A woman in a cream knit sweater seated on aluminum bleachers beside a mown ball field at early evening, a travel mug on the bench beside her, adult league players and the Front Range foothills soft in the distance.

Mindfulness-Based Therapy

Acceptance and Commitment Therapy (ACT) in Colorado.

A therapy for the feelings you cannot think your way out of. ACT helps you make room for them and keep moving toward what you actually care about.

A woman in a patterned headscarf seated in an armchair with a knit blanket over her lap, beside a shelf of recovery workbooks and board games.

What acceptance and commitment therapy is.

Acceptance and commitment therapy is a tried and proven approach to the difficult emotions people carry day to day. It helps with anxiety and distress and other mental health conditions, and it helps people pursuing sobriety understand the emotional weight of abstinence. The aim is not to feel less. It is to identify, accept, and act on complicated feelings with a real sense of agency over what happens next.

ACT leans on mindfulness, which here means something practical: putting yourself back in the moment in front of you rather than in the argument with your own head. Anxiety, depression, addiction, and trauma all produce emotional states that feel out of control, and in those states people do things they would not otherwise choose. Cleveland Clinic describes ACT as a therapy that helps you move beyond negative thoughts and feelings in a meaningful way. A 2024 systematic review in Annals of Neurosciences calls it a transdiagnostic, flexible, and successful therapeutic strategy, which is a formal way of saying it travels well across very different problems.

That flexibility is what makes it useful here. ACT is one of several evidence-based therapies we draw on at The Redpoint Center, and the range of ways it can be practiced means each client can find the version of it that works for them and build resilience from there.

  • Mindfulness at the center, not an add-on
  • Acceptance rather than suppression
  • Direction set by your own values
  • Used inside our outpatient programs

The six skills ACT builds.

ACT is usually described as six core processes. In session they overlap and fold into one another, but this is what you are actually practicing.

Acceptance

Letting a thought or feeling be there, good or bad, instead of spending the day fighting it. Feeling anxious, low, or afraid is normal, and treating it as normal is where the rest of the work starts.

Cognitive defusion

Stepping back far enough to see a thought as a passing event rather than an instruction you are obliged to follow.

Being present

Coming back to the moment actually in front of you, using breathing and tactile grounding, rather than the one you are bracing for.

Self as context

Seeing yourself as a whole person rather than as the thoughts and feelings currently moving through you.

Values

Naming what genuinely matters to you, measured against your own standard rather than the one other people set.

Committed action

Making the changes that line up with those values, and finding your way back to them after a week that knocks you off.

In Session

The three pillars of ACT.

Effective ACT moves through three distinct stages as you work with an emotional state. Your therapist sets the pace with you, but the arc looks like this.

  1. 1

    Acceptance

    The most crucial stage, and the hardest one. You accept that you are allowed to feel and experience difficult things. Once anxiety, depression, fear, and distress are treated as normal rather than as failures, you can see how much they have been shaping your read on reality, your impulses, and the behavior you regret. Accepting an emotion for what it is is what gives you back a say in your response to it.

  2. 2

    Direction

    Practiced in session

    Using mindfulness practices such as breathing and tactile sensation, you put yourself in the present and choose a healthy, intentional way to work through what you are feeling. Choosing the strategy yourself is the part that counts. It puts control back in your hands and builds accountability alongside it.

  3. 3

    Action

    You decide which course of action is right for you and stay with it, even when other emotional trials show up. Committing to a specific action is what lets you keep refocusing on your own decisions and intentions instead of on whatever is loudest that day.

A seated man in a white tee with tattooed forearms, elbows on his knees, both hands cupping a metal grounding coil in a dim room.

Why pushing a feeling down makes it louder.

Trying to repress anxiety, sadness, or grief usually creates a more complicated situation than the one you started with, and self-destructive behavior tends to grow out of ignoring an intense emotion rather than out of the emotion itself. ACT goes the other direction. Instead of pushing a feeling down, it guides you toward understanding and acknowledging what that feeling is actually doing to you.

