forward.
  • Attempts to control your internal experience create more struggle.
  • You know what matters to you but have difficulty acting on it consistently.
You do not need to perform therapy well.

You can show up unsure, frustrated, skeptical, embarrassed, or without the right words. We can start with what is actually happening and work from there.

Understand. Learn. Practice.

Psychological flexibility means being able to notice what is showing up inside you without automatically letting it decide what you do next. It is not positive thinking, ignoring emotions, or pretending difficult things do not hurt.

The aim is to make more room for discomfort while still participating in the life you want.

Acceptance is not resignation

Acceptance means acknowledging what is already present so you can respond effectively. It does not mean liking pain, approving of harm, or giving up on change.

Much of the suffering people experience comes from the exhausting struggle to eliminate thoughts and emotions that cannot be controlled on demand.

Defusion and present-moment awareness

ACT uses skills such as cognitive defusion to help you notice thoughts without automatically treating them as facts or commands. We also practice coming back to what is actually happening in the present instead of getting pulled completely into predictions, memories, and mental arguments.

Self-as-context

ACT also helps create some space between you and the stories your mind tells about who you are. A diagnosis, painful memory, thought, or emotion can be part of your experience without becoming your entire identity.

Values and committed action

Values describe how you want to show up in important areas of life. They provide direction even when the path is uncomfortable.

Committed action means taking specific, workable steps in that direction,adjusting when needed and returning after setbacks rather than demanding perfection.

Questions about acceptance and commitment therapy

Is ACT the same as accepting everything?

No. ACT supports accepting internal experiences that are already present while taking effective action to change circumstances that can and should be changed.

Does ACT teach coping skills?

Yes, but the purpose is broader than immediate symptom relief. Skills help you become more able to choose meaningful action.

What concerns can ACT address?

ACT can be useful across anxiety, depression, trauma-related avoidance, perfectionism, compulsive behaviors, shame, stress, and life transitions.

Alex Rawle, LCSW

Written and reviewed by Alex Rawle, LCSW

Utah Licensed Clinical Social Worker · EMDR-trained · Acceptance and Commitment Therapy (ACT) · Reviewed September 2026

About Alex and his approach →

You do not have to figure this out alone

A free consultation is a simple, low-pressure way to ask questions, talk about what you are looking for, and see whether working together feels like a good fit.