What is ACT Therapy? | Overcome Trauma & Addiction in San Antionio

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Picture of Sam Grimaldo, LMFT, LPC

Sam Grimaldo, LMFT, LPC

Sam is a Licensed Marriage and Family Therapist and Professional Counselor in San Antonio. He specializes in working with couples to recover from disconnection caused by trauma or addiction.

Table of Contents

Have you ever felt trapped in your own mind, a prisoner to your fears and anxieties?

How liberating would it be to break free from these shackles and embrace the full spectrum of your human experience?

The challenges of everyday life can be overwhelming, and we need effective coping skills to keep from giving in to stress and anxiety.

Acceptance and commitment therapy (ACT) is a therapeutic approach that helps us develop skills to deal with difficult experiences and improve our mental health and overall well-being.

What is Acceptance and Commitment Therapy?

Acceptance and Commitment Therapy is a type of cognitive-behavioral therapy that focuses on improving psychological flexibility.

This therapy helps people learn to accept and tolerate difficult emotions, such as sadness or anxiety, rather than trying to fight or avoid them. According to ACT, struggling with these emotions is counterproductive and can lead to more suffering. Instead, it encourages people to develop mindfulness, and flexibility in their thinking. ACT is about helping people learn to take action consistent with their values rather than just a reaction to uncomfortable thoughts and emotions.

This approach is particularly helpful for people who find conventional talk therapies unhelpful, as it replaces introspection and self-examination with practical, solution-oriented strategies for managing distress.


6 Skills to Learn in ACT Therapy

In this section, we will discuss the six crucial skills of ACT that you can master to help you cope with challenging situations and overcome emotional distress.

Whether you’re struggling with depression, anxiety, or just the ups and downs of life, these skills will help you find inner peace and resilience.

The core processes of ACT include acceptance, contacting the present moment, self-as-context, values, and committed action.


The first skill of ACT is acceptance, which means acknowledging and allowing difficult emotions and thoughts instead of fighting against them.

By cultivating a non-judgmental, accepting stance, you give yourself permission to connect with your experiences rather than pushing them away. This allows you to respond to situations more effectively and reduces emotional suffering.

People who practice acceptance often find that it leads to greater peace of mind and resilience in the face of life’s challenges.

The trick is not to reject unpleasant emotions but to recognize and observe them with compassion. When you acknowledge your feelings without judgment, you can accept them and take steps towards change if desired.

This means building up a sense of self-compassion and openness towards difficult experiences. It might mean being kinder to yourself when facing a struggle or recognizing that mistakes are part of life.

ACT helps us to focus on the present moment, which can be an effective way to come to terms with difficult emotions. By noticing what is happening in your experience without getting lost in stories about it, you can gain insight into yourself and your values. This allows you to become more aware of patterns that are not working well for you, so that you can adjust your behavior or attitude in order to live a more meaningful life.

Cognitive Defusion

Cognitive defusion refers to the ability to observe and distance yourself from your thoughts, allowing you to see them as merely mental events rather than absolute truths. This skill enables you to gain greater clarity, flexibility, and resilience in the face of distressing thoughts and emotions.

Defusion is about allowing yourself to be more in touch with the present moment, rather than ruminating on the past or worrying about the future. It also involves confronting uncomfortable thoughts and feelings without avoiding them or getting caught up in them.

With practice, defusion helps us learn to get distance from the language and content in our head. Too often we get hooked by our thoughts and are left reacting to the situation in front of us based off of the content in our head versus allowing our action to lead the way. Being fused with thoughts is buying every thought that comes into our head. It is engaging with the world from the thought instead of noticing the thought. 

Our thoughts are not necessarily factual, they are not always completely true, and they are not commands we have to follow. 

Cognitive defusion can help you to learn strategies for managing difficult thoughts and emotions in constructive ways rather than letting them take control of your life.

ACT-for-trauma-and-addiction-counseling-san-antionio-compassContacting the Present Moment

The third essential skill of ACT is present-moment awareness, which involves being mindful and fully present in your experiences as they unfold.

In our fast-paced, digital world, it’s not uncommon to find ourselves constantly distracted and disconnected from the present moment. We’re often lost in thoughts about the past or future, missing out on the richness of the here and now. 

