Science-Backed Tips

Transform Your Worry: ACT Protocol Success

90% reduction in worry symptoms with ACT defusion therapy.


📊 Did you know?

A 3-session therapy focused on negative thinking led to a nearly 90% drop in worry symptoms, significantly improving mood and mental clarity.
Benefits

💡 Why It Matters

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The dramatic 90% reduction in worry symptoms indicates a powerful therapeutic effect of ACT on anxiety.

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Improved cognitive fusion scores (d=3.90) suggest enhanced mental clarity and emotional regulation.

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These findings highlight the potential of brief ACT interventions in reducing symptoms of GAD and depression.

Give it a try

✅ Try These Micro-Tips

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Engage in 3 individual ACT sessions focusing on cognitive defusion techniques.

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Practice mindfulness exercises for at least 20 minutes daily to enhance emotional regulation.

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Monitor your mood and anxiety levels weekly to track progress.

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Consider follow-up sessions at 3-month intervals to maintain symptom reduction.

📚 The study

In a groundbreaking study by Ruiz et al. (2020), researchers explored the effectiveness of a brief Acceptance and Commitment Therapy (ACT) approach specifically targeting Generalized Anxiety Disorder (GAD) and depression. Six adults grappling with severe comorbid GAD and depression participated in three individual ACT sessions focused on repetitive negative thinking (RNT). The results were nothing short of remarkable: participants experienced a staggering 90% reduction in worry symptoms, with a Cohen’s d of 4.52, indicating a profound therapeutic effect. Additionally, cognitive fusion—a measure of how much one’s thoughts dominate their emotional state—improved significantly, with a d of 3.90, suggesting enhanced mental clarity and emotional regulation. Emotional symptoms also saw a notable decrease, with a d of 3.34. These findings underscore the potential of brief ACT interventions to dramatically alleviate symptoms of anxiety and depression, offering hope to those struggling with these debilitating conditions. The study highlights the power of defusion techniques in transforming mental health outcomes, making it clear that even short-term therapeutic approaches can yield substantial benefits. As we continue to seek effective treatments for mental health issues, this research paves the way for innovative strategies that can lead to lasting change.
By focusing on reducing cognitive fusion and fostering emotional resilience, ACT emerges as a promising avenue for individuals seeking relief from the burdens of worry and negative thinking.
This study not only contributes to the growing body of evidence supporting ACT but also emphasizes the importance of accessible mental health interventions that can be implemented in a relatively short timeframe, making a significant difference in people’s lives.

Source: Ruiz, F. J., et al. (2020). A multiple‑baseline evaluation of acceptance and commitment therapy focused on repetitive negative thinking. Study Link
Evidence-based

📚 Related Research

Kishita, N., et al. (2014). Measuring the effect of cognitive defusion using the Implicit Relational Assessment Procedure.

When experiencing distressing thoughts, say to yourself, ‘I am having the thought that…’ to reduce their believability.

Study Link

Anusuya, S. P., et al. (2025). Acceptance and Commitment Therapy and psychological outcomes in anxiety and stress: review.

Use the defusion phrase ‘that’s just a thought’ during worry episodes to help calm your mood.

Study Link

Lu, Y., et al. (2023). Web‑based ACT for caregivers: defusion and values-based action in anxiety reduction.

Engage in value-oriented actions while practicing thought defusion to reduce anxiety and enhance mood.

Study Link

❓ Frequently Asked Questions ❓

Learn more

What is the ACT protocol mentioned in the study?

The ACT protocol refers to Acceptance and Commitment Therapy, which focuses on helping individuals accept their thoughts and feelings rather than fighting against them. In this study, it specifically targeted repetitive negative thinking (RNT) to alleviate symptoms of anxiety and depression.

How effective was the ACT protocol in reducing worry symptoms?

The ACT protocol resulted in a remarkable ~90% reduction in worry symptoms among participants. This indicates a significant therapeutic effect on anxiety through the use of cognitive defusion techniques.

What does cognitive fusion mean in the context of this study?

Cognitive fusion refers to the tendency to become entangled with one’s thoughts, leading to increased emotional distress. The study found that the ACT protocol improved cognitive fusion scores, suggesting enhanced mental clarity and emotional regulation.

How many sessions of ACT were conducted in the study?

Participants engaged in three individual sessions of the ACT protocol. This brief intervention was effective in producing significant reductions in anxiety and depressive symptoms.

What were the follow-up results after the ACT sessions?

Participants were followed up at three months after the sessions, and the results indicated sustained reductions in worry and emotional symptoms. This suggests that the benefits of the ACT intervention may be long-lasting.

Who were the participants in the study?

The study involved six adults who were experiencing severe comorbid Generalized Anxiety Disorder (GAD) and depression. This specific demographic highlights the protocol’s applicability to individuals with complex mental health challenges.

What is the significance of the effect sizes reported in the study?

The effect sizes reported, such as d=4.52 for worry reduction, indicate a large and meaningful impact of the ACT intervention. These values suggest that the therapy can lead to substantial improvements in mental health outcomes.

What mindfulness practices were suggested alongside the ACT protocol?

Participants were encouraged to practice mindfulness exercises for at least 20 minutes daily to enhance emotional regulation. This practice complements the ACT approach by fostering present-moment awareness and acceptance.

How can individuals monitor their progress after the ACT sessions?

It is recommended that individuals monitor their mood and anxiety levels on a weekly basis to track their progress. This self-monitoring can help identify patterns and reinforce positive changes over time.

What should participants consider for ongoing support after the initial ACT sessions?

Participants are advised to consider follow-up sessions at three-month intervals to maintain the gains achieved through the ACT protocol. Ongoing support can help reinforce skills and prevent relapse into negative thinking patterns.

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