Acceptance and Commitment Therapy (ACT) is a type of third-wave cognitive-behavioural therapy that focuses on helping individuals develop psychological flexibility—the ability to stay present, open, and committed to behaviour that aligns with personal values, even in the presence of difficult thoughts and feelings.

In the context of eating disorders (like anorexia nervosa, bulimia nervosa, binge eating disorder, ARFID, etc.), ACT aims not to directly challenge disordered thoughts (as in traditional CBT), but to help individuals accept those thoughts without letting them dictate behaviour. Rather than trying to “fix” or eliminate distressing internal experiences, ACT teaches people how to live meaningfully in the presence of discomfort.

  1. Cognitive Diffusion
    Learning to observe disordered thoughts (e.g., “I’m not thin enough”) without getting entangled in them or treating them as literal truths.
  2. Acceptance
    Allowing painful emotions—like anxiety, shame, or body dissatisfaction—to exist without trying to avoid or suppress them through disordered eating behaviours.
  3. Present Moment Awareness
    Developing mindfulness skills to stay connected to the here and now, rather than being stuck in past traumas or future worries about food or body image.
  4. Self-as-Context
    Seeing oneself as more than the eating disorder—cultivating a sense of identity that is stable and broad, not defined by appearance, weight, or food rules.
  5. Values Clarification
    Identifying what truly matters (e.g., relationships, health, creativity, integrity) beyond the eating disorder, and using those values to guide behaviour.
  6. Committed Action
    Taking purposeful steps toward valued goals, even in the presence of difficult thoughts or urges related to food or body image.

ACT may be helpful for a wide range of individuals, particularly those who:

  • Struggle with rigid thinkingperfectionism, or avoidance behaviours
  • Experience intense body image dissatisfaction
  • Are resistant to traditional cognitive restructuring (e.g., challenging distorted beliefs)
  • Need help tolerating emotional distress without resorting to disordered behaviours
  • Want a more values-based, holistic approach to recovery

This therapy is designed for adolescents and adults, often combined with other modalities as well as nutritional rehabilitation and medical oversight. Enquire with us confidentially.