When it comes to addressing negative self-talk, many people are familiar with Cognitive Behavioral Therapy (CBT). In CBT, we typically focus on taking a thought and reframing it or identifying cognitive distortions in our thinking patterns. This approach has helped many people challenge their negative beliefs.
However, Acceptance and Commitment Therapy (ACT) offers a different approach that can be particularly effective for persistent critical thoughts. While ACT is a type of cognitive behavioral therapy, it doesn’t try to change the content of our thoughts. Instead, it aims to help us change our relationship with those thoughts.
Thoughts are not facts, but when we’re caught in a spiral of criticism, they certainly feel like facts. ACT aims to help us recognize that we are not our thoughts—we’re the ones observing them.
The key difference is that instead of challenging or reframing a thought as we would in traditional CBT, in ACT we learn to create distance from it. This is often especially helpful for intrusive thoughts, where directly engaging with them through reframing can sometimes reinforce their presence. When we’re completely fused with our thoughts, treating them as absolute facts rather than mental events, ACT offers tools to “unhook” from them.
I often see people struggling when their thoughts feel inseparable from their identity. Thoughts are not facts, but when we’re caught in a spiral of criticism, they certainly feel like facts. ACT aims to help us recognize that we are not our thoughts—we’re the ones observing them.