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Acceptance and Commitment Therapy (ACT) Practice Exam

Acceptance and Commitment Therapy (ACT) Practice Exam


About Acceptance and Commitment Therapy (ACT) Exam

The Acceptance and Commitment Therapy (ACT) Exam assesses your understanding and application of ACT principles used to support clients in leading meaningful, values-driven lives while managing psychological distress. It evaluates your grasp of mindfulness, cognitive defusion, values clarification, and committed action—core components of this evidence-based therapy. Ideal for mental health professionals, counselors, coaches, and psychology students seeking to deepen their therapeutic practice.


Who should take the Exam?

This exam is ideal for:

  • Psychologists, counselors, and therapists applying third-wave CBT approaches
  • Life coaches and behavior change specialists focused on personal growth
  • Mental health professionals exploring evidence-based mindfulness interventions
  • Students of psychology looking to specialize in behavioral therapies
  • HR and wellness practitioners supporting employee emotional resilience


Skills Required

  • Basic knowledge of psychology or counseling theories
  • Understanding of client-centered therapy techniques
  • Familiarity with behavioral interventions or mindfulness principles
  • Empathy, active listening, and emotional regulation skills


Knowledge Gained

  • Deep understanding of ACT's six core processes
  • Ability to use defusion and acceptance to manage difficult thoughts
  • Skills in guiding clients toward values-driven behavior and psychological flexibility
  • Confidence in applying ACT techniques across various client populations


Course Outline

The Acceptance and Commitment Therapy (ACT) Exam covers the following topics - 

Domain 1 - Foundations of ACT

  • History and development of Acceptance and Commitment Therapy
  • ACT vs. traditional CBT
  • Philosophical roots: Functional Contextualism and Relational Frame Theory


Domain 2 - The Hexaflex Model

  • Psychological flexibility: the central aim of ACT
  • Overview of the six core processes
    • Acceptance
    • Cognitive defusion
    • Being present
    • Self-as-context
    • Values
    • Committed action


Domain 3 - Acceptance and Cognitive Defusion

  • Techniques to accept uncomfortable emotions and thoughts
  • Defusion strategies: distancing from unhelpful thoughts
  • Practical exercises: metaphors, language shifts, and mindfulness


Domain 4 - Contact with the Present Moment

  • Mindfulness training and present-moment awareness
  • Promoting openness and curiosity in the now
  • Techniques to reduce experiential avoidance


Domain 5 - Self-as-Context and Values Clarification

  • Observing self vs. conceptualized self
  • Values exploration exercises and worksheets
  • Differentiating values from goals


Domain 6 - Committed Action and Goal Setting

  • Behavioral activation guided by values
  • Developing flexible persistence
  • Overcoming barriers and self-sabotaging patterns


Domain 7 - Application of ACT in Therapy

  • Case formulation using ACT
  • ACT for anxiety, depression, trauma, and chronic pain
  • Cultural considerations and adaptations


Domain 8 - Ethical Practice and Integration

  • Maintaining therapeutic boundaries and informed consent
  • Integrating ACT with other therapeutic modalities
  • Reflective practice and therapist self-care

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