Acceptance & Commitment Therapy

What is Acceptance and Commitment Therapy?

Acceptance and commitment therapy (ACT) is a third wave cognitive-behavioural therapy that uses acceptance and mindfulness strategies together with commitment and behaviour strategies to help increase your psychological flexibility.

How does ACT work?

ACT is particularly effective in helping people live in the present moment in a conscious way and to make choices and decisions that are in line with their values.


The core message of ACT is to accept what is out of your personal control while committing to action that will improve the quality of your life. The aim of ACT is to help people live a meaningful life while handling pain and stress – which is an inevitable part of life.


ACT teaches you skills to help you deal with painful thoughts and feelings effectively and to understand what is truly important and meaningful to you. Mindfulness skills are central to ACT and are taught to help you develop an ‘observing self’ that will help you notice both your physical experiences and thinking processes.


ACT is a unique approach to behaviour change which deviates from the traditions of most common Western psychotherapies. It has a growing evidence base and is highly effective in the treatment of depression, anxiety disorders, substance misuse, chronic pain and anorexia. ACT can also be used as a model for life coaching and executive coaching.

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ACT therapy - how does it work?

  • You and your therapist will look into the main areas of your life such as relationships, career and education, leisure, family, spirituality in order to develop an understanding of your values and goals
  • You will develop skills and strategies that help you work towards achieving your goals and living your life in a way that is consistent with your values
  • You will be asked to do homework between sessions
  • You will work towards taking effective action in order to create a rich and meaningful life
  • Your therapist will help you stay focused on developing resilience so that you can live the life that you want rather than be constrained by the impact of negative thoughts and feelings

Frequently asked questions

You are most likely to be offered ACT if it has a strong evidence base for your particular issue/s or if you’re interested in a type of therapy which focuses on the present. ACT can also be helpful if you’re feeling “stuck” and looking to uncover more direction in your life. In ACT, your therapist will help you clarify your values and understand how your difficulties might be acting as an obstacle to becoming the kind of person you want to be.

ACT is a more contemporary therapy approach which thinks about the mechanisms for change differently to CBT. ACT focuses on accepting difficult thoughts and feelings, even if they cause us pain and encourages us to live a life directed by our values irrespectively. In this sense, it works differently to CBT which focuses on helping us change unhelpful thinking patterns. ACT is likely to be helpful to you if you have already tried CBT and it hasn’t been particularly effective.

This is likely to vary depending on the nature of your difficulties. But generally speaking, ACT is a short to medium term therapy approach so anywhere between 12 – 24 sessions would be considered a meaningful intervention.

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Dr Elena Touroni

Dr Elena Touroni is a skilled and experienced consultant psychologist with a track record of delivering high-quality services for individuals with all common emotional difficulties and those with a diagnosis of personality disorder. She is experienced in service design and delivery, the management of multi-disciplinary teams, organisational consultancy, and development and delivery of both national and bespoke training to providers in the statutory and non-statutory sector.

Having obtained a first degree in Psychology (BSc) at the American College of Greece, she completed her doctoral training at the University of Surrey. Dr Touroni is highly experienced in the assessment and treatment of depression, anxiety, substance misuse, personality disorder, eating disorders, obsessive compulsive disorder, adjustment disorder and relationship difficulties. She works with both individuals and couples and can offer therapy in English and Greek.

Dr Touroni has held a variety of clinical and managerial positions including as Head of Service in the NHS. Further she has held academic positions for the University of Surrey and the Institute of Mental Health lecturing on specialist postgraduate Masters and Doctorate programmes.

She is trained in several specialist therapeutic approaches such as schema therapy, dialectical behaviour therapy (DBT), cognitive behavioural therapy (CBT), mindfulness-based approaches and Cognitive Analytic Therapy (CAT). As well as holding a variety of NHS positions, Dr. Touroni is the co-founder of a private practice in Central London that has been a provider of psychological therapy for all common emotional difficulties including personality disorder since 2002. She is the founder and one of two directors of The Chelsea Psychology Clinic.