Accepting a hard emotion is what makes it possible to navigate one, and you do that alongside trained clinicians through safe and guided channels. Rather than making a rash decision in the middle of the turmoil, you build a greater sense of agency over how much, and in what way, those emotions get to shape your life. The focus lands on what you can control, and on taking decisive, positive action there.

That kind of change does not process in a day, and we do not pretend otherwise. We take our time getting to know each client and build the work on trust and transparency, so that talking through difficult emotions and past experiences makes it possible to see how those experiences shaped you and to notice self-destructive patterns that had gone unrecognized. The National Institute of Mental Health notes that this work happens one-on-one with a licensed mental health professional or with other patients in a group setting, and our programs run both.

ACT keeps returning to your own core values, the parts of your identity and your goals for the future that make your recovery yours. It runs through our treatment for alcohol, stimulant, meth, and marijuana use, and for co-occurring mental health conditions treated as part of the same plan rather than a separate one.

In Their Words

Made me so comfortable and truly took the time to learn my background, understand my goals, and created a plan for success.
C Redpoint client

When ACT fits, and when something else fits first.

ACT suits a lot of people, and it does not suit every person in every moment. Here is how we think about the fit.

The thought will not argue away

When you already know a worry is not rational and it runs anyway, changing your relationship to it gets further than trying to win the argument.

You want a direction, not only relief

ACT starts from what you care about. Being present for family, getting somewhere at work, being someone the people around you can count on: those are the material, not a nice side effect.

You are willing to use it outside the room

Learning to navigate hard feelings inside our walls is half of it. The other half is putting the same practices to work in an ordinary week, which is where the change holds or does not.

You are in crisis right now

Safety comes before any course of therapy. Call or text 988 for the Suicide and Crisis Lifeline, then let us help you find the right level of care.

Questions about ACT.

What is acceptance and commitment therapy?

Acceptance and commitment therapy, or ACT, is a form of psychotherapy that helps you move beyond negative thoughts and feelings in a meaningful way. Rather than trying to argue a difficult thought out of existence, you learn to make room for it and then act on what you value anyway. Mindfulness sits at the center of that: a lot of the work is putting yourself back in the present moment.

What does ACT treat?

Cleveland Clinic lists ACT as used for addiction, alcohol use disorder, substance use disorder, anxiety disorders, depression, obsessive-compulsive disorder, post-traumatic stress disorder, social anxiety disorder, eating disorders, and stress. At The Redpoint Center we reach for it most often with anxiety, depression, addiction, and trauma, and with the emotional weight that comes with early sobriety.

How is ACT different from CBT and DBT?

They aim at different parts of the same problem, and most people get a blend rather than one of them. CBT takes an automatic thought and tests it against the evidence in order to change it. DBT builds skills for tolerating and regulating an emotion that is too intense to work with. ACT asks you to stop fighting the thought or the feeling at all, and to spend that energy on action that lines up with your values instead. We also use EMDR and experiential therapies, and which approach leads is decided with your therapist rather than in advance.

How long does ACT take?

There is no single timeline. As a general course, ACT sessions usually meet once a week for several weeks, though Cleveland Clinic is clear that no one schedule works for everyone. At Redpoint the length follows your level of care and how the work is going, and the plan gets revisited as things change. Real change does not process in a day, and we would rather say that plainly than promise a number.

Does ACT work for addiction?

The evidence is encouraging rather than settled. A review in the Journal of Clinical Medicine Research concluded that ACT has shown to be a promising therapy to be used in the management of patients with substance use disorder, with most of the studies reviewed showing meaningful reductions in use immediately after treatment and at follow-up. Those authors are direct about the limits: small samples, self-reported use, and high dropout in some trials. That is exactly why ACT sits alongside CBT, DBT, EMDR, and our medical model in a plan rather than standing on its own.

Is ACT used with teenagers as well as adults?

Yes. Cleveland Clinic notes that studies show that this type of therapy is best for teenagers and adults, since it asks for a degree of abstract thinking that is hard for younger children. ACT is part of the group curriculum in our teen programs as well as our adult ones, and the ideas translate well: making room for a feeling and choosing what to do next is a skill that does not depend on age.
Still have a question? (303) 219-0973