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ACT for OCD: An Example of ACT and Values-Based Exposures.
Leila K Capel1, Michael P Twohig1
1Department of Psychology, Utah State University, Logan, Utah, USA.
Journal of Clinical Psychology
|December 19, 2024
Summary
Acceptance and Commitment Therapy (ACT) with values-based exposures effectively treats obsessive-compulsive disorder (OCD). This approach enhances psychological flexibility, leading to reduced symptoms and improved quality of life.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) are established treatments for Obsessive-Compulsive Disorder (OCD).
- Acceptance and Commitment Therapy (ACT) has emerged as a viable alternative, with research exploring its application in exposure exercises.
- ACT emphasizes psychological flexibility to facilitate engagement in values-based exposures.
Observation:
- This case study details an adult woman diagnosed with OCD undergoing 24 sessions of ACT combined with values-based exposures.
- The client presented with severe OCD symptoms, measured by the Yale-Brown Obsessive Compulsive Scale (Y-BOCS).
Findings:
- The client's Y-BOCS scores significantly decreased from severe to mild-moderate levels post-treatment.
- The treatment facilitated greater client engagement in life activities and improved overall quality of life.
Implications:
- ACT with values-based exposures demonstrates efficacy comparable to traditional ERP and CBT for OCD.
- This therapeutic model offers a promising approach for enhancing psychological flexibility and improving outcomes in OCD treatment.
- Values-based exposures can be effectively integrated into ACT for managing OCD symptoms.
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