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Acceptance and Commitment Therapy for Substance Use Disorders.

Maria Karekla1, Katerina Georgiou1, Eleana Lamprou1

  • 1Department of Psychology, ACThealthy Laboratory, Panepistimiou Avenue 1, University of Cyprus, Nicosia, 2019, Cyprus.

The Psychiatric Clinics of North America
|July 30, 2025
PubMed
Summary
This summary is machine-generated.

Acceptance and Commitment Therapy (ACT) improves psychological flexibility to help individuals with substance use disorders (SUDs) adopt healthier coping strategies. This approach fosters resilience and self-awareness for lasting behavior change and well-being.

Keywords:
Acceptance and commitment therapyAddictionsPsychological approachSubstance use disordersTreatment

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Area of Science:

  • Psychology
  • Behavioral Science

Background:

  • Substance use disorders (SUDs) present significant public health challenges.
  • Cognitive-behavioral therapies are established treatments for SUDs.
  • Third-wave cognitive-behavioral approaches offer novel strategies for behavior change.

Purpose of the Study:

  • To describe the framework and core processes of Acceptance and Commitment Therapy (ACT).
  • To highlight ACT's potential as a treatment for substance use disorders.
  • To emphasize ACT's role in promoting psychological flexibility and adaptive behaviors.

Main Methods:

  • ACT is a third-wave cognitive-behavioral therapy.
  • It focuses on six core processes: acceptance, cognitive defusion, present-moment awareness, self-as-context, values, and committed action.
  • These processes aim to enhance psychological flexibility.

Main Results:

  • ACT encourages individuals to move away from substance use as a coping mechanism.
  • It promotes adaptive, values-congruent behaviors.
  • ACT facilitates long-term behavior change and improved overall well-being.

Conclusions:

  • ACT provides a holistic framework for treating SUDs.
  • It fosters psychological resilience and self-awareness in individuals with SUDs.
  • ACT supports sustained recovery and enhanced quality of life.