This
is
useful
for:
a) creative
hopelessness, b) as
a
metaphor
to
explain
what
acceptance
means, c) as
a
rationale
for
acceptance
prior
to
doing
the
actual
experiential
work, d) to
clarify
that
acceptance
is
in
the
service
of
values, e) to
highlight
the
benefits
of
acceptance
&
costs
of
avoidance NB:
Do
NOT
do
this
for
clients
with
neck
and
shoulder
problems,
chronic
fatigue
etc.
Instead,
you
can
do
it
yourself,
model
it
for
them.
Imagine
in
front
of
you
is
everything
that
matters:
the
people,
places,
activities
you
love
etc.
(Therapist
ideally
gives
examples
specific
to
the
client–
e.g.
your
daughter,
Susan,
and
your
husband,
Mike,
playing
piano,
hiking
in
the
countryside)
And
all
the
real
life
problems
and
challenges
you
need
to
deal
with.
(Therapist
ideally
gives
client-‐specific
examples
–
e.g.
your
financial
issues,
your
diabetes)
And
all
the
tasks
you
need
to
do
to
make
your
life
work.
(Again:
client-‐specific
examples
–
e.g.
looking
after
your
family,
doing
your
tax
return)
(Therapist
pulls
out
a
sheet
of
paper
–
gives
to
the
client.)
Imagine
this
paper
is
all
the
thoughts
&
feelings
you
don’t
want.
Take
it
in
both
hands,
and
push
it
away
from
you,
as
hard
as
you
can!
Straighten
your
elbow.
Push
hard.
Get
it
as
afar
way
as
you
can.
That’s
it,
keep
pushing.
(Encourages
pushing
ideally
for
at
least
a
minute
–
but
titrate
as
needs.)
Now
keep
pushing
there
and
notice
3
things:
1) How
tiring
is
it? 2) How
distracting
is
it;
how
difficult
is
it
to
fully
engage
or
connect
with
the
things
and
people that
matter;
(refers
back
to
client-‐specific
examples
from
earlier)
how
difficult
is
it
to
keep
your attention
focused
on
the
task
at
hand
or
the
problem
you
face? 3) How
difficult
is
it
to
take
action,
to
do
the
things
that
make
your
life
work?
(refers
back
to client-‐specific
examples
from
earlier) Now
rest
it
on
your
lap.
(Pause.
Allow
client
reaction.)
Now
how
much
less
effort
is
that?
How
much
easier
is
it
to
engage
and
connect,
or
keep
your
attention
focused
on
the
task
or
problem
facing
you?
Move
your
arms
and
hands
around
(therapist
sets
an
example
by
waving
his
own
arms
and
hands
around)
-‐
how
much
easier
is
it
now
to
take
action?
And
notice
your
thoughts
&
feelings
haven’t
disappeared
(therapist
points
to
the
paper
on
the
client’s
lap
as
he
says
this).
But
you
have
a
new
way
of
responding
to
them,
so
they
don’t
hold
you
back
or
tie
you
down
or
stop
you
taking
effective
action
and
engaging
in
your
life.
And
of
course,
if
you
can
use
them,
do
so.
Thoughts
and
feelings
often
give
us
important
information
we
can
make
good
use
of.
But
if
not,
you
just
let
them
sit
there.
Acceptance And Committent Therapy (Act) Workbook: A COMPLETE GUIDE TO MINDFULNESS CHANGE AND RECOVER FROM ANXIETY, DEPRESSION, PANICK ATTACKS, AND ANGER
Acceptance and committent therapy (act) workbook: A complete guide to mindfulness change and recover from anxiety, depression, panick attacks, and anger