Contacting the present moment is about “being in the here and now. It’s about engaging with life as it happens, rather than getting caught up in our internal narratives.

At the heart of this skill is flexible attention. This involves the ability to consciously shift our attention to different aspects of our current experience, to fully engage with what’s happening around and within us. It’s about noticing our thoughts, emotions, sensations, and the world around us without judging or trying to change them

The practice of being aware in the present moment also helps you to develop insight into your own thoughts and feelings, so that you can respond more skillfully. As such, it is a powerful tool for developing greater self-awareness and understanding of your inner world.

Furthermore, mindfulness can help us to see our lives from a broader perspective, so that we can make wiser choices and take more meaningful action in our lives.


Self-as-context is the ability to develop awareness and clarity on the different aspects of yourself and your experiences. This skill helps you develop greater self-awareness, self-compassion and break the cycle of self-defeating thoughts and beliefs.

Self as Context’, in ACT, is about gaining perspective.

It’s about understanding that you are not your thoughts, feelings, or experiences. You are the stage where all these performances take place. Just like a theater stage remains unaffected by the drama enacted on it, you remain constant amid the ebb and flow of your internal and external experiences

By recognizing that you are not just your thoughts and emotions, you can cultivate a sense of inner calm and resilience. This skill also helps to cultivate your inner wisdom, so that you can make better decisions and take more meaningful action in your life.

By cultivating a sense of “self-as-context” or self-observation, it is possible to develop an understanding of yourself from a fresh perspective and see the bigger picture.

This awareness can help us to make sense of our emotions, thoughts and behaviors and create a clearer, more meaningful connection with ourselves and our lives.


Values are the things that are most important to you, and living in accordance with your values leads to a more meaningful and satisfying life. The fifth skill of ACT involves identifying and clarifying your values and living in alignment with them.

This skill helps you overcome challenges and setbacks by providing you with a sense of purpose and direction.

By understanding the things that are most important to you, you can make better decisions and take more meaningful action in your life. This skill also enables you to develop greater self-awareness and clarity on how your values influence your thoughts, emotions and behavior.

Developing this skill helps to build a sense of connection between who you are and what is important in your life.


Committed action

The final skill of ACT is committed action, which involves taking steps towards living your values and achieving your goals. By committing to specific actions that align with your values, you can build momentum, resilience and overcome the obstacles that may arise in your life.

This skill involves taking risks, creating new perspectives, and learning from the experiences that come your way.

Developing this skill helps to build self-confidence and enables you to have a greater impact on the world around you. Committed action gives you the opportunity to practice living in accordance with your values and develop a deeper connection with yourself and others.

How can ACT Therapy help with addiction?

One of the primary goals of ACT therapy is to help you develop psychological flexibility. This means that even if you face cravings, emotions, or situations that trigger addictive behavior, you can still choose not to act on them.

ACT therapy teaches you to become more aware of your internal experiences, recognize your triggers, and make conscious decisions to pursue alternative, healthier activities that align with your values.

ACT therapy is also helpful in treating co-occurring disorders that may be present in addiction such as anxiety and depression.

How can ACT Therapy help with trauma?

Traumatic experiences can often lead to feelings of helplessness, anxiety, and depression. ACT therapy can help you to come to terms with your experiences and harness your current strengths, values, and goals.

ACT therapy equips you with skills to observe your thoughts without getting wrapped up in them and work to detach from negative self-beliefs or memories holding you back. This ability leads to moving forward and establishing a happier and more fulfilling life. 

Developing this skill helps to build self-confidence and enables you to have a greater impact on the world around you.

Committed action gives you the opportunity to practice living in accordance with your values and develop a deeper connection with yourself and others.


By mastering the six skills of ACT, you can develop the mental strength and resilience needed to cope with the challenges of life.

While these skills can take time and practice to develop, they can help you live a more meaningful and fulfilling life. If you’re struggling with challenging emotions and thoughts, reach out to a mental health professional to receive support and guidance as you embark on your journey towards mastering the six skills of ACT.

Remember that your mental health is a journey, and with practice and perseverance, you can develop the skills necessary to build a fulfilling, happy life.

Schedule a Consultation Today! 

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