David C. Brillhart, PsyD September 22, 2017
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David C. Brillhart, PsyD
September 22, 2017
Learning Objectives
1. Learn how ACT differs from traditional CBT in the treatment of chronic pain.
2. Case conceptualize chronic pain through the ACT Matrix.
3. Clarify ACTive living with chronic pain.
Commercial Support Disclosure
I disclose the following financial relationships with commercial entities that produce healthcare-related products or services relevant to CME that I may plan or present:
Full-time employment at the Mid-Valley Pain Clinic.
Mindfulness-based Therapy
ACT is not CBT
Three focus areas:
What is ACT?
Accepting your TFPs
Choosing a valued direction
Taking Action
© 2017, David Brillhart
(Polk & Schoendorff, 2014)© 2017 David Brillhart
Values Bull’s Eye (Harris, 2008)
© 2017 David Brillhart
(Polk & Schoendorff, 2014)
▪ Family
▪ Health
▪ Relationships
▪ Faith
▪ Me
© 2017 David Brillhart
Just the Facts (Brillhart, 2015)
© 2017 David Brillhart
Just the Facts (Brillhart, 2015)
▪ “I’m a Failure”
▪ “I’m broken”
▪ “I’m unlovable”
▪ “I can’t….”
▪ “I’m ugly”
© 2017 David Brillhart
Just the Facts (Brillhart, 2015)
▪ “I’m a Failure”
▪ “I’m broken”
▪ “I’m unlovable”
▪ “I can’t….”
▪ “I’m ugly”
▪ “I can be
successful”
▪ “I’m not broken all
the time.”
▪ “My family loves
me.”
▪ “I can….”
▪ “My [partner] says
I’m attractive.”
© 2017 David Brillhart
(Polk & Schoendorff, 2014)
▪ Family
▪ Health
▪ Relationships
▪ Faith
▪ Me
▪ “I’m a Failure”
▪ “I’m broke”
▪ “I’m unlovable”
▪ Anger
▪ Worthlessness
▪ Anxiety
▪ Depression
© 2017 David Brillhart
(Polk & Schoendorff, 2014)
▪ Family
▪ Health
▪ Relationships
▪ Faith
▪ Anger
▪ Worthlessness
▪ Anxiety
▪ Depression
▪ “I’m a Failure”
▪ “I’m broke”
▪ “I’m unlovable”
▪ Isolation
▪ Comfort food
▪ Shopping
▪ Gambling
▪ Alcohol
▪ Yelling
© 2017 David Brillhart
(Polk & Schoendorff, 2014)
▪ Family
▪ Health
▪ Relationships
▪ Faith
▪ Anger
▪ Worthlessness
▪ Anxiety
▪ Depression
▪ “I’m a Failure”
▪ “I’m broke”
▪ “I’m unlovable”
▪ Isolation
▪ Comfort food
▪ Shopping
▪ Gambling
▪ Alcohol
▪ Yelling
▪ I spend time with my
family when I’m in pain.
▪ I will go for a walk
▪ I will call my friends
▪ I will practice spirituality.
▪ I will make “Me” time.
© 2017 David Brillhart
S.M.A.R.T. Goals (Doran, 1981)
Specific
Measurable
Attainable
Realistic
Timebound
© 2017 David Brillhart
Brillhart, D. (2015). ACT Behind Bars: Valued-living and Life-affirming Change in Correction and Forensic Settings Using Acceptance and Commitment Therapy. Workshop presentation given at the SE ACBS Chapter Conference I, on March 27, 2015.
Doran, G. (1981). There’s a S.M.A.R.T. way to write management’s goals and objectives. Management Review, 70, 35.
Harris, R. (2008). The Bull’s Eye. Retrieved from http://thehappinesstrap.com/
upimages/Long_Bull's_Eye_Worksheet.pdf, on August 17, 2017
Polk, K. L., & Schoendorff, B. (Eds.). (2014). The ACT Matrix: A New Approach to Building Psychological Flexibility Across Settings and Populations. Oakland, CA: New Harbinger Publications.
Serani, D. (2011). An Introduction to Acceptance and Commitment Therapy. Psychology Today. Retrieved from https://www.psychologytoday.com/ blog/two-takes-depression/201102/introduction-acceptance-and-commitment-therapy, on August 17, 2017.
References
© 2017 David Brillhart
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