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ACT or CBT for anxiety?

ACT and CBT offer distinct approaches to addressing anxiety. CBT often focuses on identifying and challenging maladaptive thoughts and reducing symptoms by altering thought content and structure. It also utilises exposure to counter avoidance. ACT, conversely, views avoidance and control efforts as key problems that paradoxically worsen suffering. Its goal is not symptom reduction but helping clients live a full, valued life by fostering psychological flexibility. ACT employs defusion to change the relationship with thoughts rather than disputing them and promotes acceptance and willingness to experience internal sensations and emotions fully, often using mindfulness and exposure techniques reframed within an acceptance context. While CBT is seen as a traditional behavioural/cognitive approach, ACT is considered a newer wave that integrates some CBT techniques within a broader framework centred on acceptance, mindfulness, values, and committed action.