Treatment Planning & Protocols Flashcards
7 cards from real ACT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Treatment Planning & Protocols flashcards as text
In ACT treatment planning, what is the primary purpose of a functional contextual assessment?
Answer: To understand how behaviors function in the context of the client's life and values
Functional contextual assessment identifies how behaviors serve particular functions within the client's environmental and psychological context, guiding ACT intervention targets.
When a client's treatment plan indicates 'psychological flexibility' as the core goal, which set of processes does this encompass?
Answer: Acceptance, defusion, present-moment contact, self-as-context, values, and committed action
Psychological flexibility in ACT is defined by the six core processes of the hexaflex model working together to enable values-based living.
A clinician using ACT protocol with a client who has chronic pain prioritizes which treatment sequence?
Answer: Values clarification before acceptance work to give acceptance a purpose
Establishing values first gives clients a reason to practice acceptance and creates willingness to contact difficult pain-related experiences.
Which tool is most consistent with ACT-based treatment planning for tracking client progress?
Answer: Acceptance and Action Questionnaire (AAQ-II) measuring experiential avoidance
The AAQ-II directly measures experiential avoidance and psychological inflexibility, which are the primary ACT targets for change.
In structuring an ACT session for anxiety, a therapist spends most time on defusion early in treatment because:
Answer: Reducing literal belief in anxious thoughts creates space for acceptance and action
Defusion loosens the grip of anxious thoughts by reducing their literal believability, which facilitates willingness to experience anxiety during committed action.
A client repeatedly cancels sessions when distress is high. In ACT treatment planning, this pattern is conceptualized as:
Answer: Experiential avoidance interfering with committed action toward values
Session cancellation when distressed reflects experiential avoidance — avoiding the discomfort associated with therapy contact — which becomes an ACT treatment target.
When adapting an ACT protocol for group delivery, the therapist should primarily adjust:
Answer: Use peer sharing and group metaphors while maintaining all six core process targets
Group ACT retains all six hexaflex processes but leverages peer modeling, shared metaphors, and collective experiential exercises to deepen learning.